90-100182CITY OF
FEDERAL WAY
BUILDING
PERMIT
BUILDING INSPECTION
941-1555
90-0246P TMB ASSOCIATES
30916 36 AVE SW
PERMIT NO.
OWNER'S NAME
JOB ADDRESS
CONTRACTOR
PELTRAM PLUMBING ADDRESS 309 S 325 LANE
FEDERAL WAY CONT. PHONE 838-4065/67
PELTRP*152RT 4/90 838-8626
33305 1 WAY S FEDERAL WAY
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
PLUMBING
TAX ACCOUNT NO.
NA LEGAL DESCRIPTION NA
ISSUED BY
ELIZABETH SNYDER DATE OF ISSUE
DATE OF APPLICATION 4/3/90
BUILDING INFORMATION
NE NA
OCCUPANCY NA _ TYPE OF CONSTRUCTION
NA BLDG. SQ. FT NA
ET BACKS: FRONT
NA SIDE NA REAR_ NA
STORIES NA HEIGHT LIMIT NA
PLUMBING
NO. NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS
3 ELEC. HOT WATER HEATER 1
GAS PIPING _ FT.
BOILER
BATHTUBS
3 LAUNDRY DRAINS 1
COMPRESSOR
_ TANK(S)
RECEIVED
SHOWERS
1 URINALS _
FORCED AIR FURNACE
_ AIR HANDLING UNIT _
NUMBER _
LAVATORIES
4 DRINKING FOUNTAINS _
GAS HOT WATER HTR.
MISC
SINKS
2 MISC. BASIC FEE 20.0
CONVERSION BURNER
_
BASIC FEE
RETURNED
DISHWASHERS
IL TOTAL FIXTURES 16x5.
0UNIT HEATER
TOTAL MECHANICAL NONE
AMOUNT NONE
VALUATION
NONE
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
$100-00
MECHANICAL FEE
TAL BLDG. FEES
PART PIC FEE
PAID IN FULL ON:
SEPA REVIEW
WATER SERVICE
AMOUNT PAID: I L)
WATER MAIN CHG.
S.B.C.C. FEE
RECEIPT:4
OTHER FEES
-'
AMOUNT DUE
$100.00
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 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
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
R�CES�oN
E'D
APR 31990
pleAMr#
BOX 1 OWNER %/`! /3
, .5''a4'�1'J7�� JOB LOCATION
GAS PIPING, FEET
OWNER'S ADDRESS
_� .:; =' ? �;> ��`' `
CITY:.'''` °'` = '� 'R `r PHONE
31' '
DESCRIBE JOB
mi (I
$
BOILER, SIZE BTU
THE PROPERTY IS OWNED BY: SINGLE/MARRIED
PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME
/FL 7- /;'"'9"7 /Lc �i01' rc e
CONTRACTOR'S REG. #
UNIT HEATERS
$
%h
_
Card MUST be presented
CONTRACTOR'S ADDRESS `3� "'r j'` `
CITY �� �� PHONE=��
�?"� c�'
EXPIRATION DATE
6 • �G
—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.)
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
BOX 9 PLUMBING FIXTURES (including rough -ins)
N0. WATERCLOSETS
BATHTUBS
/ SHOWERS
y LAVATORIES
2 SINKS
DISHWASHERS
ELECTRIC
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
NO.__
$
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 PER-
FORM THE WORK FOR WHI�RM��APPLICATION IS MADE.
OWNER/AGENT: �r
DATE: `
�
ANP -006 2/90
CITY OF
FEDERAL WAY
BUILDING PERMIT BUILDING
941 �N 55ECTION
PERMIT NO.
OWNER'S NAME JOB ADDRESS
7
CONTRACTOR
ADDRESS
CONT PHONE
CONT. REG. NO.
OWNER'S PHONE OWNER'S ADDRESS
TYPE JOB: NEW RESIDENCE
ADDITION NEWINDUSTRIAL NEWCOMMERCIAL 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
CIO
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
/ s
PART P/C FEE
PAID IN FULL GN.-
SEPA REVIEW
WATER SERVICE
A?WNT PAID: i 1
WATER MAIN CHG.
S.B.C.C. FEE
RECEIPT-
EC'•€"s PT -OTHER
OTHERFEES
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 -__
OX TO POUR FOUNDATION WALLS
DATE _.__... _BY
PLUMBING GROUNDWORK
S . 9D _... BY
DATE _ - __-
PLUMBING ROUGH IN
BY ... b3 _ ...._
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 CCUPY
/
DATE BY-
«<
DCD
PSD
FD
yip /J
T/z
31
v