92-100708CITY OF FEDERAL WAY
9) -/Ob 7-6 8"
33530 First
BUILDING INS ON
Federal Way, WA 98003
BUILDING PERMIT
661 41 140
PERMIT NO. 92-744
P OWNER'S NAME HELMER PACIFIC SITE ADDRESS 30951 37TH PL SW UNITS 11,12 1
, 1'
CONTRACTOR DELTA PLUMBING ADDRESS 13122 8TH ST E #1 SUMNER WA
CONT. PHONE 927-7620
CONT. REG. NO. CC01
DELTAPH176OPEXP. 121 2WNER'S PHONE OWNER'S ADDRESS 22035 SE WAX
RD #14 MAPLE VALLEY
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. 058755-0050
LEGAL DESCRIPTION
ISSUED BY JOANNE
JOHNSON DATE OF ISSUE 5 ` i"fZ— 7 DATE OF APPLICATION
5-13-92
BUILDING INFORMATION
ZONESET
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 12
ELEC. HOT WATER HEATER 4
GAS PIPING__ FT. GAS LOGS
BATHTUBS 8
LAUNDRY DRAINS 4
FORCED AIR FURNACE DUCT WORK
RECEIVED
SHOWERS 4
IALSINKS 2
GAS HOT WATER HTR. AIR HANDLING UNIT
NUMBER
LAVATORIES 16
IdkM0A)6UxwS 4
CONVERSION BURNER MISC.
SINKS 4
_ MISclPERMIT FEE 20.00
BBQ BASIC FEE
RETURNED
DISHWASHERS 4
TOTAL FIXTURE5X6 2=3 10 . 00
DRYER TOTAL MECHANICAL
AMOUNT
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
33(1 _ (1(1
ECHANICAL FEE
PART P/C FEE
SEPA REVIEW
PUBLIC WORKS
S.B.C.C. FEE
FIRE FEE
L/
DATE:
OTHER FEES
AMOUNT: 330.00
AMOUNT DUE
3 A n
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 (
CZaC DATE 5
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
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
AMOUNT
VALUATION
Y�
PERMIT FEE
PLAN CHECK FEE
`
i
PLUMBING FEE
ECHANICAL FEE
}
ART P/C FEE
Fes,
SEPA REVIEW
PUBLIC WORKS
S.B.C.C. FEE
D eTE
FIRE FEE
OTHER FEES
DATE:
AMOUNT:
�-
AMOUNT DUE
RECEIPT:
D
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 511JA�_ BY _0p_Z/_Z
PLUMBING ROUGH IN
DATE _-_ BY
WATER LINE O.K. _
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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