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ermit #21 L ` 36 0 **V K
CITY OF F� IAL WAY
BUILDING PERrv, APPLICATION \
— Pleas, —
BOX 1 TENANT NAME:
OWNER 17raamCrnft_jMJF Holdings- Inc . SITE LOCATION
OWNER'S ADDRESS 217 is',Meeker _ CITY Kent PHONE 859-9697
DESCRIBE JOB New H
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 ¢ 1902
—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 MJ_ch a T. _Feu Pr_bp_s';1 PHONE_a5,9 !)6() 7
BOX 4 SEWER DISTRICT F� r ,� V,(�y WATER DISTRICT Federal 'O."Ay
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION Tint 14 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 / 640
BOX 8 (X4 SINGLE FAMILY 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)
NO. 3 WATERCLOSETS
2 BATHTUBS
SHOWERS
3 LAVATORIES
_SINKS
1 DISHWASHERS
ELECTRIC HOT WATER HEATER
1 LAUNDRY WASHER OUTLET
_URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
TOTAL FIXTURES
K - g c 01)
MECHANICAL APPLIANCES — BASIC FEE $
GAS PIPING, FEET
$ c)
N0._ A—FURNACE, ELEC. GAS
$ - �n
_GAS HOT WATER HEATER
$ 6 • ra
CONVERSION BURNER
$
BOILER, SIZE BTU
$
AIR HANDLING UNITS
$
HEAT PUMPS, SIZE
$
UNIT HEATERS
$
AIR COOLING UNITS, SIZE,
$
COMMERCIAL HOOD
$
OTHER
$
TOTAL MECHANICAL FEE
$ r
I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THIr BEST OF MY KNOWLED
AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISESTO PERFORM THE WORK FOR WHICH PEAMITAPPLICATIOF
MADE. I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM (INCLUDING COSTS, EXPE=NSES, AHD ATTORN'
FEES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIG
AND FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF TI E1. CITY, INCLUDIP
OFFICERS AND EMPLOYEEy�,,, UPON Tiff ACCURACOOF THE )NYORMATION SUPPLIED TO THE CITY AS A PART 6F. -;THIS APPLICATION
OWNER/AGENT;.
DATE: �%''-9, q r L7 / l
OFFICE USE ONLIEI)ES T WRITE BELOW THIS LINE)
ZON 72-- SETBACKS: FRONT 1O SIDE-�BEAR sa r HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL ' print
REMARKS: deica►v
SEPA: EXEMPT ---L—,-' NOT EXEMPT
FIRE DEPARTMENT APPROVAL
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL
REMARKS:
DATE S-/ l/
TYPE OF JOB: NEW RESIDENCE 7C [SFS- A00/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. OTHER -
OCCUPANCY LZ, -3 TYPE OF CONSTRUCTION VAI STORES
�tucr� 1- Sr BUILDING SQ. FT. q$ 3 @ L (.78-,17
BUILDING SO. FT. $ 3 0 _ @ rr .- 7 2-7-o
CA -a BUILDING SQ. FT. _ @ +-7 _ 047 7�
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @
BUILDING SQ. FT. @ d
TOTAL SQ. FT. — TOTAL VALUATION I –
BUILDING DEPARTMENT REMARKS: {� ,
%r
RECEIVED
MAR 2 9 1991
CITY OF FEDERAL V
BUILDING DEPT_
ASSIGNED ADDRESS: 3q3-51 j S L
PARTIAL PLAN CHECK FEE RECEIVED «
Amount 0 0 Date 3 21 � f . Receipt # �(
BUILDING DEPARTMENT APPROVAL
RECEIVED BY — `— DATE `>
ACCEPTED FOR FILING
$ v�6.7 Z
PERMIT FEE
-7(0
PLAN CHECK FEE
G
PLUMBING FEE
A5 a a
MECHANICAL FEE
Zb
TOTAL BLDG. FEES�
7 1
PART P/C FEE
Z�'O
SEPA REVIEW
Pw
3soo
S.B.C.C. FEE
Y, S
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS: 3q3-51 j S L
PARTIAL PLAN CHECK FEE RECEIVED «
Amount 0 0 Date 3 21 � f . Receipt # �(
BUILDING DEPARTMENT APPROVAL
RECEIVED BY — `— DATE `>
ACCEPTED FOR FILING
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SET BACKS AND FOOTINGS
DATE BY
PLUMBING ROUGH IN
DATE BY
O.K. TOENLOSE FRAMING
DATE_ -
FINAL O.K. TO OCCUPY
DATE _ - � ._ BY /,te
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DATE .[3Y go DATE BY
WATER LINE O.K. _.- MECHANIC, L INSPECTI�jN / w'
GAS PIPING DATE.--./_� _.BY
INSULATION WALL BOARD AND FIRE WALL
DATE .� J / BY DATE - l —._1 -BY
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