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92-100691 CITY OF FEDERAL WAY 9�-,/o b�O g� Fede al IWay`,NW 98003 B U I L D I N G P E R M I T BUILDING INS 661 4140 PERMITNO. 92-733 CA � OWNER'SNAME SEAFIRST BANR SITEADDRESS 32011 PACIFIC AWY S CONTRACTOR RB INTERIOR CONST ADDRESS POB H49 RIRRLAND CONT.PHONE 889-9400 CONT.REG.NO. RBINTCCZC)OQF EXP. 3 93 OWNER'S PHONE 358-0503 OWNER'S ADDRESS IOO�. 4 AVE FLOOR ZC) SEATTLE TYPEJOB: NEWRESIDENCE ADDITION NEWINDUSTRIAL NEWCOMMERCIAL COMMERCIALADD. INDUSTRIALADD. NEWPUBLIC PUBLICADD. NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER TENANT IMPROVEMENT TAX ACCOUNT NO. 1SOO 'rJO-0130 LEGAL DESCRIPTION ISSUED BY E SNYDER DATE OF ISSUE DATE OF APPLICATION 5/11�92 BUILDING INFORMATION )NE CC SET BACKS:FRONT 20� SIDE � REAR � HEIGHT LIMIT 35' OCCUPANCY B-2 TYPE OF CONSTRUCTION 5-�- HR CENSUS NO. 437 TYPE OF HEAT NA 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 �12 O�O O O PLANNING APPROVAL = MIRE THOMAS PERMIT FEE �71 O.OO PLAN CHECK FEE 462.00 FIRE APPROVAL = PAT RETTENRING PLUMBING FEE BLDG APPROVAL = REVIN ELLIS MECHANICAL FEE "MUST SIGN RESTROM AFFADAVIT" 9T P/C FEE SEPA REVIEW PUBLIC WORKS S.B.C.C.FEE 4.50 �'� � FIRE FEE 35.SO DATE: � OTHER FEES AMOUNT: �1212.OO AMOUNT DUE $� �i �_nn 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. i _ �\ � � � ! , � � r � � �' OWNER OR AGENT� � ` � �� ---- DATE k r, - t CITY OF FEDERAL WAY Fe�e a�'Way1,NWA 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 INE 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 PLUMBINGFEE r�'��'�'��"��`k' " MECHANICAL FEE �RT P/C FEE SEPA REVIEW PUBUC 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 � _ -n o o a v o cn r � � m D m � m � m � � � � � I z I n .�. .� J � _� i T. �� Z �} i T � I � � � I � N � � �� O �� I O � � � `� �.! � .% \� J � O ,�\ p � � Zp � Y � m I O 1 � � � � T . � �, ..\ I � 37 C�_ rJ � { W � W Z I� O S�� ' z I ! � / /�, ,\ � � I � cn 1 �� . ,� � � �' M �� ` � �� ; : ,> y� n ��:• � � I, � � �� _�� o o Z c� g o 0 n D A D �� , � m r � � m --i � ' __1' '�� D � 31 O � � r� � O � m i O � ��'� '� ��`` � �� O ; "� � S �, � -n �. R. � � I O C � �`; -. (� :� � 'I � j z 0 `� � ti � \\l _ .� � I � � � � O 1 � � ( � � � � r-- ` - 'U D . � C!) � � � � ...� O � �� '� � ' i I (n � �, i �.�� ('- ,v � �� i � � r� ( � ` C � ' � ' � ' � `� � � (,: o g o � o -ro � � ',� n � �._ m � m = m � �� (� Q7 � D W �' � �p C� i � � D p � j �� C� � D O S ,.- � z � c � ;� o � II z ,. ' '\(\� rn : o � � T � n � �' /'� � p i(�( m � 'i � `, � � O 37 ', _ �\ W D � Z W � � � " r r, �\ �'� `� ' I � I j ; , � � . � '9 .. I nit # _ �� MAY � , � CITY OF FEDERAL WAY � � _ �� BUILDING PERMIT APPLICATION ��""�"��'�� —Please Print— BOX 1 TENANT NAME: . �� LliS � OWNER I v',� SITE LOCATION 20 /l �� $. f= �"� � OWNER'S ADDRESS D D 4 � �/vo`l6 CITY eol PH9NE �� d-3 DESCRIBE JOB Va�l t- �x � /oi.t._ /YZ�Y 1un o rx i �lD� THE PROPERTY IS OWNED BY: SING E/MARRIED PARTNERSHIP CORPORATION Jc BOX 2 CONTRACTOR'S NAME � B 1 v�.��Y��or Go�s�` � . CONTRACTOR'S REG. # � � � �� U SS �t�� l�b i iaJ' H Y ' Card MUST be presented CONTRACTOR'S ADDRESS �a' o � CITY -f✓�� PHONE �1�� EXPIRATION DATE � , , _ _ pR— �ti �� I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND�/ CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. ' '~� - � L��`� BOX 3 CONTACT PERSON �l Se/ � 7� Ss�c. �To� � PHONE ZZ3 � BOX 4 SEWER DISTRICT '`— WATER DISTRICT '��—' BOX 5 ESTIMATED PROJECT COST 2d �� XISTING BUILDING VALUATION �' BOX 6 PROPERTY TAX ACCOUNT NUMBER /S�D .50 —C� / Q LEGAL DESCRIPTION ._ � a a�!-t (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing roposed 1ST FLOOR��B�/ 4/� 2ND FLOOR / 3RD FLOOR / BASEMENT g� �— DECK / GARAGE / BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE � COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY �'�J �6D SQ FT BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$ 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 $ t 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 OzH $ DRAINS L�•�/ $ 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 AGRINST THE CITY OF FEDERAL WAY,BUT ONLY WNERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS OFFICERS AND EMPLOYEES, UPON THE ACCU A Y OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: � DATE: JT^ �` �� ANP-008 3/90 ' '� OFFI�t USE ONLY (PLEASE DO NOT WRITE BELOW Trn5 LINE) ' • � ZONEC�- SETBACKS: FRONT �`� SI9 E��' EAR �' HEIGHT LIMIT 3J � PLANNING DEPARTMENT APPROVA�f��- I"[��4 C�Ir,�S REMARKS. SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL � DATE a ?S'G �Z 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 � 2 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� �� G BUILDING DEPARTMENT REMARKS: PERMIT FEE �% fl/�.1�5-� S �Q�I �,�-�,St�-G�:� %� CL C��,� U� �- PLAN CHECK FEE �'Z � " FLUMBING FEE � ' MECHANICAL FEE � TOTAL BLDG. FEES ' . PART_P1C FEE �Ef?A-flEVIEW S Cj ? ' S.B.C.C. FEE � OTHER FEESr D Fe� 3 �• 5 AMOUNT DUE � ASSIGNED ADDRESS: 5e'�-- � PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt# BUILDING DEPARTMENT APPROVAL �,� ` RECEIVED BY DATE � �`� ACCEPTED FOR FILING