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CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME:
OWNER DreamCraf t °fes holdings SITE LOCATION
OWNER'SADDRESS 217 1. V!ee er CITY Kent PHONE 859-9697
DESCRIBE JOB New homes
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION XX
BOX 2 CONTRACTOR'S NAME M . J . F'. Holdings, Inc.
CONTRACTOR'S REG. # MJFHOI*092DA
Card MUST be presented
CONTRACTOR'S ADDRESS _ 217 E. Meeker CITY—Kent _ --PHONE 859-9697
EXPIRATION DATE March 1, 1992
-- 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 Michael J. Feuerborn PHONE 859-9697
BOX 4 SEWER DISTRICT Federal 'way WATER DISTRICT Federal Way
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER D/
LEGAL DESCRIPTION Lot 16 Parklane Estates Div.2
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 983 2ND FLOOR / 830
3RD FLOOR / BASEMENT / DECK / GARAGE / 440
BOX 8 �X) SINGLE FAMILY (X) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 6.000 SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES — BASIC FEE $
NO. 3 WATERCLOSETS
GAS PIPING, FEET
$
rN
2 BATHTUBS
NO. 1 FURNACE, ELEC. GAS _
$
LCI
SHOWERS
GAS HOT WATER HEATER
$
Y T C]
3 LAVATORIES
CONVERSION BURNER
$
--4SINKS
BOILER, SIZE RTU
$
1 DISHWASHERS
AIR HANDLING UNITS
$
ELECTRIC HOT WATER HEATER
HEAT PUMPS, SIZE.
$
1 LAUNDRY WASHER OUTLET
UNIT HEATERS
$
3 URINALS
AIR COOLING UNITS, SIZE
$
DRINKING FOUNTAINS
COMMERCIAL HOOD
$
SUMPS, SPRINKLER VACUUM BREAKERS
OTHER
$
DRAINS
$
OTHER : _ --
_
$
TOTAL FIXTURES
$
xr = G5 . ac7
TOTAL MECHANICAL FEE
$
v
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, EXP%ES, 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 EMPLOY PESfON T��CURACY�F THE INFORMATION SUPPLIED TO THE CITE AS A PART OF THIS APPLICATION.
ANP -008 3190
OFFICE USE ONLY (P'_EASE DO NOT WRITE BELOW THIS LINE)
ZON °JSETBACKS: FRONT 20' SIDt! 5' REAR 5' _- HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL 4MI+�r_C�t_�
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL
REMARKS'
.30'
C__ DATE_J
BUILDING DEPARTMENT REMARKS:
RECEIVED
MAR 2 9 1991
BUILDING DEPT
RECEIVED
PERMIT FEE
6(
PLAN CHECK FEE
Lf 5�
PLUMBING FEE
el S
PUBLIC WORKS DEPARTMENT APPROVAL .
-
TOTAL BLDG. FEES
Z5-
DATE—fl-241
41 r
REMARKS:--
EMARKS:-
SEPA REVIEW
�ci �Vev,ew
30.00
S.B.C.C. FEE
TYPE OF JOB: NEW RESIDENCE.-_fi___. RES. ADD/ALT
TYPE
NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL
COMM. ADD/ALT
NEW MULTIFAMILY_
(UNITS .)
MULTIFAMILY ADD/ALT
TENANT IMP.
OTHER
OCCUPANCY
_fTYPE OF CONSTRUCTION
V .y
STORES
L riti S T"
BUILDING SQ. FT.
- 3
@
6 -
L-7 L
BUILDING SQ. FT.3�
@
5-7 Z7 0
Gm, M q
BUILDING SQ. FT.
`� ®
@
17,56 _
76 f 2_
BUILDING SQ. FT.
@
_
_
BUILDING SQ. FT.
@
BUILDING SQ. FT.
@2
—T! =
0- t s -
TOTAL SQ. FT.
TOTAL VALUATION
H 6 -7t3. Z
BUILDING DEPARTMENT REMARKS:
RECEIVED
MAR 2 9 1991
BUILDING DEPT
RECEIVED
PERMIT FEE
6(
PLAN CHECK FEE
Lf 5�
PLUMBING FEE
el S
MECHANICAL FEE
?A
TOTAL BLDG. FEES
Z5-
PART P/C FEE
SEPA REVIEW
�ci �Vev,ew
30.00
S.B.C.C. FEE
` 5- v
OTHER FEES
AMOUNT DUE
-2- - S
ASSIGNED ADDRESS: 3;l ql) q 15 PZ S' f
PARTIAL PLAN CHECK FEE RECEIVED
ou
Amount 2,. Date Receipt #
BUILDING DEPARTMENT APPROVAL
BY -�- �.. _ DATE_
ACCEPTED FOR FILING
30
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