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90-100337 CITY OF BUILDING INSPECTION FEDERAL WAY B U I L D I N G PE RM I T 941-1555 o y�e� � 7 -��C 3 PERMIT NO. 9O-4E)HP OWNER'S NAME ROBERTS CONSTRUCTION JOB ADDRESS �'A'g� 13TH PL SW CONTRACTOR INTERURBAN PLUMBING ADDRESS 36056 MILITARY RD S AUBURN ��t"�,� CONT. PHONE 838-1463 corvr. aEG. No. INTERI*204CL OWNER'S PHONE 874-6306 OWNER'S ADDRESS 952 S.W. CAMPUS DR FEDERAL 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 PLUMBING/MECH TAX ACCOUNT NO. LEGAL DESCRIPTION ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 4-30-90 BUILDING INFORMATION NE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SO. 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 _1_ LAUNDRY DRAINS �_ COMPRESSOR _ _ TANK(S) SHOWERS �_ URINALS FORCED AIR FURNACE _�p AIR HANDLING UNIT NUMBER _ LAVATOF�IES �._ DRINKING FOUNTAINS GAS HOT WATER HTR. MISC. SINKS __L_ MISC. CONVERSION BURNER BASIC FEE �n_�D RETURNED DISHWASHERS _�_ TOTAL FIXTURES 13X5=�_--00 UNIT HEATER TOTAL MECHANICAL �_��.� AMOUNT VALUATION PERMIT FEE _ PLAN CHECK FEE PLUMBING FEE �� �l�_ CHANICAL FEE - ��T�-A DATE: � C L,/ � TAL BLDG. FEES �� , �� PART PIC FEE AMOUNT: SEPA REVIEW /� ,� WATER SERVICE RECEIPT: ��i -�� WATER MAIN CHG. S.B.C.C. FEE OTHER FEES AMOUNT DUE Q l r,(1 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 '� ��'��' �l i`'�' DATE 4 � ,� ` �� " � .y �/ 11'tlt # CITY OF FED RAL•WAY R�CE�V � APR 3 �D BUILDING PERMIT APPLICATION ���.�, 0 199Q — Please Print— BCO/F qL CD E�ER W Y BOX 1 TENANT NAME: . / OWNER < < rcn SITE LOCATION '�'`' L.• S- OWNER'S ADDRESS�S Z S� c.�� � C�ca�.�Q�_ CITY PHONE 87 �}- �3D�, DESCRIBE JOB �Ls��,-,s THE PROPERTY IS OWNED BY: �NGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME ��-'�-�'u-�-� P I u�-P�,-�4 CONTRACTOR'S REG. #-a-r,�i F2-L�`z��c� Card MUST be presented CONTRACTOR'S ADDRESS (�osZ, VYl� ) � � 2�S CITY ,A-µ-2�c,�.�-- PHONE S3� -/�l 6_� 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 PHONE �3 �- /y 6 � BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER LEGAL DESCRIPTION (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 / BOX 8 (�(�) SINGLE FAMILY (x) NEW CONSTRUCTION ( `) MULTIFAMILY (N0. OF UNITS = ) (( ) EXISTING STRUCTURE ( ) COMMERCIAVINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$ N0. WATERCLOSETS I i i GAS PIPING, FEET $ BATHTUBS � N0. FURNACE, ELEC. GAS $ _SHOWERS I� GAS HOT WATER HEATER $ LAVATORIES 11�1 CONVERSION BURNER $ _�SINKS I BOILER, SIZE BTU $ _�_DISHWASHERS E 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��.�.�t i?'I' ' �R� $ ���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 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, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: DATE: ANP-008 3/90 '� 4 �tik _'r.__"� v�'�Wi-.,1.�. . .f . . _. .�a;.. - �.,r, . , �! a � ' 'J.. . . . x '3 ' _ ;.0 "'<:T �r a. � i.��,. � OFFICE USE ONLY(�PLEASE DO NOT WRITE BELOW THIS LINE) . 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 INDUSTRIA�_IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS ) MULTIFAMILY ADD/ALT TENANT IMP. OTHER OCCUPANCY TYPE OF CONSTRUCTION STORES BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION BUILDING DEPARTMENT REMARKS: PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE OTHER FEES AMOUNT DUE ASSIGNED ADDRESS: �J� o � � P � e�O��PQ- PARTIAL PLAN CHECK FEE RECEIVED ` ,QQ� ������ Amount Date Receipt# ��J�v�` BUILDING DEPARTMENT APPROVAL RECEIVED BY DATE ACCEPTED FOR FILING CITY OF BUILDING INSPECTION FEDERALWAY BUILDING PERMIT 941-1555 3 �a 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 GFiADING OTHER TAX ACCOUNT NO. LEGAL DESCRIPTION ISSUED BY DATE OF ISSUE DATE OF APPLICATION BUILDING INFORMATION �NE 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 � G��� PERMIT FEE PLAN CHECK FEE PLUMBING FEE _ ECHANICAL FEE _ TAL BLDG. FEES , ART 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 CORFECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET: OWNER OR AGENT DATE \, (,� � D z D O � v p m v } -1 � -i C --i --1 � � p . � m � m � m W m D O 1 p �� Z n � � 'i � � � � I z I � � � U \. O o o '; � o � z o cn � � o � i n ;I m Id = � � � ! 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