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90-101612 .-,'p�� ' _ CITY OF BUILDING INSPECTION FEDERAL WAY B U I L D I N G P E R M I T 941-1555 PERMIT NO. 9O-�.HZZFSS OWNER'S NAME FRED MEYER JOB ADDRESS 33702 21 AVE SW CONTRACTOR GRINNELL FIRE PROT. qDDRESS 875 SW 7 ST RENTON CONT. PHONE 922-6644 coNT. aE�. No. GRINNFP137LE 6/91 OWNER'S PHONE 503-721-3500 OWNER'S ADDRESS SZOO SW MACADAM AVE �SOO PORTT.AN 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 FIRE SPRINKLER SYSTEM TAX ACCOUNT NO. 242103-9099 LEGAL DESCRIPTION NA ISSUED BY ELI ZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 11�21�9 O BUILDING INFORMATION ZONE NA OCCUPANCY NA TYPE OF CONSTRUCTION S-N SPRINRLERS BLDG. SQ. FT. Z O Z i Z H O SET BACKS: FRONT NA SIDE NA REAR NA STORIES NA HEIGHT LIMIT NA _ 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 N NE UNIT HEATER TOTAL MECHANICALNnNF. AMOUNT NONE VALUATION �Z E)7�O O 9.O PERMIT FEE �1�2 2 S.OO PLAN CHECK FEE 798.00 FIRE DEPT/BLDG DEPT APPROVAI,=REVIN ELLIS ON 12/20/90 PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES �Z J O Z 6_O O PART P/C FEE SEPA REVIEW WATER SERVICE WATEF MAIN CHG. I � S.B.C.C. FEE $4.50 DATE PAID � / AMT 3,043.50 REC'T �� OTHER FEES FIRE D. 1�O13.OO AMOUNT DUE �3,043.rJ� ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.•RESIDENTIAL AND GRADING PERMIT�S 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 � si REQUIREMENTS WILL BE MET. .� • Z/ n NER OR AGENT ��`��/�� DATE�! ��! �i I � �v � /- 31t/0 1N3Jb' a0 kl3NM0 �13W 38 IIIM S1N3W3aIf103a AdM 1Va343� �O ,lll� 3�8`d�lldd`d 3H1 dN`d 3CJa3lMONN ,lW �O 1S39 3Hl Ol 1�3aFi0� aN`d 3flal SI 3W A8 a3HSINFlfI� NOI1VWFiO�NI 3H1 ltlHl A�Illi3� I '3�NVf1SSl �O 31Va li3ljt/ !lV3A 3N0 3HIdX3 911Wd3d �JNIUVHrJ aNd 11111N3OIS3H 'U31Hd1S SI �IHOM ON �I 3�Nt/f1SSl H31�V SAVQ 08l 3dIdX3 SlIWH3d llV 3na 1Nnowv S33�d3H10 + . 33� �'�'9'S } �JH�NI`dW Fl31VM 3�I�N3S li31VM M31�3d Vd3S 33� �/d 1dVd S33� '`JOlB�V101 33�IV�INVH�3W 33� �JN18Wflld 33�N�3H�NVId 33�llWa3d NOIlHflld� 1N�OW`d IV�INVH�3W 1d101 a31`d3H 11N(1 S3kif11Xl�1V101 Sd3HS'dMHSIO 33� �ISV9 d3NFi(19 NOISFJ3�N0� �SIW SHNIS - 43Ndf113Fi �SIW d1H a31bM lOH Sb'�J SNItf1Nf10� rJNI�iNIaO S31dOldnVl — FJ38Wf1N 11Nf1 eJNII�Nb'H dIH 3�dNaf1� Hlb'03�li0� SIVNIFifI Ski3MOHS �S)HNVl aOSS3ddW0� SNI'dFl4 AaaNflVl S9f11H1`d8 03�I3�3a a31i09 l� JNldld Sb'�J FJ31b'3H ki31VM lOH '�313 S13SOl�Fi31b'M UN09 '1Wd '1Wd S3�NVIlddV Ib�INVH�3W 'ON 'ON �JN18Wflld — llWlllHJI3H S31dOlS FJH3a 341S 1NOFl� SH�d913S 1� 'OS 'JalB NOI1�f1FilSNO��O 3d,11 .I�NVdf1��0 3NOZ NOIIVW!lO�NI JNI011f19 NOIlV�11ddV�O 31b'4 3f1SSl �O 31b'0 1.8 43f1SSl NOIldIFf�S30 l'd�J3l ON 1NflO��V Xb'1 a3H10 rJNldb'kirJ N`JIS O4V 'Illf1W � SllNfl) AIIWb'�-Illf1W M3N OOb'�Il9fld �I18(ld M3N ddb'l`dIFl1S(14NI 44V IdI�FJ3WW0� �VI�a3WW0�M3N lb'Id1SflONI M3N NOIlIdaV 3�N3OIS3Fi M3N 90f 3dhl SS3dd4V S,a3NM0 3NOHd S�li3NM0 ON 'CJ3li '1N0� 3NOHd '1N0� SS3FlOaV F101�`dkilNO� SS3klOOV 90f 3WVN S,d3NM0 ON llWd3d 55s�-4�6 lIUV � � d JNla � ln8 A�M ,�OAl � N011�3dSNl JNld�lfl8 �J/.� i�8 /�//'�l _ 31b'a a�i aSd a�a �/Lr/ Z v �,dn��o ol � o �dNi� _ _ J.8 _ _ _- 31t/C] _ J.8 _ - _ _ 31V0 - -.._ �8 __ _ __ 31b'a ��bM 3ai� oNV �tiV09 �IVM N011b'�f1SNi JNIWb'a� 3SO��N3 Ol N�O _ __ �9 ___ __ __ 31da _— _ _.....�i"O JNidld Sd�J __— __ 1�8 . . __ 31dQ N011�3dSNl �V�IN�IH�3W ��i 0 �Nil a31t/M NI HJfIOa JN18Wflld _ _ _-- �8 _ ___ 31Va __— A8 _— _.. 31Va _ -_ _._ �� —. __ 31V4 �aOM�Nf10aJ JN18Wfl�d S�IdM NOIldONf10� aflOd Ol �i 0 S�JNI100� oN'd S��tJB 13S r Permit #_ ��k � �� CEIV�D � NOV 2 � �� CITY OF FEDERAL WAY �s -� ��WAY BUILDING PERMIT APPLICATION � —Please Print— BOX 1 TENANT NAME: F r�c.k t`')�y�r- `n L , �� - �.� � � � OWNER i= r�d i`�'i�vGr i .��. _ SITE LOCATION `�►w `L►`'T i°'.�� `� "'�'�`1"r`` i. - a ' �..%a OWNER'S ADDRESS Sicc> �=yw M�►�.a�arY► Av� . �* �C? CITY—t'�'t►a r,cl PHON "--�''� `2i •'�' DESCRIBEJOB �=�� '-��c-.r►k1�r S,y�f'�...� ' THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION '`� BOX 2 CONTRACTOR'S NAME �j r.r��t>>l� 1' ��c>. 'I'r�•1-G e �,�•-� CONTRACTOR'S REG. #�r n � Card M S be presented CONTRACTOR'S ADDRESS �i S �� ""Ct'`'` ��' . CITY R�-.�.��-. PHONE_ �'1'Z'1 C�:jc�ti--� EXPIRATION DATE t"v - � - `-� � — 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 �� •� C� 1��.�. PHONE �i y"2'Z C�C�,��. BOX 4 SEWER DISTRICT .-�-- WATER DISTRICT �T,� . w at�. -� S�j•.�� BOX 5 ESTIMATED PROJECT COST ��C.i7.'Z .�� EXISTING BUILDING VALUATION �'� BOX 6 PROPERTY TAX ACCOUNT NUMBER 'L�'Z l�"� ' q��-�i - ?�i LEGAL DESCRIPTION �� J�t-}��i-, �� (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording# `'L1 ��''.�'� BOX 7 BUILDING SQUARE FOOTAGE: (F.�istirrglProposed) -�F--fi-60RT_��''�`d�1;�QND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 ( ) SINGLE FAMILY (•�NEW CONSTRUCTION ( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE (✓r COMMERCIAVINDUSTRIAL TOTAL AREA OF PROPERTY ��'1 . G.�C�� 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 $ 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 $ �THER $ �_TOTAL FIXTURES $ TOTAL MECHANICAL FEE $ � I CERT�FY 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 WHICHPERMIT A�P�ICATION IS 11�IADE.I F�IRTHER 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. Q�lA1fR/AGENT: �o � . DATE: �\ - `L i -��-� ANP-008 3/90 , Ryry,.;v�ra«:aE�._.., � � �� ,� �' ri�� i'�� OFFICE USE ONLY (PLEASE DO N�1T WRITE BELOW THIS LINE) - . �=i-�— ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL REMARKS: � ✓; , , SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL � �.- DATE � .� ��' � �� 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 TYPE OF CONSTRUCTION ��.� STORES ��%lT� G1� ��s BUILDING SQ. FT. �cZ�� , @ I' �Q = �� ; `J 2 G BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ !�',c� � r '' t " :� � 'r'`v BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION 2�.'7 ��' � � �i BUILDING DEPARTMENT REMARKS: PERMIT FEE � = '�� `'`' PLAN CHECK FEE �' � �' �� PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES z �L�= PART P/C FEE SEPA REVIEW S.B.C.C. FEE Y`� `' OTHER FEES F !' _� F' / � 3-�G AMOUNT DUE ` '�' ASSIGNED ADDRESS: `>�`��' C-�� ' { v`C �' '�E'B ��/ REG'EIV'� �o,�� >� L�• NOV 21 1990 PARTIAL PLAN CHECK FEE RECEIVED /�� s� O ount Date Receipt# �Q�'�q " C gUILDING DEPT. � O��'�! BUILDING DEPARTMENT APPROVAL • �' RECEIVED BY �� DATE I �� `�'` �U ACCEPTED FOR FILING � -rl � O � � � u�� D Z D � D � D m -i -� -I C -� -� m D m � m � m W � � � I O I W i D Z n �� Z � � i r , � D � � C �I � � � T � = T � a � . � W D W z 'W O -� -� � � � Z Z I ! ,� I � I C/� � I � � � � � Q o Z G� � � O � C� D � D D D � � m � � � m � D � � � � � � � � , p � m � Q � � O � � � O C I i I Z ' O W ' W D �� { � I j � �� ' i � � � D T � I I i � ( � � � o g o � o .v d r � m � m = m � �, � y W z i z � n � � � o � � � D ' Z p z ! � ' C � O ' � I Z m �� n o � � � o W � � D { � r � I � � � ', '