90-100690FCITY OF EDERAL WAY BUILDING PERMIT BUILDI94 IN 55ECTION
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90-990P GRIFFIN ENTER (NO TENANT YETJbB ADDRESS 29015 MILITARY RD S
PERMIT NO. OWNER'S NAME
CONTRACTOR WILLIAMS PLBG/HTNG ADDRESSPOB 1924 BOTHELL CONT. PHONE 487-2739
CONT. REG. NO. WILLIPH136Q4 11/90 OR OWNER'S PHONE 542-1072 OWNER'S ADDRESS 5156 48 AVE NE 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 PLUMBING ONLY
TAX ACCOUNT NO. NA
LEGAL DESCRIPTION EXISTING BLDG
ISSUED BY ELIZABETH SNYDER
DATE OF ISSUE DATE OF APPLICATION 6/26/90
BUILDING INFORMATION
ONE NA OCCUPANCY NA
TYPE OF CONSTRUCTION PLUMBING ONLY BLDG. SQ. FT NA
BACKS: FRONT NA SIDE
NA REAR NA STORIES NA HEIGHT LIMIT NA
PLUMBING NO.
NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS 1 ELEC. HOT WATER HEATER
1
GAS PIPING FT. BOILER
RECEIVED
BATHTUBS LAUNDRY DRAINS
COMPRESSOR TANK(S)
SHOWERS URINALS
FORCED AIR FURNACE AIR HANDLING UNIT
NUMBER _
LAVATORIES 1 DRINKING FOUNTAINS
GAS HOT WATER HTR. MISC.
SINKS MISCl3ASIC FEE
20.00
CONVERSION BURNER BASIC FEE
RETURNED _
DISHWASHERS + TOTAL FIXTURES 3X5,
00
UNIT HEATER TOTAL MECHANICAL NONE
AMOUNT NONE
VALUATION NONE
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE $35-00
MECHANICAL FEE
TOTAL BLDG. FEES
T FEE
9PA RE
RE VIEW
/
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
^
�IY`7` • � I j1
OTHER FEES
AMOUNT DUE $35.00
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 INFORMATIO FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE N4W.
7 ��
OWNER OR AGENT
DATE
T
ermit # �
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
Please Print
i
BOX 1 TENANT NAME: f-tw- Al
OWNER bEkt--IfU SITE LOCATION , 2-10t_5
OWNER'S ADDRESS CITY ` i L PHONE 342-
DESCRIBE JOB i u�rtitf3t/liC.
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME L`,ALufsvik' ' 1*4M6)(; !NC CONTRACTOR'S REG. # �V(LLA ti
Card MUST be presented
CONTRACTOR'S ADDRESSS� �x 1`�Z� -%C' -1 _07-4 CITY ��iA. PHONE`'
EXPIRATION DATE
—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 Lk5�Li-4 AM PHONE4E,72— Z`%� J
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUM
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
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
(�^J COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES —
BASIC FEE $
NO. 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
$
1 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
$
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 EMPLO UPON THE ACCO qY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWN ER/AGENTr "te�</- DATE:
ANP -008 3/90
CITY OF
FEDERAL WAY
BUILDING PERMIT BUILDING
941!N 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
119E
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
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
WFIAL BLDG. FEES _
T 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
a
a
SET BACKS AND FOOTINGS
DATE . . ..... . . __ ___BY
OX TO POUR FOUNDATION WALLS
DATE ...... ..... .. —.,, —.,,,,BY
PLUMBING GROUNDWORK
DATE 6 9- BY
PLUMBING ROUGH IN
DATE BY
WATER LINE O.K.
GAS PIPING O.K.-___
MECHANICAL INSPECTION
DATE
O.K. TO ENCLOSE FRAMING
DATE —_ _ -_BY
INSULATION
DATE -_,BY . ...... .
WALL BOARD AND FIRE WALL
DATE ___BY
FINAL O.K. TOtoc
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DATE �By
DCD
PSD
FD