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91-101233 CITY OF BUILDING INSPECTION FEDERAL WAY B U I L D I N G P E R M I T 941-1555 41 -1a»�3 PERMIT NO. 91-11H1 NR OWNER'S NAME EXECUTIVE HOMES INC JOB ADDRESS 31633 13TH AVENUE SW CONTRACTOR EXECUTIVE HOMES ADDRESS 16 519 14 7TH SE RENTON CONT. PHONE 2 2 g-O Fi�9 CONT. REG. NO. EXECUI33SN1 OWNER'S PHONE 228-0639 OWNER'S ADDRESS �E)� 9 147TH F. RF.NTON� WA TYPE JOB: NEW RESIDENCE ADD�TION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILY (UNITS ) MULTI.ADD. SIGN GRADING OTHER TAX ACCOUNT NO. 416795- 0240 LEGAL DESCRIPTION LOT 24 LAROTA TRAILS PHASE �. ISSUED BY JOANNE JOHNSON DATE OF ISSUE L'' ' ��''��J DATE OF APPLICATION 5-29-91 BUILDING INFORMATION ZONE RS 7.2 OCCUPANCY R3 TYPE OF CONSTRUCTION VN BLDG. SQ. FT. �-H23 SET BACKS: FRONT 2O� SIDE 5� REAR 5� STORIES HEIGHT LIMIT 3O� PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS 3 ELEC. HOT WATER HEATER GAS PIPING 4O� F7, Z.OO BOILER � RECEIVED BATHTUBS 2 LAUNDRY DRAINS �- COMPRESSOR _ _ TANK(S) SHOWERS URINALS FORCED AIR FURNACE ZO.OO AIR HANDLING UNIT NUMBER LAVATORIES � DRINKING FOUNTAINS GAS HOT WATER HTR. F).S O MISC. _ RETURNED _ SINKS �- MISC. CONVERSION BURNER BASIC FEE DISHWASHERS �- TOTAL FIXTURES Z ZX�J= �Q O UNIT HEATER TOTAL MECHANICAL 18.S O AMOUNT VALUATION R9,465_64 P�NING DEPT APPROVAL: NGPE AND 6iTETLAND BUFFER EDGE SHALL BE FENCED PRIOR DB 9-6-91 TO AND DURING CONSTRUCTION PER PLAT CONDITIOI+IS. PERMITFEE �95_n0 PUBLIC WORKS APPROVAL: AI,L BUILDING DOWNSPOUTS, FOOTING DRAINS AND DRAINS PLAN CHECK FEE $121..,n n 3 g�n p FROM ALL IMPERVIOUS SURFACES SUCH AS PATIOS AND UMBING FEE ��_ n p DRIVEWAYS SHAI,L BE CONNECTED TO THE APPROVED PERM- CHANICAL FEE � R_ �n ANENT STORM DRAIN OUTLET. TC 9-10-91 TOTAL BLDG. FEES PART P/C FEE (266.00) FIRE/BUILUING DEPT APPROVAI,: MM 9-16-91 SEPA REVIEW DATE: �C ,� � -��L_ WATER SERVICE WATER MAIN CHG. �MOUNT: $8 3 9.O O S.B.C.C. FEE 4_50 OTHER FEES PSITORKS 45_00 RECEIPT: � � � y AMOUNT DUE 839_00 ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.•RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION FURNiSHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE ME� h i` �,� �'' � � "? �� OWNER 0A AGENT �` � DATE `� �� i nit # ��-- �g� A/l2 �tV�D AllG [ y �gg� CITY 4F F�bERAL WAY �C � , t,c� CINOFFEDEqq�yyqY BUILDING PERMIT APPLICATION ,�� # 3Yyy ��i�� —Please Print— � "�g"� BOX 1 TENANT NAME: OWNER � ' ��`� �:�- .� � " SITE LOCATION 7 w ��-� �'` "'r' f`'� "� w OWNER'S ADDRESS •' � • � �'` � CITY �' PHONE ��" v� � �� DESCRIBE JOB �!::u� � W-'.�—.��-� � THE PROPERTY IS OWNED BY: SINGLE/MARRIED � PARTNERSHIP CORPORATION X' BOX 2 CONTRACTOR'S NAME �_'.�wt-� CONTRACTOR'S REG. # -, ��= �`J' > > a� � Card MUST be presented CONTRACTOR'S ADDRESS CITY PHONE EXPIRATION DATE ' ' ' � "' % — OR— I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON ��t'.;.L �r�nr'�c �� PHONE�•�'� �� `� BOX 4 SEWER DISTRICT �=- W�� WATER DISTRICT )'' � �'-� BOX 5 ESTIMATED PROJECT COST ' �?, � �-L� EXISTING BUILDING VALUATION �— BOX 6 PROPERTY TAX ACCOUNT NUMBER �( '' �` ��'� U LEGAL DESCRIPTION L-�'f �-� a-� o'F':�. "t'd`��-i l�� i +2�se f (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording# BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR � ��/ 2ND FLOOR .% =�' / 3RD FLOOR / BASEMENT / DECK / GARAGE S"7 Z / BOX 8 ('� SINGLE FAMILY (ic) NEW CONSTRUCTION �ZS � ( ) MULTIFAMILY(N0. OF UNITS = ) ( ) EXISTING STRUCTURE O COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY � � •�� SQ FT BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$ N0. �� WATERCLOSETS GAS PIPING, FEET �G ' $ ;. , �BATHTUBS N0. t FURNACE, ELEC. GAS x� $ /� `" SHOWERS ___J—GAS HOT WATER HEATER $ i �' ?�LAVATORIES CONVERSION BURNER $ � SINKS BOILER, SIZE BTU $ 1 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 $ �L—TOTAL FIXTURES $ ; ; �J � TOTAL MECHANICAL FEE $ ' " I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO TF�PE.BE�t,OE MY`KNOWI�EDGE 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,EXPEt�SES,AND ATTORNEYS' FEES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM),WHICH MAY BE MADE BY ANY PERSON, INCLUD�NG THE UNDERSIGNED, AND FILED AG�INST 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 OE THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: '�! "' '�^�' � DATE: �✓ �-�'�` � ,-�=-. ANP-008 3/90 -� .+`._"�<!"t -.,�"'?:,t;'�. .' OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW i rnS LINE) � ��'�� ' � ZONE ��'2 SETBACKS: FRONT � SIDE y� RE I� s S� HEIGHT LIMIT �� PLANNING DEPARTMENT APPROVAL � REMARKS� G �� O'� C'�M-�i�i SEPA: EXEMPT {/ NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE=�r�,i� ' REMARKS: lJ J�c��:��.� � ��i��E' � PUBLIC WORKS DEPARTMENT APPROVAL � DATE g ��4' REMARKS:��t du..:�vi..:�r �d..�i«S�or...;3 �n�;�.�r� f�.��5 /�.v/J Gl�.¢,�•.:S �=��.�� /�.� .�/✓.E'�✓r.n.� 5�2Fl�cES 5�.�-E tif /�i5 �/�'i?US �r�'l �sE'lr�6:,�/i�7s Sffi¢u- /3�' C.�.�r�/i�'c>z'sa T� �ifr�' /�,p/.2t�✓� /l�-2r�(A,nt�;•r t' s�.P�t /J•�2/�:.� G-�c.,��, 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 ,�'� �iy� / TYPE OF CONSTRUCTION ,'� STORES �L,�� S�, -� ��," BUILDING SQ. FT. i�� @ 7'02 `�` = yS 7�i.. Z� � nc� -��r�; BUILDING SQ. FT. �ot � @ 7�2 `.�� _ `/ Sy�6 . ?GC G��<<s� BUILDING SQ. FT. S%.�! @ /�' �` _ ��' '�� 7- 6C- BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ :G' '-/�C- � � S�` BUILDING SQ. FT. @ i7'1� �: �t'� ;�� '��_ TOTAL SQ. FT. ��'•� '` 54' ��* TOTAL VALUATION �� • �Ll BUILDING DEPARTMENT REMARKS: PERMIT FEE �` � •�i. PLAN CHECK FEE � ��' PLUMBING FEE S�- �G MECHANICAL FEE � � - Sc TOTAL BLDG. FEES �• PART P/C FEE -Z •� SEPA REVIEW P''�' `��.�`^� S.B.C.C. FEE � S`' OTHER FEES AMOUNT DUE ASSIGNED ADDRESS: � � � 3 3 13 �U�- S . �� t AECEtVED AU� 2 9 �� PARTIAL PLAN CHECK FEE RECEIVED �WA Amount 2�- �`' Date Receipt# �� CiTy O��FEDE�� r �y� BUILDING DEPARTMENT APPROVAL RECEIVED BY TJ/1�ict-� .� ��!')l.ir� DATE `l.'l�!�9/ ACCEPTEO FOR FILING �,�� ,.,�.-�� _ ,�.,.a.,� . � _ _ _� __ ,� . ...._..,.-_---.�-...----�---_,....--.�.�.,�-,...�.,.�__.��.-,...a.r �r�-�;�---�� -� ---�--�-�--��--s--�--�-- 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 CON7. 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 OFCONSTRUCTION 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 PERMIT FEE •u '�1..L1(i A x�"�,? ;.3:i�Fl`'t'a`C�=.ii,�`' :?,� .z�,..'s.�.s�i-: PLAN CHECK FEE '".��: A�t�. .,r.�°il�.��r.�;;.�i :i:�t',:�f~i�:�'s.�i. �:'�;�'? x,._._ _ w_._ _ _ r, _ ,, _. ,..__.,...,<,. ._, .— .UMBING FEE =CHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE OTHER FEES AMOUNT DUE ALL FERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTEG. 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 THf APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET: OWNER OR AGENT DATE p n 0 ��O � � D m D Z D Pv� D . C -1 m D m � � m � m W , O �p � D � � �m `� z � n . � j O I� \`,�CZj \ O i�. � I�`(`� i Q �n� V C I � Z , ��e O ��m , i � 1 � � �� _ \ O I�, � ' �` `s� N I -� �D W z C° o < � �� Z ' , �z ' � i� � I � � .•� a � � iw � � i �� , i 0 o Z c� � o 0 C� D � A r. D � ( � m � � � m -1 � D � � ' O � � � � p � m I� O � I�h) � p '�. � !Q � � II� � 1 i� i I i� � i � � � � (� W\ � � ! � j � ,� Z � � � � �^ D � � � �� r � I ti' � N`� � �, I �) , � p 5� � 3 � � �� m � m = m � `� � o i b , W z z � v i� � � �; \ U � D �, � �V� i � '..,,\, r I �'7 � a p z p \ ,�� o �v � I � � '�c, -� z �, � m o 1�. �' �^ � o ,� � 'f� � ' � n m � O r `�' � � � � W � � � D < -G � r b � ', ti �� \ � w. i , � ' j � ' �