90-100366CITY OF
FEDERAL WAY
BUILDING PERMIT BUILDI41
NG IN SSECTION
Qn — / I) b Va /_
PERMIT NO. 90-507
P OWNER'S NAME MUELLER DEVELOPMENT JOB ADDRESS 35420 25TH AVENUE SW (BUILDING
CONTRACTOR SUNRISE PLUMBING INCADDRESS 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 12
ELEC. HOT WATER HEATER �_
GAS PIPING ___. FT.
BOILER
BATHTUBS 9
LAUNDRY DRAINS 9
COMPRESSOR
_ TANKS) _
RECEIVED_
SHOWERS _ 3
URINALS
FORCED AIR FURNACE _
AIR HANDLING UNIT
NUMBER _
LAVATORIES _1.2
DRINKING FOUNTAINS
GAS HOT WATER HTR. _
MISC.
SINKS —4
MISC.
CONVERSION BURNER
BASIC FEE
RETURNED --
DISHWASHERS _S__
TOTAL FIXTURES 5X72=3AG_0_,W
UNIT HEATER
TOTAL MECHANICAL
AMOUNT
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
0--_
J
CHANICAL FEE _
DATE: /
TAL BLDG. FEES
PART PIC FEE
AMOUNT:
REVIEW
WATER
WATER SERVICE
RECEIPT: IJ
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE 360
nn
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.4�7�17A,-2
F/4 _;2�e0 er.'it# G- SO
:z E
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME:
OWNER N k, _- v e (oP Izc eh 7` SITE LOCATION 3SY z0 2
SAve
OWNER'S ADDRESS IS-S'D a e_ ` � C- #W v S60 CITYSea-?/_0
PHONE 9--_>-L/ z//Z
DESCRIBE JOB a / a Z,, -5
$
THE PROPERTY IS 0 NED BY: SINGLE/MARRIED PARTNERSHIP
CORPORATION
BOX 2 CONTRACTOR'S NAME t%t a`S`e % n c CONTRACTOR'S REG. #-S6t ter'<`Ai�/6 SAO
CONTRACTOR'S ADDRESS 1'Y135` 2 Z �� fr�%G% CITY b wNh
Card MUST be presented
PHONE 6_5K--tf025�_ 3'
EXPIRATION DATE 1r'—/-- /Z 4�2
AIR HANDLING UNITS
—OR—
HEAT PUMPS, SIZE
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.
AIR COOLING UNITS, SIZE
BOX 3 CONTACT PERSON �4c- lrt%l`� teff
PHONE 7 9 -- 5106a
BOX 4 SEWER DISTRICT WATER DISTRICT
OTHER
BOX 5 ESTIMATED PROJECT COST moo 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 # Y,-' ?O .S'Y 3
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK_____J_ GARAGE /
BOX 8 ( ) SINGLE FAMILY ( NEW CONSTRUCTION
(m MULTIFAMILY (NO. OF UNITS = _) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBI G FIXTURES(including rough -ins)
N0. 2 WATERCLOSETS
BATHTUBS
3 SHOWERS
�2 LAVATORIES
SINKS
_DISHWASHERS
_ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
%Z. 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 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:
DATE: y�
ANP -008 3/90
CITY OF
FEDERAL WAY
BUILDING PERMIT BUILDI41
NG INSPECTION
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 NEWINDUSTRIAL 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.SO.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
ECHANICAL FEE _
T''A..: ... ..� i_ .
TAL BLDG. FEES
PART P/C FEE
tires"2
SEPA REVIEW
/
WATER SERVICE
*4$;C.Ii
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
OX TO POUR FOUNDATION WALLS
DATE
PLUMBING GROUNDWORK
DATE BY
,?LUMBING ROUGH IN
DATE//_7- eP __ .
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 OCC PY
DATE BY
DCO
FID