91-1008974
CITY OF
FEDERAL WAY
BUILDING PERMIT
q)-' J0"997
BUILDING INSPECTION
941-1555
tqve
91-854
P GREGORY CONSTRUCTION
31416 36TH SW
PERMIT NO.
OWNER'S NAME JOB ADDRESS
CONTRACTOR B &
J PLUMBING INC ADDRESS 9409 DELRIDGE WAY SW
SEATTLE CONT. PHONE 767-6206
BJPLU234BY 854-4422 31416 36TH SW 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
873198-0520
TAX ACCOUNT NO.
LEGAL DESCRIPTION
ISSUED BY JOANNE JOHNSON DATE OF ISSUE -C
DATE OF APPLICATION 6-25-91
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 3
ELEC. HOT WATER HEATER 1
GAS PIPING FT.
BOILER
2
1
RECEIVED
BATHTUBS
LAUNDRY DRAINS
COMPRESSOR
TANK(S)
SHOWERS 1
URINALS _
FORCED AIR FURNACE
AIR HANDLING UNIT _
NUMBER
LAVATORIES 4
DRINKING FOUNTAINS _
GAS HOT WATER HTR.
MISC
SINKS 1
misc. PERMIT FEE 20.00
CONVERSION BURNER
BASIC FEE
RETURNED
DISHWASHERS 1
TOTAL FIXTURES 14X5= 70.00
UNIT HEATER
TOTAL MECHANICAL
AMOUNT
90.00
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
_
TOTAL BLDG. FEES
RT PIC FEE
IPA REVIEW
TE:
WATER SERVICE
WATER MAIN CHG.
0UNT: 90.00
S.B.C.C. FEE
OTHER FEES
CEIPT: .S �y
AMOUNT DUE
90.007
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:
/ _G
OWNER OR AGENT
"'� s =-'��'—�3 DATE
• 0 Permit # q /— 'y
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME:
OWNER / L' �SITE LOCATION 3; L- S -,-;
OWNER'S DDRES CITY PHONE - � V y 3 �—
DESCRIBE JOB ,Cc, , ", ,
THE PROPERTY IS OWNED BY: SINGLE/MARRIED _ PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME / ,'J/ �i3. �: ; 1�.c L, CONTRACTOR'S REG. #L�%'`3y6L-
Card MUST be presented
CONTRACTOR'S ADDRESS g � �%L�—' �, G'� ��'*is CITY PHONE 76 `7G= 3 ��
EXPIRATION DATE / - i - �—
—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 PERSONS .- e=X- 5 PHONE 76 26
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST t> - EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER :f� 7
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 SINGLE FAMILY NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
M •
PLUMBING FIXTURES (including rough -ins)
NO. 3 WATERCLOSETS
�- BATHTUBS
l SHOWERS
4/ LAVATORIES
Z _S I N KS
/ 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:DATE:
eL- G� I
ANP -008 3/90
CITY OF
FEDERAL WAY
BUILDING PERMIT BUILDING
947!N SSECTION
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
SUED BY__
DATE OF ISSUE_
DATE OF APPLICATION
BUILDING INFORMATION
ZONE
OCCUPANCY _
_ TYPE OF CONSTRUCTION _
BLDG.SO FT
SETBACKS: 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
UMBING FEE
,CHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
/ g 3
SEPA REVIEW
WATER SERVICE
_
i
'3
OA
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
SET BACKS AND FOOTINGS
DATE BY _
O.K TO POUR FOUNDATION WALLS
DATE - ---_ BY _ _
PLUMBING GROUNDWORK
DATE (v =91 BY
PLUMBING ROUGH IN �/�
DATE _ BY �_/J __...-
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
DCD
PSD
FD