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91-101232 CITY OF B � � p � BUILDING INSPECTION FEDERAL WAY u N G P E R M I T 941-1555 gl- ��2 PERMIT NO. 91-ZZZH NR OWNER'S NAME EXECUTIVE HOMES INC JOB ADDRESS 31625 13TH AVE SW CONTRACTOR EXECUTIVE HOMES ADDRESS 16519 147TH SE RENTON CONT. PHONE 228-0639 CONT. REG. NO. EXECUI33SN1 OWNER'S PHONE 228-0639 OWNER'S ADDRESS 16519 147TH SE RENTON, W�l 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. 4�-6 7 9 5-O 2 5 O LEGAL DESCRIPTION LOT Z S LAROTA TRAILS PHASE I UED BY JOANNE JOHNSON DATE OF ISSUE �� I DATE OF APPLICATION 8-29-91 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 2 ELEC. HOT WATER HEATER GAS PIPING 45 FT. 2.OO BOILER RECEIVED BATHTUBS 2 LAUNDRY DRAINS 1 COMPRESSOR TANK(S) SHOWERS URINALS FORCED AIR FURNACE ZO.OO AIR HANDLING UNIT NUMBER LAVATORIES 2 DRINKING FOUNTAINS GAS HOT WATER HTR. S.SO MISC. _ RETURNED SINKS 1 MISC. CONVERSION BURNER BASIC FEE DISHWASHERS 1 TOTAL FIXTURES 9X5= 45.00 UNIT HEATER TOTAL MECHANICAL �O AMOUNT VALUATION 87,022.06 P�NNING DEPT APPROVAL: ERNIE IN FW W.ATER & SEWER INDICATES THAT 20' SET- BACK FROM 30' WATE & SEWER EASEMENT IS ADEQUATE. PERMIT FEE 586.Q� DB 9-6-91 \NCHECKFEE 121.50 381.00 pUBLIC WORRS APPROVAL: ALL DOWNSPOUTS, FOOTING DRAINS AND DRAINS FROM ALL UMBING FEE 45_�� MECHANICAL FEE 18_50 IMPERVIOUS SURFACES SUCH AS PATIOS AND DRIVF.'WAYS TOTAL BLDG. FEES SHALL BE CONNECTED TO THE APPROVED PERMANENT PART P/C FEE (259.50) STORM DRAIN OUTLET. TC 9-10-91 SEPA REVIEW FIRE/BUILDING DEPT APPROVAL: MM 9-13-91 WATER SERVICE DATE: I� - .��'/ ` �� WATER MAIN CHG. S.B.C.C. FEE 4.5� OTHER FEES 4 5.�0 �OUNT: �$2�_ rj� AMOUNT DUE SZO.�JO . ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMIT$ EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION FURN►SHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE ME •� � r^ � OWNER OR AGENT �� '�L DATE �� '� "`�� Per # � ' CITY OF 1FEDERAL WAY BUILDING �PERMIT APPLICATION � - , —Please Print— BOX 1 TENANT NAME: OWNER �c u: i c{ / SITE LOCATION S �� ' � � ' � OWNER'S ADDRES `� 'i L��t'.a.c�, ' - CITY 1Ze-�•L'�'O v� PHONE �'�- . �fn� 9` DESCRIBE JOB G ��5 C�c�,s� + - THE PROPERTY IS OWNED BY: SI �GLE/MARRIED PARTNERSHIP CORPORATION Xi BOX 2 CONTRACTOR'S NAME S�.v✓tC CONTRACTOR'S REG. #_�X� �`i.c(- ��3J�}� Card MUST be prese CONTRACTOR'S ADDRESS ��2A� CITY PHONE EXPIRATION DATE I-- J -� Z — 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�c3,+r`(��1� PHONE �� 4 � � BOX 4 SEWER DISTRICT �' � h WATER DISTRICT �G �..2:�3 BOX 5 ESTIMATED PROJECT COST � a, Q �C� EXISTING BUILDING VALUATION � BOX 6 PROPERTY TAX ACCOUNT NUMBER �� O ��C� LEGAL DESCRIPTION I �" �-�� -�-�=cs �'u '� «-� 5 ��- �' (If necessary, please submit a se arate page with the legal description.) K.C. Plat Recording # �� BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR� 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK� GARAGE �` 3 BOX 8 (1() SINGLE FAMILY (� NEW CONSTRUCTION ( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY � I GJ G- SQ FT BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$ N0. � WATERCLOSETS GAS PIPING, FEET � � $ ?r` �- BATHTUBS NO.�_FURNACE, ELEC. GAS � $ •�c<K SHOWERS _�GAS HOT WATER HEATER $ � �` �' LAVATORIES CONVERSION BURNER $ j SINKS BOILER, SIZE BTU $ r 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 $ ,ti� S = �S `� TOTAL MECHANICAL FEE $ �^ s° 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 DE�ENSE 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 SJPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: � ��-G�� OATE: �- �� ` �l ANP-008 3/90 urFICE USE ONLY (PLEASE DO NOT WRITE BELO�� THIS LINE) ZONE�'Z SETBACKS: FRONT �� SIDE �J` EAR S� HEIGHT LIMIT � � � PLANNING DEPARTMENT APPROVAL � � REMARKS: �G 't. �� - � � ` � ' z ZD ' S f' J ' �l�m �' 3CJ' WGZ_v�C $ �d��GtJ-�� ,..y _ .,c-� Lz ��y-t� SEPA: EXEMPT '�� NOT EXEMPT FIRE DEPARTMENT APPROVAL /'�i��`f�' ,,,1_}�?�6��-t DATE � REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL �� DATE ��/ REMARKS: �'LL lht�,✓n�SPv�..-�� c�t��i7.vCr G�.4-�.v S .l�r`1/� d!�-'�'�4t%S f��*M �� ML�2�/ioc.-J ��Q.F.9�E S SG�C� � !S�d S A-�Q l�.2�YE �.r/i9�`i'S .S�f.9�+� 3� C�-tir.�'�c�--�4 lrT� �f� .A�D.QrJ�/I�..-,O /��i4�i��.�'�' S'/�.�.rt /i7P�r�-/ Ou'TzE: 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 �3 ��% TYPE OF CONSTRUCTION ✓�✓ STORES an�- / �'1-�: BUILDING SQ. FT. �/9� @ 7� yd = �Q��• �3� G�c��.�� BUILDING SQ. FT. :S"7� @ i53'O = /U �f � ��' +��f� BUILDING SQ. FT. //`� @ /v � _ / f�Q . d d BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ � �'� 7 -' au BUILDING SQ. FT. @ Y'i'i.'J��k��,� K � `� _ TOTAL SQ. FT. �'� '�'�3 TOTAL VALUATION�l�� ` BUILDING DEPARTMENT REMARKS: PERMIT FEE 3�� PLAN CHECK FEE �� `� PLUMBING FEE �� MECHANICAL FEE � S` TOTAL BLDG. FEES � o •� PART P/C FEE SEPA REVIEW Pi✓ ��,��= S.B.C.C. FEE � 3`� OTHER FEES AMOUNT DUE ASSIGNED ADDRESS: 3�F� Z� l � �'� �f�-t�L- S � t,J. PARTIAL PLAN CHECK FEE RECEIVED Amount 25� 3� Date �",�o-j/ Receipt# �,'�x'�,�,'� BUILDING DEPARTMENT APPROVAL RECEIVED BY ,,lrJr�.f=a� %�,��t�.�� DATE��r=�l� ACCEPTED FOR FILING - �1 CITY OF BUILDING INSPECTION - FEDERAL WAY B U I L D I N G P E R M I T 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. 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. _ RETUFNED SINKS MISC. CONVERSION BURNER BASIC FEE DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT VALUATION PERMIT FEE PLAN CHECK FEE LUMBWG FEE _. _ .r�._,._,... e �/..:adV��,.• . .o,�_�_ . r�:� _.'t __ ._ .ECHANICAL FEE ;¢�.Ic.�, ti� CC�i` � ._ , _ TOTAL BLDG. FEES ':^r ^.'�-.�-T PART P/C FEE SEPA REVIEW WATER SERVICE WATER MAW 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 TC: THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY -REQUIREMENTS WILL BE MET: OWNER OR AGENT DATE p -n 0 O �7 � � v> ` Z � \, m D m � m W m � . � � I� (� � � �� m Z � � . � 1 7[ I z � G� i cn �- � n I�.1 � D � �f � I�11 O i J � I�% Z � O � '',� m � � 1 0 n I l�) �� S '`� -n , ti � � ►�' z ��'\ o � � � D m � m� � � m Z �, w i � � , �. ,� +� w a � �� a lo — c� o 0 � n D � ➢ y D � � m � � � m -i m � � � � �r � v I � O � Z � , O �/`� m '\ � l�' �' � O '� � I� � i �� O �� . � �1 Z v !, I o � `` w � w -�'i � � � � I � O � � ! z � ��)J � � ` i � D � O I*�` 'I � � ,V ' � � r!� � �� O � l7 "O !J m D m = m � I m �, D o0 Z i z A� il� D � i � � I r � � � 0`n Z � cZn O � 0 1 � ' z -� I `� � � n � i � `N m �� O � � W a W � � � � � r i, � I � - I ' , I i , '