90-101319CITY OF
FEDERAL WAY
#434
DECK
BUILDING PERMIT
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BUILDING INSPECTION
941-1555
PERMIT NO. 90-1522
RA OWNER'S NAME CENTER
HOMES JOB ADDRESS 32718 20TH
AVE. SW
CONTRACTOR CENTF.X HOMES
ADDRESS
2320 1 30TH AVF. NR 1200 HF.T.T.RVIJE
CONT. PHONE 622-8285
CONTT, REG. NO. CM TFgp.I
Ima OWNER'S PHONE 622-82RR OWNER'S ADDRESS 2420 130TH
AVE NE f2nn igvTTmE
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 DECK
TAX ACCOUNT NO. 0104516-0260
LEGAL DESCRIPTION ALDERRROOK 17LOT112
ISSUED BY JOANNE
JQMSON
od
DATE OF ISSUE DATE OF APPLICATION 9-18-90
BUILDING INFORMATIO
VN
ZONE
OCCUPANCY
TYPE OF CONSTRUCTION
BLDG. SQ. FT. 80
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.
SINKS
MISC.
CONVERSION BURNER BASIC FEE
RETURNED
DISHWASHERS'
TOTAL FIXTURES
UNIT HEATER TOTAL MECHANICAL
AMOUNT
Y
704.00
VALUATION
PERMIT FEE 21.00
PLAN CHECK FEE
14.00
FEE
0UMBING
CHANICAL FEE
TOTAL BLDG. FEES
DATE:
J(')�
PART PIC FEE
,
SEPA REVIEW
AMOUNT
WATER SERVICE
WATER MAIN CHG.
RECEIPT:
4.50
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 AGEN
DATE���d
r>ilit # qb/-J�w
CI'T'Y OF FEDERAL WAY piFce
,V�
UILDING PERMIT APPLICATION SEA 19
° Please Print — 017Y
OA Qa_
BOX TENANT
OWNER C!,en f �'c_HQen SITE LOCATION 7 & t `/ 2,
OWNER'S ADDRESS d � :t-6,200 CITY _ f/ey u -e- PHONE 6'a9--kP-e.?
DESCRIBE JOB l7e k
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME C'�, Ae)C ITas CONTRACTOR'S REG.
a Card MUST be presented
-� 3 a
CONTRACTOR'S ADDRESS ) l 0U ALA 1 CITY � Otc PHONE 62.2
EXPIRATION DATE 1p/, /qi7
221FIRM
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 S �n cy`ic7.� PHONE Z,59—/9D 6
BOX 4 SEWER DISTRICT r—u.) W S WATER DISTRICT F UJ UJ -5
BOX 5 ESTIMATED PROJECT COST `,- 00 � EXISTING BUILDING VALUATION�'� 006)
BOX 6 PROPERTY TAX ACCOUNT NU BE l6 d
LEGAL DESCRIPTION 04k 07 t/:z
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #*-9-0 ?1 10v'' k
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed)
1ST FLOOR / 2ND
FLOOR
3RD FLOOR_____J_ BASEMENT_____J_ DECK /
GARAGE
BOX 8 ( 'SINGLE FAMILY
( ) 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 $
N0. WATERCLOSETS
GAS PIPING, FEET
$
BATHTUBS
N0. FURNACE, ELEC. GAS $
SHOWERS
GAS HOT WATER HEATER
$
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
$
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 FURTHERTHAT I AM AUTHORIZED BY THE OWNER OFTHE ABOVE PREMISESTO 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.
ANP -O08 3/90
ZONE n SETBACkS: FRONT_
PLANNIW'bEPARTMENT APPROVAL
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
SIDE REAR HEIGHT LI
a
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTM APPROVAL DATE
REMARKS:
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT—K—NEW INDUSTRIAL IND. ADD/ALT-
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY A� Z TYPE OF CONSTRUCTION A) STORES
t2f BUILDING SQ. FT. @
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION 7-6
BUILDING DEPARTMENT REMARKS:
RECEIVED
ASSIGNED ADDRESS:
Amount
C
PARTIAL PLAN CHECK FEE RECEIVED
Date
Receipt #
BUILDING DEPARTMENT APPROVAL q
BY � DATE / D _ C _ t Q
ACCEPTED FOR FILING
PERMIT FEE
PLAN CHECK FEE
6
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
, 00
PART P/C FEE
SEPA REVIEW
J
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
~S d
Receipt #
BUILDING DEPARTMENT APPROVAL q
BY � DATE / D _ C _ t Q
ACCEPTED FOR FILING
CITY OF
FEDERAL WAY
BUILDING PERMIT BU"°'94 �N555ECTION
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
ZONE
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
PERMIT FEE
PLAN CHECK FEE
UMBING FEE
-
ECHANICAL FEE
TOTAL 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
PLUMBING ROUGH IN
DATE BY
O.K. TO ENCLOSE FRAMING
DATE BY
FINAL O.K. TO OCCUPY
DATE ./-Z— 5- —?e' -BY
r
0
OX TO POUR FOUNDATION WALLS
DATE BY
WATER LINE O.K.
GAS PIPING O.K.
INSULATION
DATE BY
PLUMBING GROUNDWORK
DATE BY
MECHANICAL INSPECTION
DATE BY
WALL BOARD AND FIRE WALL
DATE BY _