90-101503CITY OF
NG
FEDERAL WAY BUILDING PERMIT —BUILDI941'1555ECTION
TENANT- nPPTrR rARR
PERMIT NO. 90-1744
FA OWNER'S NAME CAPITOL SQUARE ASSOC JOB ADDRESS 728 S 320TH
ST
CONTRACTOR MADSEN ELECTRIC ADDRESS 1929 TACOMA AVE S TACOMA
CONT. PHONE 383-4546
CONT. REG. NO. SHIVEDA177LD OWNER'S PHONE 272-9200 OWNER'S ADDRESS r-RAWFORD-IKATTCA
TNC.- POR 7516 TACO -mi
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
SUED BY JOANNE
JOHNSON DATE OF ISSUE ` L DATE OF APPLICATION
t
BUILDING INFORMATION
ZONE
OCCUPANCY TYPE OF CONSTRUCTION
BLDG. SQ. FT.
SET BACKS: FRONT
SIDE REAR STORIES
HEIGHT LIMIT
PLUMBING NO.
NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND I
WATER CLOSETS
ELEC. HOT WATER HEATER
GAS PIPING _ FT. BOILER
RECEIVED
BATHTUBS
LAUNDRY DRAINS
COMPRESSOR TANK(S)
_
t
r
SHOWERS
URINALS _
FORCED AIR FURNACE AIR HANDLING UNIT _
NUMBER
t
LAVATORFES
DRINKING FOUNTAINS
GAS HOT WATER HTR. MISC
!
RETURNED I
SINKS
MISC.
CONVERSION BURNER BASIC FEE
Y
DISHWASHERS
TOTAL FIXTURES
UNIT HEATER TOTAL MECHANICAL
AMOUNT
VALUATION
PERMIT FEE: (INCLUDING THE FIRST ZONE) $30.00
3 ADDITIONAL ZONES @ $10.00 EA 30.00
3
t
PERMIT FEE $60.00--
PLAN CHECK FEE
FIE DEPT FEE 3.00
S!1
UMBING FEE
TOTAL 63.00
CHANICAL FEE
TOTAL BLDG. FEES
F
PART P/C FEE
SEPA REVIEW
DATE:
WATER SERVICE
WATER MAIN CHG.
AMOUNT: r �_
,
S.B.C.C. FEE
OTHER FEES F. D
.neo-
RECEIPT: �)
AMOUNT DUE
1 no
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:
�� r
OWNER OR AGENT
< DATE '�
CITY OF FEDERAL WAY
0 qo-�� I-lq FA
FIRE ALARM PERMIT APPLICATION
(Permit Required For 6 or More Devices)
Job Address u.8 50. 3a -o fv Suite #
Owner CAf KOl. 7jQUA",, �fi��uG . _Tenant Name, OfrjCjj�, CJtf-l�,
CONTRACTOR /V►JrIX*tt,j,L<f lGADDRESS _�q--�j -rAC-0&%Ar Al
CONT. PHONELOW VOLTAGE OR JOURNEYMAN
,3g3-Q� Elect. Cert. No.%tVPi k1j1L- W
Owner's Address ,n, boys �S3b.'1'�ceMA� Phone
CONTACT PERSON Phone .3 _+54�,
PLEASE SUBMIT THREE (3) SETS OF FIRE ALARM WIRING DIAGRAMS
DEVICE LOCATION PLANS AND CUT SHEETS WITH THIS APPLICATION.
INDICATE NUMBER OF ZONES ON PANEL, INCLUDING SPRINKLER ZONES
IF APPLICABLE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND
CORRECT TO THE BEST OF MY/ KNOWLEDGE.
OWNER OR AGENT _DATE
M*Pe7e 1 et -f t t,
RECEIVED RECEIVED
NOV 0 51999 M (11 V 51990
CITY QF FEDERAL WAY
BUILDING DEPT. CITY 6XCEIVED.1."nY
Office use only (Please do not write below TEKis line)
REMARKS
Department of Labor and Industries
Electrical Permit shall be posted
at all fire alarm installations.
ROUTE to Fire Dept.
Permit Fee (includes
the First Zone) $30.00
additional zones
@ $10.00 ea. C)c-) O
T -D Fe--�e 3 . 00
TOTAL FEES $L 3-1 61a
PERMIT NO: 0 - l T/ -FA
Approved By r -t- Date i ) s '` cro
2-28-90
CITY OF
FEDERAL WAY
BUILDING" PERMIT BUILDING
941!N SSECTION
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
PONE__
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
�`*E-F tt
':: p�: s x t ! INCL€!"M THF FIRST
.teaADVITTONAL ZONES 2 $10.00 FA 3C,
PERMIT FEE
—_
PLAN CHECK FEE
DEPT, FEF 3 .
PLUMBING FEE°
ECHANICAL FEE _
.1TAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
j'jjljTT -
WATER SERVICE
WATER MAIN CHG.iC}:
S.B.C.C. FEE
OTHER FEES
%VC""' TPT' , ,. v
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
.... ___ . ......... . ... ...
. ..... . . .. .... . . ....
MECHANICAL INSPECTION
DATE --BY
O.K. TO ENCLOSE FRAMING
DATE BY
INSULATION
DATE
BY . . ... ....
WALL BOARD AND FIRE WALL
DATE . .... ... . BY
FINAL OX TO OCCUPY
DATO ��IIBA - - - - -- -
DCO
PSD
FD
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