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92-100435 CITY OF FEDERAL WAY 9� - roby3� Fede al Way\,NWA 98003 B U I L D I N G P E R M I T BUILDING INS 661 4140 PERMITNO. 92'41O MH OWNER'SNAME THOMAS DUNBAR SITEADDRESS 3001 S ZHS ST #IS7 CONTRACTOR HORIZON CONST ADDRESS 1940 ELM ST SE AUBURN CONT.PHONE 939-1342 CONT.REG.NO. HORIZCS132LA EXP. ZO�92 OWNER'S PHONE 946-1355 OWNER'S ADDRESS 25929 25 LN S B-303 FEDERAL TI1�AY TYPEJOB: NEWRESIDENCE ADDITION NEWINDUSTRIAL NEWCOMMERCIAL COMMERCIALADD. INDUSTRIALADD. NEWPUBLIC__ PUBLICADD. NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER INSTALL MOBILE HOME TAX ACCOUNT NO. 042104-9222 �EGAL DESCRIPTION LOT ZS�I CAMELOT S UARE ISSUED BY ELI ZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 3/18/92 BUILDING INFORMATION ' ONE RM 3600 SET BACKS:FRONT 8� SIDE ZH� �4� REAR 6� HEIGHT LIMIT NA OCCUPANCY R3 TYPE OF CONSTRUCTION 5-N CENSUS NO. ��S TYPE OF HEAT NA BLDG.SQ.FT. 924 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 NONE DRYER TOTAL MECHANICAL NONE AMOUNT NONE VALUATION �4,0 6 5 PERMIT FEE $72.00 P��ING DEPT APPROVAL = DEB BARRER PLAN CHECK FEE 47.OO FIRE/BLDG DEPT = REVIN ELLIS PLUMBING FEE MECHANICAL FEE ART P/C FEE SEPA REVIEW �I PUBUC WORKS 4.50 J �L�`?` . S.B.C.C.FEE �� FIRE FEE DATE: OTHER FEES $123.5� AMOUNT: �123.5� AMOUNT DUE RECEIPT: -' � ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION FURNISHE ME I$,TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. ' ' -- �; �_ • � _._ --,. � " �� OWN�R OR AGENT z' DATE q � CITY OF FEDERAL WAY , Fede al'Way\,NWA 98003 B U I L D I N G P E R M I T BUILDING INS 661 4'140 • 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 JNE 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 ��` . �i PERMIT FEE �� PLAN CHECK FEE - s`. z�•:r.-• ._ .... < ,-,.a , .'t : � . PLUMBING FEE � ECHANICAL FEE ART P/C FEE `� SEPA REVIEW • � /),� PUBLIC WORKS , �� Tc "(�_ �.� S.B.C.C.FEE D 1 � FIRE FEE DATE: � �- OTHER FEES AMOUNT: B 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 SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK DATE ___..._—.....—BY _—__ ___— DATE BY DATE _ BY __ PLUMBING ROUGH IN WATER LINE O.K. _ MECHANICAL INSPECTION DATE .__ ._.__. _BY __ _----__ GAS PIPWG 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 _— - � , . .( ,� �_ i -- r , . a :. ! ,; � , i "r' 1 + � �'* 4 .c i. j ( p�,�. C ^ r ��t1i�� n�t # �� MAR 181992 CITY OF FEDERAL WAY �� °F��°E�'�'`�� BUILDING PERMIT APPLICATION �� — Please Print— BOX 1 TENANT NAME: Lip�//�zLG7'S�"✓r�rf- /►�Jud,�/��,,, /�r�r� OWNER ��L�.vrA=> Z�- s� ✓ SITE LOCATION ��4< �1 .1:3r�� .57 S�:.ac.,� /s� OWNER'S ADDRESS � ` '`��S�ti '% "� �� j� CITY i��' PHONE �r�� -i��S_�� DESCRIBE JOB - ' � THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION � BOX 2 CONTRACTOR'S NAME l c� �^i "7�=�J CC%�--��%- �< f�'"-� CONTRACTOR'S REG. # - � Card ST be presented/ /7. CONTRACTOR'S ADDRESS yc- i�l� S CITY /� �r �a-1�-�--- PHONE ��` �.31"��- ��J EXPIRATION DATE OR — I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINIT 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 � �rEXISTING BUILDING VALUATION �- BOX 6 PROPERTY TAX ACCOUNT NUMBER U�� • S ��-Z-�c �-'�`�/��1 �`>�3i - c�' - c�2 ic ,� -SiJ_j---t� LEGAL D�SCRIPT�ON 5�� r lS7 - C�qtii� lc 7` Sc,�i�r� re -�OG ! -Sv. .��`I --�1 L�r� ;/a , `I , �'C.' � _. _ .. (If necessary, please submit a separate page with the legal description " K.C. Plat Recording# � � BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLO �� / .�-----'"2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 ( ) SINGLE FAMILY O 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. 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 $ TOTALFIXTURES $ 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 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 AGRINST 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 ACC.�I OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. .�---- /—/�� OWNER/AGE� -' DATE: ,�'�� Z--- ANP-008 3/90 OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ' ZONE��'SETBACKS: FRONT SIDE �� REAR 1`i�HEIGHT LIMIT ' � PLANNING DEPARTMENT APPROVAL � � � Z REMARKS: SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL �-- �-- DATE 3� �� ' �1 z 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 ��/' STORES �-G� �-� ( � BUILDING SQ. FT. �L� @ �� O = yE ?� BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ �� ( � �-'�� _` �� TOTAL SQ. FT. TOTAL VALUATION �6 6 S` G v BUILDING DEPARTMENT REMARKS: PERMIT FEE � Z PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE �/ ` r v OTHER FEES AMOUNT DUE ASSIGNED ADDRESS: S e-� e-� ( S �G'�q PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt# BUILDING DEPARTMENT APPROVAL RECEIVED BY �" — DATE 3 � Z� / � ACCEPTED FOR FILING } I j ' . � � ��X !J_7-1 /°�/ v /�/� rl ' �I _.._ ii � I�r..� �L f� �-�O(� � .�`L� % _—_ � S��C � �S� J . -- � � --• _.._�_._,_______-_._.-_ _.._ "� -- r l-x,sT-,r�� —� ' :s�uatuuio� , � ---Z� �. . �� 1 /y�G L I L� , � � � �_� /-/c r� :�g pano.�ddy -� �C'��,- Z� :.tacitunH ltuuad � J i'N�.� �A08dd�' �IV'Id �.LIS � ; �-` �'�-� _- - ---.---_---____ _.------: �-=---______.__ ; Can��elot Squ�r� j, �. r�-� RH V t� I , 3ooi s. 2ea�n �% I � � -� Federal Way,WA 98003 �� (:I-:! 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