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91-101485 , CITY�OF FEDERAL WAY 4� �� 'y 33530 First Way South g V I L D I N G P E R M I T BUILDING INSPECTION Federal Way, WA 98003 RENEWAL OF 90-863 RA 661-4140 PERMIT NO. 91-1443 RE OWNER'S NAME GERAI�D WELCH SITE ADDRESS 5243 SW DASH PT RD CONTRACTOR OWNER ADDRESS S�E CONT.PHONE 8�4-0324 CONT.REG.NO. NA ExP. NA OWNER'S PHONE S�E OWNER'S ADDRESS SAMF' TYPEJOB: NEWRESIDENCE ADDITION NEWINDUSTRIAL NEWCOMMERCIAL COMMERCIALADD. INDUSTRIALADD. NEWPUBLIC PUBLICADD. NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER �NEWA.L OF 90-863 TO CONSTRUCT ADDITION TAXACCOUNTNO. 36H14O-14�-6 LEGALDESCRIPTION LOT 2 BLR 4 Sl'.',C 3305 H�..''�Y PALISADES � ISSUED BY ELI ZABETH SNYDER DATE OF ISSUE , DATE OF APPLICATION 10/15/91 BUILDING INFORMATION � � ZONE SET BACKS:FRONT 20 SIDE 5 5 REAR 5 HEIGHT LIMIT 3O OCCUPANCY R-3 TYPE OF CONSTRUCTION 5-N CENSUS NO. � `S TYPE OF HEAT EXISTING gLDG.SQ.FT. 92 sroRiEs EXISTING PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC.HOT WATER HEATER GAS PIPING FT. GAS LOGS RECEIVED BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. SINKS nnisc. DRAIN 1 ggQ BASIC FEE RETURNED DISHWASHERS TOTAL FIXTURES 1 ORYER TOTAL MECHANICAL NONE AMOUNT NONE VALUATION �4��8 4 g THIS PERMIT EXPIRES 10/15/92 AND CANNOT BE RENEWED AGAIN. PERMIT FEE �1F)2.OO PLAN CHECK FEE "'UMBING FEE 2.SO :HANICAL FEE P/I,RT P/C FEE SEPA REVIEW / ^� PUBLIC WORKS ^� �j�`�� f S.B.C.C.FEE 10/15/91 �j� �� [ �I � � �l � FIREFEE DATE: v �t� � ��1/1 OTHER FEES AMOUNT: 164•S� I'�' (�r� � ��x AMOUNTDUE �� 64 S� RECEIPT: 4097 PD � (82.25) ON 10/15/91, # 4097 — TO PAY BALANCE NOVEMBER 1991. (82.25) ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. OWNER OR AGENT DATE �f'�Y r7F FEDERAL WAY 33530 First Way South g V I L D I N G P E R M I T BUILDING INSPECTION Federal Way, WA 98003 661-4140 PERMIT NO. OWNER'S NAME SITE ADDRESS CONTRACTOR ADDRESS CONT.PHONE CONT.REG.NO. EXP. OWNER'S PHONE OWNER'S ADDRESS TYPEJOB: NEWRESIDENCE ADDITION NEWINDUSTRIAL NEWCOMMERCIAL COMMERCIALADD. INDUSTRIALADD. NEWPUBIIC PUBLICADD. NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER TAX ACCOUNT NO. LEGAL DESCRIPTION ISSUED BY DATE OF ISSUE DATE OF APPLICATION BUILDING INFORMATION ZONE SET BACKS:FRONT SIDE REAR HEIGHT LIMIT OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG.SQ.FT. STORIES PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC.HOT WATER HEATER GAS PIPING FT. GAS LOGS RECEIVED BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. RETURNED SINKS MISC. BBQ BASIC FEE DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL AMOUNT VALUATION PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE PART P/C FEE SEPA REVIEW PUBLIC WORKS i � S.B.C.G FEE C� ,,�C/j�p-- �� FIRE FEE DATE: \„D � A/- / .j. OTHER FEES AMOUNT: �� I� �-ty AMOUNT DUE RECEIPT: ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. i .� f ' r ��,,,' OWNER OR AGENT DATE � � ��C%��/�� Per ' # � „ �� OCT 1 5 � CITY OF FEDERAL WAY � �� 3 � °��,��A� BUILDING PERMIT APPLICATION —Please Print— �� BOX 1 TENANT NAME: OWNER � � L SITE CATIOIV� OWNER'S ADDRESS � '2 � CITY 1�� F�v PHONE�� --� DESCRIBE JOB � � W�� THE PROPERTY IS OWNED BY: SINGL ARRIE PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME f; ��r r. �n �p� �ra ov z � CONTRACTOR'S REG. # Card MUST be presented CONTRACTOR'S ADDRESS CITY PHONE EXPIRATION DATE — OR — I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON = �'� c.- PHONE � — BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST `� � � �.� EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER �� `�I -- ��I ( LEGAL DESCRIPTION �� r - � ��_ � � (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$ N0. WATERCLOSETS GAS PIPING, FEET $ BATHTUBS N0. FURNACE, ELEC. GAS $ SHOWERS GAS HOT WATER HEATER $ LAVATORIES CONVERSION BURNER $ SINKS BOILER, SIZE BTU $ DISHWASHERS AIR HANDLING UNITS $ ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $ LAUNDRY WASHER OUTLET UNIT HEATERS $ URINALS AIR COOLING UNITS, SIZE $ DRINKING FOUNTAINS COMMERCIAL HOOD $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ DRAINS $ OTHER $ TOTAL FIXTURES $ TOTAL MECHANICAL FEE $ I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS MADE.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS' FEES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM),WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED, AND FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS OFFICERS AND EMPLOY ES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. 1 �' � � - � G OWNER/AGENT: � DATE: ANP-008 3/90