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90-100405 CITY OF BUILDING INSPECTION FEDERALWAY BUILDING PERMIT 941-1555 �lD��IIo`1v� PERMIT NO. 9O—SS8 OWNER'S NAME CHOO� �TUN ILL JOB ADDRESS 914 S Z91ST STREET CONTRACTOR C M HOME BUILDING ADDRESS 17117 134TH AVE S E RENTON CONT. PHONE CONT. REG. NO. CMHOMB*ZZ�IPC OWNER'S PHONE 937-6928 OWNER'S ADDRESS 9932 3OTH S.W. SEATTLE TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILY (UNITS ) MULTI.ADD. SIGN GRADING OTHER TAX ACCOUNT NO. SZS33O �Z�JD �6 LEGAL DESCRIPTION LOT 15 MARINE VI� FOREST ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 5-9-90 BUILDING INFORMATION E RS 9.F> OCCUPANCY R3 _ TYPE OF CONSTRUCTION VN BLDG. SQ. FT. 4345 BACKS: FfiONT 2O SIDE S REAR_ rJ __ STORIES HEIGHT LIMIT 3O PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS 3 ELEC. HOT WATER HEATER GAS PIPING FT. 3.SO BOILER RECEIVED BATHTC�JS 3 IAUNDRY DRAINS �- COMPRESSOR _ TANK(S) SHOWER$ 2 �l�}1$DRY TRAYS � FORCED AIR FURNACE IO.OO AIR HANDLING UNIT NUMBER _ LAVATORiES 3 DRINKING FOUNTAINS GAS HOT WATER HTR. E).SO MISC. RETURNED SINKS ^ 2 MISC. CONVERSION BURNER BASIC FEE DISHWASHERS 1 TOTAL FIXTURES 1 F)X�J= �QQ UNIT HEATER TOTAL MECHANICAL �Q_.QQ AMOUNT VALUATION 217�146.6 �PROVAL: SITE INSPECTION 5-17-90 BK PERMIT FEE 1 �O49_O PLAN CHECK FEE Fi g 2_O PLUMBING FEE so_nn _ MECHANICAL FEE _ 2 O_n O AL BLDG. FEES T P/C FEE DATE: � / � SEPA REVIEW WATER SERVICE j�j�jOUNT: � '�� WATER MAIN CHG. S.B.C.C. FEE 4.50 �CEIPT- �� '� � � OTHER FEES AMOUNT DUE 1�835. rJ 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 APP�ICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET: � OWNER OR AGENT `� DATE � 2�� G � 31d4 1N3Jd ki0 ki3NM0 �13W 38 IIIM S1N3W3dif1b3Fi .l`dM l`d�1343� �O All� 319t/�Ilddb' 3Hl 4Nb' 3�J03lMON�I 1.W �O 1S39 3H1 Ol 1�3da0� 4NV 3f1d1 SI 3W .l9 03HSINaf1� NOIldWdO�NI 3H1 lb'Hl .l�lla3� I '3�Nt/f1SSl �O 31Va H31�V ad3A 3N0 3dIdX3 S11Wa3d JNIaddJ UNd ldIlN3UIS3li 'U31FlV1S SI �klOM ON �I 3�Ndf1SSl li31dV SAtla 08l 3!lIdX3 SlIWH3d llV 3r�a 1Nnowv S33�d3H10 33� '�'�'8'S JH�NIt/W Fl31VM 3�Ina3S a31`dM M31A3!!b'd3S 33��!d 1dVd S33� JOl8lVl01 33�lb'�INdH�3W 33� �'JN18Wflld 33�H�3H�NVId 33�llWa3d NOIlHfll`dA 1NIlOW'd — �b'�INVH�3W 1V101 a31t13H llNfl S3af11Xl�1V101 Sd3HSHMHSIO 33� �ISVB ki3Nkif18 NOISd3�N0� �SIW S�INIS 03Naf113li �SIW Fi1H a31VM lOH Sd�J SNIV1Nfl0� `JNIHNIFiO S31dOldhVl a39W(1N 11Nf1 rJNIIaN`dH dIH 3�VNafl� ald 43�a0� SIVNIdfI Ski3MOHS �S)HNb'1 FJOSS3FldW0� SNIHFJO I.aQNflbl S8f11H1V9 43�I3�3Fi Fi31108 l� JNldld SVJ li31b'3H a31VM lOH '�313 S13S0��Fl31dM dN08 '1WV '1WV S3�NVIlddV IV�INVH�3W 'ON 'ON JNIBWfild 11WIl1HCJI3H S31!101S NH3d 3aIS 1NOd� SN�d813S l� 'OS '`J4�9 NOIl�(1d1SN0��O 3d.11 .I�NVd(1��0 3NOZ NOIIVWliO�Nl °JNI011f18 NOIlV�IIddH�O 31V4 3f1SSl�O 31b'0 A8 03f1SSl NOIldIFl�S30 l`d�J3� ON 1NflO��t1 XVl Fl3H10 JNIQVb'J NrJIS OOV'Illf1W � SlIN(1) AIIWb'�-Il�f1W M3N 40d�IlBfld �Il9fld M3N OOV lb'IFl1Sfl4Nl Oab'�b'I�ki3WW0� lb'I�a3WW0�M3N IVIFi1Sf10N1 M3N NOIlI00V 3�N301S3d M3N 90f'3d.11 SS3Fi44V S�Fl3NM0 3NOHd S,�13NM0 �i —'ON '�J3F! 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BOX 3 CONTACT PERSON " > � � PHONE �� ,`��_ BOX 4 SEWER DISTRICT _ � WATER DISTRICT � .•r BOX 5 ESTIMATED PROJECT COST `� , EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER f � � ��' ' G' —C LEGAL DESCRIPTION Lc f� j�' �aa,'H� I. ,'��t��f�4' (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording# -� BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) iST FLOOR 2�� 2ND FLOOR / 3RD FLOOR / BASEMENT�Q�? / DEC C? GARAGE�,;1,�/ BOX 8 (;� SINGLE FAMILY (JV 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$ NO.�WATERCLOSETS GAS PIPING, FEET $ ` .-� �BATHTUBS N0._�_FURNACE, ELEC. GAS ✓ $ e�%• � > �_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 " �� ../�i 'i��c� $ TOT FIXTURES � $ , ��;,�'�.- TOTAL MECHANICAL FEE $ � �� :C"'� 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 PERMITAPPLICATION 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 EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. / � �/ OWNER/AGENT: 1�../Y�I�L% �� DATE: ��9/44 �—, ANP-008 3/90 OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE��SETBACKS: FRONT �`� SIDE �w REAR 5 HEIGHT LIMIT � PLANNING DEPARTMENT APPROVAL S't']'gc�' �� REMARKS: � SEPA: EXEMPT�_NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL�- i DATE�� f� 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 ,� � � TYPE OF CONSTRUCTION �� d) STORES / ��/�-�,�� BUILDING SQ. FT. s�<,3S r'a @ �� ',�C� = I C� � . l 5 � . �� l,� �- BUILDING SQ. FT. .��) @ � � K1 U = ��;� DO�, �� a S P rvl E �•� �� -� Bui��iNs sa. FT. ��_5 � � �7, �c� = i ,�7. s�� e r, BUILDING SQ. FT. ��? @ _I E?� ��'J = ��?�F� . �',('� BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ TOTAL SQ. FT. � � �� TOTAL VALUATIO �� `��% • �' C' BUILDING DEPARTMENT REMARKS: f,�f,_y fj T. .t. PERMIT FEE �� PLAN CHECK FEE � � PLUMBING FEE � � MECHANICAL FEE TOTAL BLDG. FEES � PART P/C FEE SEPA REVIEW S.B.C.C. FEE � OTHER FEES � AMOUNT DUE -, --j /-�''�� ASSIGNEDADDRESS: `Ii�I .SEi. Z�I 57 51. - a, _,_: �:. aa �`;� -� . _�� `�� '� 6' ti��'�j, '�,,;�,�, =� �y � PARTIAL PLAN CHECK FEE RECEIVED =y�� ' O � Amount Date Receipt# ., �� i� ,� `b.�' � BUILDING DEPARTMENT APPROVA� ✓ ; g _ `�, C RECEIVED eY � �ATE ACCErTED FOR FILING � � �- � � �� . Permit # � 1 CITY OF FEDERAL WAY ��; r1�� BUILDING PERMIT APPLICATION �� —Please Print— BOX 1 TENANT NAME: OWNER ' � SITE LOCATION OWNER'S ADDRESS CITY PHONE DESCRIBE JOB THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME 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 BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER LEGAL DESCRIPTION (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording# BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) iST FLOOR / 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAVINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$ N0. WATERCLOSETS GAS PIPlNG, 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' I 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 EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION 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 LINE � ZONE SETBACKS: FRONT SIDE REAR IGHT LIMIT PLANNING DEPARTMENT APPROVAL REMARKS: SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE REMARKS: PUBLIC WORKS PARTMENT APPROVAL DATE REMARK • 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 OCCUPA�ICY C ��'l TYPE OF CONSTRUCTION � �/ STORES �� O c! BUILDING SQ. FT. � ZO @ E�< d� _ � BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ '��`Q �� - � G BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION � � � � ' ��'' < < BUILDING DEPARTMENT REMARKS: g �f / �� - PERMIT FEE � �'�� e C , f>-- �_L- PLAN CHECK FEE � ( PLUMBING FEE � MECHANICAL FEE �-' , TOTAL BLDG. FEES ` ' �� PART P/C FEE � SEPA REVIEW I 2� Q i 1 S.B.C.C. FEE � OTHER FEES AMOUNT DUE �� "� ASSIGNED ADDRESS: e�' \ �'L PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt# � BUILDING DEPARTMENT APPROVAL RECEIVED BY �� DATE Iv ` �'�~ /�' ACCEPTED FOR FILING