90-100225CITY OF
FEDERAL WAY
BUILDING
PERMIT
BUILDING INSPECTION
941-1555
An.- 106-1-�
PERMIT NO. 90-306
OWNER'S NAME CENTEX HOMES
JOB ADDRESS 32908 21 AVE SW
CONTRACTOR OWNER
ADDRESS 2320 130 AVE
NE #200 BELLEVUE CONT. PHONE 622-8288
CONTT, REG. NO. CRIMH152L1 10/90 OWNER'S PHONE SAME
OWNER'S ADDRESS SAME
TYPE JOB: NEW RESIDENCE
ADDITION NEW INDUSTRIAL NEW COMMERCIAL
COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC
ADD.
NEW MULTI -FAMILY (UNITS
) MULTI. ADD. SIGN GRADING OTHER
CONSTRUCT ROCKERY IN T HT -OF -WAY
TAX ACCOUNT NO. NA
LEGAL DESCRIPTION NA
ISSUED BY ET.TZA_RET$
SNYDER DATE OF ISSUE
DATE OF APPLICATION 4111 190
BUILDING INFORMATION
NE RR5 _ 0
OCCUPANCY ROC"RY TYPE OF CONSTRUCTION 5-N BLDG. SQ. FT. NA
SET BACKS: FRONT 20
, SIDE S FACTi REAR 5 1
STORIES NA HEIGHT LIMIT NA
PLUMBING NO.
NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS
ELEC. HOT WATER HEATER
GAS PIPING FT.
BOILER
BATHTUB$'
LAUNDRY DRAINS
COMPRESSOR
TANK(S)
RECEIVED
SHOWERS
URINALS
FORCED AIR FURNACE
AIR HANDLING UNIT
NUMBER
LAVATORIES
DRINKING FOUNTAINS
GAS HOT WATER HTR.
MISC.
SINKS
MISC.
CONVERSION BURNER
BASIC FEE
RETURNED
DISHWASHERS
TOTAL FIXTURES NOS
UNIT HEATER
TOTAL MECHANICAL
AMOUNT NC=
VALUATION 112,000,
00
PERMIT FEE $135.00
PLAN CHECK FEE
PLUMBING FEE
88.00
CHANICAL FEE
I e o0b
TAL BLDG. FEES
PART P/C FEE
$223.00
l`�1� �✓
fj� p"
j�
SEPA REVIEW
WATER SERVICE
C
✓
1
WATER MAIN CHG.
r -s' (� p4JO
< 4
0s
in-Ld
S.B.C.C. FEE
4.50
�"
4
OTHER FEES
��
AMOUNT DUE
$227.50
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 B
OWNER OR AGEN
DATE ����
'606r 1, VF wmmUiviir Utvo 4- n-aU 9;b AM CITY OF FEDERAL WAY- 2052717621;# 2
CITY OF FEDERAL WAY13�0�06
BUILDING PERMIT APPLICATION
Plane Print —
BOX 1 OWNER Centex Homes JOB LOCATION 21st Ave. SW and S.W. 329th Court
OWNER'S ADDRESS _ 2320 130th Ave _ N.E. # 00 CITY Bellevue PHONE_ 622-8288
DESCRIBE JOB __,_ Constructi ng Rockery in Right-of-Wav
THE PROPERTY IS OWNED BY: SINGLEIMARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME Same as Above CONTRACTOR'S REG. # See__Attached
CM MUST N aroma
CONTRACTOR'S ADDRESS CITY PHONE.
EXPIRATION DATE
—OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPEC IALTY CONTRACTORS AND
CHAPTER 18.427.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON Loran T. Petersen PRMIE___ 228-5628
BOX 4 SEWER DISTRICT Federal Way WAS DISTRICT Federal Way
BOX 5 ESTIMATED PROJECT COST _- $12, 000 L&— EXISTING BUILDING VALUATION /A
PROPERTY TAX ACCOUNT N
LEGAL DESCRIPTION
(If necessary, please submit a sepuate page with the legal descrlptlon.)
r
BOX 7 BUILDING SQUARE FOOTAGE: (Existln&mposed) 1ST FLOOR._) 2ND FLOOR
N/A 3RD FLOOR BASEMENT j_..,_ DECK ! GARAGE --_J
BOX 8 ( ) SINGLE FAMILY (X) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS ) ( ) EXISTING STRUCTURE
( ) COMMERCIALANDUSTRIAL TOTAL AREA OF PROPERTY _ an FT
BOX 9 PLUMBING FIXTURES (including rough -Int)
MECHANICAL APPLIANCES — BASIC FEE S
N/A N0. WATERCLOSETS
GAS PIPING, FEET
$ r
BATHTUBS
N0. wRNACE, ELEC. GAS
$
SHOWERS
8AS HOT WATER HEATER
$
LAVATORIES
CONVERSION BURNER
SINKS
BOILER, SIZE BTU
S
DISHWASHERS
__AIR HANDLING UNITS
S
ELECTRIC HOT WATER HEATER
HEAT PUMPS, SIZE
$
LAUNDRY WASHER OUTLET
UNIT HEATERS
$
URINALS
AIR COOLING UNITS, SIZE_,
S
DRINKING FOUNTAINS
COMMERCIAL HOOD
S
SUMPS, SPRINKLER VACUUM BREAKERS
_OTHER
$
DRAINS
S
OTHER
$
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 1 AM AUTHORIZED BY THE OWNER OF THE A80VE PREMISES TO PER-
FORM THE WORD FOR WHICH PERMIT APPLICATION IS MADE.
OWNER/AGENT:
DA
40-M 2120
•
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE__&�_- 6- SETBACKS: FRONT SIZE 5 REAR s HEIGHT LIMIT 30
PLANNING DEPARTMENT APPROVAL .96
REMARKS:
SEPA: EXEMPT -,Z- NOT EXEMPT -
FIRE DEPARTMENT APPROVAL 1 4-4 DATE
REMARKS: Al It /T
A A
PUBLIC WORKS DEPARTMENT APPROVAL JS V �, a^flwtxx� DATE__�
REMARKS:
TYPE OF JOB: NEW RESIDENCE- RES. ADD/ALT_ NEW INDUSTRIAL- IND. ADD/ALT_
FW COMMERCIAL COMM. ADD/ALT_ NEW MULTIFAMILY- (UNITS
'JIFAMILY ADD/ALT - TENANT IMPROOF - OTHER
ORES
0',,^UPANCY RICE-Ee-L 14 TYPE OF CONSTRUCTION t/t/
BUILDING Q. FT. @ y -
BUILDING SQ. FT. @
BUILDING -SQ. FT. @
BUILDING SQ. FT. @
BUILDING SO. FT. @
BUILDING SQ. FT. @
TOTAL SO. FT. TOTk- VALUATION 12-1. OC25
EBUILDING PERMIT NO. PLAN CHECK FEE REC'D RECEIPT NO.
dag - e5Or- --
PERMIT FEE PLAN CHECK FEE - PLUMBING FEE--- MECH. FEE -
Z
TOTAL FEES _-Z3 00 SBCC SURCHARGE o
ENERGY SURCHARGE AMOUNT DUE 2-2-7.5_` S)
BUILDING DEPARTMENT APPROVAL DATE __Y_-_ (3 -
REMARKS:
ASSIGNED ADDRESS: -3 "6 6 , '-"I -' 7- 4 Xle- S'. 4 4
APR Il 1990
RA(WAY
DEPT.
RECEIVED
ACCEPTED FOR FILING
L
CITY OF
FEDERAL WAY
BUILDING PERMIT BUILDING
941!N 55ECTION
PERMIT NO.
OWNER'S NAME
_ JOB ADDRESS_
CONTRACTOR
ADDRESS
CONT PHONE
CONT. REG. NO.
OWNER'S
PHONE OWNER'S ADDRESS
TYPE JOB: NEW RESIDENCE
ADDITION NEW INDUSTRIAL
NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD.
NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY (UNITS
) MULTI. ADD. SIGN__
GRADING OTHER
TAX ACCOUNT NO.
LEGAL DESCRIPTION
ISSUED BY
__
DATE OF ISSUE_ DATE OF APPLICATION
BUILDING INFORMATION
�E
OCCUPANCY -
TYPE OF CONSTRUCTION __
BLDG.SQ.FT.
SET BACKS: FRONT
SIDE
___ REAR__ ____________ STORIES
HEIGHT LIMIT
PLUMBING NO.
NO,
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS
ELEC. HOT WATER HEATER
GAS PIPING FT. BOILER
__
RECEIVED
BATHTUBS
LAUNDRY DRAINS _
COMPRESSOR TANK(S)
SHOWERS
URINALS
FORCED AIR FURNACE AIR HANDLING UNIT
NUMBER _
LAVATORIES
DRINKING FOUNTAINS
GAS HOT WATER HTR. MISC _
RETURNED
SINKS
MISC _
CONVERSION BURNER BASIC FEE
DISHWASHERS
TOTAL FIXTURES
UNIT HEATER TOTAL MECHANICAL
AMOUNT
VALUATION
i
PERMIT FEE r
PLAN CHECK FEE
PLUMBING FEE
ECHANICAL FEE
AL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C, FEE
OTHER FEES
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:
OWNER OR AGENT
DATE
SET BACKS AND FOOTINGS
DATE BY
OX TO POUR FOUNDATION WALLS
DATE BY
PLUMBING GROUNDWORK
DATE _ BY _
PLUMBING ROUGH IN
DATE BY
WATER LINE O.K.
GAS PIPING O.K.
MECHANICAL INSPECTION
DATE _BY
O.K. TO ENCLOSE FRAMING
DATE BY
INSULATION
DATE
BY
WALL BOARD AND FIRE WALL
DATE BY
FINAL O.K. TO OCCUPY A&
a �
DATE G-4 BY Anf
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