92-100217CITY OF FEDERAL WAY 100d)7
33530 PECTION
Federal First
W 8003 BUILDING PERMIT BUILDING INS
Way, 661-4140
92-0155
P CHAFFEY
2816 SW 342ND PL
PERMIT NO.
OWNER'S NAME
SITE ADDRESS
ONE WAY
PLUMBING INC 20103 WOOD—SNO RD NE
WOODINVILLE CONT. PHO&E 206-481-4555
CONTRACTOR
A DD ESS
ONEWAP
BB 1292 822-5981
205 LK ST S. KIRKLAND
CONT. REG. NO.
EXP. OWNER'S PHONE OWNER'S ADDRESS
TYPEJOB: NEW RESIDENCE
ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD.
INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY (UrJ
NS 0310 ) MULTI. ADD. SIGN GRADING OTHER
L�
IT
TAX ACCOUNT NO.
LEGAL DESCRIPTION
JOANNE
JOHNSON
2-3-92
ISSUED BY
DATE OF ISSUE /
DATE OF APPLICATION
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 FT.
GAS LOGS
1
RECEIVED
BATHTUBS 2
LAUNDRY DRAINS
FORCED AIR FURNACE
DUCT WORK
SHOWERS 1
URINALS
GAS HOT WATER HTR.
AIR HANDLING UNIT
NUMBER
LAVATORIES r
DRINKING FOUNTAINS
CONVERSION BURNER
MISC.
_
SINKS I_ _
NURMIT FEE 20.00
BBQ
BASIC FEE
RETURNED
DISHWASHERS I
TOTALFIXTURESL4X$5 70_.0
DRYER
TOTAL MECHANICAL
AMOUNT
90.00
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
OF CHANICAL FEE
90.00
PART P/C FEE
SEPA REVIEW
PUBLIC WORKS
FEE
FIRE
FIRE FEE E
DATE:
90.00
OTHER FEES
AMOUNT:
AMOUNT DUE
90-00
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.
O
OWNER OR AGENT
DATE
FEB Q 31992
WAY
i
Peoit # %ZSYp
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1
TENANT NAME:
GAS PIPING, FEET
$
OWNER G'
SITE LOCATION Sti/ 3:.Z �1-
GAS HOT WATER HEATER
OWNER'S ADDRESS
CITY .; IA.,.,ol PHONE
$
DESCRIBE JOB
$
AIR HANDLING UNITS
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION �'-
BOX 2
CONTRACTOR'S NAME ai6c
CONTRACTOR'S REG. # AP ,tin,o
$
AIR COOLING UNITS, SIZE
Gard M IST be presented
COMMERCIAL HOOD
CONTRACTOR'S ADDRESS
��
CITY W_,'w 1,1e= PHONEEXPIRATION
$
DATE
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 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
( ANGLE FAMILY
(A4–NEW 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
NOTAL 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.
G
OWNER/AGENT:
DATE:
ANP -008 3/90
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
BUILDING PERMIT
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: 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
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.
SINKS
MISC. r.&A U
BBQ
BASIC FEE
RETURNED
DISHWASHERS
TOTAL FIXTURES
DRYER
TOTAL MECHANICAL
AMOU
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
/y
V\
`
ECHANICAL FEE
\�
ART P/C FEE
SEPA REVIEW
PUBLIC WORKS
A$1
S.B.C.C. FEE
OP
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 EXPIR NE YEAR ER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
AND THE APPLIE CITY OF FEDERAL WAY REQUIREMENTS WILL
0
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 2- . __.....BY . _173--_ . .... ....
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 BY
FINAL O.K. TO OCCUPY
DATE BY
DCD
PSD
FD
0 0