90-1011199o•ioitl9
FCITY OF
EDERAL WAY BUILDING PERMIT BUILDING
941!N 55ECTION
(434) INSPECTION REQUEST LINE -946-6794
PERMIT NO. 90-1302 RA OWNER'S NAME CENTEX HOMES JOB ADDRESS 32638 20 AVE SW
CONTRACTOR OWNER ADDRESS 2320 130 AVE NE BEL 'LSF, CONT. PHONE 622-8288
CONT. REG. NO. CENTEHE152L1 10/90 (OK) OWNER'S PHONE SAME OWNER'S ADDRESS SAME
TYPE JOB: NEW RESIDENCE ADDITION XX NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
RESIDENTIAL ALTERATION
NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. 010456-0310 LEGAL DESCRIPTION LOT 117 ALDERBROOK #7
WED BY ELIZABETH SNYDER DATE OF ISSUE VIIAV V DATE OF APPLICATION 8/6/90
1 BUILDING INFORMATI
ZONE NA OCCUPANCY M-2 TYPE OF CONSTRUCTION -N BLDG. SO. FT. DECK=144 SF
SET BACKS: FRONT 20' SIDE 51 EACH REAR 5 STORIES NA HEIGHT LIMIT 30' MAX
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 NONE
UNIT HEATER TOTAL MECHANICAL NONE
AMOUNT NONE
DATION $ -t.2-67-no
PLANNING DEPT APPROVAL: NOT APPLICABLE
BUILDING DEPT APPROVAL:KEVIN ELLIS ON 8/14/90
PERMIT FEE $ 31_00
N CHECK FEE 2-0-00
.UMBING FEE
FIRE DEPT APPROVAL: NOT APPLICABLE
MECHANICAL FEE
TOTAL BLDG. FEES 53.0 n
PUBLIC WORKS DEPT APPROVAL: NOT APPLICABLE
PART PIC FEE
$EPA REVIEW
WATER SERVICE
WATER MAIN CHG.
/
S.B.C.C. FEE $4.50
OTHER FEES
/
DATE PAID AMOUNT $55.50 RECEIPT /
AMOUNT DUE f 55.50
IV
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANC NO WORK IS RTED. •RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISH E RU A CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
�� C
OWNER OR AGENT DATE
-79 q Pe fit
35 0 4140
RECEIVED CITY O►� FEDERAL WAY
AUG 0 G CITY
PERMIT APPLICATION
CITY OF FEDERAL WAY — Please Print —
BUILDING DEPT_
BOX 1 TENANT NAME:
OWNER
SITE
*3 U 3,F - 2c N IAVL S,)
Z�Ay
OWNER'S ADDRESS �r_
/3vG( Arse �E o�C� CITY_t�e�%evc� .c PHONE �o Z L
DESCRIBE JOB �
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION �---
BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. #Ceyteg t ts.z c
CONTRACTOR'S ADDRESS2.2-10 130 21( 40-C iCc'4�0JCITY Card MUST be preserved
a d2
&z Fri'
EXPIRATION DATE
as —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 / 90 9�1
BOX 4 SEWER DISTRICT CL4) LJ .S WATER DISTRICT 6_ A). L.). 5%
BOX 5 ESTIMATED PROJECT COST '-�0'-) EXISTING BUILDING VALUATIONl.� C� _ 0 C>
BOX 6 PROPERTY TAX ACCOUNT NUMBER_ O /C9 9:M - o t3/ n
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # F a ?// 0 5 7
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) IST FLOOR_____J_ 2ND FLOOR
3RD FLOOR / BASEMENT_____J_ DECK /_ ef5� GARAGE______j_
BOX 8 (—rSINGLE FAMILY (--j-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 $
1 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 PERFORM THE WORK FOR WHICH PERMITAPPLICATION IS
MADE. I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM (INCLUDING COSTS, EXPENk4 AN¢ATTOANEYS'
FEES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAYBE MADE BY ANY PERSON, INCLUDING THE �,gNPfI.IGNED,
AND FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE ¢IfY' jNCtUDING ITS
OFFICERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORM TION SUPPLIED TO THE CITY AS A PART OF ThISAPPLICATI0Nr
'h_ /. �^i •alb {lfa • t t . � !.
OWNER/AGENT. o. ----DATE: e 3l 9 <) Sr
ANP -006 3/90
OFFIr'
ZONE SETBACKS:FRONT
PLANNING DEPARTMENT APPROVAL
REMARKS:
.vJT WRITE BELOW THIS LINE)J
REAR._ HEIGHT LII
M. ,;,.o
: 6
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
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 TENANT IMP. OTHER
OCCUPANCY M `y TYPE OF CONSTRUCTION Al STORES
BUILDING SQ. FT.
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ eQ 0 -
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION Z �'
BUILDING DEPARTMENT REMARKS:
AV/4l ya a34lp'k
06619 0 9nd
a3A j.ja.jtj
RECEIVED
ASSIGNED ADDRESS: 3 E -e
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt #
V-,- BUILDING DEPARTMENT APPROVAL
BY v DATE L( ✓10
ACCEPTED FOR FILING
PERMIT FEE
PLAN CHECK FEE
e
PLUMBING FEE
0
MECHANICAL FEE
TOTAL BLDG. FEES
0
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
` l5r d
ASSIGNED ADDRESS: 3 E -e
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt #
V-,- BUILDING DEPARTMENT APPROVAL
BY v DATE L( ✓10
ACCEPTED FOR FILING
CITY OF
FEDERAL WAY
BUILDING PERMIT BU"°'s4 �N55ECTION
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 _
T 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
iAiNING DEPT APPAL: NM AP P4 -j � X
VALUATION
1ILDI G DEPT APPP.OVAL: IUMIg 19LLIS ON fl!/ .4/9'0
PERMIT FEE
PLAN CHECK FEE
#
RE DE APPROVAL: 14M APPW ICAURT
PLUMBING FEE
MECHANICAL FEE
-3BLIC 4",ORKS DEPS' APPROVAL: NOT AppL_TCAsLE
TAL BLDG. FEES
RT P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
a)
S.B.C.C. FEE
,TE PAIL) � i t` ., EIPi.
OTHER FEES
�$ss..so
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
DATE BY /_W_,-
�C
DCD
PSD
FD