92-1010609,9- 10jo &a
CITY OF FEDERAL
WAY
33530 First Way South
Fe8erai
BUILDING INSPECTION
BUILDING PERMIT 661-4140
Way, WA 98003
PERMIT No. ---9,2-- 2 7 2
OT OWNER's NAME — CHURCH OF CHRIST SITE ADDRESS 29904 MILITARY RD S —
CONTRACTOR OWNER
ADDRESS 30012 MILITARY RD S FED WAY 9800j—CONT. PHONE ---R-3972*T55
CONT. REG. NO.
EXP.-- OWNER'S PHONE 6 3 1 — 6 27 1 OWNER's ADDRESS SAME AS CONT CTOR ADDZESS
TYPEJOB: NEW RESIDENCE
ADDITIONNEWINDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD.— INDUSTRIAL ADD.— NEW PUBLIC— PUBLIC ADD.
NEW MULTI -FAMILY—
_DAM7
(UNITS—) MULTI. ADD.— SIGN— GRADING— OTHER FIRE REPAIR DOGE --PLDMBlNG—.QNLY—,
TAX ACCOUNT No, LEGAL DESCRIPTION T if R L—sm-
0 ?0 TTwv
ISSUED BY__ ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION
BUILDING INFORMATION
.ONE
SET BACKS: FRONT SIDE REAR— HEIGHT LIMIT
OCCUPANCY —,-
TYPE OF CONSTRUCTION CENSUS NO. OIS -TYPE OF HEAT BLDG. BLDG. SO. FT.-- STORIES
PLUMBINGNO.
NO. MECHANICAL APPLIANCES AT,. AT. BOND
WATER CLOSETS
ELEC. HOT WATER HEATER 1 GAS PIPING FT GAS LOGS RECEIVED
BATHTUBS
LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK
SHOWERS
URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER
LAVATORIES -2—
DRINKING FOUNTAINS CONVERSION BURNER misc. RETURNED . . .... ....
SINKS 3
misc. BBQ BASIC FEE
DISHWASHERS —
TOTAL FIXTURES 6 X $-9--OA)— DRYER TOTAL MECHANICAL NO —NE AMOUNT NONE
I
$6,000
VA LUATION
BLDG DEPT APPROVAL = KEVIN ELLIS
PlEf3MIT FEE
$81.00 "1. PROVIDE SMOKE SEAL IN ALL AFFECTED AREAS PRIOR TO FRAMING
PLAN CHECK FEE
53.00 INSPECTION.
PLUMBING FEE
30.00 2. FIELD INSPECTOR TO MAKE ANY CHANGES REQUIRED BY CODE"
"FECHANICAL FEE
rT P/C FEE
:SEPA REVIEW
NO PLANS REQUIRED, PER NORM BRAY SITE VERIFICATION
PUBLIC WORKS
4.5
S.B.C.C. FEE
4.05 L?
FIRE FEE
DATE:
OTHER FEES
AMOUNT: 17 2. 5!�—
$172.55
RECEIPT:
AMOUNT DUE
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.
DATE---Y--
OWNER OR AGENT
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