90-100744CITY OF
FEDERAL WAY `
�4'f
BUILDING PERMIT
BUILDING INSPECTION
941-1555
90-1107 RA GERALD & JOANNE FARRAR 32737
35TH AVE SW
PERMIT NO. OWNER'S NAME
JOB ADDRESS
CONTRACTOR DARES ADDRESS
P.O. BOX 247 SEAHURST
CONT. PHONE 244-2416
CONT. REG. NO. DARIEC287MF OWNER'S PHONE 927-8429 OWNER'S ADDRESS 32737
35TH AVE SW
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. 873195-0520
LEGAL DESCRIPTION LOT 52 TWIN LAKES NO 3
ISSUED BY JOANNE JOHNSON
DATE OF ISSUE- DATE OF APPLICATION 7-10-90
BUILDING INFORMA IO
ZONE OCCUPANCY
TYPE OF CONSTRUCTION
BLDG.SQ.FT.
T BACKS: FRONT SIDE
REAR_ _ STORIES
HEIGHT LIMIT
qWEUMBING 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.
SINKS MISC.
CONVERSION BURNER BASIC FEE
RETURNED _
DISHWASHERS TOTAL FIXTURES
UNIT HEATER TOTAL MECHANICAL _
AMOUNT
VALUATION 21 , 434-16
PERMIT FEE
PLAN CHECK FEE 14 6a__0_&
PLUMBING FEE —
MECHANICAL FEE
TOTAL BLDG. FEES
c,
T P/C FEE _
DATE:
v
IVRA REVIEW
0
WATER SERVICE
AMOUNT:
`
WATER MAIN CHG.
16 3a
S.B.C.C. FEE 4 _ 50
RECEIPT:
OTHER FEES
AMOUNT DUE 375--9-OL
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
r /
DATE ! / C£
I K, A- " -/
BOX 1 TENANT NAME: I,-
16 w Permit # 9, ZZ 0 ,Z
CITY OF FEDERAL WAY
BUILDING PERMITAPPLICATION
— Please Print —
OWNER Uz,E7k/f L -N h f—ffziC/ SITE LOCATION
OWNER'S ADDRESS. yl CITY_ �F�
DESCRIBE JOB 1�(L" PHONE �Z�–'S4/Z cL
THE PROPERTY IS OWNED BY: S INGLEIMARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. #.
be
CONTRACTOR'S ADDRESS
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 �` Y2 & A J1 Fa E_.. P PHONE 2 -2- Li
BOX 4 SEWER DISTRICT F ED t, A- V WATER DISTRICT LO A V
M
BOX 5 ESTIMATED PROJECT COST f�'_-S 5' 0 O EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 0
LEGAL DESCRIP ION /. 5Z ,3
2 L i
(If necessary, please submit a separate page with the legal escription.)
K.C. Plat Recording #--VOL, 412— 2 mac/
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOORS 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 (-/4 SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
:M
PLUMBING FIXTURES (including rough -ins)
N0. WATERCLOSETS
BATHTUBS V—A
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:
DATE: 2- / U sa
ANP -008 3/90
ZONE SETBACKS: FRONT_
PLANNING DEPARTMENT APPROVAL
REMARKS:
9 i
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
SIDE REAR HEIGHT LIMIT
c,c,u C& C y
I
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL AI d 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 STORES
(rt 1 BUILDING SQ. FT. `- @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION t Y• �E'
BUILDING DEPARTMENT REMARKS:
RECEIVED
ASSIGNED ADDRESS: Ir ' '
PERMIT FEE
2 ZSR dC
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
3 7 06
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
—. S v
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt #
BUILDING DEPARTMENT APPROVAL
BY DATE -77
ACCEPTED FOR FILING
CITY OF
FEDERAL WAY
_ . _.. ..:—_ • -.R.. ...- _^_, ter. ow... .�-^^-- �..r... w:
BUILDING PERMIT BUILDI41
NG INSPECTION
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 SOFT.
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
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
^
PART P/C FEE
SEPA REVIEW'
K UNT:
WATER SERVICE
WATER MAIN CHG.
`
S.B.C.C. FEEt_';5
OTHER FEES
/
AMOUNT DUE
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS
STARTED. RESIDENTIAL AND GRADING PERMIT -S 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
SETBACKS AND FOOTINGS C> r
DATE.. BY
O.K TO POUR FOUNDATION jWALLS
DATE_`�f_� BY [� _ ._
PLUMBING GROUNDWORK
DATE BY
PLUMBING ROUGH IN
DATE __- __-..._BY
-
WATER LINE O.K.
GAS PIPING O.K.._- ..----..- -__
.-
MECHANICAL INSPECTION
DATE _-- BY
O.K. TO ENCLOSE FRAMING
DATES/11J .11 BY
INSULATION
DATE !_�.. ? y.. fid...... BY _la -_ _
WALL BOARD AND FFIIIR�E, WALL
DATE �` �,L 3l " BY
FINAL O.K. TO OCCUPY
DATE S'-�S BY
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