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92-100638 CITY OF FEDERAL WAY �3530 First Way South B U I L D I N G P E R M I T 9�;6�3�NSPECTION Federal Way, WA 98003 661-4140 � S PERMITNO. 92-665 NR OWNER'SNAME FIRESIDE A��''.S SITEADDRESS 35326_. 13 PL .Sw CONTRACTOR OWNER ADDRESS 271OZ 31 AVE S RENT CONT.PHONE 852-6311 CONT.REG.NO. FIRESI*232DC exP. 9/92 OWNER'S PHONE SAME OWNER'S ADDRESS SAMF TYPEJOB: NEWRESIDENCE XXX ADDITION NEWINDUSTRIAL NEWCOMMERCIAL COMMERCIALADD. INDUSTRIALADD. NEWPUBLIC PUBLICADD. NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER AND GARAGE TAXACCOUNTNO. �JOZBGO-OZZO LEGALDESCRIPTION LOT 22 MADRONA MEADOWS ISSUED BY E SNYDER DATE OF ISSUE ��(�C/ � DATE OF APPLICATION 4/28/92 "� BUILDING INFORMATION ZONE RS 7•2 SET BACKS:FRONT 20� SIDE 5��5� REAR 5� HEIGHT LIMIT 3O� OCCUPANCY R3/Ml TYPE OF CONSTRUCTION 5-N CENSUS NO. 101 TYPE OF HEAT �S BLDG.SQ.FT. 2304 STORIES 2 PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS 3 ELEC.HOT WATER HEATER GAS PIPING 4O FT. 2.OO GAS LOGS BATHTUBS 2 LAUNDRY DRAINS 1 FORCED AIR FURNACE 1 O.OO DUCT WORK RECEIVED SHOWERS 1 URINALS GAS HOT WATER HTR. E).SO AIR HANDLING UNIT NUMBER LAVATORIES 4 DRINKING FOUNTAINS CONVERSION BURNER nniscFIREPLACE ��0 SINKS 1 MISC. BBQ BASIC FEE RETURNED N�NE DISHWASHERS �- TOTAL FIXTURES 13 X $5.OO DRYER TOTAL MECHANICAL �QQ AMOUNT VALUATION $123�878 pT.ANNING APPROVAL = DEB BARRER PERMITFEE $724.00 "NO BUILDING SHAI,L ENCROACH ONTO ANY BUILDING SETBACK LINE OR EASEMENT� PLAN CHECK FEE�134.00 471.00 SHWON OR NOT SHOWN" NO DEVELOPMENT IN NGPE. �LUMBING FEE 65.OO � CHANICAL FEE 25.00 FIRE/BLDG APPROVAL = REVIN ELLIS PARTP/CFEE4�28�92 (337.�� 02-18927 PUBLIC WRS APPROVAL = JEFF S �DOWNSPOUTS FOOTING DRAINS & RUN—OFF SEPA REVIEW � PUBLIC WORKS 35.00 FROM IMPERVIOUS SURFACES SHALL BE TIGHTLINED TO THE S.B.C.C.FEE 4.50 J APPROVED STORM DRAIN CONNECTION AS REQUIRED PER APPROVED FIRE FEE DATE: S��"' PLA`i'� OTHER FEES AMOUNT: �987•SO AMOUNT DUE �987'S0 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 �� / � �� ,. ��' Pe 't # -i� �� APR Z 8f992 CITY OF FEDERAL WAY �I� • ��'�'�� BUILDING PERMIT APPLICATION � —Please Print— BOX 1 TENANT NAME: OWNER FIRESIDE HOMES, INC. SITE LOCATION 35326 13th Place Southwest OWNER'SADDRESS 27102 31st Ave. South CITY Kent PHONE 852-6311 DESCRIBE JOB Build sinc�le famil� residence THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION �es BOX2 CONTRACTOR'SNAME FIRESIDE HOMES, INC. CONTRACTOR'SREG. #FIRESI*232DC Card MUST be presented CONTRACTOR'S ADDRESS 2 710 2 31 s v S outh CITY Kent PHONE 8 5 2-6 311 EXPI RATION DATE 9 3 0 9 2 — OR— I HAVE READ CHAPTER 18.27.010 REL 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 Carl J_ Blackburn PHONE 852-6311 BOX 4 SEWER DISTRICT Federal Wa� WATER DISTRICT Federal Wa� BOX 5 ESTIMATED PROJECT COST �� l�C�EXISTING BUILDING VALUATION �c�'' BOX 6 PROPERTY TAX ACCOUNT NUMBER 502860-0220-08 LEGAL DESCRIPTION Lot #22 Madrona Meadows (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR �7 8 / 2ND FLOOR g 2 8 / 3RD FLOOR / BASEMENT / DECK / GARAGE 4 9 8 / BOX 8 (�) SINGLE FAMILY (X ) NEW CONSTRUCTION ( ) MULTIFAMILY(N0. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY 6 , 000 SQ FT BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$ N0. 3 WATERCLOSETS GAS PIPING, FEET 40 ' $ � <<�' 2 BATHTUBS N0. one FURNACE, ELEC. GAS ves $ (c� - t � 1 SHOWERS one GAS HOT WATER HEATER $ �- � p 4 LAVATORIES -�- CONVERSION BURNER $ 7- SINKS -�- BOILER, SIZE BTU $ 1 DISHWASHERS -0- AIR HANDLING UNITS $ -�- ELECTRIC HOT WATER HEATER --�- HEAT PUMPS, SIZE $ 1 LAUNDRY WASHER OUTLET -�- UNIT HEATERS $ _�- URINALS -0- AIR COOLING UNITS, SIZE $ -0- DRINKING FOUNTAINS -0- COMMERCIAL HOOD $ -0- SUMPS, SPRINKLER VACUUM BREAKERS -0- OTHER $ -0- DRAINS ��s FirP�l�c.� $ ''- rC� -0- OTHER $ 13 TOTAL FIXTURES $ x � '- �,S� c�v 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 ACCURAC�`� THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. � � � � � � � � �� OWNER/AGENT: � DATE: - � � ANP-008 3/90 ~ f � OrrICE USE ONLY (PLEASE DO NOT WRITE BELO.. �HIS LINE) 'ZON ' �•y SETBACKS: FRONT ��' SIDE S� REAR s� HEIGHT LIMIT ��`s PLANNINC�6qEQAR,T�IIENT APPROVAL ��5�,,�� .r• r . �.•.•,-t� r�r �ny. ^,�, wn q�,.•n^nn.renre e+ n�e�r nr r.�, r�.Q,��n d / REMARKS: ��:�,�...w...;,., �>�w�.�v..�•.;�.:..y �,.:,. ,;� .�:_.,..�. _ .,; .. �.�:�.,r ,� �. ;t,o ��t<<re`� �l` � U2� ,, ��. �-'��7'E. SEPA: EXEMPT �% NOT EXEMPT FIRE DEPARTMENT APPROVAL �C-- DATE S - �- C� Z REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL DATE S' �-�2— REMARKS: � . , us su aces s a e �g, ��r:e 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 ��,7 TYPE OF CONSTRUCTION �/1� STORES � L ��`� �;� s r BUILDING SQ. FT. �7�f� @ �? Z �(G = '7� Zq�� Z " �- BUILDING SQ. FT. � 2-`t� @ �' _ � b 3C�� Z (,�tG�c-c-q� '� BUILDING SQ. FT. ��( � @ (�• 3 U = �/�y BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ �� 6� _ �O 8`3 G T O T A L S Q. F T. T O T A L V A L U A T I O N BUILDING DEPARTMENT REMARKS: PERMIT FEE �ZL� PLAN CHECK FEE r PLUMBING FEE 6-� MECHANICAL FEE L� TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW t'�'�-�� K� ��cr� S.B.C.C. FEE �` s� OTHER FEES AMOUNT DUE ASSIGNED ADDRESS: Ss 3 Z�, I 3 {� S� �ARTIAL PLAN CHECK FEE RECEIVEDb� J C� Amount '� Date �� Receipt# r16� BUILDING DEPARTMENT APPROVAL RECEIVED BY ��' DATE � - 7 �� z' ACCEPTED FOR FILING FIRESIDE HOMES, (NC. - i� 27902 31st Ave. SO. �� SITE PLAN APPROVAI,, , Kent,WA 9�t7�2 ��( '�'erm'ti Number. ��•� -�- � `> ��- �� , Approved By: Date: T �r.S _, Comments:�, D , ': , ;��f' .� �-- � �(�i��.i/'G� -- - , • E � -- __`°� — G � . i � i 0 0 0 0 �� i � ' � � � \ � / � 3g' � �' io� l�� T,�d �� z.� �� z�� i . �o' ,------,� � ; ; z z- �•� ', �� zz' � � �� ' , i j � ��z� ``�. ,. � I ��,�� i ' �� L �, � ! . , _. __ ______---- . � n o` � ' � �� J�. � U-.� -..�:---_—_==__-_ �-_. /"1 �c�ron�a ;`�� oo u>s /pt .2� ��`�� pPR 2 81992 � �53z � 13�ti1�/� SG� �� al l,�a% �p��pE�Y �� CITY OF FEDERAL WAY Feder�aF'Way`,NW 98003 B U I L D I 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 -7NE SET BACKS:FRONT SIDE REAR HEIGHT LIMIT CCUPANCY 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 FUFNACE DUCT WORK SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. RETURNED SINKS MISC. BBQ BASIC FEE DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL AMOUNT VALUATION . , . . . . .♦ ._ . . " .. ..'.f*T"^� PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE �RT P/C FEE '1'h.� = a��'' S { :PAREVIEW y,�g t�?��'��?7l�1T7fi �i?�E'Fif"L� �u74T,T �F' �1'Tf;i�`T.T?e?'�'i• 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 �V c��J /�(� h� a K y' fv. SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK DATE__�-.�7"Yy_BY_ __-��. .-- DATE _��,��BY �"� ----. DATE __-_ _ __ BY _._ _ _ PLUMBING ROUGH IN WATER LINE O.K. ___.____—....._—...._—_ MECHANICAL INSPECTION dATE .� ��_":IZ. BY ..�7Z _-_ GAS PIPING O.K._ tS—? �j_�-��_ DATE -��.� -% �- _ _BY __�,�'I-;__ _ O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL c^.� ,. . c. DATE_�'-li�-�` BY �� ___ DATE .c�r- ��'-'� -'__BY `_n'�...- .......—___ DATE --_s ?'� � �__ BY .-'�� _ _ FINAL O.K. TO OCCUPY DCD PSD FD DATE_ /�-7-��__.BY 1`i� -.� �"_�z «s�L/"3/z�1 ad/2 �''j�_ >' i �` �� - `%� J`J��r'/�/��'G= � /� �l� �