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92-100220 CITY OF FEDERAL WAY �f a - 1 ooa�o Fede aFlWay`,NW 98003 B U I L D I N G P E R M I T BUILDING INS 661 4'140 PERMITNO. 92-161 RA OWNER'SNAME EUGENE/BARBARA SAGER SITEADDRESS 30240 ZO AVE S CONTRACTOR RYRER CONST/ENG ADDRESS 1275 SW 301 ST FEDERAL WAY CONT.PHONE 839-5829 coNr.aeG.rvo. RYRERI*236M7 EXP!�92 OWNER'S PHONE 839-�972 OWNER'S ADDRESS SAME TYPEJOB: NEWRESIDENCE ADDITION NEWINDUSTRIAL NEWCOMMERCIAL COMMERCIALADD. INDUSTRIALADD. NEWPUBLIC_ PUBLICADD. NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER CONSTRUCT DETACHED GARAGE TAX ACCOUNT NO. 042104-9152 LEGAL DESCRIPTION N 127.SO FT OF S Z9O� OF W 2 OF W � OF W � OF W �` OF SE a OF SW 1 OF SEC 4 T 21 N R 4 EAST WM IN KING CO WASH ISSUED BY ELI ZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 2/3/92 BUILDING INFORMATI N ZONE RS 7�2 SET BACKS:FRONT 2�� SIDE 5� �5� REAR 5� HEIGHT LIMIT 3O� MAX OCCUPANCY M-1 TYPE OF CONSTRUCTION S-N CENSUS NO. 43H TYPE OF HEAT NA BLDG.SQ.FT. 1 OZO STORIES 1 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 N�NFi- DRYER TOTAL MECHANICAL NONE AMOUNT NONE VALUATION �16,425 PEFiMIT FEE $180.00 PLANNING DEPT APPROVAL = DEB BARRER PLAN CHECK FEE ' ONE (1) SIGNIFICANT TREE OR'D FOR REMOVAL. ALL NEW DRIVEWAY SHALL BE PLUMBING FEE PAVED PER FWZC S OS.ZOS. MECHANICAL FEE PART P/C FEE BLDG DEPT APPROVAL = REVIN ELLIS SEPAREVIEW 35.00 PUBLIC WKS DEPT APPROVAL = RAREN LANCASTER PUBLIC WORKS S.B.C.C.FEE 4.50 "CONNECT NEW DOWNSPOUTS TO A YARD DRAIN THAT IS IN CLOSE PROXIMITY FIREFEE DATE: TO THE EXISTING 12" STORM PIPE PRIOR TO A OTHER FEES $336.50 AMOUNT: �336.50 GASKET CONNECTION OF 4" PVC TO THE EXISTING 12" AMOUNT DUE RECEIPT: STORM PIPE" 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. O'✓VNER OR AGENT DATE�'�/¢+eGh' �C /�L---- CITY OF FEDERAL WAY Feder�aFlWay\,NW 98003 B U I L D I N G P E R M I T BUILDING INS 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 �NE 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 �-. � ,.,.._ .....-.�—:-T�_ ...�.- .�.-�.__. ,..�., ,.rw� _...,-... PLAN CHECK FEE �0�`} PLUMBING FEE ECHANICAL FEE � �- ART P/C FEE � � �� A-' SEPAREVIEW i: �vi(.�j �Jk,�"i" !��'l��C�'!�'.�i.�a '== �i2k'_ - PUBLIC WORKS S.B.C.C.FEE � � � � FIREFEE DATE: ` ��d �h" OTHER FEES AMOUNT: ' � ' J� AMOUNT DUE RECEIPT: ' pATE BY ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRAD�NG 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 � I ��—� i ' I � , ; J } } J } Y m Z m; � m � p ' O ' W 'S � U I � � � p W Z d � i � � Z O � Z � Q : � J � � Q I � � U Q Z ' Z I [D I pp ' Q � � U � J � W Q aJ o � 0 3 0 I � I �, Q � � i � � � � � o J � � � � �, a z � 0 Q m � � m � � �� '� ,� z O \� Y Y u. ��4� 0 0 I � �� : w Z O Z Z � ( a � J � � a O W a a Y ~ � Q � � � SS C� Z � � �, � i ' i I � I � � � � � z ' ' z } } � } } �, � m m Q m } m o � z � � � = � LL w U p � � c/� p I Q � � O ' � � Y � � � F- [ ,� � � W Y Ii v� z 0 Q � co O m w � w �' w Q w � � � � � � W Q J Q Y Q Z Q cA � a � O � � � Pei t # f�� - �� / ��'� , �� 1992 CITY OF FEDERAL WAY �, �,��,�,w� BUILDING PERMIT APPLICATION �� —Please Print— BOX 1 TENANT NAME: OWNER ,E� .�•v' � SITE LOCATION �C�r ' OWNER'S ADDRESS 2 Zlr'r'� Y'F � CITY PHONE - ` � DESCRIBE JOB �'T : t% • THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME %�� ' ' E� � �ro' . CONTRACTOR'S REG. # �� Z�'C 1Y1� „ � Card MUST be presented CONTRACTOR'S ADDRESS r� .S�-s.��, .�c/%�T• CITY � PHONE G�•��-,S�t�-�i' EXPIRATION DATE �� — OR— '. I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHIC ROHIBITS SSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON PHONE _ � - �t'• � BOX 4 SEWER DISTRICT WATER DISTRICT � " BOX 5 ESTIMATED PROJECT COST '� �� EXISTING BUILDING VALUATION D.1 � G�t�', �c3 BOX 6 PROPERTY TAX ACCOUNT NUMBER � Z/ �- r�Z - � LEGAL DES� IPTION • 2 . � � � ` .� ' ' � Ge�' � �� ' d'�'svV' � Ta� 2 "�_ 2; L�a �C� .3- c1�' (If necessary, please submit a separate page wit the legal descri tion.) � � 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 �AA.ric.y . -� ( ) MULTIFAMILY(N0. OF UNITS = ��' ( ) EXISTING STRUCTURE + ! � ; O COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY /�G�-�/� � 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 A $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ DRAINS $ OTHER � $ TOTALFIXTURES $ TOTAL MECHANICAL FEE $ I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE�E�T 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,INCL{JDINC THE UNDERSIGNED, AND FILED AGRINST THE CIT OF FEDE WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS OFFICERS AND EMPLOYE , PON T URACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. � OWNER/AGENT: � � �`� • DATE: �.�'_- � ��L�� ANP-008 3/90 , ...--..�.,.:�..r -T ��:-�_. �. ____._ .e. _ . OFFICE USE ONLY(PLEASE DO NOT WRITE BELOW THIS LINE) `�'��`� .� 'r � ZONE �Z- SETBACKS: FRONT �'�� SIDE � � REAR �r HEIGHT LIMIT -�� PLANNING DEP f��TMENT APPROVAL � �� l� �,�,. .. , REMARKS: fi«Z��--� Ti' ` �-C'm-�rZ'zp--� . ! r� � - -t�'./�,c�JG�. t� � ' �� L�c'��C ! ��' � � SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL A�� DATE REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL DATE 3'1 �" � Z REMARKS: �nn� ry� ..`� Ci1 � ! C �1u �. �/ � r ac a �e o ,� TMk G �� TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT_�NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS ) MULTIFAMILY ADD/ALT TENANT IMP. OTHER OCCUPANCY /LI I TYPE OF CONSTRUCTION STORES � BUILDING SQ. FT. � � Z� @ �`�• �CJ� _ /�6 6 F� BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ ' �'� t,�-S'� = a � � TOTAL SQ. FT. TOTAL VALUATION ( � �Z6` O� BUILDING DEPARTMENT REMARKS: PERMIT FEE �� PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA RE/�VIEW �•UJ, t�'� Zv��?� S.B.C.C. FEE �SO OTHER FEES AMOUNT DUE � ASSIGNED ADDRESS: �=�- �-- � ��rv��Ea FEB p 31992 PARTIAL PLAN CHECK FEE RECEIVED ��i�iA�. mount Date Receipt# �� BUILDING DEPARTMENT APPROVAL RECEIVED BY � � DATE 3��_ � Z ACCEPTED FOR FILING