91-100859CITY OF
FEDERAL WAY
BUILDING PERMIT
9'/ - /ti o g59
BUILDING INSPECTION
941-1555
PERMIT NO. 91-806 P OWNER'S NAME
LOURIMARK JOB ADDRESS 30951 37
PL SW
CONTRACTOR FAWCETT PLBG
ADDRESS 3108 73 AVE NW GIG HARBOR
CONT. PHONE 265-8310
CONT. REG. NO. FAWCEP122BJ 1/92
OWNER'S PHONE 279-2623 OWNER'S ADDRESS SAME
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 PLUMBING ONLY
TAX ACCOUNT NO. --4-
LEGAL DESCRIPTION
ISSUED BY ELIZABETH SNYDER
DATE OF ISSUE (= C� _ DATE OF APPLICATION 6/19/91
BUILDING INFORMATION
ONE 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 6 ELEC. HOT WATER HEATER 2
GAS PIPING _ FT. BOILER
RECEIVED _
BATHTUBS 4 LAUNDRY DRAINS
2
COMPRESSOR _ TANK(S)
SHOWERS 2 URINALS
_
FORCED AIR FURNACE AIR HANDLING UNIT
NUMBER _
LAVATORIES I DRINKING FOUNTAINS
_
GAS HOT WATER HTR. MISC. _
RETURNED
SINKS 2 MISC. BASIC
�Q�Q_0
CONVERSION BURNER BASIC FEE
DISHWASHERS _ 9 TOTAL FIXTURES 30
X $5-00
UNIT HEATER TOTAL MECHANICAL NONE
AMOUNT NONE
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE $17000
CHANICAL FEE
TAL BLDG. FEES _
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE $170-00
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 FURNIS D BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET.�
C
OWNER OR AGENT'' .
L)
DATE
RECEIVED 0 omit #
JUN 1 9P 1991 CITY OF FEDERAL WAY
CITY OF f"Ei)EiRALWAY BUILDING PERMIT APPLICATION
SUILDIN6 0EPT — Please Print —
BOX 1 TENANT NAME`. /;,�?r
OWNER 5/" SITE LOCATION - S' C 2S/ 22-7� P-�C S',,c d 4
OWNER'S ADDRESS S -Mc CITY PHONE�1�'-1 �?
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME j4:4WC-A it >>4krik6,,,) CONTRACTOR'S REG. # IA- C'1,O 12.7 0tj
Card MUST be presented
CONTRACTOR'S ADDRESS 31o6- 7?i , 4,� tiu' CITY ifApti> sV PHONE .7G S fi'7/C
EXPIRATION DATE
—OR—
I HAVE READ CHAPTER 18.27.010 REL G 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 6N 1:-4,,1- c,r O PHONE 2 S-- 6-7, C
BOX 4 SEWER DISTRICT
WATER DISTRICT
BOX 5
ESTIMATED PROJECT COST
EXISTING BUILDING VALUATION
BOX 6
PROPERTY TAX ACCOUNT NUMBER
$
CONVERSION BURNER
LEGAL DESCR�iVIPTI..—
BOILER, SIZE BTU
$
(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
(r -'NEW CONSTRUCTION
( MULTIFAMILY (NO. OF UNITS =
_ ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL
TOTAL AREA OF PROPERTY SQ FT
PLUMBING FIXTURES (including rough -ins)
NO. G- WATERCLOSETS
BATHTUBS
SHOWERS
i� LAVATORIES
SINKS
_DISHWASHERS
Y'"ELECTRIC HOT WATER HEATER
_ZLAUNDRY 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: iuyc2 DATE: 6 /l- `/f
ANP -008 3/90
CITY OF
FEDERAL WAY
BUILDING IN 55ECTION
BUILDING PERMIT
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.SQ.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
PERMIT FEE
PLAN CHECK FEE
LUMBING FEE
d. CHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES
�Y
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 r ,
REQUIREMENTS WILL BE MET:
f� v
OWNER OR AGENT
DATE\Q
•
0
SET BACKS AND FOOTINGS
DATE _ -- _..__-BY -.-..
----
O.K TO POUR FOUNDATION WALLS
DATE _.- -----___ _BY -- _-_
PLUMBING GROUNDWORK j
DATE BY �% _
PLUMBING ROUGH IN GK
DATE ..L _ 7 Cf�_ BY ._-_....-
WATERLINE 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 Q.K. TO OCCUPY
DATE __ BY - -
DCD
PSD
FD