90-101308CITY OF
FEDERAL WAY
/ #434
BUILDING
PERMIT
BUILDING INSPECTION
941-1555
94 ��a13b8'
PERMIT N090- 1515 RA OWNER'S NAMECENTEX
HOMES JOB ADDRESS 32706 20TH AVE SW
CONTRACTOR CENTEX HOMES ADDRESS
2320 130TH AVE NE #200 RP -T LEVUE CONT. PHONE 622-8288
CONTT, REG. NO�EHE152L1 OWNER'S PHONE 622-8288 OWNER'S ADDRESS 2320 130TH AVE NE #200 BELLVUE
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 0280
LEGAL DESCRIPTION LOT 114 ALDERBROOR DIV 7
ISSUED BY JOANNE JOHNSON
DATE OF ISSUE DATE OF APPLICATION 9-18-90
BUILDING INFORMA
ONE OCCUPANCY M2
TYPE OF CONSTRUCTION VN BLDG. SO. FT. S 0
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 704.00
BUILDING DEPT
APPROVAL: RC 10-1-90
21.00
PERMIT FEE
PLAN CHECK FEE 14-00
PLUMBING FEE
CHANICAL FEE
JTAL BLDG. FEES
PART PIC FEE
DATE:
SEPA REVIEW
o
WATER SERVICE
AMOUNT:
WATER MAIN CHG.
S.B.C.C. FEE 4.50
RECEIPT:
3
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
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
DATEO�/f�C�
RECEIVED
SEP 19 so
OITY OF FEDERAL. WAY
BUILDING DEPT.
BOX 1 TENANT NAME:
• Wmit
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
f — Please Print —
OWNER 1 ern Q.S SITE LOCATION U S /-- w
OWNER'S ADDRESS / uQ k) CITY —i -e I1 e u c.. -Q_ PHONE aa— s? _- FrS'
DESCRIBE JOB eC
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME en a CONTRACTOR'S REG.
Card MUST be presented
CONTRACTOR'S ADDRESS d ve ivE # CITYe ll e u PHONE __lo,19-e-RS-k
EXPIRATION DATE I !q ?�
—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 PHONE d0,5_9—
BOX 4 SEWER DISTRICT F W iy g -S WATER DISTRICT F Ly IA -LLS
BOX 5 ESTIMATED PROJECT COST -fa DO % EXISTING BUILDING VALUATI �a_-i,dor_�
BOX 6 PROPERTY TAX ACCOUN NUMBED610 USk> U
LEGAL DESCRIPTION 7DIv 'I fi 1 L4
(If necessary, please submijaepat e pagwith tlegal description.)
K.C. Plat Recording # sDrahe
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR 1 BASEMENT / DECK / GARAGE /
BOX 8 (✓j 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)
N0. WATERCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
TOTAL FIXTURES
MECHANICAL APPLIANCES — BASIC FEE $
GAS PIPING, FEET $
N0. FURNACE, ELEC. GAS $
GAS HOT WATER HEATER $
CONVERSION BURNER $
BOILER, SIZE BTU $
AIR HANDLING UNITS $
HEAT PUMPS, SIZE $
UNIT HEATERS $
AIR COOLING UNITS, SIZE $
COMMERCIAL HOOD $
OTHER $
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 OFTHE ABOVE PREMISES TO PERFORM THE WORKFOR 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 -OW 3/90
ZONE SETBACKS:FRONT_
PLANNING DEPARTMENT APPROVAL
REMARKS:
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
SIDE REAR HEIGHT LIMIT
BUILDING DEPARTMENT REMARKS:
RECEIVED
ASSIGNED ADDRESS:
Amount
C
PARTIAL PLAN CHECK FEE RECEIVED
Date
PERMIT FEE
2-/,00
PLAN CHECK FEE
SEPA: EXEMPT
NOT EXEMPT
FIRE DEPARTMENT APPROVAL
DATE
REMARKS:
3S ° o 0
PART PIC FEE
SEPA REVIEW
S.B.C.C. FEE
tf 6
OTHER FEES
PUBLIC WORKS DEP
ENT 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
OCCUPANCY AA
TENANT IMP. OTHER
z TYPE OF CONSTRUCTION I% --V STORES
BUILDING SQ. FT.
OC? @ (0
BUILDING SQ. FT.
@ _
BUILDING SQ. FT.
@ _
BUILDING SQ. FT.
@ _
BUILDING SQ. FT.
@ _
BUILDING SQ. FT.
TOTAL SQ. FT.
@ _
TOTAL VALUATION d y
BUILDING DEPARTMENT REMARKS:
RECEIVED
ASSIGNED ADDRESS:
Amount
C
PARTIAL PLAN CHECK FEE RECEIVED
Date
PERMIT FEE
2-/,00
PLAN CHECK FEE
G8
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
3S ° o 0
PART PIC FEE
SEPA REVIEW
S.B.C.C. FEE
tf 6
OTHER FEES
AMOUNT DUE
3 d
Receipt #
BUILDING DEPARTMENT APPROVAL
BY DATE fO - ( - q Q
ACCEPTED FOR FILING
CITY OF
FEDERAL WAY
BUILDING PERMIT BUILDI41
NG IN 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
NE
OCCUPANCY TYPE OF CONSTRUCTION
BLDG. SQ. FT.
ET 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
TT=nT '• D "PRDVAL': 11c 20-1-90
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TAL BLDG. FEES
PART P/C FEE
_
TE
SEPA REVIEW
WATER SERVICE
a.m0u":
WATER MAIN CHG.
S B C.C. FEE
5rZ7!
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
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 Q.K.
MECHANICAL INSPECTION
DATE BY
O.K. TO ENCLOSE FRAMING
DATE �7` 57 W BY
INSULATION
DATE BY
WALL BOARD AND FIRE WALL
DATE ---BY
FINAL O.K. TO OCCUPY
DATE %- 5'_91 BY dl`s
DCO
PSD
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