90-101322CITY OF
FEDERAL WAY
#434
BUILDING PERMIT BUILDING
941 � 555ECTI0N
9b- /o13DD
1513 RA CENTEX
HOMES 32712
20TH AVE SW
PERMIT NO.90- OWNER'S NAME
CENTEX HOMES
JOB ADDRESS
2320 130TH AVE NE #200 BET E&VUE
622-8288
CONTRACTOR ADDRESS CONTT, PHONE
622-8288 2320 130TH AVE NE 00 BELLVUE
CONT. REG. NO.CNTEHE152L1 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 DECK
TAX ACCOUNT NO. 010456 0270
LEGAL DESCRIPTION ALDERBROOK DIV 7 LOT 113
ISSUED BY JOANNE JOHNSON
DATE OF ISSUEDATE OF APPLICATION 9-18-90
BUILDING INFORM
ZONE OCCUPANCY ME
TYPE OF CONSTRUCTION VN
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
LAV$TORIES DRINKING FOUNTAINS
GAS HOT WATER HTR. MISC.
RETURNED
SINKS MISC.
CONVERSION BURNER BASIC FEE
DISHWASHERS TOTAL FIXTURES
UNIT HEATER TOTAL MECHANICAL
AMOUNT
VALUATION 704.00
BUILDING
DEPT APPROVAL: KC 10-1-90
21.00
PERMIT FEE
PLAN CHECK FEE 14-00
PLUMBING FEE
ECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
DATE:
[0--4,90
WATER SERVICE
WATER MAIN CHG.
AMOUNT:
S.B.C.C. FEE 4 _ S 0
OTHER FEES 39.50
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:
OWNER OR AGT
DATE ze-3 Z -44/w
RECEIVED
SEP A 910
CITY OF FEDERAL WAY
BUILDING DEFT.
BOX 1 OWNER Cee
OWNER'S ADD]
DESCRIBE JOB
Kqo
necel ,
Sip 1 FD
CITY OF FEDERAL WAY 9
BUILDING PERMIT APPLICATION 'E�p�wAY
— Please Print —
JOB LOCATION ! a -'246f /40e s5A) Ft.(
_6 CITY RP l 1 P e PHONE, 9 9— kak L
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME a n -t a CONTRACTOR'S REG.
Card MUST be presented
CONTRACTOR'S ADDRESS a v -U Ue '-a6 CITY /_ e //7e u cue PHONE &.A a– 2a ?S -
EXPIRATION DATE /n i (
—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 fti PHONE -
BOX 4 SEWER DISTRICT E L4--) (,J S WATER DISTRICT F l,J UJ 4
BOX 5 ESTIMATED PROJECT COST `4,000 EXISTING BUILDING VALUATION f U a.I�o6
BOX 6 PROPERTY TAX ACCOUNT
LEGAL QESCRIPTION 8 ICA C- 1= oto '? Ln+ I 1
K C PI0r it g�rnkNO's '?sl
(If necessary, please submit a separate page with the legal description.)
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed)
IST FLOOR / 2ND
FLOOR 1
3RD FLOOR / BASEMENT____J_ DECK /--;5—*
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 FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PER-
FORM THE WORK FOR WHICH PERMIT APPLICATION IB MADE.
OWNER/AGENT:
DATE:
ANP -008 2/90
'
HIP
0-J OFFICE USE ONLY (PLEASE DO NOT WRITE, OW THIS LINE)
PLANNING bNATMENT APPROVAL
FIRE DEPARTMENT APPROVAL DATE
PUBLIC WORK PA MENT APPROVAL DATE
RFMAR
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT__,_-K_ NEW INDUSTRIAL IND. ADD/ALT_
NEW COMMERCIAL COMWY.AD NEW K0UOlRAM|U�______-(UN
MULTIFAMILY ADD/ALT_ TENANT IMP.- ROOF____OTVR
OCCUPANCY AA TYPE OF CONSTRUCTION V STORES
BUILDING SQ. FT. 19)n @ (90CZ5
BUILDING SQ. FT @ =
BUILDING -SQ. FT. @ =
BUILDING SO. FT. @ =
-------
BUILDINGGQ' FT. @
BU|LO|NGSO. FT. @ =
TOTAL SQ. FT. TOTAL VALUATION -
EBUILDING PERMIT NOPLAN CHECK O RECEIPT NO.
PERMIT FEE �- PLAN CHECK FEE PLUMBINGFEE -----------K8ECH.FE
TOTAL FEES 8BCC8URCMARGE —ENERGY SURCHARGE AMOUNT DUE
BUILDING DEPARTMENT APPROVAL -----------------------------O
REMARKS:
( `
ASSIGNED ADDRESS: f
RECEIVED
ACCEPTED FOR FILING
-...-.....,�..ay.-�..e.�,.�.-•......-
CITY OF
FEDERAL WAY
BUILDING PERMIT
BUILDING INSPECTION
941-1555
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
ONE
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
10-1-90
VALUATION
PERMIT FEE
PLAN CHECK FEE
_
PLUMBING FEE
—
4CHANICAL FEE
TAL BLDG. FEES _
PART PIC 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
i
0
0
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
DATE `�-/`� " 1� BY _L1,z1iy�
DCD
PSD
FD