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SET BACKS AND FOOTINGS O.K TO POUR FppUNDgqCION WALLS PLUMBING GROUNDWORK
l P/f/L. tiiSloc
D -kFEBY 4-� DATE �' L BY DATE .._ —_
--- BY
O.K.MECHANICAL INSPECTION i
PLUMBING ROUGH IN WATER LINE — 4
i
kD,,TE //�'-y'� BY GAS PIPING O.K.-5--e ./ DATE �`� fy ' BY _ � - -
Oc.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE BY .-BY _ : DATEBY _ Ob /J. _ DATE _—BY���— —
FINAL O.K. TO OCCUPY
DCD PSD FD
PE AtPILL
# r
MAR 1 1992 CITY OF FEDERAL WAY
Or� CW Lw. BUILDING PERMIT
Please
ter.
BOX 1 TENANT NAME:
OWNERC' ' ` ` i. (,;- fe-6 ' TSITE LOCATION L- I W I ta ►— -W
Q i C . Sv. A r CITY $y F- , :.C�(-
OWNER'S ADDRESS `'� PHONE
ALL -U P
DESCRIBE JOB ` i� Wit'' ��- ��S ►`fl r7
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP_ CORPORATION
BOX 2 CONTRACTOR'S NAME00t-rikSU _S7PiC-fZt -T1'dc- CONTRACTOR'S REG. # &'-Mco11206
Card MUST be presented
CONTRACTOR'S ADDRESS.1l G,JN\, r. SC CITY, A'14 ALL -Q4/1 .- PHONF 949-0-"a
EXPIRATION DATE
OR
I HAVE READ CHAPTER 18.27.010 RELATI TO DEFINITIONS OF�GI:NERALCONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS SUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON L 0Q.-t� PHONE ` ' `'
BOX 4 SEWER DISTRICT 06 4 L WATER DISTRICT 'f:F 0&"L L%; . q
BOX 5
ESTIMATED PROJECT COST I. u u
EXISTING BUILDING VALUATION
�
BOX 6
PROPERTY TAX ACCOUNT NUMBER �► "�
t �'�
LEG6L DESCRIPTION Lo -T -W -kV,.. 1✓NvU'TA --r
A\L,� js''W)SG- 71', SEC-
T,1- ,0 2u
L C►-' '
C,k L- rN c.
GounTy I uhs atirc-, -rcn
(If necessary, please subplt a separate page with the legal
description.)
K.C. Plat Recording # 1 �'1 1 61t5 _-x
_
BOX 7
BUILDING SQUARE FOOTAGE: (Existing/Proposed)
1ST FLOOR J 1.,i 2ND
FLOOR
1'7
3RD FLOOR / BASEMENT / DECK /
GARAGES
BOX 8
( ) SINGLE FAMILY
(X) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = __}
( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL
TOTAL AREA OF PROPERTY
W-kn K _SQ FT
BOX 9
PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES
- BASIC FEE $
ao
NO. 3 WATERCLOSETS
GAS PIPING, FEET Q0
$
_BATHTUBS
NO. I FURNACE, ELEC.
GAS. 'A $
0•- 0�
1 SHOWERS
I GAS HOT WATER HEATER
$
6 . -S--]v
LAVATORIES
CONVERSION BURNER
$
2SINKS
BOILER, SIZE BTU $
I DISHWASHERS
AIR HANDLING UNITS
$
ELECTRIC HOT WATER HEATER `'
HEAT PUMPS, SIZE.
$
1 LAUNDRY WASHER OUTLET
UNIT HEATERS
$
URINALS
AIR COOLING UNITS, SIZE
$
DRINKING FOUNTAINS
-COMMERCIAL HOOD
$
SUMPS, SPRINKLER VACUUM BREAKERS
OTHER
$
DRAINS
$
OTHER _ _
$
TOTAL FIXTURES
$
5--Z 70-00
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 EMPLOYEE -91 UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/
DATE: - -' �.-. Vi
3/90
OFFICE USE ONLY (PLEASE -DO NOT WRITE BELOW THIS LINE)
ZONE "1 Z SETBACKS: FRONT ?3' SIDE 67' REAR �S� �d HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS: N PL .2,4- .. be
fir
7..
SEPA: EXEMPT NOT EXEMPT l
FIRE DEPARTMENT APPROVAL DATE—...y-Lb - q
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL_ DATE 4- 2 -9?--
REMARKS:.
10 t
TYPE OF JOB: NEW RESIDENCE. ` - RES. ADD/ALT.
NEW COMMERCIAL COMM. ADD/ALT
NEW INDUSTRIAL IND. ADD/ALT-
NEW MULTIFAMILY
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY a TYPE OF CONSTRUCTION
L i $ BUILDING SQ. FT. fo?:�j @
j 2, BUILDING SQ. FT. -7-n @
cr S t°. BUILDING SQ. FT. `'li @
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BUILDING SQ. FT.
TOTAL SO. FT.
(UNITS )
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TOTAL VALUATION ( ?--/ 51 7'
BUILDING DEPARTMENT REMARKS: PERMIT FEE
PLAN CHECK FEE
:. ,PLUMBING FEE
MECHANICAL FEE
TOTAL"BLDG. FEES
P RT TIC FEE
#A REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
RE
ASSIGNED ADDRESS: 3172 -2, S,
�tRTIAL PLAN CHECK FEE RECEIVEDD)--- I
Amount , Date Receipt #
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Rrively v
JuN 11 1992
pmw# Z 4'4 -
BOX 1 TENANT NAME:
omit #
CITY OF FEDERAL WAY
0�
BUILDING PERMIT APPLICATION��S�
el — Please Print — ajAl�
/t
OWNER SITE LOCATION "5 171 !7- Y:2 l'G W- YL— 12,
OWNER'S A DRESS o1 [ 3 CITY PHONE
DESCRIBE JOBi0�
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME
CONTRACTOR'S ADDRESS e4> f NS ! &T
EXPIRATION DATE _-
CONTRACTOR'S REG. # -
Card musr be presented
CIT %174PHONE 8
—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 LL PHONE 9_48 -� Ute ,
BOX 4 SEWER DISTRICT WATER DISTRICT .
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUM
LEGAL DESCRIPTION L-6
(If necessary, please submit a separate page with the legal desc
K.C. Plat Recording # _
W
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY -SO FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
NO. WATERCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
_.SINKS
-DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
TOTAL FIXTURES
MECHANICAL APPLIANCES —
BASIC FEE $
GAS PIPING; FEET
$
NO. _FURNACE, ELEC. GAS-
$
GAS HOT WATER HEATER
$
CONVERSION BURNER
$
BOILER, SIZE - BTU
$
AIR HANDLING UNITS
$
HEAT PUMPS, SIZE
$
UNIT HEATERS
$
AIR COOLING UNITS, SIZE
$
COMMERCIAL HOOD
$
OTHER
$
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 INVEST!' TION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
AND FILED AGA:00Y=U
ERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND F THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT:
DATE: -L'
ANP -008 3/90
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
ATE_REMARKS:-_PUBLIC WORKS DEPART 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
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:
rt Ll LJ ems a,
ASSIGNED ADDRESS:
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt #
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PA.PT. P/C- FEE
SEPA kVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
BUILDING DEPARTMENT APPROVAL
BY DATE6
ACCEPTED FOR FILING
PkE
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'�74GL��b.Ylt� • - � L tit
�,� �t'ra►s�- P���
91
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THERE ARE TO DE NCS f-VIATIONS
TO THE APPROVED DRAWINGS
UNLESS OTHERWISE APPROVED BY
THE FEDERAL WAY BUILDING DEPT.
UN
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