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92-100916 CITY OF FEDERAL WAY 9 1- laa9)� Fede al IWay1,NWA 98003 B U I L D I N G P E R M I T BUILDING INS 661 4140 PERMITNO. 92-0902 MH OWNER'SNAME GEORGE BARBER SITEADDRESS 2611 S. ZHHTH SPACE 7�43 ALBRITTON CONTRACTING 3505 99TH B7E E. PUYALLUP 848-9811 CONTRACTOR ADDRESS CONT.PHONE_ CONT.REG.NO. �'BRIC�.3SLZ EXP 6/93 OWNER'S PHONE OWNER'S ADDRESS 2611 S. 288TH STREET FEDEAL WAY TYPEJOB: NEWRESIDENCE ADDITION NEWINDUSTRIAL NEWCOMMERCIAL COMMERCIALADD. INDUSTRIALADD. NEWPUBLIC PUBLICADD. NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER MOBILE HOME SETUP AND CARPORT TAX ACCOUNT NO. 2g392O-0730 LEGAL DESCRIPTION ISSUED BY JOANNE JOANSON DATE OF ISSUE DATE OF APPLICATION 6-10-92 BUILDING INFORMATION � ZONE SET BACKS:FflONT SIDE 8 REAR 6 HEIGHT LIMIT OCCUPANCY R3/Ml TYPE OF CONSTFIUCTION VN 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 11,360.89 PLANNING DEPT APPROVAL: SETBACICS AS NOTED DB 6-15-92 135.00 PERMIT FEE BUILDING DEPT APPROVAL: RC 6-15-92 PLAN CHECK FEE R$�.O O PLUMBING FEE MECHANICAL FEE ART P/C FEE EPA REVIEW PUBLIC WORKS S.B.C.C.FEE d r'n FIRE FEE DATE: OTHER FEES AMOUNT: 2 2 7. 'rJ O AMQUNT DUE ��- RECEIPT: �� J �� 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 ND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. ____----� ��, - �..� / ` OWNER OR AGENT l � �" ` DATE � �1� � CITY OF FEDERAL WAY , Fede al IWay\,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 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 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 '�: 1. � � "ECHANICAL FEE �*- ART P/C FEE , SEPA REVIEW .� �' � '� PUBLIC WORKS S.B.C.C.FEE ' �L,�, ATE ,i�.� FIRE FEE DATE: �`" D OTHER FEES AMOUNT: AMOUNT DUE RECEIPT: Q� �� 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 ,8E MET. � �OWNER OR AGENT DATE `' , _ _ SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WA�LS PLUMBING GROUNDWORK � -: : , , , ,_ -'S _ DATE _� :..- _ _BY__�L._. 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 ___ ____ ._ 3 c -y z c!/1%ti/Z/2 1 U_ �, �.'� C —2 �C/ Z. t' 2 v w t� S �GG C- � � j , _�< . � '.;�' "�,� �'r'�% �rmit �� "� � � . ��C�fV�� CITY OF FEDERAL WAY � N JUN 101gg2 gUILDING PERMIT APPLICATION ��L�y — Please Print— BOX 1 TENANT NAME: Gp�,-� ,� f�'�r�:� OWNER -Sr� � � SITE LOCATION � 6�� `. 2�� =`��T. -rf'� y"3 OWNER'S ADDRESS �6 i/ ` Z r ` �' S T CITY �F�✓�-�,/�� PHONE DESCRIBE JOB YYII�,�� -f_ � S� ,��9�1"7� THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP � CORPORATION � BOX 2 CONTRACTOR'S NAME fO L.�R ��t-�.0 �M.1i T!2 1�-�-��v c- CONTRACTOR'S REG. #_��' iG � /3s c Z Card MUST be presented CONTRACTOR'S ADDRESS 3So� �/i � �?�E' F- CITY �1-��' J�6�_pHONE c�'� �' >�''� EXPIRATION DATE 6 - � - `� — OR— I HAVE READ CHAPTER 18.27.010 RELA G T FINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON T;r � /^//L��7�� PHONE Y 5`c��7 F- >'/ BOX 4 SEWER DISTRICT �P�=✓�r<- ��+�, WATER DISTRICT �� •�'�� b7 BOX 5 ESTIMATED PROJECT COST �� 2 `�.3—� EXISTING BUILDING VALUATION _�� BOX 6 PROPERTY TAX ACCOUNT NUMBER � � 3 7 2 ° 'C?�o LEGAL DESCRIPTION P�^ /� '^'��'J L� ,., P /�"� �i. /r �/�,.,c_ t'•�,... �- (If necessary, please submit a sep�rate page with the legal description.) K.C. Plat Recording# F�� BOX7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR ��z° % 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE at `'>7"%�'� BOX 8 p�) SINGLE FAMILY � NEW CONSTRUCTION ( ) MULTIFAMILY(N0. OF UNITS = ) ( ) 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 $ 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 KN LEDGE 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 ACCUR CY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: `� ��-�L � DATE: �� l�' `" �-Z ANP-008 3/90 l • OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE��SETBACKS: FRONT `�� SI E � REAR �D ` HEIGHT LIMIT PLANNING DE�PAR_T�ENT APPROVAL u--- �lS�`�1-- REMARKS:�/'�-�S aS M��C� SEPA: EXEMPT�_NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE 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 � �' � � BU LDING SQ. FT. ( 7�f Z @ .S � f� _ � � BUILDING SQ. FT. Zfl 7 @ l 3� 3 a = � � BUILDING S�. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ A r- _— C�j < G� BUILDING SQ. FT. @ /�� l < EI• TOTAL SQ. FT. TOTAL VALUATION l BUILDING DEPARTMENT REMARKS: PERMIT FEE �3 S PLAN CHECK FEE °° PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE `-5 � OTHER FEES AMOUNT DUE ASSIGNED ADDRESS: ��— e- S 1 (� PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt# BUILDING DEPARTMENT APPROVAL RECEIVED BY � � DATE �' ��'' / Z' ACCEPTED FOR FILING � � . � � � _ i� � `L � � ', ,F'�, I' n r�v�- 4 � __..__�.__,..._ ._._.___"_"'"--- .._. W '��` • '. , , __._ _"__...__. � `\� � `J _ _ _.� �! � 1 b � w r ,I ----_ _ _----- � � � �, � (n) N _ � � W '�,N`�o �D �'�n � 1J .J' �9 /. � ��::� � �' �� ,} n�� t , D � mm � � \ c� TF; � . � � �� o� � I� b ,� �� i � � � �'� � � �- �� . � �-�' --___----- -�- � '` �-� -� �� `�r o � � ; � �� `"_ i �'�, � �o �� , w � � � � om cZiaa' � � ^ c �a �� i �� I �I� � � T � Or� I ^ � � � av z z y.` I . � �Z av � �` '�' '°-"'-�- ----- -- - --- - �-_--�_ _ .�. .. � �— �- ( r - _ ---- � I� � � , _. ns �I � _ � � � � _ �� O j � � ��S �.�ry d ; � ,a b �------- __ . _ � _--�-- �` �' h � �- � � :, � L, .� �i . �...., v , _� __:..._._ — -- � . . 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