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91-101823 CITY OF FEDERAL WAY 9�� /D � �,3 33530 First Way South g V � L D I N G P E R M I T BUILDING INSPECTION Federal Way, WA 98003 661-4140 PERMITNO. 91—016H RA OWNER'SNAME �� MINCY SITEADDRESS 3H�.2 SW DASH PT RD CONTRACTOR TROJAN BLDRS ADDRESS 24266 143 AVE SE RENT 98031 CONT.PHONE CONT.REG.NO. TROaTABO119L9 ExP. 6/92 OWNER'S PHONE 661-8698 OWNER'S ADDRESS SAME TYPEJOB: NEWRESIDENCE ADDITION�X NEWINDUSTRIAL NEWCOMMERCIAL COMMERCIALADD. INDUSTRIALADD. NEWPUBLIC PUBLICADD. NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER ADDITION TO RESIDENCE TAXACCOUNTNO. 7HOZZO—O92H LEGALDESCRIPTION LOT 1 HORT P T ISSUED BY ELI ZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION _ --����� 2/14/91 BUILDING INFORMATION ZONE RS 1�J.O SET BACKS:FRONT 2�� SIDE 5��5� REAR 5� HEIGHT LIMIT 3O� MAX OCCUPANCY R-3 TYPE OF CONSTRUCTION 5—N CENSUS NO. 434 TYPE OF HEAT �S BLDG.SQ.FT. $2$ STORIES 2 LUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS 2 ELEC.HOT WATER HEATER GAS PIPING75 FT. 2.OO GAS LOGS BATHTUBS 1 LAUNDRY DRAINS 1 FORCED AIR FURNACE'�S ZO.OO DUCT WORK RECEIVED SHOWERS URINALS GAS HOT WATER HTR. �2� 13.OO AIR HANDLING UNIT NUMBER LAVATORIES 2 DRINKING FOUNTAINS CONVERSION BURNER nnisdrOG LTR G.SO RETURNED SINKS �- MISC. BBQ BASIC FEE DISHWASHERS TOTAL FIXTURES 7 X �S.OO DRYER TOTAL MECHANICAL 3�-.S O qMOUNT NONE VALUATION �5��276 PLANNING DEPT APPROVAL = DEB BARRER PERMIT FEE $419.OO PLAN CHECK FEE 5: O "ROW NOT TO CODE. FORWARD TO PUBLIC WORRS" PLUMBING FEE MECHANICAL FEE 31.50 pUBLIC WRS DEPT APPROVAL = RON GARROW PART P/C FEE SEPA REVIEW BLDG DEPT APPROVAL = KEVIN ELLIS UBLIC WORKS 45.�� 4.50 S.B.C.C.FEE FIRE FEE DATE: OTHER FEES $807.00 AMOUNT: �807.OO 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 CO ECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. �� .. OWNER OR AGENT DATE �/�g ��z � w CI FEDERAL WAY , v � • ,33530 First Way South g I L D I N BUILDING �NSPECTION Federal Way, WA 98003 U G P E R M I T 661-4140 t 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 ORINKING 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 MECHANICAL FEE ART P/C FEE SEPA REVIEW PUBLIC WORKS S.B.C.C.FEE FIRE FEE DATE: OTHER FEES AMOUNT: 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 � � ��`a� �� \'3 �^rJ \' (� O 'T� � O � v p tn ", D z D ? D C 'i -{ i m � m � m � m W 1 1 �� � '�p.� � �� Z '� n � \; I 5; � . � Z �, ,I � I � (1� I � � Q I� r i vl') }7 '�, i. D �� � r p I � o ��` z O `G � n�i G� ; `� 0 ��'� c�i i N T I = I ►v p 1 � ��� � W � W D W Z �W O -� -� � � � Z 7 ; Z I � Z � � �� � � ;� ;� � � , � ' � � � i , a o Z � � o 0 n D � D y D � " o m � cn -i m � � Q � � m p � v 70 z r J� p ', '\ �e� o c� m �,' c � ° '°� � � O �'� � � j� O : � N I � N Z a 0 � W � � o � � z � � � IN I � Dr � � �, I I � l ! W � i a o � o � o � m � m = m � j� � � z i z �I �\ O c7 L7 ;� o j A � � � � � z o ��'�� � �� � Z -;, , � �, �`' � �y � � o �, 'ti -+ o o ' � W � W z o, � � � � �1� o � , � `'� �f ' � � � � � ; � i , , e ' ' i � i � ( '---1— i � _ ' . f . a �� -�j C� � � _ �rmit # 1 � CITY OF �L�ERAL WAY �� BUILDING PEf �' APPLICATION � _ �rint��v� �{�p/Q/L�s BOX 1 TENANT NAME: � .��- (>L OWNER �' SITE LOCATION 3 8 '� ' OWNER'S ADD CITY � .C�'.��C PHONE DESCRIBE JOB �- - 4 � � � — THE PROPERTY IS OWNED BY: SING /MARRIEDj ��RI��PARTNERSHIP CORPORATION r BOX 2 CONTRACTOR'S NAME 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 REGISTRATION. h` BOX 3 CONTACT PERSON �✓�C'/li �L.('�5c�1'�"I PHONE.3�5-'%'`?� � � BOX 4 SEWER DISTRICT .� WATER DISTRICT�Cf` �i�� �,� BOX 5 ESTIMATED PROJECT CO .��'� �-�c`�"�� EXISTING BUILDING VALUATIO I��,C'�n'C_� � BOX 6 PROPERTY TAX ACCOUNT NUMBER ��G��l G'SG�`'��c� � LEGAL DESCRIPTION� "� (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # ,�. BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR/O , � � ?� � 2ND FLOOR 7/�' /c���"� 3RD FLOOR / BASEMENT � 1 r % ' , - , DEC ��� �C'� GARAGE_����%' / �7�%' � BOX 8 �GLE FAMILY O NEW CONSTRUCTION ( ) MULTIFAMILY (N0. OF UNITS = ) (��ESCISTING STRUCTURE O COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY I I, �C"�� SQ FT BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$ N0. `� WATERCLOSETS GAS PIPING, FEET '7_�� $ —' z f= _�BATHTUBS NO.�FURNACE, ELEC. GAS�� $ ��� �'� SHOWERS � — �i_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 - ����f���� �...,�� $ DRAINS � ', � �l, •F� � % - c; OTHER $ y _�TOTAL FIXTURES $ �(S = 'J S ���'�' 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, 4ND FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE REIIANCE OF THE CITY, INCLUDING ITS FFICERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. NER/AGENT: 2 �' �-�� DATE: //.� ��`".�f ANP-008 3/90 ...,,.-`��:-.... �. . .-......_ .�wn.."aY-un ...;a�, .. sr�< -m..--.�;r .�.--�..-.. r._�-._��:.r.1�ca.y�„*.�;.�.,rv:'.•"Y.""iyr�-�FaSn�' ► y i U F i 4 Y OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) � ZON �� �' SETBACKS: FRONT �v � SIDE . 5 � REAR -`' r HEIGHT LIMIT 3`� � PLANNING DEPARTMENT APPROVA���j/ REMARKS:�����«, n/D'T t'o C o D� - ro2cv�icO ro Pu B2.c c wo�ic�'. SEPA: EXEMPT I/ NOT EXEMPT FIRE DEPARTMENT APPROVAL �lO��- DATE REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL_ � -� DATE_ z���'�gZ 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 I��3 TYPE OF CO �UCTION ��� STORES I��V 1 tt�d q�Sf BUILDING SQ. FT. @ �� = L��� 7 ��Z�— BUILDING SQ. FT. � '�� @ �r = �Z 7C S �� Z- BUILDING SQ. FT. @ �q = � ��� BUILDING SQ. FT. @ _ � BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ /u'✓%�' �-� �'�'- _ � ' � � TOTAL SQ. FT. TOTAL VALUATION �� z'�� ` ��� BUILDING DEPARTMENT REMARKS: PERMIT FEE _ Y� q_: �'�� PLAN CHECK FEE Z� PLUMBING FEE 3S`�c%c: MECHANICAL FEE _ ' (�S�c. TOTAL BLDG. FEES �s �°s- �% PART P/C FEE SEPA REVIEW ;��✓ 1`rfi �`�� S.B.C.C. FEE - S � OTHER FEES _ � �J �gi J�� �� lV nl AMOUNT DUE �� C'� � ASSIGNED ADDRESS: -���` `� K�S ' ( �"�' ,Q'• s. �/ � � � � Qv,��' PARTIAL PLAN CHECK FEE RECEIVED �� � �<vQ�O� Amount Date Receipt# � Q� � ��� BUILDING DEPARTMENT APPROVAL ' `� �9 R� �� BY K'L- DATE �'�7��� � ACCEPTED FOR FILING V ��� �� pA REPORTNUMBER LR 76256 R��'�p��.ENT �� DE��� � � ��M�,��)NI� PREVIOUS RPT.NO. �^ilni`�--- �� Z �c�,F^� ``` � PACIFIC TESTIN LABORATORIES EXECUTNE OFFICES EASTSIDE DMSION TACAMA DMSION 3220-'17th Avenue West�Seatzle,WA 98119-1790 1 1824 North Creek Parkway N..Suite 101 •Bothell,WA gep�� 2qp2 pecific Highway East�Tacoma,WA 98424 (206)282d666�FAX(206J 282-0710 f206)451-8436/485-4244�FAX(206)485-4611 (2pg)g22_gpgg�Fqx�206)g2�_1512 REPORTEp� �D�P� M�nl C.TiY BY___�C7��5i�'1� DATE ���"�I L MAILING � REVIEWED � ADDRESS -y�;i�� f At�Fic_ {-�b.i S • � Z•�Z BY �.. DATE /�Z Z�Z �f�'����±�n/� V1IA '�jUU3 PERMIT CERTIFICAT NUMBER NUMBER ����`�.� ATTENTION: ARCHITECT PROJECT �1'��j'v��YOSI�I�►Hwl i'Y�.tw�I_�iC_Y� ENGINEER LOCATION �` �" ���N R�� NUMBER RD CONTRACTOR J � �.,�_� i 1 � �d1 -�i t C� � �f�-',y��Z.�f �0E--^l�—'"1 1 N �c.. 5 �C�7 Ct--✓'Cc� O✓l � E/tiLl� 'f��—��•�� �JR�vY►�r�. '�e� Gdr1(�y,� � t'.��w���5bi.rt_ ��IY�r•ntl'�► i�Jr� � ( 1 / _j�.�L t'Y� '�'�'1II_ 1rJ�n G�`�.�✓ �ry� �2.b� w ri 5 Lc Lc..rt� �.)r�► a- :1ccL�1�cYl{� T � - • +t�uz e�. a I �ba-r •..�q '' + i e v� ro�'kS -- (/1 d�4��'� f'�'uZ� C��mD 5�1'l v� C! � a'C�rvt 4 GjDU T c2� `�04�.� dY1 hr�i A..�'.� Do��c-r. N10�5 l�w.ra.,uSS � Lt��✓"S e �a R y��o_�C_ `^�. �, �, .. „ �,� y �; � �� ASTM TEST METHOD(AS APPLICABLE) C�.8D3 hL4. EQUIPMENT IDENTIFICATION AND S/N(AS APPLICABLE) M/qz�,_ �yl-Ip0 �,J�µ� �dgF�I,J ��''�ryf}�WORK CONFORMS YE� ; "This raport is provided for t�e inlortnatbn of the dient only.The reproduction of Mis report by arry method and its trensmitlal by ary means to a third party without the written pertnission of Padfic TesUng � laborataies is prohibite0' 'This certificffibn attests to the accuracy ot the resWts obtained irom the aaual test perfortned and/a observatbre made within Me defined scope of the work.Certification shal rot be cor�strued ro represent inspection,apprwal or acceptance oi other associated work or rran vf design or woAcability W the spectifiption r uirements" .. Certified Report by � Pacific Testin Laboratories ��'�' �'"— ` " DATE �y "'F 9 . FIELD CONTACT: DATE _.� _Y �,..n.J.,.,. � ,.,.,.,�.,n� ,,..,,.,, ' � / � i /, . / / � �, � / , / �� / , . i � � ; �', � /. i , �� % ;' / � �. {:,�, .�� . �� ' .. . .�T� � � � I I '`'_ �r''1 �� � �_ � `' �"�/ ,:�, ,. / I�. � �f���j�'� f�� � �� �/ • . �'� / �, � �� �� �' /` � � --� . � �� ��� ���� �--� � f Q� r.� ti� �, �r� ���.`A � ,1 / .,�\\ �'O ..� ..__ �\ '/' ,,L , � I�' V � 1 �� ._._ � � ."'�' _ � a( �_ � � � � ,� ,,,� 7_ �U � t�� ,� ;� ��� -� �� � �'� �y .!� p \. 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