90-101626 CITY OF 96- /o )6.)
BUILDING INSPECTION WAY BUILDING PERMIT 941-1555
PERMIT NO. 90-1840 P "INSPECTION REQUEST LINE-946-6794
OWNER'S NAME PHILLIP HERRERA JOB ADDRESS 36824 1 AVE SW
CONTRACTOR OWNER ADDRESS 18725 NE 165 ST WOODINVILLE
CONT. REG. NO. TIGERH*11202 2/91 OWNER'S PHONE 788-6752 CONT. PHONE 788-6752
TYPE JOB: NEW RESIDENCE ADDITION OWNERS' ADDRESS SAME
NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD._ NEW PUBLIC PUBLIC ADD. _
NEW MULTI-FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER PLUMBING ONLY/MECHANICAL
TAX ACCOUNT NO. -NIA— 218820-1260
LEGAL DESCRIPTION NA
1 /�
SUED BY ELIZABETH SNYDER �� `1�'�
DATE OF ISSUE _, lDATE OF APPLICATION 11/28/90
BUILDING INFORMATION
ZONE NA OCCUPANCY NA _
SET BACKS: FRONT NA TYPE OF CONSTRUCTIONPLUMBING ONLY
SIDE NA REAR NA — BLDG. FT NA
PLUMBING NO, STORIES NA _ HEIGHT
LIMIT LIMIT NA
NO. MECHANICAL APPLIANCES AMT.
WATER CLOSETS 3 ELEC. HOT WATER HEATER AMT. BOND
BATHTUBS GAS PIPING _3-5_0_�__3-5_0_ BOILER
LAUNDRY DRAINS 1 COMPRESSOR
SHOWERS TANK(S) RECEIVED _
URINALSFORCED AIR FURNACE
-lO-_50 AIR HANDLING UNIT NUMBER
LAVATORIES 4 DRINKING FOUNTAINS
SINKS GAS HOT WATER HTR. 6-50 MISC _
MISC. CONVERSION BURNER
DISHWArHERS 1 TOTAL FIXTURES 16 X $5-00 UNIT HEATER BASIC FEE _10-00 RETURNED __
TOTAL MECHANICAL--1iQ - AMOUNT _-NONE
VALUATION NONE
$40.00
PERMIT FEE
PLAN CHECK FEE
UMBING FEE $ 80-00
cCHANICAL FEE _ 40.00
TOTAL BLDG. FEES _, _1-70TOO
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES DATE PAID AMOUNT $120.00 RECEIPT I )2/1/
AMOUNT DUE $ 1 70_00
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMIT-S 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: _
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•mit # 90 - I/ Va
RECEIVED
NOV 2 8 1990 CITY OF FEDERAL WAY
CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION
BUILDING DEPT. - Please Print—
BOX 1 TENANT NAME: f r'tit- r•e't,
OWNER a,;//,_, ✓ A4 ►^i^E �; SITE LOCATION Z(. ? /s'
OWNER'S ADDRESS ,' -?2 S Cl/F; i.., CITY e' 'PHONE
DESCRIBE JOB _57,-4 1-4- i,'� i ///'•4 I / Com.-,s' uIie-i -�� ,
THE PROPERTY IS OWNED BY: SINGL I' P PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME,���' J` '1 (( 'r- CONTRACTOR'S REG. #
/Card MUST be presen •
CONTRACTOR'S ADDRESS /‘""."7.2 c , , //S """ CITY/4,-1.4�1/� PHONE .. 2
EXPIRATION DATE -/-9/ 96 '>2 ��-q- rl/g.--c-
-
-
- OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENER CONTRACTORS AND SPECIALTY CONWCT,PDS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. 7.„z ..-4,/,‘_._7
GC
BOX 3 CONTACT PERSON /4-).1,/4; r�
,��� G� / r �� - , PHONE 49- 9/e-g-
--- BOX 4 SEWER DISTRICT WATER DISTRICT
--- BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 2/g .2U --/
LEGAL DESCRIPTION !oh' /7--2 /�,t /C '6 5razCs _ e.-f "
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR /� , ?l l 2ND FLOOR 3,27 /_
3RD FLOOR / BASEMENT / DECK / GARAGE.2'?G /
BOX 8 (-,<) SINGLE FAMILY ("K) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
NO. -3 WATERCLOSETS GAS PIPING, FEET $
3 BATHTUBS NO. / FURNACE, ELEC. GAS X $
0.3 SHOWERS / GAS HOT WATER HEATER $
1 LAVATORIES CONVERSION BURNER $
/ SINKS BOILER, SIZE BTU $
/ DISHWASHERS .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 $
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://- ?6-2
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 WORKS DEPARTMENT 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:
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:
RECEIVED PARTIAL PLAN CHECK FEE RECEIVED
N O V ? 8 1990 Amount Date Receipt#
CITY OF FE.UERAL WAY BUILDING DEPARTMENT APPROVAL
BUILDING DEPT.
RECEIVED BY DATE ACCEPTED FOR FILING