90-100313CITY OF
FEDERAL WAY
BUILDING
PERMIT
BUILDING INSPECTION
941-1555
C)o —too 3l'�
PERMIT NO. 90-428P OWNER'S NAME CHAFFEY CORP JOB ADDRESS 2626 SW 343 ST
CONTRACTOR A-1 PLBG & SUPPLY ADDRESS 26207 MAPLE VALLEY HWY MAPLE VALLEY CONT. PHONE 432-2500**
CONT. REG. NO. AIPLUSI173KD 590 __ OWNER'S PHONE NA OWNER'S ADDRESS NA
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 NA
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 4/25/90
BUILDING INFORMATION
E NA OCCUPANCY NA TYPE OF CONSTRUCTION NA _ BLDG. SQ. FT NA
SETBACKS: FRONT NA SIDE NA REAR_ NA _ STORIES NA HEIGHT LIMIT NA
PLUMBING NO. NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS 3 ELEC. HOT WATER HEATER 1
GAS PIPING FT. BOILER
BATHTUBS 2 LAUNDRY DRAINS 1_
COMPRESSOR TANK(S)
RECEIVED _
SHOWERS 1 URINALS
FORCED AIR FURNACE _ AIR HANDLING UNIT _
NUMBER _
LAVATORIES 5 DRINKING FOUNTAINS
GAS HOT WATER HTR. MISC. _
SINKS _1__ MISC. L.TRAY I
CONVERSION BURNER BASIC FEE
RETURNED
DISHWASHERS .1- TOTAL FIXTURES 16X5_-_.0.0
UNIT HEATER TOTAL MECHANICAL NONE
AMOUNT NONE
NONE
VALUATION
PERMIT FEE
PLAN CHECK FEE
-T()-
PLUMBING FEE
HANICAL FEE
AL BLDG. FEES
PART P/C FEE
DATE PAID '
SEPA REVIEW _
WATER SERVICE -
\
AMOUNT
WATER MAIN CHG.
S.B.C.C. FEE —
RECEIPT
OTHER FEES _
AMOUNT DUE $100-00
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 BEM t:
f�
OWNER OR AGENT l -i. � r� 'wT DATE S L
RECEIVED emit # ILI,
,
APR 2 5 1990
CjTY OF FEDERAL WAY CITY OF FEDERAL WAY
13UILUINGDEPT• BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME:
OWNER C'HR,1`1-5 �l SITE LOCATION
OWNER'S ADDRESS CITY_ PHONE
DESCRIBE JOB _
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. #1
Card MUST be presented
CONTRACTOR'S ADDRESS ��°% ��i�'CL` dGt y /�� % 6'G�G�� PHONE��`
EXPIRATION DATE S - e/ - O
1'
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 NUMBER
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 ( 4 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)
NO. .2 WATERCLOSETS
_BATHTUBS
_SHOWERS
LAVATORIES
SINKS
DISHWASHERS
_ELECTRIC HOT WATER HEATER
—_/—LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
/--OTHER Aei,-AbP_ y 11214
TOTAL FIXTURES ' �v
MECHANICAL APPLIANCES —
BASIC FEE $
GAS PIPING, FEET
$
N0. FURNACE, ELEC. GAS
$
GAS HOT WATER HEATER
$
CONVERSION BURNER
$
BOILER, SIZE _ BTU
$
__SIR 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 INFORMATIQIV SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT:
DATE:
ANP -008 3/90
CITY OF
FEDERAL WAY
BUILDING PERMIT
BUILDING INSPECTION
941-1555
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. _ _ 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
VALUATION1�
PERMIT FEE
PLAN CHECK FEE
00
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
\ �ID
PART P/C FEE
DA �
SEPA REVIEW
WATER SERVICE
lT2;� _
WATER MAIN CHG.
S.B.0 C FEE
REMIPT
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
DATE BY A
WATERLINE O.K.
GAS PIPING O.K.
MECHANICAL INSPECTION
DATE _13Y
O.K. TO ENCLOSE FRAMING
DATE BY
INSULATION
DATE BY
WALL BOARD AND FIRE WALL
DATE --___BY
`FINAL O.K. TO OCCUPY
DATE BY
DCD JPSD
FID