90-101008CITY OF
FEDERAL WAY
BUILDING PERMIT
go -10!88 $
BUILDING INSPECTION
941-1555
90-1022 NR REYM&M,AME GEORGE YBARRA 2407
SW 342ND PL
PERMIT NO.
JOB ADDRESS
CONTRACTOR TERHUNE HOMES
ADDRESS P O BOX 1078 AUBURN
CONT. PHONE R54 -R 500
CONT, REG. NO. TERHUHI133J7
OWNER'S PHONE 874-3814 OWNER'S ADDRESS 34801
19TH T 4W FEDERAT.
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. 242103-9112
LEGAL DESCRIPTION LOT 4 KING CO SHORT PLAT 1283026
ISSUED BY JOANNE JOHNSON
DATE OF ISSUE 11-19-90 DATE OF APPLICATION
6-29-90
BUILDING INFORMATION
ZONE 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
PERMIT FEE
PLAN CHECK FEE 60.00
ADDITIONAL PLAN CHECK KC 11-19-90
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE
/
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES
l e r Ll
AMOUNT DUE 60-00
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 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 � V
DATE / A
WAY
CITY OF
FEDERAL WAY
(101)
BUILDING IN 55ECTION
BUILDING PERMIT
INSPECTION REQUEST LINE- 946-6794
PERMIT NO. 90-1022 NR OWNER'S NAME
GEORGE YBARRA JOB ADDRESS 2407 SW 342 PL
CONTRACTOR TERHUNE HOMES
ADDRESS POB 1078 AUBURN CONT. PHONE 854-8500
CONT. REG. No. TERHUHI1333J7 4/91 (OK)
OWNER'S PHONE 874-3814 OWNER'S ADDRESS 34801 19 CT SW FEDERAL WAY
TYPE JOB: NEW RESIDENCE YADDITION NEW
INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY (UNITS ) MULTI. ADD.
SIGN GRADING OTHER
TAX ACCOUNT NO. 242103-9112
LEGAL DESCRIPTION LOT 4 RING CO SHORT PLAT 1283026
ISSUED BY ELIZABETH SNYDER
DATE OF ISSUE DATE OF APPLICATION 6/29/90
BUILDING INFOR N ,
ONE RS7 . 2 OCCUPANCY R-3
TYPE OF CONSTRUCTION 5—N BLDG. SO. FT. 3 i 676 SF
SET BACKS: FRONT 201 SIDE
5' EACH _ REAR 5' __ STORIES 2 HEIGHT LIMIT 30'
PLUMBING NO.
NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS 3 ELEC. HOT WATER HEATER
GAS PIPING --FT. 2.00 BOILER
BATHTUBS 3 LAUNDRY DRAINS
�-
COMPRESSOR TANK(S)
RECEIVED
SHOWERS 1 URINALS
_
FORCED AIR FURNACE 10.00 AIR HANDLING UNIT
NUMBER _
LAVATORIES 4 DRINKING FOUNTAINS
GAS HOT WATER HTR. 6.50 MISC
SINKS 1 MISC.
CONVERSION BURNER BASIC FEE
RETURNED _
DISHWASHERS 1 TOTAL FIXTURES 14 X $5.0
UNIT HEATER TOTAL MECHANICAL 18.50
AMOUNT NONE
VALUATION $ 182,897.00
PLANNING DEPT APPROVAL: CORY SMITH ON 8/19/90 (BOND SHALL BE PROVIDED
PERMIT FEE $ 930.00
BUILDING DEPT APPROVAL: FOR ALL ROW IMPROVEMENTS.
PLAN CHECK FEE 605 00
KEVIN ELLIS ON 8/20/90
FIRE DEPT APPROVAL:
PLUMBING FEE 70.00
BELOW
CHANICAL FEE _ 18_50
PUBLIC WORKS DEPT APPROVAL: SEPTIC SYSTEM (APPROVAL BY KING CO HEALTH)
_FAL BLDG. FEES $ 1, 623 _ 50
PART PIC FEE
FIRE DEPT APPROVAL = KEVIN ELLIS ON 8/20/90 (PROVIDE ACCESS ROAD 20'
SEPA REVIEW
MINIMUM WIDTH WITH 20' INSIDE AND 40' OUTSIDE
WATER SERVICE
CUL-DE-SAC AT END WITH ALL WEATHER SURFACE.
WATER MAIN CHG.
S.B.C.C. FEE $4.50
C
OTHER FEES
$ 1,628.0
DATE PAID AMOUNT $1,628. RECEIPT
AMOUNT DUE
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INF RMATIOt4 FURNISHED BY
IST AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE
OWNER OR AGENT i
DATE C� �`
*it # 2-
WAkp�<
�
CITY OF FEDERAL. WAY
.� JUS 2 g
BUILDING PERMIT APPLICATION 1990
— Please Print — CITY OF F
6UILDING E WAY
BOX 1 TENANT NAME: fzr_v7-
OWNER s SITE LOCATIONk r
4 OWNER'S ADDRESS = r CITY ✓ PHONE r77k--38/y
DESCRIBE JOB + S
THE PROPERTY IS OWNED BY: SING ARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. # %�Z-#011, -7''J%
Card MUST be presente
CONTRACTOR'S ADDRESS �'0 B - CITY PHONE
EXPIRATION DATE I' 7
—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 PHONE asst--&0<�
BOX 4 SEWER DISTRICT-'„pf"%`C_ WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST &TU EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER '-t y2l/,
LEGAL DESCRIPTIONl�(
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR % ZVi / 2ND
3RD FLOOR / BASEMENT / DECK -
FLOOR
mac.
GARAG Q3`J /
BOX 8 (') SINGLE FAMILY
(' NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = )
( ) EXISTING STRUCTURE ✓
( ) COMMERCIAL/INDUSTRIAL
TOTAL AREA OF PROPERTY IJICC
h f-� SQ FT
-(±A-SQ
BOX 9 PLUMBING FIXTURES (including rough -ins)
M.ECH NICAL APPLIANCES — BASIC FEE $
NO. WATERCLOSETS
GAS PIPING, F1
$ cc
BATHTUBS
N0. FURNACE, ELEC. GAS $ �Q-
I SHOWERS
i GAS HOT WATER HEATER
$
LAVATORIES
CONVERSION BURNER
$
SINKS
BOILER, SIZE BTU
$
DISHWASHERS
AIR HANDLING UNITS
$
iRfATER 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
WTO AL FIXTURES
$
$
70.03
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: �r z. DATE: Jai
ANP -008 3/90
' OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE 107 7,7 SETBACKS: FRONT – — IDE REAR_5__ HEIGHT LIMIT 33
PLANNING DEPARTMENT PPROVAL C' �f 9°
REMARKS: - >
SEPA: EXEMPT_ NOT EXEMPT
FIRE DEPARTMENT APPROVAL LC- DATE
REMARKS: �1i7 eS ✓' u-ir GJl ZO r e a oz(�-
t.-/.. ..,f. Jc,-e_„ ON . if .,I iJ,,el ,o 1, ---
PUBLIC
,
PUBLIC WORKS DEPARTMENT APPROVALDATE
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.
OTHER
OCCUPANCY R'
TYPE OF CONSTRUCTIONy Q)
STORES c�
19,1410 _
BUILDING SQ. FT. .22 9!1
@(01-00
– 7
.1 F/oor
BUILDING SQ. FT.6 ��
@ 6T.loc
_ 11 -04
BUILDING SQ. FT.
@ 1 7,
3fl = L O
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@���
�g
BUILDING SQ. FT.
@
_
TOTAL SQ. FT. 3 7
G'
TOTAL VALUATION �9 61
BUILDING DEPARTMENT REMARKS: 7-2-90
T S
RECEIVED
Jul N 2 91990
RECEIVED
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
ASSIGNED ADDRESS: y1 (_, S W S y ?, "t f -.e
Amount
BY + { ....
PARTIAL PLAN CHECK FEE RECEIVED
Date
Receipt #
BUILDING DEPARTMENT APPROVAL
;(,
DATE
ACCEPTED FOR FILING
„ 1�
Permit #
CITY OF FEDERAL WAY�t
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME:
OWNER �7'7E-C_)—y 07- 7 a �'�
� y � k_K SITE LOCATION
OWNER'S ADDRESS.-) I j C7— > x. ar CITY ,` Ls;,4 'PHONE
DESCRIBE JOB z—o T 4— el& cz ev k' "I Z.
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAMEf t 1.,� hoE kZ CONTRACTOR'S REG. # � �% 14 L-1- I
,+ Card MUST be presented
CONTRACTOR'S ADDRESS P&” S 16 -7v CITY ,f fdl '4& 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 PHONE
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NU
LEGAL DESCRIPTION
— _711
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
z
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 _ 'z. 6, 2 "—, SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins) MECHANI AL APPLIANCES — BASIC FEE $
t. N0. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS — NO. FURNACE, ELEC. GAS $ r1
SHOWERS GAS HOT WATER HEAT $
LAVATORIES CONVERSION BURNER $
SINKS BOILER, SIZE B $
— SHWASHE AIR HANDLING UNI $
EL T OT WATER HEATER HEAT PUMPS $
L Y WASHER OUTLET UNIT HE RS $
URINALS AI OLING UNITS, SIZE
DRINKING NTAINS MMERCIAL HOOD $
SUMPS, SPRI LER VACUUM BREAKERS OTHER $
DRAINS $
OTHER $
l X .OTHER
FIXTURES $
TOTAL MECHANICAL FEE $
I CERTIFY UNDER PENALTY OF PERJURY THAT TH'E J,NFORMATION 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 CITYVF 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: ��i�„��- �� DATE:
ANP -008 3/90
ZONE SETBACKS:FRONT_
PLANNING DEPARTMENT APPROVAL
REMARKS:
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
SIDE REAR HEIGHT LIMIT
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. 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 REMA
RECEIVED
AJ51liNtU AUUMi 0:
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
PAKI IAL FLAN l;Htl;K f-tt HtI;tlVtU
Amount Date Receipt #
BUILDING DEPARTMENT APPROVA C/
BY E DATE I ��
ACCEPTED FOR FILING
CITY OF
FEDERAL WAY
BU I L D I N G PERMIT BUILDI941 �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
ZONE
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. e • iuu BOILER
_
RECEIVED
BATHTUBS
LAUNDRY DRAINS
COMPRESSOR _ TANK(S)
SHOWERS
URINALS
-
FORCED AIR FURNACEAIR 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
i
R ALL Raw ;" 'r r -NTS.
PERMIT FEE
.Sir.l<i�i
BU LDIN.-.t DEM APPROVAL-,
605.00
� INI RLLIS 8/20/90
PLAN CHECK FEE
FIRE - 6! lii i lXV XB'7L{.� s ---- t�
PLUMBING FEE
e 0 V�
ar3JO`"'
Ste•
MECHANICAL FEE
rhe
PUBLIC WOWS DRJPT APPROVAL: '+EPTIC SYSTEN (APPROW.T, BY X714 " CTI i
TOTAL BLDG. FEES
_
y� g+� /
FIRE €1 t %7Ce KMN .le�eIsS'►. +� f 20/ 0 JP�D�; ACCES'�` +w
PART PIC FEE
HD?aPM6 WIDTIR WTTR 20' =91DEMMI 40' 0MISI ,_.
SEPA REVIEW
CUL—DF—SAC AT END WITH ALL WEATHER SUPFACE.
WATER SERVICE
WATER MAIN CHG.I
S.B.C.C. FEE
OTHER FEES'
,v W
jl Tial i E )� t4�fsc'1>I4
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
DATEDATEq_71g
. ... ... BY _war—.- ..
TO POUR FOUNDATION WALLS
9ro
( BY
PLUMBING GROUNDWORK
2- B
DATE Y
PLUMBING ROUGH IN
DATE A _2"-"._BY
WATER LINE O.K.
GAS PIPIN __1 (Q
MECHANICAL INSPECTION
DATE --BY
O.K. TO ENCLOSE FRAMING
DATE BY . . . .... .... . .
INSULATION
DATE
WALL BOARD AND FIRE WALL
DATE BY
FINAL O.K. TO OCCUPY
DATE- _____ BY__..___
DCD JPSD
FD
1712-
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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
ZONE
OCCUPANCY__ TYPE OF CONSTRUCTION
BLDG. SQ. FT.
SETBACKS: 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
ADDTI TWdAL PJAM CRECK Kc 11--17"9gt
PLUMBING FEE
MECHANICAL FEE
TOTAL 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
SET BACKS AND FOOTINGS
DATE --BY
OX TO POUR FOUNDATION WALLS
DATE . . ..... .. _.___.,BY
PLUMBING GROUNDWORK
DATE --... BY
PLUMBING ROUGH IN
WATER LINE O.K.
GAS PIPING O.K.-___
MECHANICAL INSPECTION
DATE --BY . . . ...... ... ..
O.K. TO ENCLOSE FRAMING
DATE ----,,BY
____ . .. ..... ..
INSULATION
DATE . . .... ...
WALL BOARD AND FIRE WALL
DATE y. �BY
.... . . .. ...
FINAL O.K. TO OCCUPY
DATE BY
-1
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PSD
FD
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