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90-101403 t � 9��ar y-o3 CITY OF BUILDING INSPECTION FEDERAL WAY B U I L D I N G P E R M I T 941-1555 PEFMIT NO. 9O—ZF)ZH MH OWNER'S NAME LAMPLIGATER HOMES JOB ADDRESS 2611 SO Z8H ST (SPACE 2� CONTRACTOR ALBRITTON CONTRACTING ADDRESS 3505 99 AVE E PUYALLUP CONT. PHONE CONT. REG. NO. ALBRIC*13SLZ 6/91 OWNER'S PHONE 491-1130 OWNER'S ADDRESS POB 3000 LACEY WASH 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 SET-UP MOBILE HOME TAX ACCOUNT NO. ZS39ZO—OOZO LEGAL DESCRIPTION ATTACHED ISSUED BY FT.T .A .TH RNYD .R DATE OF ISSUE '� DATE OF APPLICATION 1 O�9�9 O BUILDING INFORMATION E RM3600 OCCUPANCY R-3 TYPE OF CONSTRUCTION — BLDG. SQ. FT. 2,056 SET BACKS: FRONT I.O� SIDE 9� Sc 1� REAR ZO� STORIES NA HEIGHT LIMIT NA PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. BOILER RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR _ TANK(S) SHOWERS URINALS _ FORCED AIR FURNACE AIR HANDLING UNIT NUMBER _ LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. MISC. _ RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE DISHWASHERS TOTAL FIXTURES NONE UNIT HEATER TOTAL MECHANICAL �Q]�� AMOUNT NnNF. VALUATION �$H�S S 1_O O PERMIT FEE $1 OS 00 P�NING DEPT APPROVAL = BILL RINGMAN ON 10/30/90 PLAN CHECK FEE ZD fl0 gUILDING DEPT APPROVAL = MIRE MONEN ON 10/23/90 PLUMBING FEE CHANICAL FEE TAL BLDG. FEES �i �R_n n PART P/C FEE SEPA REVIEW WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE OTHER FEES 4.50 DATE PAID � AMOUNT 182.50 RECEIPT � '� AMOUNT DUE �ZS2.SO ' ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.�RESIDENTIAL AND GRADING PERMITB EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE ME . � �.� ��. f�. �%' �; OWNER OR AGENT � � L� � � DATE � � �rmit # � b � �� 2� �� . , � CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print— BOX 1 TENANT NAME: � OWNER SITE LOCATION Z.(o 5 Z ` �" � OWNER'S ADDRESS d O CITY�.��(�_PHONE �-�''�l(•" I I 3 6 DESCRIBE JOB THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. # —@ Card MUST be presented �� CONTRACTOR'S ADDRESS CITY PHONE EXPIRATION DATE �`Tr'�Q�((u� —0 R— I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON PHONE ` � �d BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST �� EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NU BER Z 4 — O 0 Z.O LEGAL DESCRIPTION �'2Q.S�P 5� G� (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording# BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough-' s) MECHANICAL APPLIANCES — BASIC FEE$ N0. WATERCLOSETS GAS PIPING T $ ATHTUBS N0. FUR , ELEC. S $ S WERS GAS HOT ER HEATE $ LAVA RIES CONVERSION B ER $ SINKS BOILER, SIZE BTU $ DISHWAS S AIR HANDLING UNI $ ELECTR HO ATER HEATER HEAT PUMPS, S $ LAUN Y WASH OUTLET UNIT HEATER $ URI ALS AIR COOLI UNITS, SIZE $ D NKING FOUNTAINS COMME IAL HOOD $ UMPS, SPRINKLER VACUUM BREAKERS OTHE $ 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 EDERAL WAY,BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS OFFICERS AND EMPLOYEE , UPON E ACCURACY F THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: DATE: �� 6 ANP-008 3/90 L ' , ' � � OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONEJ�1'�3�SETBACKS: FRONT lC�� SIDE9 I REAR �� HEIGHT LIMIT �� PLANNING DEPARTMENT APPROVAL ��"� ,�G'Qa -f�(L REMARKS: SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL IG�� f� DATE REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL �(.�� DATE REMARKS: ' TYPE OF JOB: NEW RESIDENCE�X. _RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS ) MULTIFAMILY ADD/ALT TENANT IMP. OTHER OCCUPANCY F�� TYPE OF CONSTRUCTION V1� STORES ,==,-�„6�<��<<�� BUILDING SQ. FT. ��,z @ 1 �9-�1 f = �,� `�l �' � C��=n�r�-� BUILDINGSQ. FT. '��`� @ � �- `� � = 7`�� BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATI N f;..�'-�� 7Sa `= X ��-. � _ �,•,I.�� (v � BUILDING DEPARTMENT REMARKS: PERMIT FEE (c� c- {��-�� PLAN CHECK FEE �� `' PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE ��a� � 1�� OTHER FEES AMOUNT DUE �`�� "� ASSIGNED ADDRESS: PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt# BUILDING DEPARTMENT APPROVAL RECEIVED BY ��'��_�� /��!'>l� �� DATE ��' � .� � - `�-� ACCEPTED FOR FILING � o o �v�.�ts N t38' 20' 22" W I � -- -- _ o .� � S. 288th PL. - •� � — — — �-�-. _ _ _ _ _,� . , , — x , 48.00 - �� 48.00'-- -- � � � Qr `rJ ° '� I I ` � �' �� N � i 1 J� a �' 2 3 �� o � NI 2axs �� • �N '*t G� D i � �'�``x �� - �eX66 v� a � � � � � � � � . � � i o o , a� �� i � � � o � D � I 0 . � I � -( , I � � ' � I � �J (n — 1 _ 1 CP I -� , I — — ' 11' CP I � �� I � �+ ' 11' CP I � 12.00' 6' �° I � � ___ �j�� w � ' I c� I - � c,i �I • . � � �-�---_J I � I � � � N � I � ' OD --I I I X . 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