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91-101643 CITY OF FEDERAL WAY 9l-��i�y3 Fede al IWay\,NWA 98003 B U I L D I N G P E R M I T BUILDING INS 661 4140 PERMITNO. 91-1SH6 MH OWNER'SNAME LAMPLIGHTER HOMES SITEADDRESS �7 � �,r�$_Q'��C��#�` CONTRACTOR �BRITTON CONTRACTINGA��REss 3505 99TH AVE E� PiiYAT.T.[JP CONT.PHONE 84H-�BL� CONT.REG.NO. ALBRIC�.3SLZ ExP. 6/92 OWNER'S PHONE 946-4992 OWNER'SADDRESS ZFill S Z8RTA ST FFDFARI, WAY TYPEJOB: NEWRESIDENCE ADDITION NEWINDUSTRIAL NEWCOMMERCIAL COMMERCIALADD. INDUSTRIALADD. NEWPUBLIC PUBLICADD. NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER TAXACCOUNT NO. ZH392O-0730 LEGAL DESCRIPTION (SEE ATTACHF.D) ISSUED BY JOANNE .TOHNSON DATE OF ISSUE DATE OF APPLICATION 11-�2-�-� BUILDING INFORMATION ZONE � 2400 SET BACKS:FRONT �-2� SIDE 12� rJ. 3� REAR S. S� HEIGHT LIMIT OCCUPANCY R3/Ml TYPE OF CONSTRUCTION VN CENSUS NO. TYPE OF HEAT BLDG.SQ.FT. � Fi R 9 STORIES PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC.HOT WATER HEATER GAS PIPING FT. GAS LOGS RECEIVED BATHTUBS IAUNDRV 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 TOTA�MECHANICAL AMOUNT VALUATION 8,294_09 P�NING DEPT APPROVAI,: DB 11-12-91 PERMIiFEE 108.00 FIRE/BUILDING DEPT APPROVAL: MM 11-14-91 PLAN CHECK FEE 7O.OO LUMBING FEE ' MECHANICAL FEE PART P/C FEE SEPA REVIEW PUBLIC WORKS S.B.C.C.FEE '4_S� FIRE FEE DATE: OTHER FEES AMOUNT: ZH2.SO AMOUNT DUE � R�_5n 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 f�'� � � n1 `�� CITY OF FEDERAL WAY Fede aFlWay`,NWA 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 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 PERMITFEE , ,+.,.,.. .. --.r+ -�v�<.. . PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE PART P/C FEE SEPA REVIEW PUBLIC 4HORKS �J S.B.C.C.FEE / �� > FIRE FEE DATE: D��E OTHER FEES AMOUNT: 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 14VILL BE MET. ? �" ��, � .r-4 OWNER OR AGENT DATE /�LG�LI�//�L_ � ,'I!1,OQ'�,N - 4A1G�. O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK DATE/�=3/-5'� .BY��___ __--- DATE BY ____—__—_ DATE __ BY _ __ PLUMBING ROUGH IN. WATER LINE O.K. MECHANICAL INSPECTION DATE ...— —__ __BY __—__.__._ GAS PIPING O.K.--- __ _ _. DATE BY _ O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL DATE____._....__ .....___._...BY DATE BY ____ ________ DATE . __ BY _ FINAL O.K. TO OCCUPY DCD PSD FD DATE -- .--BY _- _ ___— ' _ .- !� - � �y� yri��z2 s �.��2 !"!_f1 s%G ivl1i� �'i-/-' - � S .i> y � A�C��1J�D Perm�# C�� ` ' NOV071991 ��t�p�wp� CITY OF F�EDERAL WAY �,� eui�+ooE� BUILDING PERMIT APPLICATION — Please Print— BOX 1 TENANT NAME: OWNER �/� ' e o c SITE LOCATION 6!r �' � {�' �" 5 OWNER'S ADDRESS 2 6� �r �'� _ �� CITY PHONE 9�� vy 9� DESCRIBE JOB �l'1-�'� or„ p S�/S�A //�-2°i arJ , t�f C , THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME AI hQ,� � t�ni C,�,v ��Zwc��Nti CONTRACTOR'S REG. #��tBRIC' �35 L Z Card MUST be presented CONTRACTOR'S ADDRESS 3�O S 9� �� f�v c �' CITY l�� l�u v PHONE �`t � V 8 �I EXPIRATION DATE 6 � Y - '"" —OR — I HAVE READ CHAPTER 18.27.010 RELATI DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON � d s�� '►z PHONE 9�f�, • y 9 9 7 BOX 4 SEWER DISTRICT ' WATER DISTRICT — BOX 5 ESTIMATED PROJECT COST �o�.tl� EXISTING BUILDING VALUATION — r BOX 6 PROPERTY TAX ACCOUNT NUMBER �� 3�;�o 0 7 3 0 LEGAL DESCRIPTION :Sr-e /�� f►c�/, e d (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # �--�` BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR �-S'� / 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / � r� &AR�4GE 1r /� BOX 8 ( �SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE O COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY �-' L/�/ SQ FT BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$ N0. WATERCLOSETS ��PiPING, FEET $ BATHTUBS % N0. FURNACE, ELEC. GAS $ SHOWERS GAS HOT WATER HEATER, $ LAVATORIES CONVERSION BURNER SINKS BOILER, SIZE BTU $ DISHWASHERS AIR HANDLING UNITS $ ELECTRIC WATER HEATER HEAT PUMPS, SIZE $ LAUN WASHER OUTLET UNIT HEATERS $ ALS AIR COOLING UNIT , IZE $ DRINKING FOUNTAINS COMMERCIAL OD $ 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 EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: � z/ DATE: �% - � � �T/ a ANP-008 3/90 � OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) " ' ZONE��ETBACKS: FRONT�SIDE 2� J�3� REAR �� ( HEIGHT LIMIT .. ✓ PLANNING DEPARTMENT APPROVAL / 2 REMARKS: SEPA: EXEMPT�_NOT EXEMPT FIRE DEPARTMENT APPROVAL ,q 7%�./ � ..,� rn4��'� DATE /�-/Y-�l/ REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL DATE 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 V-lV STORES 6�e �,,��, BUILDING SQ. FT. �,�� @ ��0° = 7gy�� d d ('ar Po�-t— BUILDING SQ. FT. ��.,�� @ ?.3 '� _ /5�� -�d BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ �`�2 ��l� BUILDING SQ. FT. @ �Y�.Qs � �f �C.�gg = TOTAL SQ. FT. I � � S� ��• TOTAL VALUATION ��" Q � BUILDING DEPARTMENT REMARKS: PERMIT FEE �� ('a,'�' Dt��- 11� ',�.itt:Luc�� O/I %/u5 /m✓� PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE 1.fie moblle homa shall�ispia}•a F�ermanentiy TOTAL BLDG. FEES . . . . .in , PART P/C FEE 2.Installation of the mobile home shall be oer SEPA REVI EW " manu aca,rers recommendations. 3.Provide a sita nf d�m�rnrfu��rers set-up buoklet y� S.B.C.C. FEE OTHER FEES AMOUNT DUE ASSIGNED ADDRESS: se-e.- �- I PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt# BUILDING DEPARTMENT APPROVAL RECEIVED BY -,�l��DATE //-/�t�y/ ACCEPTED FOR FILING v � � � i � � � � , J i p O � � i , i � I � ! 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