90-101309CITY OF
FEDERAL WAY
#434
BUILDING PERMIT
BUILDING INSPECTION
941-1555
q6-10/3043
PERMIT NO. 90— 1516 RA OWNER'S NAME CENTEX HOMES JOB ADDRESS 32700 20TH AVE SW
CONTRACTOR CENTEX HOMES ADDRESS
2320 130TH AVE NE #200 1RFT W E CONT PHONE 622-8288
CONTT, REG. NO. CNTEHE152L1 OWNER'S
PHONE 622-8285 OWNER'S ADDRESS 2320 130TH AVE NE #200 BELLVOE
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 0290 LEGAL DESCRIPTION ALDERBROOK DIV 7 LOT 115
ISSUED BY JOANNE JOHNSON
DATE OF ISSUE DATE OF APPLICATION 9-18-90
BUILDING &FORMATIM
ONE OCCUPANCY M2
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
BATHTUBS 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
DIS4 WASHERS TOTAL FIXTURES
UNIT HEATER TOTAL MECHANICAL
AMOUNT
VALUATION 704 _ nn
BUILDING
DEPT APPROVAL: KC 10-1-90
21.00
PERMIT FEE
PLAN CHECK FEE 14.00
FEE
0OLUMBING
CHANICAL FEE
TAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE
DATE:
WATER MAIN CHG.
S.B.C.C. FEE 4 _ 50
AMOUNT:
OTHER FEES
39.50
AMOUNT DUE
RECEIPT:
'
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 �- S DATE x26
rmit #
CITY ®F?FEDERAL WAY
BUILDING PERMIT APPLICATION SEP �D
— Please Print — t
Q�Yeete._�
BOX 1 TENANT NAME:
OWNERAur $ITE OCATI
OWNER'S ADDRESS � d E �L� CITY
DESCRIBE JOB 0r.Gk-,
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME a CONTRACTOR'S REG. 14,67 /5 2 41
Card MUST be presented
CONTRACTOR'S ADDRESS a0 / �� 14U E � �� CITY 2e�%e u zo' a PHONE to Z, 2-k2,F-Sr
EXPIRATION DATE /U -/ —4
—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
BOX 4 SEWER DISTRICT E u> i.J 2 S WATER DISTRICT ,/-- t_J 4J $ S
BOX 5 ESTIMATED PROJECT COST _9-06 EXISTING BUILDING VALUATION V_ZZ6, nlJ A
BOX 6 PROPERTY TAX ACCOUNT NUMBER 6/0 5/5-6 cn� 9e�)
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # 7/1 0,5') S
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed)
1ST FLOOR -------J— 2Np FLOOR
/
3RD FLOOR_____J_ BASEMENT / DECK /_ GARAGE /
BOX 8 ( -fSINGLE FAMILY
( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = )
( ) EXISTING STRUCTURE
( ) COMMERCIAUINDUSTRIAL
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
$
:RTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
y FURTHERTHAT I AM AUTHORIZED BY THE OWNER OFTHE ABOVE PREMISESTO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
X. I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM (INCLUDING COSTS, EXPENSES, AND ATTORNEYS'
5 INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
CERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
i
ANP -M 3/90
,,ACKS: FRONT_
IG' DEPAT,RMENT APPROVAL
S:�
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
SIDE REAR HEIGHT
1 Y.
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPAR T 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 TENANT IMP. OTHER
OCCUPANCY TYPE OF CONSTRUCTION STORES
�e (C BUILDING SQ. FT. O @ (C> 0C:>
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION 6
BUILDING DEPARTMENT REMARKS:
RECEIVED
PERMIT FEE
PLAN CHECK FEE
f ��
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
d d
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
`S d
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS: e f
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt #
BUILDING DEPARTMENT APPROVAL
BY DATq-6 ACCEPTED FOR FILING
CITY OF
FEDERAL WAY
BUILDING PERMIT BUILDING
941!N SSECTION
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
di3lW.1NG 09rf P KC 3,0 -I --}1t
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE _
TAL BLDG. FEES
RT P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
itii°P2
S.B.C.C. FEE
OTHER FEES
F a
.,» ...�..,
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
0
SET BACKS AND FOOTINGS
DATE BY
O.K 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 3'/()'-'7/ BY 1'YIM
DCD
PSD
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