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91-100090 CITY OF FEDERAL WAY 91�/00��1p Fede aFlWay\,NW 98003 � B U I L D i N G P E R M I T BUILDING INS 661 4'140 RENEWAL OF 91-92 NR PERMITNO. 92-303 RE OWNER'SNAME ��ON CALVERT SITEADDRESS 29410 19 PL S CONTRACTOR CAI�VERT CONST ADDRESS 23127 SE 436 ST ENUMCLAW CONT.PHONE 825-4123 CONT.REG.NO. ��OCCZIOMT ExP. 6/92 OWNER'S PHONE S� OWNER'S ADDRESS SAMF TYPEJOB: NEWRESIDENCE ADDITION NEWINDUSTRIAL NEWCOMMERCIAL COMMERCIALADD. INDUSTRIALADD. NEWPUBLIC PUBLICADD. NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER RENEWAL OF EXISTING PERMIT TO CONSTRUCT TAX ACCOUNT NO. LEGAL DESCRIPTION LOT 2 RESIDENCE/GARAGE CALVERT ADDITION ISSUED BY ELI ZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 2/2 5/9 2 BUILDING INFORMATION ZONE RS 7`2 SET BACKS:FRONT 2�� SIDE 5� �5� REAR 5� HEIGHT LIMIT 3 O� MAX OCCUPANCY R3/Ml TYPE OF CONSTRUCTION 5-N CENSUS NO. ��S TYPE OF HEAT GAS BLDG.SQ.FT. NA STORIES NA PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS 3 ELEC.HOT WATER HEATER GAS PIPING 3O FT. XXX GAS LOGS BATHTUBS 2 LAUNDRY DRAINS 1 FORCED AIR FURNACE XXX DUCT WORK RECEIVED SHOWERS 1 URINALS GAS HOT WATER HTR. XXX AIR HANDLING UNIT NUMBER LAVATORIES 4 DRINKING FOUNTAINS CONVERSION BURNER MISC. RETURNED SINKS 1 MISC. BBQ BASIC FEE DISHWASHERS 1 TOTAL FIXTURES 13 DRYER TOTAL MECHANICAL BELOW AMOUNT NONE VALUATION $13 9,7 3 6 THIS PERMIT WILL EXPIRE ON 2/25/93 AND CANNOT BE RENEWED AGAIN! PERMIT FEE $390.OO PLAN CHECK FEE LUMBINGFEE 32.50 PERMIT FEES ARE � OF THE AMOUNT COLLECTED FOR THE BLDG FEES ON THE _ECHANICAL FEE 9-25 1ST PERMIT ISSUED FOR THIS LOT. PART P/C FEE SEPA REVIEW PUBLIC WORKS S.B.C.C.FEE FIRE FEE DATE: 2�2 5�9 2 OTHER FEES AMOUNT: �431.7S AMOUNTDUE �431.7rJ RECEIPT: 4H71 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 C?VNNER OR AGENT DATE �'" CITY OF BUILDING INSPECTION FEDERALWAY BUILDING PERMIT 941-1555 ioi PERMIT NO. 91-0092 NR OWNER'S NAME GORDON CALVERT JOB ADDRESS 29410 Z9TH PL S. CONTRACTOR GORDON CALVERT ADDRESS 23127 SE 436TH ENUMCLAW, WA CONT. PHONE 825-4123 CONT. REG. NO. GORDOCCZZOMT OWNER'S PHONE 825-4123 OWNER'S ADDRESS 231 SE 436TH ENUMCLAW, WA TYPE JOB: NEW RESIDENCE�X 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. ( � � p R�%� LEGAL DESCRIPTION LOT 2 CALVERT ADD ISSUED BY �Z1L1TE aT�T�SnN DATE OF ISSUE Y� �'� � DATE OF APPLICATION 1-16-91 BUILDING INFORMATION ZONE RS 7.2 OCCUPANCY R3 TYPE OF CONSTRUCTION VN BLDG. SQ. FT. SET BACKS: FRONT ZO SIDE S REAR 5 STORIES HEIGHT LIMIT 3O PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS �__ ELEC. HOT WATER HEATER GAS PIPING 3O FT. 2•00 BOILER RECEIVED _ BATHTUBS �— LAUNDRY DRAINS 1 COMPRESSOR _ TANK(S) S`:OWERS _L_ URINALS FORCED AIR FURNACE ZO.OO AIR HANDLING UNIT NUMBER _ LAVATORIES 4 DRINKING FOUNTAINS GAS HOT WATER HTR. G.SO MISC. _ RETURNED __ SINKS 1 MISC. CONVERSION BURNER BASIC FEE DroHWASHERS _�_ TOTAL FIXTURES 13XS= �QQ UNIT HEATER TOTAL MECHANICAL 1H.SO AMOUNT VALUATION 13 9,7 3 6.6� PERMIT FEE 78O.OO PLAN CHECK FEE sn�_np 'LUMBING FEE �iri_f1Q CHANICAL FEE 1 R -�Q TOTAL BLDG. FEES PART P!C FEE �377-5O SEPA REVIEW �, ��_�+'� WATER SERVICE DATE: � WATER MAIN CHG. S.B.C.C. FEE 4_50 AMOUNT: $997.�0 OTHER FEES AMOUNT DUE 997_�Q RECEIPT: ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET: � OWNER OR AGENT �� 1 ��. �l` DATE_ ��`-r��''� % _ ,,��, - �mit # � -��'�-' ��ti�`�- R��,t, .�'- �D ' ��N 2 � �� CITY OF FEDERAL WAY �UILDING PERMIT APPLICATION ��JI�F��,�EDERAL WA —P�ease Print— MIE�flC�-�� BOX 1 TENANT NAME: OWNER r�n �:.l�,.r C?��[�o�T" SITE LOCATION �'�E. ��.o�T f��J�l / � T" ��`, OWNER'S ADDRESS �3 i 2 7 S� y 3li s i CITY c`,.r�.�.«�u�,,L PHONE �2�t�i Z'�_ DESCRIBE JOB e'c-,J vn< ' THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME C��r�l"v,� ��(�r�I C'v�c sT" CONTRACTOR'S REG. #�o��IJc�c_c_�io�r,T- Card MUST be presented CONTRACTOR'S ADDRESS �3 r � � �F�L�3Ce CITY ��1��c�Q�,► PHONE "�-zr� ` EXPIRATION DATE ��/�q� — OR— I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON Gonc��ti/ �f�ue�i PHONE�2 5 ti/ 23 BOX 4 SEWER DISTRICT F��.P��_ C� t,)ee e.,, C.J�$ WATER DISTRICT {��o/�� C,l�r,., 4>�S BOX 5 ESTIMATED PROJECT COST I �(p [X�n EXISTING BUILDING VALUATION , BOX 6 PROPERTY TAX ACCOUNT NUMBER /1« ,�_�j/v ij/o L ? 3 LEGAL DESCRI PTION L a T 7 �'.�!d�,.T ��l �o �<n��C'�_ (tf necessary, please submit a separate page with the legal description.) K.C. Plat Recording # �� •��`�� y-�y S�= BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR,'�' A' ' � - 2ND FLOOR ��/ S:� 3RD FLOOR / BASEMENT / DECK / GARAGE Sc�Csl -Sr= BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION . ( ) MULTIFAMILY(N0. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES(including rough-ins) MECH NICAL APPLIANCES— BASIC FEE$ N0._�WATERCLOSETS GAS PIPlNG, FEET �r ; � � $ �'- �� BATHTUBS N0. FURNACE, ELEC. GAS�_ $ i U• C�U > SHOWERS 't`- GAS HOT WATER HEATER �� $ L .5- v � LAVATORIES CONVERSION BURNER �3� $ _LSINKS 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 OTHER $ DRAINS $ OTHER $ ��TOTAL FIXTURES $ x� �:_ �, � . � �> TOTAL MECHANICAL FEE $ f n. SC� 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 WHICti 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: �� ,�,�,,,..� DATE: �(� /Gi f ANP-008 3/90 , , OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZON�,•�� SETBACKS: FRONT l�'� SIDE �� REAR �� HEIGHT LIMIT ��'� ' PLANNING DEPARTMENT APPROVA��L�'� �% ��l � � � REMARKS: l�a�a �L��i �tt ��:� -�"y�-L�,� �3� ,�)�� r_ �--� Z �4C��" / SEPA: EXEMPT � NOT EXEMPT FIRE DEPARTMENT APPROVAL �`-C- DATE Z - �— � r REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL (�-L DATE % ' y ' � 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 p� � TYPE OF CONSTRUCTION ��✓!/� STORES Lc`v�� ' ' BUILDING SQ. FT. i �G S— @ (� c� - _ `� 3/ `�S � ' �- BUILDING SQ. FT. S �� @ j� � 3� = 7 � � �� F `� �� q z"`� BUILDING SQ. FT. `�� @ G R`� �� _ �= �� Z 7 BUILDING SQ. FT. @ _ - � BUILDING SQ. FT. - @ _ BUILDING SQ. FT. @ •ti(c, 1 f�I� = 0 - � � TOTAL SQ. FT. TOTAL VALUATION i 73� , � C1 BUILDING DEPARTMENT REMARKS: PERMIT FEE 7�G, �c. PLAN CHECK FEE � � � � PLUMBING FEE - s~� c � MECHANICAL FEE � e� TOTAL BLDG. FEES ► ��7 O PART P/C FEE 7 7. s � SEPA REVIEW S.B.C.C. FEE " , S �' OTHER FEES AMOUNT DUE 7' � ASSIGNED ADDRESS: Z-��`1 I �% (�'I ' r-JZ- S� , RECEIVED JAN 2 3 1991 PARTIAL PLAN CHECK FEE RECEIVED CITY OF FEDERAL WA Amount �� Date -' Receipt# � BUILDING DEPT. BUILDING DEPARTMENT APPROVAL U c RECEIVED BY — � DATE �` � I � I ACCEPTED FOR FILING C.� � � V C l f l � U U -L l � c� i v �� N.W. l/4 OF SEC7 V 4, TOWNSHIP 2/ NORT, RANGE 4 EAST, OF Tf—� ` K/NG COUN T Y, WA SHING TON.. ; s 2se�n sr. _ - - CASF MoivunlEN,�- See�sc"To"E�/J2�.+E' :-J78.OL - FOUNOFi7 2/,rA� `.. �:.I:�. �'.V[�GIJ .1:.:�L : iFMPOR.�R/ FAacrM('NT ��'�"'"`�? T��••�+ ' CF '�M � �oit �s.vcc -- � 1 S„_ DE7AlL� � � — � �S BB L.�%2 ��-/373.=8 _ �' /�/'6��oo�oss: � � SLC',rt71"i.�L67 � �� I i � 995.02'�� 77.17 " ' I q,pp t TR�CT '^" �-1---- � i7..k' _- `: (52.00J - ��,� - � � °� DETENTION � I I;� , �io'ae�riw.cr 90.00,�"� � OcDiCATED TO � � � �'a�7/ �,�,�,-�,T - � + i THc CITY OF ARcA � � Fnst.�e.v.' •'� �'� 30' / , FEDERAL waY I 5��9:Ir � = e � \�� . �/�-�./�C � � � 0 Z � I I�e � o � /7 \�� " �� I e;.��.,v �S � /6 i'� �� .._ :r �4 h � � �� „'�,I I � �' SueTI.RY SExER Q/NGRCSS� �I �•�CCESS L � y' FS�fT TO FEDEAf, �LCy� }? JS.I� e UT0.3T'r ESV. � I MA7 SEYEfI DIST. �^gLMLN� 0`• NRanJ1Y � � 7.3 �"�-�-10' wlDc 51 �p: �F' j I zs'�/3�e� fj� �l70'�,.5 �� .`�j1� � ! I I ,,,o�'��n'G :r�" ', Q'� 55� e. � h S�"I9�U f 9s� /8 � 7J.l6 ��'''"E�v � e� NS I '�?.Z7 � i � I � � tg --� 1A9.2' �� /3 `,,�, � � ' e. e'a�11';7•r r t� gl ` � .� � � � � � � .. 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N -^-�-- ? � � � �1 �f I d'&°IB:?.7'Y M m � i 42 e� l�ro'��voP=ss,ecRess j g 5? j 135.1J �� 3 Eunur-e�w�- , f 1 � � n � /, I I o'I 2 � `� `' ./ io oan��.oc e i S 69�1:Ji:= � �n� m n EAS£M£M- 1 �E o n1 .J � JJI.� i� � /O�/n/oREsS � ,fGR£JS, � r �f �,L,-� �:��,„�-- � a �-�� :� =3 ti, "'� ,v�'�e:z�r �, _. .�. - :, ,:c: :3 0� y�G � ;�.. 13l.17 �V = %4 " �I 9 `�' ~''�` !�. . _..��. ---...-`�...�' I h'�° � �` � s��7E 39': r ?- � 3 ' � 110.Z1 B. � � �` � �� e� � LEGEND v � � �f 8 � � '��jl•;f�, 6�/•E. � /.o o sE" 3�e- R6s.t�G- �� 6 � � C/ I��3 � CoP NO. 229�6 ti./�� R �z.�1 �- "�.��,. I `I,��` �,/ +CL° �> �8. '�O,j �v • MON IN CGSE SE� STD.DEiAtL7 58y7E3t+f .{ .1��/,��'�a e'i.vc.tes,co�ss �� Four+� ua co� � �a c� �I� �io �q (unurr we�.evr ! I J I Q� �� ; ►� FpVND SECTION� .. ... . � q'ti�TER EAfT t f•'10'SANTAR7 � = rl -f TO FEDERti � SErE/t EArT TO '� ti ^+ �c S FOUN� 1AON. IK¢ . ' I / ►A7�LTER (EDfRLL taY '�' � -'�v � � ri � OLSTRCi �.. SE�E1S OLST. ` � O � ^ � � JSC g'I � ` � V x ` � � ` T O JnNUARY 1989� .... � _ � M{,��• $�q � - ..� � 0�� b h ` �b 30� :� L _ �_ _J � * - �',`: I 91.?1 �: 78.Gb � - c �- _� JO.Otl q�p . � wGTE� EAStM_h� T6� _ ' I NB,°lB�17't'�271.9i wAY WATER DISTRI� .::P ..... . __..?L4'•^."E� •o EOUiPM�NT: TOPCOK'� - o OMNI P6}� � 0 _ S .296th ST. ^ � � - N 88�/8�4!"W�v/jZe,LL (BPS g2=p�qT) - - -'--�L-�� C�S£MO/vUnt£M - � � .. • �:�-'_.-_ ��" � � _ � :ss�- ��,�Ci �9� � Peri # � r �.6, �'t��' '��'ti..�1�1�..�-�- � �� '�� CITY OF FEDERAL WAY � �'�� BUILDING PERMIT APPLICATION � � � ��- `�� —Please Print— BOX 1 TENANT NAME: OWNER Co�^�v.�r CJa/,i�. j-' SITE LOCATION v Sv • C.vT OWNER'S ADDRESS -� CITY ��_ PHONE �2 �j• `7�l 2 `� DESCRIBEJOB /�'Qc.J o,�s/^ THE PROPERTY IS OWNED BY: SINGLE/MARRIED D� PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME Ge��,u �.��ao� i C�.�s i CONTRACTOR'S REG. #I�-�Q�%c�. �/ ��+1 Card MUST be presented CONTRACTOR'S ADDRESS �3/Z 7 S,� �i'3fv�� CITY�i�c��,cl�ac.� PHONE g � � � �Z 3 EXPIRATION DATE �n - / — 9 �.. — OR— I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIAITY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON ��p r:�1�rx��Lv.e A t PHONE $ 2 S '�t �?3 BOX 4 SEWER DISTRICT � � � u.l�c�.or S_ WATER DISTRICT y'� �. G�•��', BOX 5 ESTIMATED PROJECT COST /�� ,7�p, �� EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER I 3/vo0 „ LEGAL DESCRIPTION Lv % 2 �«/�/�^ C �l c.�� 7'Z � �i.�Gs �'� (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # 7 BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 ( ) SINGLE FAMILY (� NEW CONSTRUCTION ( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$ N0. 3 WATERCLOSETS GAS PIPING, FEET $ �BATHTUBS N0._�FURNACE, ELEC. GAS ��Uv $ _�SHOWERS �GAS HOT WATER HEATER $ LAVATORIES CONVERSION BURNER $ S 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 OTHER $ DRAINS $ OTHER $ i 3 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 OFTHE 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 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: � / �' DATE: � ANP-008 3/90 ` C1TY OF FEDERAL WAY � Fede al IWay1,NW 98003 B U I L D 1 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. RETURNEO SINKS MISC. BBQ BASIC FEE DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL AMOUNT VALUATION PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE �RT 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 i�I��I�S 5 � `CITY OF BUILDING INSPECTION FEDERAL WAY B U I L D I N G P E R M I T 941-1555 _ �z_�o3 � 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. 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 L�7 l� �� -, _�-�-� PERMIT FEE �,L�% PLAN CHECK FEE -�UMBING FEE j� C,-2� CHANICAL FEE _ �v TOTAL B�DG. FEES _ PART 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 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 REQUIREMENTS WILL BE MET: OWNER OR AGENT DATE 1 � � ' �, � SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS �,f� PLUMBING GROUNDWORK r� DATE�1 Z��__�_—_BY _ y� __ . DATE _�e^��_—. BY �/2� ---_ DATE __ . _._ -- -- BY _— P�UMBING ROUGH IN WATER LINE O.K. MEGHANICAL INSPECTION /1 / DATE _._L/��`-IZ BY L�� _ GAS PIPING O.K._l�! � 1 C�r� _ DATE �L_��1�� _BY __ � O.K. TO ENCLOSE FRAMING INSULAT�ON WAIL BOARD AND FIRE WALL -�) /i�,,,� ; / ,_ DATE / G'��._��-'�BYC��'G' _ ____ DATE � /c7 �I Z BY �� IY/iL' ___ DATE 1��(� %_Z BY �� FINAL O.K. TO OCCUPY DCD PSD FD / ---� -- DATE 3_Z;1 p3_BY_ �v _— � � �, / � � �; -- ; ! �—i! H---� .�4-�..a 3" J 7- �Z a�ry/�/znFLvC.2 , C_ 3 ' � L- 7i � �(/'f O� 5 1�( fi� l/'�G(( l � � � Z� �T �i7vti/ N/flJ.� � C�Ec�ciLc-'!.� S /-/,✓/IC.., L/ /