91-101053CITY OF FEDERAL WAY
First Way South
Feder lJ I L D I N G PERMIT
Federal Way, WA 98003
REVISION TO EXISTING 91-100
�l -lol 6,53
BUILDING INSPECTION
661-4140
91-1007 CA T J MAXX 1910 S 320 ST
PERMIT NO.
OWNER'S NAME SITE ADDRESS
CXV MEARS 7104 NE 181 ST BOTHELL 481-5144
CONTRACTOR
ADDRESS CONT. PHONE
CONT. REG. NO.
CJMEAI*107MQ EXP. 792 OWNER'S PHONE OWNER'S ADDRESS 12400 SE 38 ST BELLEVUE
TYPEJOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER REVISION TO EXISTING PERMIT 91-1007 CA
092104-9208
TAX ACCOUNT NO.
LEGAL DESCRIPTION
SUED BY
ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 11/27/91
BUILDING INFORMATION
ZONE
SET BACKS: FRONT SIDE REAR HEIGHT LIMIT
OCCUPANCY
TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG. SQ. FT. STORIES
PLUMBING
NO. NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS
ELEC. HOT WATER HEATER
GAS PIPING FT. GAS LOGS
RECEIVED
BATHTUBS
LAUNDRY DRAINS
FORCED AIR FURNACE DUCT WORK
SHOWERS
URINALS
GAS HOT WATER HTR. AIR HANDLING UNIT
NUMBER
LAVATORIES
DRINKING FOUNTAINS
CONVERSION BURNER MISC.
RETURNED
SINKS
MISC.
BBQ BASIC FEE
DISHWASHERS
TOTAL FIXTURES NONE
DRYER TOTAL MECHANICAL NONE
AMOUNT NONE
VALUATION
BLDG DEPT APPROVAL = KEVIN ELLIS
PERMIT FEE
CHECK FEE
$30.00
"1 HR PLAN REVIEW FEE FOR REVISION"
LAN
LUMBING FEE
MECHANICAL FEE
PART P/C FEE
CALL 661-4140 FOR ALL INSPECTIONS!!
SEPA REVIEW
PUBLIC WORKS
S.B.C.C. FEE
I f
FIRE FEE
DATE:
OTHER FEES
$30_
AMOUNT: $30.00
AMOUNT DUE
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
n+svitpoN Per �l l0 7 C�
�Ecg�v�Q 1 - _
2 1 199 CITY OF FEDERAL WAY �L Vl
NAV BUILDING PERMIT APPLICATION
Please Print —
BOX 1 TENANT NAME: T''f . M Rxx
OWNER (WP1746-- SITE LOCATION I 3
OWNER'S ADDRESS e-10 TRF fV_,14T J.2Yoo 3cf3d''=` g% CITY l3 !, VV K PHONE
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME e;yy- rr'J 12 -rife -9 CONTRACTOR'S REG. # CyiAiEAT /0741V
Card MUST be presented
CONTRACTOR'S ADDRESS -7 /0 /6/ 9T CITY PHONE 5'�81- S 1KY
EXPIRATION DATE 9 Z
—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 t)#9 &.,, D APHONE
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 09 A/09"
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 / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/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
DRAINS
OTHER
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: !i 2 -7— �'/
ANP -008 3/90
OFFI E PLEASE DO NOT WRITE BEOW THIS LINE
0 USE ONLY C U ( )
ZONE SETBACKS:FRONT_
PLANNING DEPARTMENT APPROVAL
REMARKS:
SIDE REAR HEIGHT LIMIT
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS:
TYPE OF JOB: NtW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY TYPE OF CONSTRUCTION STORES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION
BUILDING DEPARTMENT REMARKS:
jr A k Mtj I CW �eJz r J t o t'%
do
ECEIVED
)V 2 7 1991
iii#
RECEIVED
ASSIGNED ADDRESS:
r
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt #
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
BUILDING DEPARTMENT APPROVAL q
BY '� DATE if J l
ACCEPTED FOR FILING
CITY OF
FEDERAL WAY
BUILDING PERMIT BUILDI41
NG IN 55ECTION
91-1007 CA T.J.
MARX
1910 S 320TH STREET
PERMIT NO. OWNER'S NAME
JOB ADDRESS
C.W. MEARS
13015 NE 101ST PL
KIRKLAND WA (206) 822-6290
CONTRACTOR ADDRESS
CONT. REG. NO. CWMEAI 10 7M 7/92 OWNER'S
PHONE 643-1011
CONT. PHONE
OWNER'S ADDRESS SIERRA CAPITAL REALTY TRUST VI CO
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
C/O TRF MGMT 12400 SE 38TH ST, BL
TAX ACCOUNT NO. 092104-9208-03
LEGAL DESCRIPTION
ISSUED BY JOANNE JOHNSON
DATE OF ISSUE
DATE OF APPLICATION 7-29091
BUILDING INFORMATION
E cc OCCUPANCY B2
TYPE OF CONSTRUCTION
VN BLDG. SQ. FT. 25,379
SET BACKS: FRONT SIDE
REAR
STORIES HEIGHT LIMIT
PLUMBING NO. NO.
MECHANICAL APPLIANCES
AMT. AMT.
BOND
WATER CLOSETS 3 ELEC. HOT WATER HEATER
GAS PIPING 3DSL FT.
3 _ Sn BOILER
RECEIVED
BATHTUBS LAUNDRY DRAINS
COMPRESSOR
TANK(S)
SHOWERS URINALS —1__—
5FORCED AIR FURNACE
45-0 311R HANDLING UNIT 32-50
NUMBER
LAVATORIES 1 DRINKING FOUNTAINS _1._
GAS HOT WATER HTR.
x - MISC.
SINKSRETURNED
_� MISC.
CONVERSION BURNER
BASIC FEE
DISHWASHERS TOTAL FIXTURES9%5= -A_5_-"
UNIT HEATER
TOTAL MECHANICAL 8.7_x_50_
AMOUNT
VALUP.TION 185,237-550
PLANNING
DEPT APPROVAL:
BK 8-9-91 SITE PLAN REVIEW FOR SEATAC
VILLAGE HAS BEEN FILED.
PERMITFEE 1,882.00**
#SPR -91-12 PER BILL KINGMAN
PLAN CHECK FEE 612.0
FIRE/BUILDING DEPT APPROVAL:
KC 8-9-91
PLUMBING FEE 45.0
MECHANICAL FEE 87.50
** DOUBLE
FEE ASSESSED BECAUSE WORK STARTED BEFORE OBTAINING BUILDING PERMI
OTAL BLDG. FEES
941 X
2 = 1,882.00
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
/
S.B.C.C. FEE F.D. FEES 4.50
DATE
OTHER FEES 47.05
AMOUNT DUE 2,67800_5_
AMOUNT.':
$2,678.05
�77�
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF t9llvaRfr rs:§TearFn
'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^_
JE
0
r a yo
0
a
4 C-
Tr L /-a,�- -vi C
Kl�H
S L 3 Y y< S Y.
5 -7 -7
RECEIVED
J U L 3 0 1991
0"Y OF FEDERAL
BUILDING OEPT WAY
is 1
CITY OFTEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
O,A
30X 1 TENANT NAME: T.J. MAXX jt S
OWNER MERIDON POINT PROP. INC. SITE LOCATION SEATAC VIL[,AGE
OWNER'S ADDRESS 100 CALIF. ST. SUITE 200CITY SAN FRANCISCO CA.PHONE 415 956-30131
DESCRIBE JOB TENENT TMPROVMENT FOR RETAIL CLOTTHTNG SA1,ES
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION X
BOX 2 CONTRACTOR'S NAME C.W. MEARS CONTRACTOR'S REG. # 601 261 666 `-
Card MUST be presented
CONTRACTOR'S ADDRESS 13015 NE 101st. PL. CITY KIRKLAND, WA. PHONE 206 822-6290
EXPIRATION DATE 4/17/92
OR
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS ANdA,-'i %�
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON DAN DANIELS a PHONE 206 822-6290
BOX 6 PROPERTY TAX ACCOUNT NUMBER I-94-348 813— :i 3
LEGAL DESCRIPTION SEE ATTACHED COPY
(If necessary, please submi sparate page with the legal description.)
K.C. Plat Recording # k''
BOX BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 25,819 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY
( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = )
( X) EXISTING STRUCTURE
( X) COMMERCIAL/INDUSTRIAL
TOTAL AREA OF PROPERTY
SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES — BASIC FEE $
N0. 3 WATERCLOSETS
GAS PIPING, FEET 300'
$
3, 5 C}
BATHTUBS
NO. 5 FURNACE, ELEC. 2- GAS x `!
$
SHOWERS
1 GAS HOT WATER HEATER
$
v
1 LAVATORIES
CONVERSION BURNER
$
3 SINKS
BOILER, SIZE BTU
$
_DISHWASHERS
AIR HANDLING UNITS
$
ELECTRIC HOT WATER HEATER
HEAT PUMPS, SIZE
$
LAUNDRY WASHER OUTLET
UNIT HEATERS
$
1 URINALS
5 AIR COOLING UNITS, SIZE C' " `'i
$
5'
1 DRINKING FOUNTAINS
COMMERCIAL HOOD
$
SUMPS, SPRINKLER VACUUM BREAKERS
OTHER
$
DRAINS
$
OTHER
$
_TOTAL FIXTURES
$
-
TOTAL MECHANICAL FEE
$>7
5
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: �_ z
ANP -008 3/90
00 USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE_ SETBACKS: FRONT lu(A SIDE 016 REAR N(,q HEIGHT LIMIT _NZ kl-
PLANNING DEPARTMENT APPROVAL S-9-
REMARKS:
'9-REMARKS: 511E FL 100 te.--) 9A S f?,tre? N
ru,M, SPS' 011—/2-
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL
REMARKS:
PUBLIC WORKS DEPARTMENT AP
REMARKS:
DATE
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. OTHER
OCCUPANCY Z _ TYPE OF CONSTRUCTION STORES
BUILDING SQ. FT. 3 7 '- @ 1U = Q ZL 06' 7 SCS
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @
BUILDING SQ. FT. @ At
TOTAL SQ. FT. TOTAL VALUATION r 5' Z 3 7 S G
BUILDING DEPARTMENT REMARKS:
or_ r rv. ( f r-.. G R y- 9/
ASSIGNED ADDRESS: `; C' t e --
Amount
BY
PARTIAL PLAN CHECK FEE RECEIVED
Date
Receipt #
PERMIT FEE r
PLAN CHECK FEE Z
PLUMBING FEE S C)
MECHANICAL FEET ` SG
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE . S L
OTHER FEES FD �-`
AMOUNT DUE
BUILDING DEPARTMENT APPROVAL QQ U
DATE C� 4 �✓ -t
ACCEPTED FOR FILING
CITY OF
FEDERAL WAY
BUILDINGPERMIT BUILDING IN 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
ONE
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
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
� PLAMIM DXPTPWWA : SK 8-9-94 SITE PI'Al-RFV11..,_":
VALUATION
. -AMOUNT
VILLAGE RAS
.00 #SPR -91-22 RF' .
PERMIT FEE
PLAN CHECK FEE
00
I/BUILDING P� APPROVAL: Kc 8-9-•91
FRE
0
PLUMBING FEE
-3—
_CHANICAL FEE
,w
! E FEE ASSESS BECAUSE ` RX STA!_`7D M `�°�kP
TAL BLDG. FEES
941 X 2 - 1#832.00
PART P/C FEE
SEPA REVIEW
WATER SERVICE
�} i
WATER MAIN:CHG.
a�
S.B.C.C. FEE
.�__....._.. ..- _»
OTHER FEES'.a.gpr•mt
«•. P 1!!
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
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 P I PI NG 0. K.
MECHANICAL INSPECTION
DATE . ....... ... --BY
O.K, TO ENCLOS'V FRAMING
DATE ?/,BY /
INSULATION
DATE —__.........BY
. . .....
WALL BOARD AND FIRE WALL
DATE . ... .. .. BY
FINAL O.K. TO OCCUPY
DATE / OM-ft/—.BY
DCD
PSD
FD
7 Olk c
171-1 /J
Qlg
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Coe
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"Ai)t-4-417 0.1v4'5.e'1r'clA-o!y
Q_
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
BUILDING PERMIT BUILDING INSPECTION661-4140
40
PERMIT NO.
OWNER'S NAME SITE ADDRESS
CONTRACTOR
ADDRESS
CONT. PHONE
CONT. REG. NO.
EXP. OWNER'S PHONE OWNER'S ADDRESS
TYPEJOB: 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
ONE
SET BACKS: FRONT SIDE REAR
HEIGHT LIMIT
CCUPANCY
TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG. SQ. FT.
STORIES
PLUMBING NO.
NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS
ELEC. HOT WATER HEATER
GAS PIPING FT. GAS LOGS
RECEIVED
BATHTUBS
LAUNDRY DRAINS
FORCED AIR FURNACE DUCT WORK
SHOWERS
URINALS
GAS HOT WATER HTR. AIR HANDLING UNIT
NUMBER
LAVATORIES
DRINKING FOUNTAINS
CONVERSION BURNER MISC.
RETURNED
SINKS
MISC.
BBQ BASIC FEE
DISHWASHERS
TOTAL FIXTURES
DRYER TOTAL MECHANICAL
AMOUNT
VALUATION
i; LDG DEPT All-#_-'-ts.tirAL m KEVIN ELLIS
PERMIT FEE
"l PP PI" REVIEW PER FOR REVISION*
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
RT P/C FEE
CALL 661-4140 FOR W.J, INSPECTIONS 1 1
PA REVIEW
PUBLIC WORKS
S.B.C.C. FEE
FIRE FEE
DATE:
OTHER FEES
AMOUNT: Ou
AMOUNT DUE
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
SET BACKS AND FOOTINGS
DATE v
PLUMBING ROUGH |N
DATE 8Y
O.K�TOENCLOSE FRAMING
DATE _.,__.__ -.__,BY.
FINAL 0a.TOOCCUPY
oxTs OBY
WE
PLUMBING GROUNDWORK
DATE BY
MECHANICAL INSPECTION
WALL BOARD AND FIRE WALL
DATE ____�___�oY
0 ��
U�