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91-100509 9) , Iaa �d 9 CITY OF BUILDING INSPECTION FEDEF�AL WAY B U I L D I N G P E R M I T 941-1555 437 "REVISION TO EXISTING PERMIT # 91-463" PERMIT NO. 91-463 OT OWNER'S NAME �TEWAY GIFT SHOP JOB ADDRESS 2505 GATEWAY CENTER PLACE CONTRACTOR SUPERIOR BLDRS ADDRESS 17SO S 327 C-1 FEDERAL WAY CONT. PHONE 874-3647 CONT. REG. NO. SUPERBILLZDZ 3 92 OWNER'S PHONE 874-3647 OWNER'S ADDRESS HOO E DIAMOND ANCHORAGE, AR TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILY (UNITS ) MULTI.ADD. SI('iN GRADING OTHEF �VISION TO EXISTING PERMIT TAX ACCOUNT NO. 092104-9027 LEGAL DESCRIPTION NA ISSUED BY ELI ZABETH SNYDER DATE OF ISSUE � ` DATE OF APPLICATION 6/6/91 BUILDING INFORMATION ONE OCCUPANCY B-2 TYPE OF CONSTRUCTION 5-N BLDG. SQ. FT. SET BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. BOILER RECEIVED BATHTUBS �AUNDRY 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 � UNIT HEATER TOTAL MECHANICAL �TQNE_ AMOUNT NONE VALUATION • BLDG DEPT APPROVAL = REVIN ELLIS PERMIT FEE PLANCHECKFEE �30.00 "MUST SIGN BATHROOM EXEMPTION - UBC SECTION 705" PLUMBING FEE MECHANICAL FEE )TAL BLDG. FEES �3 O.O O PART P/C FEE SEPA REVIEW WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE DATE PD /�2� 7 �� AMT $30.00 REC'T �5� J,� 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 TH I�ORMATI N FUR Y ME IS T�UE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WIL MET: r\ OWNER OR AGENT � DATE ��`� � - " 91�ioo5D9 CITY OF BUILDING INSPECTION FEDERALWAY BUILDING PERMIT 941-1555 437 PERMIT NO. 91-463 CA OWNER'S NAME GATEWAY GIFT SHOP JOB ADDRESS 2505 GATEWAY CENTER PLACE CONTRACTOR SUPERIOR BUILDERS ADDRESS 1750 S 324 ST FEDERAL WAY 98003 CONT. PHONE 874-3647 CONT. REG. NO. SUPERBIZ�.ZDZ 3/92 OWNER'S PHONE 874-3647 OWNER'S ADDRESS 8OO E DIAMOND TE B- H E 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 COMMERCIAL ALTERATON �T.I. � TAX ACCOUNT NO. 092104-9027 LEGAL DESCRIPTION PARCELS 1-8 THAT PORTION OF THE S � OF THE SE �OF SEC 9 TWN 21 NO. RANGE 4 EAST WM IN ICING CO WASH ISSUED BY ELI ZABETH SNYDER DATE OF ISSUE �-'_�I DATE OF APPLICATION 4�17/91 BUIIDING INFORMATION ZONE CC OCCUPANCY B-2 TYPE OF CONSTRUCTION S-N BLDG. SQ. FT. ZZOO SF SET BACKS: FRONT NA SIDE NA REAR NA STORIES ]�A HEIGNT L�MIT j�jA _ 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. _ SINKS MISC. CONVERSION BURNER�;Xj�� BASIC FEE RETURNED DISHWASHERS TOTAL FIXTURES 3 X $��Q� UNIT HEATER TOTAL MECHANICAL �� AMOUNT �� VALUATION $R _�7 R _ fl fl RMIT FEE �I..p.gTgg 1'�NING DEPT APPROVAL = BILL RINGMAN ON 4/19/91 �NCHECKFEE 7A nn "ANY SIGNAGE REQUIRES SEPARATE PERMIT" PLUMBING FEE �� n n MECHANICAL FEE FIRE DEPT APPROVAL = GREG BROZER/KEVIN ELLIS ON 4/23/91 TOTAL BLDG. FEES 7 Z n n BLDG DEPT APPROVAL = REVIN ELLIS ON 4/24/91 PART PIC FEE "pl,p�I�TNING DETERMINED THAT THE 50�000 SITE PLAN REVIEW SEPA REVIEW THRESHOLD HAD NOT BEEN REACHED" WATER SERVICE WATER MAIN CHG. �MUST COMPLETE RESTROOM DECLARATION" S.B.C.C. FEE 4_SO OTHER FEES �� 5_40 AMOUNT DUE �202 90 DATE PD S-�- - C/I �1MT $202.90 REC'T �' � 2 � ALL PERMITS EXPIRE 180 DAYS AFT R SSUANCE IF NO WORK IS STARTED.�RESIDENTIAL AND GRADING PERMIT$ EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE FORM TION UR SHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL ET: OWNER OR AGENT DATE SZ � � 31V0 1N3Jd ti0 a3NM0 i �-� -� _. �- � � ��. 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OWNER'S NAME JOB ADDRESS CONTRACTOR ADDRESS CONT. PHONE CONT. REG. NO. OWNER'S PHONE OWNER'S ADDRESS TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILY (UNITS ) MULTI.ADD. SIGN GRADIN('i OTHER TAX,ACCOUNT NO. LEGAL DESCRIPTION ISSUED BY DATE OF ISSUE DATE OF APPLICATION BUILDING INFORMATION ZONE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. FT. SET BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT _ 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 UNIT HEATER TOTAL MECHANICAL AMOUNT VALUATION PERMIT FEE � c. PLAN CHECK FEE �LUMBING FEE ryJ .:^:� :. A*��'., CHANICAL FEE TOTAL BLDG. FEES �'�'Rt)�T�A�� - KZ�7i� ELL::� (a.� �e s-,w , PART PIC FEE '_��j��C: {�1�,'�j?^e*��'�'D ��T '�� SEPA REVIEW .�;;SHCr� i�A,�.� �+y'�J' '}SE�'',Pr �F�C��"' WATER SERVICE WATER MAIN CHG. <"�' �a�?�"P�+C��"'� ��'a��.n, ... S.B.C.C. FEE OTHER FEES AMOUNT DUE 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 ; ' I � � i , , �' � , � �� r >- Q > �. � Y m z m m � p W � � v I � ��'' o � � w c z i a ' o � � � �' z o z c J � ` Q , � �' U Q N z � Z m I I� m ' a � F � F � � w a a o � o � o n I I i � ' i � � i � o � ' I, � � I I i ' a .� z 0 > i r a `n � °' � � I � i I z � ' O li L Y \ � li' , � � V� � ' z w I O i Z Z O a. , -� a F= � '�, � � a � w � w �- cn � � o 0 0 � c¢s z o 0 1 �� i ,, � C \I I � i � � � ', � N c� � , z ' z F= m m Q m a m S O i ? ` � �, � I � S � � �, U � � w U � `� Q I � v � O � � � U Y Z� w , Q m � O � � . m w � w � w Q w Y Z ' � L? � a. 0 � C� ' L%� IL O �rmit # , � � • A��EIVED . ,IUN O B I�I CITY OF FEDERAL WAY � � ��'� ` ��YBUILDING PERMIT APPLICATION —Please Print— BOX 1 TENANT NAME: q- �c,,�q G-�-�`� S�c� I r�- U i��a�� s � ►4�� OWNER i=�c �JA 'n� � w � SITE LOCATION �S�� G��-�wA Q ;� t'�- l� A.c C OWNER'S ADDRESS bv I"= % r� CITY ANc 1.o a-A�� PHONE fs7y� C� �7 DESCRIBE JOB ��r �. w t� 63�+ I. o�-� `�- cz, �ns c THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTN HIP CORPORATION BOX 2 CONTRACTOR'S NAME S��1�'r-��`' «< e �S , �'�v C . CONTRACTOR'S REG. # SHpc t-� r l)� P Z Td MUST be presented CONTRACTOR'S ADDRESS I 7 SG S . �� 7�� .--�- CITY �e`Q ' w�L PHONE S ��( `�� `� � EXPIRATION DATE 3 � /q Z — OR— I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALT TRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON �% � �"� s �� ' �'- ` Z t� PH NE �7`1 -�,� �l-1 BOX 4 SEWER DISTRICT F,U�� WATER DISTRICT � � � BOX 5 ESTIMATED PROJECT COST 1`�F octiv -�U EXISTING BUILDING VALUATION _�_1 5�C�� dc�a ° �' BOX 6 PROPERTY TAX ACCOUNT NUMBER �'1 Z-I�4 "�{OZ 7" �= Z LEGAL DESCRIPTION (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # `d`�� 5� 5 bZU BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR f2cX� l �� G 2ND FLOOR �—" 3RD FLOOR�----- BASEMENT �, _-DECK -�--- GARAGE�—T BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (N0. OF UNITS = ) (�f�' EXISTING STRUCTURE O COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY I�3�� 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 CON E�SION BURNER $ — SINKS B04�EI� 9��BTU $ �— DISHWASHERS �`�tIR 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 $ '�� AINS $ -�� 0 HER $ OTAL 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 OWLEDGE 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 S HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTOEiNEYS' FEES INCURRED IN INVESTI ATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED, AND FILED AGAI T THE CI Y OF F�DERAL WAY,BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS OFFICERS D L OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGE � DATE: v � 1 ANP-008 3/90 • ��=�� ' OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LI j ZONE� SETBACKS: FRONT SIDE REAR HEIGHT LIMIT �� PLANNING DEPARTMENT APPROVAL ��' �A�''•�`' � � "� + `'� •` ". t.�rl.'�t�._i;ir: REMARKS: SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE REMARKS: PUBLIC WORKS DEPARTMENT PROVAL 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 f� / �t OCCUPANCY �7� TYPE OF CONSTRUCTION 1� 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: ,�,(,�S S I L1 o�a� PERMIT FEE � �G'� ,j �.-C_ � t: p " PLAN CHECK FEE 3� . � PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE OTHER FEES AMOUNT DUE ��'-z%� �� ASSIGNED ADDRESS: �� `V, o `�°�, PARTIAL PLAN CHECK FEE RECEIVED `� j �� Amount Date Receipt# � Q � �J� �Q� BUILDING DEPARTMENT APPROVAL RECEIVED BY �� DATE ACCEPTED FOR FILING �`..nit #�1 _ L/ /' � � � RECE�v�Q APR 1 7 '�� CITY OF FEDERAL WAY ��,��,��AY BUILDING PERMIT APPLICATION 8111l.QiNC Q�PT. —P��`��t— BOX 1 TENANT NAME: Gq.��w� �.-� ��o �Ne v i o��S U ,4t�� OWNER . So' e� �t�e. SITE L CATION S�S � e w�y. �,� � � �� OWNER'S ADDRESS 8 � �' l�i�� -5.�; � '3� So5 CITY AN� �-��e PHONE g 7`+'3�,4`7 DESCRIBE JOB �N� � G-w l� f3 R- r � '�-ce��;N� THE PROPERTY IS OWNED BY: SINGLE/MARRIED PART RSHIP CORPORATION BOX 2 CONTRACTOR'S NAME S:�,��i cc- �� ( N�5� �'�c_ CONTRACTOR'S REG. #S`�� I l z D Z Card MUST be presented CONTRACTOR'S ADDRESS, I�S� S•3 Z'�+` G� CITY �� ' '�'Y` PHONE g 7`�� EXPIRATION DATE 3f�II 9 Z — 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 REGISTRATION. BOX 3 CONTACT PERSON ��I.a /�1 S�-��,e�-{Z�c- PHONE S7`1-3�`l�7 BOX 4 SEWER DISTRICT �e � . iti` WATER DISTRICT /-e� • W�-� BOX 5 ESTIMATED PROJECT COST Y�� L�b EXISTING BUILDING VALUATION t,a�"�a��, �^ c� BOX 6 PROPERTY TAX ACCOUNT NUMBER 9 Z I e�(^ 90 Z 7 - o 'Z LEGAL DESCRIPTION S�e R �c-�e s �e-- (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # �1b SZ5'o z cs BOX7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR L! d� l f��'G 2ND FLOOR �''— 3RD FLOOR —�-- BASEMENT T DECK - GARAGE�— BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (N0. OF UNITS = ) (,�'�'FXISTING STRUCTURE (� COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY I��, �� SQ FT BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$ N0. I WATERCLOSETS GAS PIPING, FEET $ � BATHTUBS N0._ FURNACE, ELEC. GAS $ SHOWERS GAS HOT WATER HEATER $ �LAVATORIES CO VERSION BURNER $ — SINKS B01 ER,.SI BTU $ '— DISHWASHERS �/--��-�—�I AI�D I TS $ �_ELECTRIC HOT WATER HEATER ,��"' HEA PUMPS, $ —" LAUNDRY WASHER OUTLET UNIT HEATERS $ — URINALS AIR COOLING UNITS, SIZE $ '— DRINKING FOUNTAINS COMMERCIAL HOOD $ _ SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ DRAINS $ OTHER $ TOTAL FIXTURES $ _ = � �,> �i�; TOTAL MECHANICAL FEE � I CERTIFY UNDER FEMALT.I�OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND EURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMITAPPLICATION 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 INVESTIGATI AND DEFENSE OF SUCH CLAIM),WHICH MAY BE MADE BY ANY PERSON, INCLUQING THE UNDERSIGNED, AND FILED AGAINST THE CITY F�DER WAY,BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS OFFICERS AND PLOYEES, UP N HE C RACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: � DATE: � � � � � ANP-008 3/90 ..-_..�...-..-� -. _�,a:,�r•.-,�L'*'y,. ..'��''h7-y c � rw ,:,w- ... -,,.�s,f .. $ ..�, 't� ,, _,,,, ` . . ,.�w . , .. . . ,,,,.� . :, , . ._; � ' " � OFFICE USE ONLY(PLEASE DO NOT WRITE BELOW THIS LINE) ZONE�SETBACKS: FRONT�SIDE N�,� REAR�_HEIGHT LIMIT �1�'' PLANNING DEPARTMENT APPROVAL �1"L9," �l�" 1.��- REMARKS: S►GN�9G.E �£4►.t��Q£5 �E'PY�Y��" `1°'E'��"'«3 � SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL �.. DATE L � REMARKS: G -Z ` � 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 �a�� TYPE OF CONSTRUCTION STORES .�_ BUILDING SQ. FT. �Z�'G @ s�`��7c:' _ (�6 U BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ - _ BUILDING SQ. FT. @ �� '�_� d =� � TOTAL SQ. FT. TOTAL VALUATION b� �� BUILDING DEPARTMENT REMARKS: ' �Z (,1 PERMIT FEE �UU , � � U�� ' ,� � ,- � PLAN CHECK FEE PLUMBING FEE � ��'-�C--1 • � MECHANICAL FEE S �,— TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW 1��S� C��' �'C�.:�� ('�'��"�'�t;t.�� _��' � (�� S.B.C.C. FEE ` S � OTHER FEES��n r=�-�- S� f� AMOUNT DUE L�L� ECEIVED ASSIGNED ADDRESS: S�� S < <i ANR t 7 1991 R�CEtVEp CITY OF h��AAL V11A PARTIAL PLAN CHECK FEE RECEIVED qpR 3 1�, BUlLDING DEPT. Amount Date Receipt# 11y O 'J„ BUILDING DEPARTMENT APPROVAL ��Na�EPTwAY BY �� DATE �' �� RECEIVED ACCEPTED FOR FILING . ` ol J �� C f� ermit # ��: -� . j�� J � � ��,�� CITY OF`FEDtRAL WAY BUILDING PE MIT APPLICATION ,� A — �se Print— ! /�' � BOX 1 TENANT NAME: �,�- v��4-y (J-�t� S l�o� � l�,-�v ;o �ts y Rc�4�v f OWNER e ^ o �!�' � �.� en� k�e SiTE LOCATION �Z o — G-� e�..��a ,ti: e� �c� OWNER'S ADDRESS � r i��Rn c�c S�� e 3�Scs CITY /�N� �-aw�PHONE 4�'�`1 3�= `l7 DESCRIBE JOB F��is G►-�� (3� t-oc-,ry, � ce� (�N�, THE PROPERTY IS OWNED BY: SINGLE/MARRIED RTNERSHIP CORPORATION X BOX 2 CONTRACTOR'S NAME S`�P�'�t�o�- /J'��i I a e�'�� '=c, CONTRACTOR'S REG. #S«�� (Z� � Card MUST be presented CONTRACTOR'S ADDRESS �75� S • 3 Z 7 �� --Z CITY I`��' �"�� PHONE �7 y' �C. �%7 EXPIRATION DATE �y �l Z — 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 REGISTRATION. BOX 3 CONTACT PERSON �' M Sc. �.w e.� �4 � e (� PHONE `d �`I'�� `�'7 BOX 4 SEWER DISTRICT r1° • wA'Y WATER DISTRICT �ec� , ��Y BOX 5 ESTIMATED PROJECT COST l`J o��'' e�� EXISTING BUILDING VALUATION �; So�; �c>>�-�� BOX 6 PROPERTY TAX ACCOUNT NUMBER `1 Z 14`� ' 9C3 Z � — G � LEGAL DESCRIPTION (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # `�`o� SLSc�� BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR lZc�o / �Z�C-' 2ND FLOOR �-- 3RD FLOOR BASEMENT�— DEC GARAGE BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION O MULTIFAMILY (N0. OF UNITS = ) (7g EXISTING STRUCTURE �g� a L C� (� 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 CONVERSI N BURNER $ � SINKS BOILER, ZE BTU $ —' DISHWASHERS AIR HAN LINQt1� $ �ELECTRIC HOT WATER HEATER � U S,�SIZE $ r— LAUNDRY WASHER OUTLET �� NI HEATERS � $ URINALS IR 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 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 P.NY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS' FEES INCURRED IN iNVESTIGATI ND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED, AND FILED AG�IN THE CITY 0 FED�RAL�VAY,BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS OFFICERS AND EM LOYEES,�JP TH ACCUR�Y OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. �^ �..__ � � � OWNER/AGENT: DATE: � 7 ,:, ANP-008 3/90 OFFICE I,JL ONLY (PLEASE WRITE BELOW THIS ) � ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL REMARKS: SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL %' DATE REMARKS: � i' PUBLIC WORKS DEPARTMENT APPROVAL � DATE REMARKS: ' �, ,�' ; TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ACT NEW MULTIFAMILY (UNITS ) MULTIFAMILY ADD/ALT TENANT IMP. OTHER OCCUPANCY TYPE OF CONSTRUCTION STORES B�J#LDING SQ. FT. @ _ %'�UILDING SQ. FT. @ _ % BUILDING SQ. FT. @ _ � BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION BUILDING DEPARTMENT REMARKS: �� UG� PERMIT FEE ��GZ � ��c._� �'�-�- i�t d'- o � 1n�'fr G�t— PLAN CHECK FEE �3C "`, PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE OTHER FEES AMOUNT DUE � ASSIGNED ADDRESS: e�— �� <<^- PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt# BUILDING DEPARTMENT APPROVAL RECEIVED BY ��---' DATE � ��' <1 � ACCEPTED FOR FILING