90-100316CITY OF
FEDERAL WAY
BUILDING
PERMIT
BUILDING INSPECTION
941-1555
56-1062,[(,
PERMIT NO. 90-436P OWNER'S NAME CHAFFEY CORP JOB ADDRESS 2601
SW 343 ST
CONTRACTOR A-1 PLBG & SUPPLY ADDRESS 26207 MAPLE VALLEY HWY MAPLE VALLEY
CONT. PHONE 432-2500**
CONT. REG. NO. AlPLUSI173KD 5/90 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 APPLICATION4/25/90
BUILDING INFORMATION
E NA OCCUPANCY NA TYPE OF CONSTRUCTION NA
BLDG. SQ. FT. NA
SET BACKS: FRONT NA __ SIDE NA REAR NA _ STORIES NA
HEIGHT LIMIT NA
PLUMBING NO. NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS 2 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 _ 3 DRINKING FOUNTAINS
GAS HOT WATER HTR. _ MISC.
SINKS 1 MISC. L. TRAY _�
CONVERSION BURNER BASIC FEE
RETURNED _
DISHWASHERS I TOTAL FIXTURES 13X5.00
UNIT HEATER TOTAL MECHANICAL __ NQNE
AMOUNT NONE
VALUATION NONE
+ 20.00 BASIC FEE
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE $g-, _ no
FEE
0CHANICAL
AL BLDG. FEES
PART P/C FEE
DATE PAID
SEPA REVIEW
WATER SERVICE
AMOUNT
WATER MAIN CHG.
S.B.C.C. FEE
RECEIPT 4,
OTHER FEES
AMOUNT DUE $85.00
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 WT:
Ll"
OWNER OR AGENT Z DATE
r ���
Wmit # YL2
CITY OF FEDERAL WAY RECEIVED
BUILDING PERMIT APPLICATION APR 2 51990
—
Please Print — CITY OF FEDERAL WAY
BUILDING DEPT_
BOX 1 TENANT NAME:
OWNER SITE LOCATION _ 01 , J . C 7 -
OWNER'S
-OWNER'S ADDRESS__` CITY PHONE
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME t ZWC CONTRACTOR'S REG. #/`` //GPS ��✓L �7 3 `'�
14u"%6/,ve- C 14 r7v,,'�v Card MUST be presented
CONTRACTOR'S ADDRESS ,'G-ecv CITY PHONE
PHONE `f3�
EXPIRATION DATE c5" -!2e
—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 NUMB
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 1 _ 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)
NO. 2_WATERCLOSETS
-2 BATHTUBS
SHOWERS
mss' LAVATORIES
___L_SI N KS
DISHWASHERS
f ELECTRIC HOT WATER HEATER C G,
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 INFORMATIO UPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: DATE:!
ANP -008 3/90
FCITY OF EDERAL WAY BUILDING PERMIT,BUILDI94 IN 55ECTION
0 1 _,SW 9 -T -
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,
TRAY
RETURNED
SINKS
MISC. - x
CONVERSION BURNER BASIC FEE
DISHWASHERS
TOTAL FIXTURES - 315 • 0
UNIT HEATER TOTAL MECHANICAL
AMOUNT
VALUATION
+.20.00 BASIC M
/L���-..�.............�.�..�......,�......,
"T
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART PIC FEE
SEPA REVIEW
WATER SERVICE
F
WATERMAIN CHG.
. ".. ..r ..._..'
S.B.CC. 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
DATE 60
WATER LINE OX.
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
DATE -BY
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