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91-101177 CITY OF FEDERAL WAY 91� �D� �'� Fede al IWay`,NWA 98003 B U I L D I N G P E R M I T BUILDING INS 661 4140 PERMITNO. 91�1124.5 �l OWNER'SNAME M.�. BINGHAM SITEADDRESS 633 Sw 304 ST CONTRACTOROWNER ADDRESS SAME CONT.PHONE 839-9398 CONT.REG.NO. NA EXP. OWNER'S PHONE SAMF� OWNER'S ADDRESS SAME TYPEJOB: NEWRESIDENCE ADDITION XX NEWINDUSTRIAL NEWCOMMERCIAL COMMERCIALADD. INDUSTRIALADD. NEWPUBLIC PUBLICADD. NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER CONSTRUCT DOUBLE CAR GARAGE TAXACCOUNTNO. Z�IBHHO-OOZO LEGALDESCRIPTION LOT 2 COUNTRY LANE DIV 4 ISSUED BY _�i'LI ZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 8�2 O�91 BUILDING INF RMATION .'_ONE RS 7•2 SET BACKS:FRONT 2�� SIDE 5, �5� REAR 5� HEIGHT LIMIT 3O� �X )CCUPANCY -----M-1 TYPE OF CONSTRUCTION 5-N 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. 3.5O GAS LOGS EGAS ZO.00 RECEIVED BATHTUBS LAUNDRY DRAINS FORCED AIR FURNAC DUCT WORK SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. RETUFNED SINKS MISC. BBQ BASIC FEE DISHWASHERS TOTAL FIXTURES NONE DRYER TOTAL MECHANICAL 13.S O AMOUNT NONE VALUATION `'TT��`r i 3�-��-/ �' PERM�FEE ��;,/ PLANNING DEPT APPROVAL = DEB BARRER PLAN CHECK FEE PLUMBINGFEE "5 FT SIDEYARD SETBACR SHALL BE MAINTAINED AND NOT USED FOR PARRING MECHANICAL FEE 13_50 PER �ZC 11�J.115" . PART P/C FEE SEPA REVIEW PUBLIC WR DEPT APPROVAL = TOM COLLINS PUBLIC WORKS 9�•�� BLDG DEPT APPROVAL = KEVIN ELLIS S.B.C.C.FEE 4 5� FIRE FEE DATE: OTHER FEES AMOUNT: 227.OO AMOUNT DUE y� ,.7 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. OWNER OR AGENT , DATE / CITY OF FEDERAL WAY 33530 First Way South B U 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. NEWPUBLIC 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 LAVATOflIES 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 S.B.GC.FEE FIRE FEE DATE: /�� OTHER FEES AMOUNT: �� ✓�- AMOUNT DUE RECEIPT: � D 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 REQUIREIk1E�ILL BEMET. ;i� . OWNER OR AGENT DATE � p T � O O � � � r D m -�1 Z -�I � � C -� � m D m � m � m W , p ao D � I z ' n T � m � . 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'' rmit # ��'� ( ( � "�J • � R�CE�V�p . ,� n CITY OF FEDERAL WAY I� AUG 2 0 � gUILDI G PERMIT APPLICATION pTM��AY �/ — Please Print— aarm� � a BOX 1 TENANT NAME , � � OWNER /I�,Q_f�� }� �M SITE LOCATION OWNER'S ADDRESS �� S LU �O �/ S� CITY W PHONE $ 3 9—p'3 9$ DESCRIBE JOB �� THE PROPERTY IS OWNED BY: SINGLE/MARRIE PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME r�w i-� � w 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 . � PHONE �3 9- 5'3 9g BOX 4 SEWER DISTRICT " WATER DISTRICT BOX 5 ESTIMATED PROJECT COST �� EXISTING BUILDING VALUATION B 6 PRO RTY TAX ACCOU T UMBER ' � L DESCRIPTION i (If necessary, please submit a separate page with the legal desc tion.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) iST FLOOR / 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE 6 ep i 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._a�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 $ �y• S�' I CERTIFY U ER 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 APR�ICATION IS MADE.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY ASTO 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,JNCLUD�G ITS OFFICERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATIO�I OWNER/AGENT: � � DATE: � ANP-008 3/90 _._, , ., ..,_ �.:..._ ...,.,,,. _- . .. -. ,n.,. � OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) 3� -Y�v.�"��` ' ZONE�SETBACKS: FRONT—��'� ,�— IDE � REAR �� HEIGHT LIMIT �.•` PLANNING DEPARTMENT APPROV l � �f'' ' ;, Y ,: REMARKS: � SiG��L � � �7� 72 ,,.,�� `� � ' wi�Q. -�.�� l�u�Tre' %l S. /�5`, ,_., . . . SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL � 1�/�°I �. DATE REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL T� DATE `l-i�j_ `;/ ?EMARKS: — - � - - - — TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT�—NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT EN W MULTIFAMILY (UNITS ) MULTIFAMILY ADD/ALT TENANT IMP. OTHER OCCUPANCY ilJl ( TYPE OF CONSTRUCTION /(i' STORES - � BUILDING SQ. FT. ��}�G @ = S , �� BUILDING SQ. FT. @ I 3� (o = 3 77Z ° c�, CJ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ -�� - �= '��% TOTAL SQ. FT. TOTAL VALUATION 33�- c>,� BUILDING DEPARTMENT REMARKS: PERMIT FEE _ �' % U �a ��£t� . G� ` ,.eGl (/t , �� C � PLAN CHECK FEE �_� PLUMBING FEE MECHANICAL FEE - TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW �;.v. � , c��. f� y��,- S.B.C.C. FEE ` rU OTHER FEES - � AMOUNT DUE � ASSIGNED ADDRESS: ��'- �- (S (� t(/� i �� ,� 1�� PARTIAL PLAN CHECK FEE RECEIVED �` �4 ��• Amount Date Receipt# �V � Q J� l�w BUILDING DEPARTMENT APPROVAL R� BY ��E� DATE ��^ �3 �� ' ACCEPTED FOR FILING �� ------ � --- �� . � � _ .>�� y � � I � ��,_„�: I � � �I �� s rnlCGc !! t= CT/�-'r�G�C- -..��i4-i Cc'S�/ :vi`f S .TI��S�-+.Cc/J u.i.//J.�;.:.:_ � ,. .h'z.rt'� K/..l� ��`•-,, " / ' �i _% `t� \ �RF-f r T /�'.J� T71� ` �'s�L'SG,./J Gr�.�t'i.!='; .- `� . � �� % � � t�ILL /�lC�T 1/'�i� t/c �� .�'.Q C�... . I � i4�F_i9 i C Ti.�-_- s, ,�r� S.��s � I r3G-C�Ge�-S n�r.1 y �'- � _ II -. .. ;�. ,_ ..� , � . - �'��c,.r r �-, I _._ � . IC � e I �' µ..� � �``�� 1 �( w i �t c`'� � �.� �' � � � � � _� I i i r i j f � �'` ; �s �� REC�tV�C� � ��~�"'a-� ' _ I , p-s�-�T� ; ��,T,,�,��;� �� ' AUG 2 0 't991 � Cn'�(pF FEDEAAt,WAI� I ! 8UII.DING t�EPT. � ; F � a✓ f /�`/�� , � � � � . � • . BUILDING DEPARTMENT CITY OF F�EDERAL WAY . . . Correction Notice Job Located at �� =� ��4� 7�- �i ��" I have this day inspected this structure and these premises and have found the following violations of City and/or State laws governing same: � - - C-!�lT�r'i-Ic�_. IZ�:s'-�-'rd��,� ,` l�'-°r.•��t� /v,•�l L� �� ..�i��< r-!='�'E.�,j-� is �C �` 'v�;.,C'� ! �' ��G'" �K. Q�J `�c:G:-l� %�C CG' ��/.a-�y /�✓�)%G-_� 0"1/5�i/i.'" E� //�' /j �� /C �-(. .�-l�C_ ( f G 1��G C j k: N� �`"t� � 1 Z -1 c� - ��.Z l�it il/ You are hereby notified that no more work shall be approved upon these premises until the above violations are corrected. When corrections have been made, call for inspection. Date ��:�--��-�>> �,��a��: �%.�<< �, Inspector for Building Dept. DO NOT REMOVE THIS TAG ANP.007]/OS/90