90-100194CITY OF
FEDERAL WAY
BUILDING PERMIT
90�/nat9y
BUILDING INSPECTION
941-1555
90-264
A WILLIAM SHERMAN ffi 32956 22 AVE SW
PERMIT NO.
OWNER'S NAME JOB ADDRESS
CONTRACTOR OWNER
ADDRESS SAME CONT. PHONE 838-1663**
CONT. REG. NO.
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.
NEW MULTI -FAMILY (UNITS
) MULTI. ADD. SIGN GRADING OTHER CONSTRUCT GARAGE
TAX ACCOUNT NO. 894500-0710 LEGAL DESCRIPTION LOT 71 OF VILLAGE PARK DIV A
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 4/5/90
BUILDING INFORMATION
NE RS7 . 2
OCCUPANCY Ml TYPE OF CONSTRUCTION_5-N BLDG. so. FT. 576— GARAGE
SET BACKS: FRONT 201
SIDE 5' EACH _ REAR----- 51 STORIES NA HEIGHT LIMIT 30' MAX
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
DISHWASHERS
TOTAL FIXTURES NONE
UNIT HEATER TOTAL MECHANICAINONE
AMOUNT NONE
VALUATION
$8769-02
PERMIT FEE $108-00
-_
PLAN CHECK FEE
70-00
PLUMBING FEE
CHANICAL FEE _
TAL BLDG. FEES $178
-00 -
17$ 00PART
PART P/C FEE
SEPA REVIEW
WATER SERVICE
AMOUNT PAID �� 2 �S �
WATER MAIN CHG.
,
C. FEE 4.50
DATE PAID
OTHER FEES
OTHER
AMOUNT DUE $182.50
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
AGENT��
DATE
^^/ v
CITY OF FEDERAL WAY 10/7j-
BUILDING PERMIT APPLICATION BGi0'�� �5INVFO
— Please Print
F
BOX 1 OWNER j I 1 1 JOB LOCATION
OWNER'S ADDRESS CIT A PHONE
DESCRIBE JOB cv pj p
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME D-L.)U KUy- 'CONTRACTOR'S REG. #
CONTRACTOR'S ADDRESS
EXPIRATION DATE
CITY
—OR—
PHONE
Card MUST be presented
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 LA �I j 0 ���U r_ W ,n PHONE
BOX 4 SEWER DISTRICT '�- WATER DISTRICT I
BOX 5 ESTIMATED PROJECT COST -PI . OU EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER o 9/ `7� � O d -- tJ 7 / U
LEGAL DESCRIPTION e v T 7 l /0,,Q0 -A
(If necessary, please submit a separate page with the legal description.)
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK ------J— GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE 67"(7r
( ) COMM ERCIAL/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
:::eD INS
THER
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 T AT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PER—
FORM THE WORK FO�Wl�qH PERMyq&LICATION IS MADE.
OWNER/AGENT:
DATE:
ANP -006 2/90
0 0
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONERS7Z SETBACKS: FRONT 20
SIZE S REAR 5
HEIGHT LIMIT 3b
PLANNING DEPARTMENT APPROVAL 9'//' °0'
Or—
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL
DATE
REMARKS:
PUBLIC WORKS DEPARTMENT 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.
ROOF OTHER
OCCUPANCY A, TYPE OF CONSTRUCTION
C� U BUILDING SQ. FT. .5-76 @
STORES
) 7 q q6`
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
BUILDING SQ. FT.
TOTAL SQ. FT.
@
@
OTAL VALUATION 9) 7 q Z
EBUILDING PERMIT NO.
PLAN CHECK FEE REC'D
RECEIPT NO.
PERMIT FEE —'0'b • 00 PLAN CHECK FEE --,2a —Q— PLUMBING FEE --=-- MECH. FEE_
TOTAL FEES 1-7f), o & SBCC SURCHARGE `'I ` So ENERGY SURCHARGE `� AMOUNT DUE
BUILDING DEPARTMENT APPROVAL ----------------------------- DATE `6
REMARKS:
ASSIGNED ADDRESS: s
Lu c" -am
S2 'u
ILL
L ul�
Z
LL -41
cc
RECEIVED I I ACCEPTED FOR FILING
CITY OF
FEDERAL WAY
BUILDING PERMIT BUILDING
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
NEWCOMMERCIAL 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
00
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
ECHANICAL FEE
TAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE
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
r10/40wr>
0
SET BACKS AND FOOTINGS
DATE /740BYBY
OX TO POUR FOUNDATION WALLS
DATE -__._.._BY
PLUMBING GROUNDWORK
DATE
PLUMBING ROUGH IN
DATE-_ __ - BY
WATER LINE O.K.
GAS PIPING O.K.___
MECHANICAL INSPECTION
DATE __ ------- --BY
O.K. TO ENCLOSE FRAMING
DATE
INSULATION
DATE BY
WALL BOARD AND FIRE WALL
DATE BY
FINAL O.K. TO OCCUPY
DATE BY
DCD
PSD
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