90-100169qu-/ooi&9
CITY OF
FEDERAL WAY BUILDING PERMIT Bu'LD'NG 941! SSSECTION
PERMIT NO. 90-0227 OWNER'S NAME ICHI TERIYAKI JOB ADDRESS 1706 S 320 ST #18
CONTRACTOR
THOMPSONS FIRE EQUIPADDRESS POB 2638 RENTON CONT. PHONE 271.-9061
CONT. REG. NO.
THOMPFE155D7 1/91 OWNER'S PHONE NA OWNER'S ADDRESS SAME AS SITE
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 FIRE SUPPRESSION SYSTEM
TAX ACCOUNT NO.
NA LEGAL DESCRIPTION NA
ISSUED BY
ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 3/29/90
BUILDING INFORMATION
NE NA
OCCUPANCY NA TYPE OF CONSTRUCTION NA BLDG. SQ. FT. NA
ET BACKS: FRONT
NA SIDE NA REAR NA STORIES NA HEIGHT LIMIT NA
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.
SINKS
MISC.
CONVERSION BURNER BASIC FEE
RETURNED
DISHWASHERS
TOTAL FIXTURES NONE_
UNIT HEATER TOTAL MECHANICAL NONE
AMOUNT NONE
VALUATION
$7 000.00
CALL THE FIRE DEPT AT 839-6234 FOR A TEST ON THE SYSTEM WHEN YOU
ARE READY. THE BLDG DEPT WILL ALSO HAVE TO BE NOTIFIED AT ABOVE #.
PERMIT FEE
$25.00
PLAN CHECK FEE
161-00
PLUMBING FEE
CHANICAL FEE
TAL BLDG. FEES
$d1 00RT
P/C FEE
rS
PA REVIEW
PAID IN FULL ONTER
SERVICE
WATER MAIN CHG.
AMOUNT PAID
S.B.C.C. FEE
4_50
OTHER FEES
RECEIPT #
AMOUNT DUE
$45-50
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
. 4n
OA -
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 OWNER i kb 15 TEk % 51A 11 r* JOB LOCATION
OWNER'S ADDRESS CITY PHONE
DESCRIBE JOB i*4-,S T9 L L i2i'K. 5YfT4?--r
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME :Vh r7 P50 0r , 15C& zFSerj i�� Cfi— CONTRACTOR'S REG. # THa'ti'P Gf 1,S:f',V
Card MUST be presented
CONTRACTOR'S ADDRESS 7 r CITY /? Y1_4 ^( PHONE o2'2/ 9'6 6
EXPIRATION DATE /- 4' /
—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 4— EO'c �-6? S Ed 0 rT 0s+H( PHONE- 71-9d4.1
BOX 4 SEWER DISTRICT le -3' WATER DISTRICT f!:_
BOX 5 ESTIMATED PROJECT COST `1111) EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOU
LEGAL DESCRIPTION
(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______J_ DECK / GARAGE I
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTIONrsf8�f
ft�i� ((- jMULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTUREPsCCOMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES — BASIC FEE $
N0. 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
$
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 PER-
FORM THE WORK FQR WHICH PERMIT APPLICATION IS MADE.
ANP4= 2/90
ZONE SETBACKS:FRONT_
PLANNING DEPARTMENT APPROVAL
REMARKS:
r-
.0
•
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
SIZE REAR HEIGHT LIMIT
SEPA: EXEMPT - - NOT EXEMPT
FIRE DEPARTMENT APPROVAL c- DATE-Y-1-2-
REMARKS:
ATE '2 -REMARKS:
PUBLIC WORKS DEPARTMENT
REMARKS:
DATE
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 TYPE OF CONSTRUCTION STORES
BUILDING -SQ. FT. @ _ 4001-D
BUILDING SQ. FT. @ _
BUILDING -SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION / 4D
EBUILDING PERMIT NO. PLAN CHECK FEE RECD RECEIPT NO.
PERMIT FEE ZS- Oy PLAN CHECK FEE -/---r, - PLUMBING FEE -- ---- MECH. FEE �-
TOTAL FEES `/b 00 SBCC SURCHARGE -ENERGY SURCHARGE -fnr- AMOUNT DU
BUILDING DEPARTMENT APPROVAL' -1 ----- DATE
REMARKS:
ASSIGNED ADDRESS:
RECEIVED
ACCEPTED FOR FILING
FCITY OF EDERAL WAY BUILDING PERMIT BUILDI94 IN 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
RNE
ET
OCCUPANCY TYPE OF CONSTRUCTION
BLDG. SQ. FT.
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
=„.d=�.+fir Tfib xi; DR ! T 8.�:�"6234 1- �S eA**a %M%
ARE i1.1".d' -1 r THP �3� DEPT a XLL hLS fAVE TO BE
Lil s�i�i�
METED AT VI
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
OTAL BLDG. FEES
PART P/C FEE
.• ,%J,^
SEPA REVIEW
PAID 114 flnL m 1 L.....
WATER SERVICE
... _. . � ..
�y
WATER MAIN CHG.
;AGUN PAID
S.B.C.0 FEE•
OTHER FEES
a*T!fi>!>” if
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
9
•
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 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 OCCUPY
,�/y
DATE __.L��/1 ����BY �//4
DCD
PSD
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