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92-100673 CITY OF FEDERAL WAY 9�' ��73 Fede al IWay\,NWA 98003 B U I L D I N G P E R M I T BUILDING INS 661 4140 PERMIT NO. 92-692 � OWNER'S NAME BRIAN TIBBOT SITE ADDRESS 433 .S 289 ST CONTRACTOR DISCOVERY HO�,'S ADDRESS 433 S 289 .ST FED WAY CONT.PHONE 941-9474 CONT.REG.NO. DISCOHCO9ILF ExP. 6�92 OWNER'S PHONE S�E OWNER'S ADDRESS SAMF TYPEJOB: NEWRESIDENCE ADDITION XXX NEWINDUSTRIAL NEWCOMMERCIAL COMMERCIALADD. INDUSTRIALADD. NEWPUBLIC PUBLICADD. NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRAOING OTHER TAXACCOUNTNO. 51S29H-OZZO LEGALDESCRIPTION LOT 21 MARINE HILL WEST ISSUED BY E SNYDER DATE OF ISSUE ;)�'".�-G �� DATE OF APPLICATION 5/5/92 BUILDING INFORMATION ZONE � 9•6 SET BACKS:FRONT 20� SIDE 5��S� REAR 5� HEIGHT LIMIT 3O� )CCUPANCY R-3 TYPE OF CONSTRUCTION 5-N CENSUS NO. 434 TYPE OF HEAT �S BLDG.SQ.FT. 1 OO STORIES NA 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 �F� DRYER TOTAL MECHANICAL NONE AMOUNT NONE VALUATION $6,415 pJ,p�JNING APPROVAL = DEB BARRER PERMITFEE $90.00 "NO BLDG SHALL ENCROACH ONTO ANY BLDG SETBACR LINE OR EASEMFNT� SHOWN PLAN CHECK FEE 59.OO OR NOT SHOWN� PLUMBING FEE MECHANICAL FEE PUBLIC WRS APPROVAL = RAREN LANCASTER PART P/C FEE BLDG APPROVAL = REVIN ELLIS PA REVIEW � UBLIC WORKS 35.�� S.B.C.C.FEE 4.5� FIRE FEE DATE: � �� / �' OTHER FEES AMOUNT: �1 H H.�J O AMOUNT DUE RECEIPT: U� - �� S'� sv AlL PERMtTS 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 INFQR�fAT�N FURNISHED B�(ME IS TRUE AND COR TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. f � �' / � � �[ _� 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 ONE 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 D 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 �yy ` �1� s� "ECHANICAL FEE �� ART P/C FEE �� ?'�:. SEPA REVIEW - �'n. PUBLIC WORKS �., S.B.C.C.FEE FIRE FEE DATE: _ ( ` OTHER FEES AMOUNT: D�� 1 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. OWNER OR AGENT DATE , �J (�`` o „ o 0 0 -� o �n � D z D � D C � � , (', `� (, m y m � m � m w -� ,, � �" ` W n • N ,4•,, � (�1 �` il ° � o ! � �� .: ` I � � �` � � O '— I O �v D � C ' -S1 ' O � � � �� C) m T � `,, � � i � �I �, I = I (`� o ` c � � z o ` �' ' w �° �o A cv m � � , < � � � -� � Z C� f � � '' c� � �� R` � � i � f�.. ' i � I � � i � j � � fj � -�-. ,� o o z Z � � o O C`v n D �Cn D Z' D T. O � c�C � -i '� ' � C' m .,r -D m rn -� � y � �7 O � � i_(��O Z � O 1 � � Z � m � c O p i � � I�'� � � � I O r� IN � ' I I o � � rL� co r. � oo � � �� -� � � � �� j O -� v, , . � z �� `� I �� -�., � cn � -� r o � j �� ;-, C� � ' : I '� � , �� ; I � I �. �. - � 1f � y (,�' � D D A m D � C � � m � m z m � �' D W � P ��,` � � Z i Z � D , (7 +� � � I r� o '�� D z ' O �� z '�., C� �' C i ' 0 � � Z ! n, � T ��`� T n �.� � i � i m ' � . � O � W � � z W � �q -< D � -G � "y� � � � �� J � ;� � ' i � � � ' . �rmit # 1 � �� C�� - CITY OF FEDERAL WAY ''� ` MAY 0 5tgg2 gUILDING PERMIT APPLICATION ��F��'�Y — Please Print— ��. BOX 1 TENANT NAME: ��,�.� '� ,� i��Q� OWNER SITE LOCATION S��) - OWNER'SAD RESS�� Sv . Z�� CITY r�cl �.tlp-� PHONET�-/_� 'LC�� DESCRIBE JOB THE PROPERTY IS OWNED BY: SINGLE/MARRIED N.t��(L.(1.�� PARTNERS IP CORPORATION BOX 2 CONTRACTOR'S NAME � � CONTRACTOR'S REG. #D�S��G�-�1� L F Card MUST be presented CONTRACTOR'S ADDRESS � - 'Z � CITY ��- u% �''� PHONE C��(-�5!�S� EXPIRATION DATE OR— I HAVE READ CHAPTER 1`8.27.010 RELATING TO DEFI ONS OF GENERAL CONTRACTORS AND SPECIALTY CONT ACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS ITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON PHONE - BOX 4 EWE ISTRICT c.vn WATER DISTRICT �(� BOX 5 ESTIMATED PROJECT COST � G� 4�j, EXISTING BUILDING VALUATION ��. U-D-t��L�,/, BOX 6 PROPERTY TAX ACCOUNT NUMBER J� 5 2- �`I f�' - �2�� -� LEGAL DESCRIPTION Ld�Z/ �v1��Z/H,° E ! G(r �5 (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording# �- BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposetl) 1ST FLOOR� D"a 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK -- GARAGE / BOX 8 �jQ SINGLE FAMILY (� NEW CONSTRUCTION �evZli�t?� �dtDp��='� ( ) MULTIFAMILY (N0. OF UNITS = ) (x� EXISTING STRUCTURE ( ) COMMERCIAUINDUSTRIAL 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 $ AINS $ 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 T TY OF FEDERAL WAY, BUT ON Y ERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS OFFICERS AND E OYEE , UPO A OF MATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. � �—' ^ '� OWNER/AGENT: ' � DATE: �"�� -- ANP-008 3/90 OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS ��JE) ` ?,y�'.,'��: � ZONE�- �.(.SETBACKS: FRONT ��C � SIDE 5 � REAR S � HEIGHT LIMIT ��,� .: ' PLANNING DEPARTMENT APPROVAL ��, I/��' � ` � „ .. . REMARKS: ' SEPA: EXEMPT `.� NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL DATE �/�-c/ Z REMARKS: 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� P�3 TYPE OF CONSTRUCTION STORES �-t � �^� ' BUILDING SQ. FT. ��U @ �I '- " ��' _ �7 Z �{G BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ � � (� � � `� �� TOTAL SQ. FT. TOTAL VALUATION �> y �-S� Z BUILDING DEPARTMENT REMARKS: PERMIT FEE C � PLAN CHECK FEE PLUMBING FEE � �, MECHANICAL FEE TOTAL�BLDG. FEES RART P/C FEE '- �SEPA REVIEW �t,v- �e� 3�= S.B.C.C. FEE "� ` S� OTHER FEES AMOUNT DUE ASSIGNED ADDRESS: �-'��-- e- �S �� PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt# � BUILDING DEPARTMENT APPROVAL RECEIVED BY � DATE � � �� ` � ACCEPTED FOR FILING