91-100414CITY OF
FEDERAL WAY
BUILDING
(REVISIONS TO EXISTING PERMIT)
li4malivAki
9/,/00V/Y
BUILDING INSPECTION
941-1555
91-387 RA
EVELYN CASTELLAR 32517 39 PL SW
PERMIT NO. OWNER'S NAME JOB ADDRESS
PAUL GREGORY
122 ST E #18 PUYALLUP 841-0239
CONTRACTOR
ADDRESS12113 CONT. PHONE
GREGOC RW
952-6885 SAME
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.
REVISIONS TO EXISTING PERMIT
NEW MULTI -FAMILY UNITS ) MULTI. ADD.
SIGN GRADING OTHER
190��78
LOT 178 TWIN LAKES #2 ACCORDING TO THE PLAT THERE
TAX ACCOUNT NO.---,7
LEGAL DESCRIPTION
RECORDED IN VOL
79 OF PLATS PG 32/33 IN KING CO WASH
ISSUED BY ELIZABETH SNYDER
DATE OF ISSUE DATE OF APPLICATION 4/19/91
BUILDING INFORMATION
ZONE NA OCCUPANCY
R-3 TYPE OF CONSTRUCTION 5-N BLDG. SQ. FT. NA
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
b-AVATORIES DRINKING FOUNTAINS
GAS HOT WATER HTR. MISC
RETURNED
SINKS MISC.
CONVERSION BURNER BASIC FEE
,.CiSHWASHERS TOTAL FIXTURES
NONE
UNIT HEATER TOTAL MECHANICAL NNEAMOUNT
LONE
VALUATION $NONE
BLDG DEPT APPROVAL=KEVIN ELLIS ON 4/23/91
PERMIT FEE
PLAN CHECK FEE
"INTERIOR PARTITION RELOCATION ONLY - NO FEE"
PLUMBING FEE _
CHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE NONE
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:
�-
/
-� Cl
OWNER OR AGENT
DATE
• r__- .. limit # -
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION'
— Please Print —
1 TENANT NAME:
OWNER SITE LOCATION 42SI?
OWNER'S ADDRESS 3'),5I:? > " S1.,, CITY_�,d PHONE
DESCRIBE JOB = -
THE PROPERTY IS OWNED BY: SING MARRIE PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME 5'cti.ti� �% �`��:^'-i CONTRACTOR'S REG. # L ��� (: c C �,= i ►cam
(� Card MUST be presented
CONTRACTOR'S ADDRESS _�Ak �� S� 4,VCITY v ✓ z PHONE
EXPIRATION 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 _Z -;C- s=� N PHONE
BOX 4 SEWER DISTRICT �- WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER ' ft U •--fir-� '7-K--
LEGAL DESCRIPTION wr i-7 ; s.� UASIU tzk, t:,
P12.,C v,i G 31 -:5 N.
(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 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
.e
PLUMBING FIXTURES (including rough -ins)
N0. WATERCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
~ SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
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 INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: Ca�+ryv�os:�r DATE:
ANP -008 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS:FRONT_
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL
REMARKS:
SIDE REAR HEIGHT LIMIT
DA'
PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS:
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT ` NEW INDUSTRIAL IND. ADD/ALT_
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY =) TYPE OF CONSTRUCTION 11/V STORES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION
BUILDING DEPARTMENT REMARKS: (r (/- j oG"
ASSIGNED ADDRESS:
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt #
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
Ckp-d 'e -
BUILDING DEPARTMENT APPROVAL
BY C DATE y� Z 3 �� ACCEPTED FOR FILING
CITY OF
FEDERAL WAY
434
BUILDING IN 55ECTION
BUILDING PERMIT
PERMIT NO. 91-387 RA
OWNER'S NAME EVELYN & JOSE CASTELLAR JOB ADDRESS 32517 39 PL SW
CONTRACTOR GREGORY CONSTRUCTION
ADDRESS 12113 122 ST E #18 PUYALLUP CONT. PHONE 841-0239
CONT. REG. NO. GREGOC101KW
591 OWNER'S PHONE 952-6885 OWNER'S ADDRESS ABOVE
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 RESIDENTIAL REMODEL — RECROOM/ENCLOSE DECK/MOVE DO
TAX ACCOUNT NO. 873190-0078
LEGAL DESCRIPTION LOT 178 TWIN LAKES #2 ACCORDING TO THE PLAT THEREOF
RECORDED IN VOL 79 OF PLATS/PG 32/33 IN KING CO WASH
SUED BY ELIZABETH
SNYDER DATE OF ISSUE ( � DATE OF APPLICATION 4/2/91
BUILDING INFORMATION(
ZONE R,S 7-2
OCCUPANCY R-3 _ TYPE OF CONSTRUCTION__ 5-N BLDG. SQ. FT 326 SF
SET BACKS: FRONT 20'
SIDE 5' EACH REAR 25' + STORIES NA HEIGHT LIMIT 30' MAX
PLUMBING NO.
NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS
ELEC. HOT WATER HEATER
GAS PIPING FT. BOILER
RECEIVED
BATJATUBS
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 Nom—
UNIT HEATER TOTAL MECHANICAL NONE
AMOUNT _LONE
VALUATION $19
7 9 4 n n
,
.
PLANNING DEPT APPROVAL = CORY SMITH
PERMIT FEE $207_00
MUST NOT ENCROACH WITHIN 25' OF ORDINARY HIGH WATER MARK OF LAKE.
PLAN CHECK FEE 135.
00
NEW ROOF LINE NOT TO EXCEED HEIGHT OF EXISTING ROOF.
UMBING FEE
CHANICAL FEE
TOTAL BLDG. FEES $342-00
BLDG DEPT APPROVAL = KEVIN ELLI S ON 4/12/91
PART P/C FEE
SEPA REVIEW
WATER SERVICE
�� J`
WATER MAIN CHG.
DATE PD ! •,//AMT $346.50 REC' T
S.B.C.C. FEE 4.50
OTHER FEES
AMOUNT DUE $346.50
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
RECEIVED
Permit # i' � r _. 3 ,) 3
APR 0 2 1991 CITY OF FEDERAL WAY
CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION
BUILDING DEPT. — Please Print —
BOX 1 TENANT NAME:
OWNER O� _n SITE LOCATION 32-S 12 3`1 -fes, L S t i
OWNER'S ADDRES 13-S� I CITY N�%e,,1 ULI,s PHONE
DESCRIBE JOB cf !�� L �z 11 �l o �e Ckc - 0 "D,'", L Co L'jv' cR „-j�_1'� 4k_&' w ,c
THE PROPERTY IS OWNED BY: SINGL AR IF�ED PARTNERSHIP CORPORATION
VW
BOX 2 CONTRACTOR'S NAME C CONTRACTOR'S REG. #GYM l= 6 0C_ 1 2 K- lrJ
"\J,-`i� Card MUST be presented
CONTRACTOR'S ADDRESS Z \'� \'1 2L 51 �L �* CITY ���� ti PHONE 2�-1 k`i
EXPIRATION DATE ': -9 1
—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�ve ��; �. ��j a �'-- PHONE �1c;2--1,21:5
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COSTS .SO 2L11 -t- EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER g"7 3 O - v -D.
LEGAL DESCRIPTION L t i7 -2— ,j,
(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 (SINGLE FAMILY
( ) MULTIFAMILY (NO. OF UNITS = )
( ) COMMERCIAL/INDUSTRIAL
( ) NEW CONSTRUCTION
( ) EXISTING STRUCTURE
TOTAL AREA OF PROPERTY
SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES —
BASIC FEE $
NO.WATERCLOSETS
GAS PIPING, FEET
$
BATHTUBS
NO. FURNACE, ELEC. GAS
$
SHOWERS
GAS HOT WATER HEATER
$
LAVATORIES
CONVERSION BURNER
$
_SINKS
BOILER, SIZE BTU
$
_DISHWASHERS
AIR HANDLING UNITS
$
_ELECTRIC HOT WATER HEATER
HEAT PUMPS, SIZE
$
LAUNDRY WASHER OUTLET
UNIT HEATERS
$
URINALS
AIR COOLING UNITS, SIZE
$
DRINKING FOUNTAINS
COMMERCIAL HOOD
$
SUMPS, SPRINKLER VACUUM BREAKERS
OTHER
$
DRAINS
$
OTHER
$
TOTAL FIXTURES
$
TOTAL MECHANICAL FEE
$ C -
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 AHERE 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:
ANP -008 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE077 7 7 SETBACKS: FRONT SIDE S REAR --?S`' HEIGHT LIMIT 3
PLANNING DEPARTMENT APPROVAL
REMARKS:
may,
�/�,.�4-Ct.,,..� �)2' ��It;LGG.:.�' 7Bf0'�,L. •�I _. �.� � ,t,ct;
Y
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS:
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT
k.' NEW INDUSTRIAL IND. ADD/ALT
PLAN CHECK FEE
NEW COMMERCIAL COMM. ADD/ALT
NEW MULTIFAMILY
(UNITS )
MECHANICAL FEE
MULTIFAMILY ADD/ALT TENANT IMP.
OTHER
PART P/C FEE
OCCUPANCY TYPE OF CONSTRUCTION II Ai
STORES
L v BUILDING SQ. FT.
@
=
zZ y 9
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
BUILDING SQ. FT.
@
_
@
j L
TOTAL SQ. FT.
TOTAL VALUATION
BUILDING DEPARTMENT REMARKS:
REMVED
APR 0 2 1591
ITV OP veDER L VVAY
131Ji1DING DF -PT,
RECEIVED
ASSIGNED ADDRESS: S5 -e- e- -X ( 5-E (
Amount
PARTIAL PLAN CHECK FEE RECEIVED
Date
PERMIT FEE
2-o7
PLAN CHECK FEE
3
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
S C
OTHER FEES
AMOUNT DUE
3 To
Receipt #
BUILDING DEPARTMENT APPROVAL p
BY DATE` ��'✓ l�
ACCEPTED FOR FILING
CITY OF
FEDERAL WAY�s� y , B U I L D I N G PERM I T
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. SO. 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
n
w •• a n
VALUATION
AAO*rNXr�Ci 10.P ' APPRO"VAL - CORY SMITH
_*4tTST NOT ", CP0JACH WI`. TIT; 25# OF ORDINARY HIGIN WATER OP T,l'j'j-,
PERMIT FEE
PLAN CHECK FEE
--
NEW ROOF LINE NOT TO FACRED HFIGHT OF rXTSTT G ROOF.
PLUMBING FEE
MECHANICAL FEE _
TOTAL BLDG. FEES
�1�:±JG 7)EPTi �►.tPPROV� L KM,, }r ELLIS ON 4/12/91 1
PART P/C FEE
_
SEPA REVIEW
WATER SERVICE
_
DATE PD t$34G.50%
WATER MAIN CHG.
-�"FC
S.B.C.C. 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 _._-._....-._.......-_
O.K TO POUR FOUNDATION WALLS
DATE-.....__......._.._BY
PLUMBING GROUNDWORK
DATE - -_-_BY -
PLUMBING ROUH IN
//
DATE � %-----......
WATER LINE O.K.
GAS PIPING O.K.---
--___
MECHANICAL INSPECTION
DATE _BY
O.K. TO ENCLOSE FRAMING
DATEV101t....BY
INSULATION
DATE -
BY
WALL BOARD AND FI)RE WALL
DATE "'� BY `< -
FINAL O.K. TO OCCUPY
p
DATE Q� _7_BY
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PSD
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CITY OF
FEDERAL WAY
BUILDING PERMIT BUILDI41
NG IN 55ECTION
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. SO. 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 _
VALUATION
BLDG DEPT AP'PROWUe-KEVIN E"IS ON 4/23l9l
PERMIT FEE
_
PLAN CHECK FEE
`INTERIOR PARTITION R-FIX)CAT10At ONLY
O EvE.,
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES _
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. 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
SJ BA'CKS AND FOOTINGS
DATE _--BY
OX TO POUR FOUNDATION WALLS
DATE BY
PLUMBING GROUNDWORK
DATE BY
PLUMBING ROUGH IN
DATE __ __. _ BY
WATER LINE O.K.
GAS PIPING
MECHANICAL INSPECTION
DATE --BY
O.K. TO ENCLOSE FRAMING
DATE____
INSULATION
DATE BY
WALL BOARD AND FIRE WALL
DATE BY
FINAL O.K. TO OCCUPY
DATE �9107 BY
DCD
PSD
FD