90-100369FCITY OF EDERAL WAY BUILDING PERMIT BUILDI94 IN 55ECTION
9o-iob3& 9
PERMIT NO. 90-510
P OWNER'S NAME MUELLER DEVELOPMENT
JOB ADDRESS 35420 25TH AVENUE SW (BUILDING
CONTRACTOR SUNRISE
PLUMBING INC ADDRESS 1415 22ND ST NW
AUBURN, WA CONT PHONE 874-4083
CONT. REG. NO. SUNRIPI1640A OWNER'S PHONE 824-2112 OWNER'S
ADDRESS 19550 PACIFIC HIGHWY S SEATTLE
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. 810427-0543 LEGAL DESCRIPTION
ISSUED BY JOANNE
JOHNSON DATE OF ISSUE
DATE OF APPLICATION 5-3-90
BUILDING INFORMATION
NE
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 24_
ELEC. HOT WATER HEATER _�_2
GAS PIPING _. FT
BOILER
RECEIVED
BATHTUBS _12_
LAUNDRY DRAINS _�2-
COMPRESSOR
TANKS) _
SHOWERS 19
URINALS _
FORCED AIR FURNACE
AIR HANDLING UNIT
NUMBER _
LAVATORIES —24.._
DRINKING FOUNTAINS _
GAS HOT WATER HTR.
MISC
SINKSRETURNED
�2
MISC.
CONVERSION BURNER
BASIC FEE
G SHWASHERS 2
TOTAL FIXTURES 120X5=ZII _00
UNIT HEATER
TOTAL MECHANICAL
AMOUNT
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
�CHANICAL FEE
AL BLDG. FEES
DATE:>
PART PIC FEE
_
SEPA REVIEW
AMOUNT:
WATER SERVICE
WATER MAIN CHG.
RECEIPT:
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
6 f) D n n
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 M U
/'
OWNER OR AGENT
v
DATE / C V
ormit # �D - D
i
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME:
OWNER //e,- a vSITE LOCATION _35—q2_0 2 y T'"` A v e 5 a
OWNER'S ADDRESS /115-315) e` /'CAV v • ,Se, CITY PHONE ��- y —Z// Z
DESCRIBE JOB r y4� :,.fie
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. #
Card MOST be presented
CONTRACTOR'S ADDRESS A//157 ST /VGt/ CITY �b��/'� PHONE
EXPIRATION DATE %'—/--,Fo
—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 �U22,JeWi z 774e PHONE
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # old y" 74.3' y3
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( SINGLE FAMILY NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ` Z- ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9
PLUMBING FIXTURES (including rough -ins)
NO. 2 Lf WATERCLOSETS
1 BATHTUBS
SHOWERS
z LAVATORIES
/ Z SINKS
jDISHWASHERS
1 2 ELECTRIC HOT WATER HEATER
?_LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
/Zy TOTAL FIXTURES
MECHANICAL APPLIANCES — BASIC
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
FEE $
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 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.
OWNER/AGENT:
`y DATE:
ANP -008 3/90
FCITY OF EDERAL WAY BUILDING PERMIT BUILDI94 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.
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
PLUMBING FEE
CHANICAL FEE
_
TAL BLDG. FEESr2
j�
PART P/C FEE
WW2
`1
SEPA REVIEW
WATER SERVICE
�y
RECEIPT: :
r
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
0
0
SET BACKS AND FOOTINGS
DATE .. - , —BY______
OX TO POUR FOUNDATION WALLS
DATE -- ______BY
PLUMBING GROUNDWORK
DATE -5- By
UMBING ROUGH IN or,
DATE BY
WATER LINE O.K.
GAS PIPING
. . .... . ..... . .
.. ..... ..
MECHANICAL INSPECTION
DATE _-BY
. ... ..... .. .
O.K. TO ENCLOSE FRAMING
DATE -_ BY
INSULATION
DATE
BY
WALL BOARD AND FIRE WALL
DATE BY
FINAL O.K. T 0 UPY
DATE -BY
DCD
PSD
FD
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