92-100223CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
BUILDING PERMIT
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BUILDING INSPECTION
661-4140
92-0156 P CHAFFEY 2813 SW
342ND PL
PERMIT NO. OWNER'S NAME SITE ADDRESS
CONTRACTOR ONE WAY PLUMBING INC ADDRESS 20103 WOOD—SNO RD NE WOODINVILLE
CONT. PI -1447 ZO6-822-5981
CONT. REG. NO. ONEWAP196B6 EXP. 12/92 OWNER'S PHONE 822-5981 OWNER'S ADDRESS 205 LR ST S.
KIRKLAND
TYPEJOB: NEWRESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD.
NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER
294450-0480
TAX ACCOUNT NO. LEGAL DESCRIPTION
ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION
2-3-92
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
3
WATER CLOSETS ELEC. HOT WATER HEATER
GAS PIPING FT. GAS LOGS
1
RECEIVED
BATHTUBS LAUNDRY DRAINS
FORCED AIR FURNACE DUCT WORK
1 IAWPRY TUB 1
SHOWERS
GAS HOT WATER HTR. AIR HANDLING UNIT
NUMBER
4
LAVATORIES DRINKING FOUNTAINS
CONVERSION BURNER MISC.
SINKS 1 NRFD RMIT FEE 20.00
�.
BBQ BASIC FEE
RETURNED
DISHWASHERS 1 TOTAL FIXTURE,14X$ 5 7n_n0
DRYER TOTAL MECHANICAL
AMOUNT
90.00
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE 90 _ 00
ART P/C FEE
EPA REVIEW
PUBLIC WORKS
S.B.C.C. FEE
FIRE FEE
DATE:
OTHER FEES
AMOUNT: 90..00
90.00
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-
kK - -
RECEIVED
FE9 0 3 1992
OR't'3G i�4flcn_.
BOX : •SAT
0
armit /S- 6
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 9 PLUMBING FIXTURES (including rough -ins)
NO. WATERCLOSETS
_BATHTUBS
_SHOWERS
LAVATORIES
SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
/ LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER �A4w�r�✓
TOTAL FIXTURES
MECHANICAL APPLIANCES —
OWNER
SITE LOCATION .ZE23 .5 /
$
OWNER'S ADDRESS SOS' �'/�
si S CITY I'%/.arc+ PHONE T24- 4982
GAS HOT WATER HEATER
DESCRIBE JOB
CONVERSION BURNER
$
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION �11,
BOX 2
CONTRACTOR'S NAME
.•. �� CONTRACTOR'S REG. #,0A1rz w.y.P
HEAT PUMPS, SIZE
$
Card MUST be presented
$
CONTRACTOR'S ADDRESS ?e/p._3
v1o0,1-_5A(0 _17-./ olleCITY PHONE
COMMERCIAL HOOD
EXPIRATION DATE
OTHER
$
— 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. �J
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_____J_ GARAGE /
BOX 8
(,-Ir'SINGLE FAMILY
(r`�EW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS =
) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL
TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
NO. WATERCLOSETS
_BATHTUBS
_SHOWERS
LAVATORIES
SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
/ LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER �A4w�r�✓
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: "� __7
ANP -008 3/90
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
BUILDING INS
BUILDING PERMIT 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
NE
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
DRYER TOTAL MECHANICAL
AMOUN
VALUATION
.91✓wi.:�
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
G
ECHANICAL FEE
\� l
RT P/C FEE
SEPA REVIEW
PUBLIC WORKS
I`
S.B.C.C. FEE
FIRE FEE
o�
DATE:
OTHER FEES
AMOUNT:
AMOUNT DUE
RECEIPT:
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE EAR AFT DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICAB6 C 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 -5-711-yZ,BY-__/7`� . . . . .. .... .
WATER LINE O.K. ..... . ..
GAS PIPING . ..... ... .
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
DCD
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