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90-101581 CITY OF BUILDING INSPECTION FEDERAL WAY B U I L D I N G P E R M I T 941-1555 q� . /o I 58'/ PERMIT NO. 9O-Z�I93 CAOWNER'S NAME DONG S RIM M.D. JOB ADDRESS 31260 PACIFIC FIWY S #2 CONTRACTOR Or�TIBUS CONSTRUCTIOI�ppREss GI21 176TH ST SW �C LYNNWOOD CONT. PHONE 742-8847 CONT. REG. NO. OMNIRCZZO�.OE OWNER'S PHONE 941-3266 OWNER'S ADDRESS 2OZO S 32OTH ST FEDERA.L WAY 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 TAX ACCOUNT NO. OPZI.O4-92F)S-O3 LEGAL DESCRIPTION LOT B RING CO SHORT PLAT �1176002 ISSUED BY JOANNE JOIiNSON DATE OF ISSUE , DATE OF APPLICATION 11-14-90 BUILDING INFORMATION ZONE EE OCCUPANCY B2 TYPE OF CONSTRUCTION VN BLDG. S�. FT. 1E)OO T BACKS: FRONT SIDE REAR _ STORIES HEIGHT LIMIT _ PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER 1 GAS PIPING FT. BOILER RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR _ TANK(S) .SHOWERS 1 URINALS FORCED AIR FURNACE AIR HANDUNG UNIT NUMBER _ LAVATORIES 2 DRINKING FOUNTAINS GAS HOT WATER HTR. MISC _ RETURNED _ SINKS 4 MISC. CONVERSION BURNER BASIC FEE f�ISHWASHERS TOTAL FIXTURESHXrJ= �QO UNIT HEATEF TOTAL MECHANICAL AMOUNT VALUATION 16,192.00 PLANNING DEPT APPROVAL: SITE PLAN REVIEW NOT REQUIRED PER CHAP 175.10.2.B. BR 11-27-90 MUNICIPAI� CODE PERMIT FEE 1 S O_O O PLAN CHECK FEE 117_00 BUILDING DEPT APPROVAL: ICC 12-3-90 PLUMBING FEE 4O_OO MECHANICAL FEE TOTAL BLDG. FEES �T PIC FEE - DATE: �✓� SEPA REVIEW WATER SERVICE ANjOITNT: WATER MAIN CHG. $3 S O.5� S.B.C.C. FEE 4.5O I OTHER FEESFIRE DEPT 9.00 �CEIPT: AMOUNT DUE 350-5� 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 RE(�UIREMENTS WILL BE MET: � .-� , --� OWNER OR AGENT , DATE ��_ �- ��°j CITY OF BUILDING INSPECTION FEDERALWAY BUILDING PERMIT 941-1555 PERMIT NO. 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 GRADING OTHER TAX ACCOUNT NO. LEGAL DESCRIPTION ISSUED BY DATE OF ISSUE DATE OF APPLICATION BUILDING INFORMATION ZONE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. FT. T 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 _ PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE _ TOTAL BLDG. FEES IT PIC FEE SEPA REVIEW WATER SERVICE WATER MAIN CHG. 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 p -n O O � � � � D Z D � D � � � ^ m D m O m � m W i\ � 0 ,,,� ,� Z ! D `\ ��'' m n l` � �.Z � L� j � y � �Q �' O �� Z ` � � t-��m �� ' � '�,"� it� „ !� '= I o I C � Z � � W � � � m � Z � I � ` ` v � I Cn .,`1l, I� ,�,� � i i t , ;�� .l'`j I �, o fl z c� g o 0 \ o � cn � � D � � �i m � � m m -� \ c1 � � � O `/�, V I O � m � O O � �( p ' � � � o � ° i ' � i o � � I W D � � � j I � � � 'U , D N r � � � I � I � � ' ' t� ' , i I li I � � O � � � � '� � D � D � -D.� C � rn i- m = m � � � � �D � n ' � i �0 � D �- � � � � � I� � � Z i z O �( I�, a ' cn �, z n , f -n ' m � � -rt C� � !(��' m =� �O V � � W O � � � � � �� I� r � � � � , � ; I " � � ; / � . . Permit # �� `l' 3 �� . , �� CITY OF FEDERAL WAY �-s�\ BUILDING PERMIT AP I - —Please Print— BOX 1 TENANT NAME: .� ` .� OWNER � — `�'-! - '� ' ' SITE LOCATION ' '� ¢" OWNER'S ADDRESS `�' �`"" CITY ' � r ' � PHONE�i.��,_�j 6� DESCRIBE JOB ^ ' � '. ��' THE PROPERTY IS OWNED BY: SINGL /MA RIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME �� ' � �� tC`�(�,,�, �.L CONTRACTOR'S REG. #l�tdJi R�'.( (l�� l'l� Car M�UST be presented CONTRACTOR'SADDRESS �1>,,�t ��F�� •S.�(,��Pa,CITY L�('�V�L�:'{� � PHONE rI�'L��S'��I 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. BOX 3 CONTACT PERSON ��d� �IM PHONE ��2' F�a '��J BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST� "?,��C:%� EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER ��' (��Z�b�� " �� '"�� LEGAL DESCRIPTION 7 ,Tj��1�_�, ��-}t��.T �'T � f/��p�'`� � (If necessary, please submit a separate page with the legal description.) K.C_Pla�iecording # /—.r1�CX��- � � � BOX 7 ��P16 SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR��S�� 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY(N0. OF UNITS = ) ( ) EXISTING STRUCTURE (�t) 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 CONVERSION BURNER $ �SINKS BOILER, SIZE BTU $ DISHWASHERS AIR HANDLING UNITS $ l 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 $ DRAINS $ OTHER $ Q TOTAL FIXTURES $ � i = !-{t_:,c'C.: 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, U N THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/ GEIy,V. � ^ ��-` DATE: � � �� ANP-008 3/90 \ OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) � � `, ZONE�SETBACKS: FRONT �✓� SIDE N�A REAR n1�,�HEIGHT LIMIT NI'�`� PLANNING DEPARTMENT.APPROVAL �I-��'c1.0 - ��— REMARKS: � 5 ISL P►.Ar� R.ev��a NoT C��dou.��t� �_ G�P�,Q.R. I 1�J•l�.2.�D. Vhv.n+:ci P�L �0�. I SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL �C- DATE /Z � �/��' REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL � �� DATE REMARKS: TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADO/ALT NEW COMMERCIAL COMM. ADD/ALT � NEW MULTIFAMILY (UNITS ) MULTIFAMILY ADD/ALT TENANT IMP. OTHER OCCUPANCY ��- TYPE OF CONSTRUCTION L`�'�'� STORES '�,��C� BUILDING SQ. FT. j� C'�-� @ SO- 6 C� = c�„��`��L' BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ /�� r�l� � _ �r Z C� BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION � �' �'�� BUILDING DEPARTMENT REMARKS: PERMIT FEE ��' � "U PLAN CHECK FEE ° G� PLUMBING FEE � � U�' MECHANICAL FEE �' TOTAL BLDG. FEES =s 7° c:G PART P/C FEE �= SEPA REVIEW �'-� S.B.C.C. FEE �``S�' OTHER FEES �� ~� � ` �' c AMOUNT DUE 35�-'� -' �� ASSIGNED ADDRESS: S�'-� � � S�f ��-g PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt# BUILDING DEPARTMENT APPROVAL RECEIVED BY � C DATE � �- T 3 ��\� ACCEPTED FOR FILING