92-100226CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
BUILDING PERMIT
91_J6 a1a16
BUILDING INSPECTION
661-4140
PERMIT NO. 92-0154
P OWNER'S NAME CHAFFEY SITE ADDRESS 29 6 SW
342ND PL
CONTRACTOR ONE WAY PLUMBING INC ADDRESS 20103 WOOD SNO RD NE WOODINVILLE
CONT. PjoN?06-481-4555
CONT. REG. NO. ONEWAP196BB EXP. 1�WNER'S PHONE 822-5981 OWNER'S ADDRESS 205 LR ST S. KIRKLAND
TYPEJOB: NEW RESIDENCE
ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIALADD. INDUSTRIAL ADD.
NEW PUBLIC_ PUBLIC ADD.
NEW MULTI -FAMILY
(UNITS ) MULTI. ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. 294450-0330
LEGAL DESCRIPTION
ISSUED BY
JOANNE JOHNSON DATE OF ISSUE �' DATE OF APPLICATION
2-3-92
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 3
ELEC. HOT WATER HEATER
GAS PIPING T. GAS LOGS
BATHTUBS 2
LAUNDRY DRAINS I"
FORCED AIR FURNACE DUCT WORK
RECEIVED
SHOWERS 1
LATJKUW TUB
GAS HOT WATER HTR. AIR HANDLING UNIT
NUMBER
LAVATORIES 4
DRINKING FOUNTAINS
CONVERSION BURNER MISC.
SINKS 1
MPERMIT FEE 2_0_._1f)D
BBQ BASIC FEE
RETURNED
DISHWASHERS 1
TOTAL FIXTUR$SIX$ 5 -70--W
DRYER TOTAL MECHANICAL
AMOUNT
90.00
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
90.00
CHANICAL FEE
PART P/C FEE
SEPA REVIEW
PUBLIC WORKS
S.B.C,C. FEE
FIRE FEE
DATE:
OTHER FEES
AMOUNT DUE
90.00
AMOUNT: 90.00
RECEIPT: l i
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.'
vt "� __ DATE-
/j
��-'`
Peeit #
RECEIVED
FEB 0 3 1992 CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
On Cr- FEIXRAL WAY — Please Print —
WILDW DEPT.
BOX 1 TENANT NAME:
OWNER G SITE LOCATION A294S-cl _3 K1_ �L
OWNER'S ADDRESSQ?os��CX. sou CITY Kug,/S/nr,O( PHONE 1 zt— s'9r/
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION JC
BOX 2 CONTRACTOR'S NAME 0A1,f wzmy %�1 erS,,4,r -'_a_2A.1�_ CONTRACTOR'S REG. #4MCard MUST eM5 /9,-,a3be presented
CONTRACTOR'S ADDRESS &.1o3 wAe svilrl —'►a/ A115 CITY0V-4,,,//r_ PHONE
EXPIRATION DATE 9.2
—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 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 (k-rSINGLE FAMILY ( !y'l15W CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
NO. 3 WATERCLOSETS
,2— BATHTUBS
_SHOWERS
LAVATORIES
_SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS �
OTHER �AuuG(,7y
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: -3
ANP -008 3/90
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
BUILDING PERMIT
,96c
BUILDING INSPECTION
661-4140
PERMIT NO.
OWNER'S NAME
SITE ADDRESS -�
CONTRACTOR
ADDRESS
CONT. PHONE
CONT. REG. NO.
EXP. OWNER'S PHONE OWNER'S ADDRESS
TYPEJOB: NEWRESIDENCE 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
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. A''s+-+ +++
BBQ
BASIC FEE
DISHWASHERS
TOTAL FIXTURES
DRYER
TOTAL MECHANICAL
AMO
VALUATION
PERMIT FEE
PLAN CHECK FEE
(>�
PLUMBING FEE
ECHANICAL FEE
ART P/C FEE
SEPA REVIEW
L�
PUBLIC WORKS`
S.B.C.C. FEE
O
FIRE FEE
DATE:
OTHER FEES
AMOUNT:
^
AMOUNT DUE
RECEIPT:
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEARER DATE OF ISSUANCE.
I CERTIFY THAT THE
INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
AND THE APPLIC94E 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 .
.. .....
WATER LINE O.K.
GAS PIPING O.K . .
. .... . .. . ... ... . ........
. . ..... .... . . ..... ... .
MECHANICAL INSPECTION
DATE . .... .. .
O.K. TO ENCLOSE FRAMING
DATE __BY . ..... .. . ..... .... . . . ..... . ..
INSULATION
DATE ... . . ..... ... . _._—........BY
... . . . .. ...
WALL BOARD AND FIRE WALL
DATE
FINAL O.K. TO OCCUPY
DATE --....—........BY2
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