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90-100242 CITY OF BUILDING INSPECTION FEDERAL WAY B U I L D I N G P E R M I T 941-1555 � ��aY PERMIT NO. 90-33�-P OWNER'S NAME D�E M��M JOB ADDRESS 1616 SW DASH PT RD CONTRACTOR OWNER ADDRESS SAML AS ABOVE CONT. PHONE 838-9711 CONT. REG. NO. NA OWNER'S PHONE S�E OWNER'S ADDRESS SAMR 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 PLLIMBING ONLY TAX ACCOUNT NO. NA LEGAL DESCRIPTION NA ISSUED BY ELI ZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 4/16/9 0 BUILDING INFORMATION NE NA OCCUPANCY NA TYPE OF CONSTRUCTION NA BLDG. SQ. FT. NA SET BACKS: FRONT NA SIDE NA REAR NA _ 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. SINKS r � MISC. BASIC FEE �_O_�_QQ CONVERSION BURNER DISHWASHERS TOTAL FIXTURES �QQ UNIT HEATER TOTAL MECHANICAL �1jQH� AMOUNT �,1jQNF VA�UATION 1 NnNF PERMIT FEE _ PLAN CHECK FEE PLUMBING FEE � CHANICAL FEE _ TAL BLDG. FEES J DATE PAID: � PART P/C FEE ` � SEPA REVIEW � � AMOUNT PAID: U WATER SERVICE � WATER MAIN CHG. �CEIPT tt: I � S.B.C.C. FEE OTHER FEES AMOUNT DUE �30.OO 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 7/ � DATE �� l � �/I�� 31`da 1N3rJ11 d0 ki3NM0 �13W 39llIM S1N3W3a1f103a AtJM �b'a343� �O l.11� 318t/�Ilddtl 3Hl dN`d 3rJ43lMON�I �lW �O 1S38 3Hl Ol 1�3dd0� oNb' 3fldl SI 3W A8 a3HSINaf1� NOIldWaO�NI 3Hl 1`dHl l.�lla3� I '3�NVf1SS1 �O 31Va li31�V dV3A 3N0 3aIdX3 S11Wa3d JNIQVH�J aN�d ldIlN301S3d-'U31dd1S SI HHOM ON �I 3�Ndf1SSl li31�V SAVa 084 3aIdX3 S11WH3d lltl 3na lrvnowv S33� li3Hl0 33� '�'�'8'S ; ,_ „ —.•-.,..•-. �JH�Nlb'W H31VM .,_."'.�;r�--_ 3�IAH3S FJ31VM � ;. ' M31�3Fi`dd3S � — 33��/d 1kiVd ' S33� 'eJalB ldl� 33�IV�INVH�3- 33� eJN19Wflld 33��3H�Ndld - 33�llWa3d NOIl`dfll`dA 1NflOWb' IV�INVH�3W 1V101 d31V3H llNfl S3df11Xl��V101 Sd3HSVMHSl4 33� �ISVB FJ3NFJf18 NOISki3�N0� �SIW SNNIS 43Ndf113Fi �SIW alH Fi31VM lOH Sb'�J SNIb'1N�0� JNINNIda S31a01`d�Vl — Fi38Wf1N llNfl eJNIIaNVH aIV 3�VNFlfI� aIH 43�d0� SIVNIlifl Sd3MOHS (S)NNVl FJOSS3FidW0� SNIVad AFJaNf1Vl S9f11H1`d8 43�I3�3F! d31108 l� JNldld Sb'�J ii31V3H d31VM lOH �313 S13SOl�Fi31HM aN08 '1WV '1Wtl S3�NVIlddd 11l�INdH�3W 'ON 'ON �JNI9Wflld — 11WIl1H�JI3H S31F101S liH3li 341S 1N0li� SN�V813S 1� 'OS '�JOlB NOIl�(1li1SN0��O 3dAl l.�Nb'df1��0 3 Noilnwao�Ni �Nia�ina NOIlV�IIddV�O 31V0 3f1SSl �O 31V4 .l9 43f1SSl N011dlli�S30 ldJ3� 'ON 1NflO��b'XtJl Fl3Hl0 eJNIQdaJ NrJIS 44V 'Illf1W � SllNfl) AIIWV�-Illf1W M3N OOV�I19(ld �1�8f1d M3N 40b'lt/Id1SflaNl Qad�VI�Fi3WW0� lb'I�Fi3WW0�M3N lVlkilS(IONI M3N NOI1104d 3�N3aIS3d M3N 90('3dhl SS3d44V S�Fi3NM0 3NOHd S�a3NM0 ON '�J3a '1N0� 3NOHd '1N0� SS3dQ4V liOl�VkilNO� SS3d40V 90f 3WVN S,Fl3NM0 ON lIWFJ3d ��16�� r/� � ��i-1��1�� sss�-��s iiw � � d � Nia � ins �dM ,�o °� N011�3dSNl JNla�lfl8 � �� i ; '� .. � � ,,�� \� , . ' � , �. ' ' �V . � � � r r J r Y m z °° � cn � p w � � v � � ' � � o W �- �`' � z � � o i � � z � �� o � ? Q '�. � J � ',. Q �i � �, . U '',. Q ��. � '�, . '�, h ` Z I Z m � ty m Q �. � W U � � � \i w Q a o � o � o :� � � � � I ; �v . a �' I � ', a a � � I j � � Z ' �� ° m I j m r� Q 0 z � � i i ,� „ � O II Y Y � ,� : O � : i C. � Z : � W � I� Z z � i a J � a O f- w W a � w � Y Q Q Q � Q � , '� O o � (7 z O O h\� � , ' C � II � n � � �� i \ � � r� ' �� , ,� � r � � ��, � j � e . c7 i ' z ' ' z r r � �- > � t �= m m Q m r m � � Z -- '' � ' � `� i r, Q I � \,��' � i � `'�` \,'� � z I °' � ° I O �� ., a Y I � �^� Z Y\ v \ Z W � O Q ' m ' O ' '�. m w � w � w Q w � "y� w a � a Y Q z a � cn o a o O o � o mit # `- d'� CITY OF FEDERAL WAY BUILDING P��MIT APPLICATION —Please Print— BOX 1 TENANT NAME: OWNER � SITE LOCATION �(� .w � OWNER'S ADDRESS -%_ ��,.- •�� ' CITY � �/ l,�-v PHONE �'.��- �'7l/ DESCRIBE JOB nci C�':^, , 1 y1.� � �%� . ' _ THE PROPERTY IS OWNED Y: SINGLE/MARRIED PARTNERSHIP CORPORATION �_ BOX 2 CONTRACTOR'S NAME ��.Jl".i��' 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 BOX 3 CONTACT PERSON � �f �l�G��(�1 �.-�� PHONE ��5��i�I/ — BOX 4 SEWER DISTRICT WATER�TR1Efi --_. 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 / -J 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-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 COMMERCIAI 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' 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: .��' �,.�G�r�_ DATE: —��-l�G>/%U a ANP-008 3/90 .._.. . . ,, _..>.n. �.wo.r..... .,,_ ..v�-;•x,� ..x.. . ., ..,�.:;..... : �.•-�y �—.,.�..�� . .-T+s°�'.Ff��:T ��i:,.a-��:.t� .� �,+'i.; � • . - ,. � � -. '� , . .,-..a . . ,: . ,. � ,: -.._ . ....._,. ....... .......�„ . ,. :...,_ OFFICE USE ONLY(PLEASE DO NOT WRITE BELOW THIS LINE) ZONE SETBACKS: FRONT SIDE RE�1P HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL REMARKS: SEPA: EXEMPT - NOT EXEMRT - - - 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 OFCONSTRUCTION STORES BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION BUILDING DEPARTMENT REMARKS: 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 ASSIGNED ADDRESS: I��`�� ,;j� � � �� PARTIAL PLAN CHECK FEE RECEIVED i-�; � �i��u��y��PT A Amount Date Receipt# BUILDING DEPARTMENT APPROVAL RECEIVED BY DATE ACCEPTED FOR FILING