91-100705CITY OF
FEDERAL WAY
434
BUILDING
"RENEWAL OF PERMIT # 90-450"
PERMIT
9/ -/06705 -
BUILDING INSPECTION
941-1555
91-655 RE
DORENBUSH HOMES 1307 SW 347 PL
PERMIT NO. OWNER'S NAME
JOB ADDRESS
CONTRACTOR DORENBUSH HOMES
ADDRESS 18000 72 AVE S RENT CONT. PHONE 251-9877
CONT. REG. NO. DORENBI*21OM3 6/91
OWNER'S PHONE SAME OWNER'S ADDRESS SAM
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 RENEWAL OF EXISTING PERMIT TO CONSTRUCT HOUSE
TAX ACCOUNT NO. 192104-9048
LEGAL DESCRIPTION LOT 29 PARKLANE ESTATES
ISSUED BY ELIZABETH SNYDER
DATE OF ISSUE DATE OF APPLICATION 5/20/91
BUILDING INFOR A N
ZONE RS 7.2 OCCUPANCY R-3 TYPE OF CONSTRUCTION 5-N BLDG. SO. FT. 2112
SET BACKS: FRONT 20' SIDE
51EACH REAR 51STORIES 2 HEIGHT LIMIT 30 " MAX
PLUMBING NO.
NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS 3 ELEC. HOT WATER HEATER
GAS PIPING FT, XXXX BOILER
1
1
RECEIVED _
BATHTUBS LAUNDRY DRAINS
_
COMPRESSOR TANK(S)
SHOWERS 1 URINALS
__
FORCED AIR FURNACE XXXX AIR HANDLING UNIT _
NUMBER _
LAVATORIE'S 3 DRINKING FOUNTAINS
_
GAS HOT WATER HTR. XXXX MISC
1
RETURNED _
SINKS MISC.
CONVERSION BURNER BASIC FEE
DISHWASHERS 1 TOTAL FIXTURES
11
UNIT HEATER TOTAL MECHANICAL BRT,OW
AMOUNT NONE
VALUATION $109,496.00
this PERMIT WILL EXPIRE ON 5/18/92 AND CANNOT BE RENEWED.
PERMIT FEE $335.50
PLAN CHECK FEE
MBING FEE 27-50
HANICAL FEE _ lo -no
w
FEES DUE ARE OF THE AMOUNT COLLECTED FOR THE FIRST PERMIT ON THIS LOT.
TOTAL BLDG. FEES $373.00
PART P/C FEE _
SEPA REVIEW
WATER SERVICE -
WATER MAIN CHG.
/2
. FEE
DATE PD `/' AMT $373.00 REC"T'v
OTHERFEES
OTHER
AMOUNT DUE $373.00
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 WIL
�/-
OWNER OR AGENT
DATE
RECEIVED
. �it #
MAY 2 0 1991
CITY OF FEDERAL WAY CITY OF FEDERAL WAY
BUILDINGDEP7: BUILDING PERMIT APPLICATION
WATER DISTRICT 1-2",
C� rl � 4�
BOX 5
ESTIMATED PROJECT COST
—Please Print —
I GAS HOT WATER HEATER
BOX 6
D
$
BOILER, SIZE BTU
$
BOX 1 TENANT NAME:
$
HEAT PUMPS, SIZE
$
OWNER l 1210 S
h '"C'S
SITE LOCATION 3,J7
t�
OWNER'S ADDRESS 1 3t)o
$
CITY lit.F
PHONE :2-s71 - i k'7
DESCRIBE JOB
3RD FLOOR / BASEMENT
/ DECK /
THE PROPERTY IS OWNS BY:
SINGLE/MARRI D
PARTNERSHIP
CORPORATION
BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. /,;,7 3
Card MUST be presented
CONTRACTOR'S ADDRESS CITY PHONE
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 _32 /r'1 SLh m 14--,1 t -z- PHONE 0-S % - 7 _2
BOX 4 SEWER DISTRICT / F c Lu"
WATER DISTRICT 1-2",
/ J « y
BOX 5
ESTIMATED PROJECT COST
EXISTING BUILDING VALUATION
I GAS HOT WATER HEATER
BOX 6
PROPERTY TAX ACCOUNT NUMBER
$
BOILER, SIZE BTU
$
LEGAL DESCRIPTION'
$
HEAT PUMPS, SIZE
$
(If necessary, please submit a separate page with the legal description.)
$
AIR COOLING UNITS, SIZE
K.C. Plat Recording #
COMMERCIAL HOOD
$
BOX 7
BUILDING SQUARE FOOTAGE: (Existing/Proposed)
1ST FLOOR/1') Y 2ND FLOOR
3RD FLOOR / BASEMENT
/ DECK /
GARAGES %-0/
BOX 8
( ) SINGLE FAMILY
( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = )
( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL
TOTAL AREA OF PROPERTY
SQ FT
:1 •
PLUMBING FIXTURES (including rough -ins)
N0. `WACLOSETS
BATHTTERUBS
SHOWERS
'3 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
$
NO.I FURNACE, ELEC. GAS
$
I GAS HOT WATER HEATER
$
CONVERSION BURNER
$
BOILER, SIZE BTU
$
AIR HANDLING UNITS
$
HEAT PUMPS, SIZE
$
UNIT HEATERS
$
AIR COOLING UNITS, SIZE
$
COMMERCIAL HOOD
$
OTHER
$
S
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:
ANP -008 3/90
CITY OF BUILDING INSPECTION
FEDERAL WAY
434 ffREVISl@TTjEl PPIMI 1-655 PERMIT 941-1555
91-655 REV DORENBUSH HOMES 1307 SW
347 PL
PERMIT NO.
OWNER'S NAME
JOB ADDRESS
SAME
18000 72 AVE S RENT
251-9877
CONTRACTOR
ADDRESS
CONT. PHONE
DORENI*21OM3 6/91
SAME SAME
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 REVISION TO EXISTING PERMIT
# 91-655
TAX ACCOUNT NO.
192104-9048 LEGAL DESCRIPTION LOT 29 PARRLANE ESTATES
SLUED BY
ELIZABETH SNYDER
DATE OF ISSUES "' L, �f % DATE OF APPLICATION
6/7/91
BUILDING INFORMATION
ZONE
OCCUPANCY R-3
TYPE OF CONSTRUCTION 5-N _
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 NONE
UNIT HEATER TOTAL MECHANICAL NONE
AMOUNT NNOE
VALUATION
BLDG
DEPT APPROVAL = REVIN ELLIS
PERMIT FEE
PLAN CHECK FEE
$30-00
UMBING FEE
_CHANICAL FEE
TOTAL BLDG. FEES
_
DATE:
/_ U/
CQ ` y ( /
PART P/C FEE
SEPA REVIEW
AMOUNT:
$30.00
WATER SERVICE
WATER MAIN CHG.
RECEIPT:
t '
S.B.C.C. FEE
'- c(`�i--T—
OTHER FEES
AMOUNT DUE
$30.00
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
IN ATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY
OF FEDERAL WAY
REQUIREMENTS WILL BE ME
'NER
i
L
OR AGENT
DATE LO
REVISION
RECEIVED
J U L - 7 1991
eIMTf # --CSS
pip it # I ' Tc,
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
L -6r 2=9
BOX 1 TENANT NAME:
OWNER orenb05 h M 65 SITE LOCATION 13a-? 5C ) 3�Al PL -
OWNER'S ADDRESS 1 8000 - —]2. r cl A• r_ `� CITY V_m--,J T PHONE 2-S)-615'77
DESCRIBE JOB �L 4 Ile f
THE PROPERTY IS OWNED BY: SINGLE/MARRIEb PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME `� `- CONTRACTOR'S REG. #'DcP_,n1 * 2413 143
Card MUST be presented
CONTRACTOR'S ADDRESS S'"�'`� CITY Y N PHONE 2Sl 91'd? )
EXPIRATION DATE L 011
—OR—
I HAVE READ CHAPTER 18.27.010 RELATING T EFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON 77 � `v\ S G In maK�Z- PHONE
BOX 4 SEWER DISTRICT k W a,!j WATER DISTRICT �C,� Wo ti
BOX 5 ESTIMATED PROJECT COST /D!', j-" EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER ( 6i Zl o4 f q-, q 8
LEGAL DESCRIPTION l-0 T- 2!q 2a,,L_tc_Lrwe_ S
(If necessary, please submitpeparate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR /`a `� / 2ND FLOOR
3RD FLOOR / BASEMENT / DECK / GARAGE__J!�L-�
BOX 8 ( SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9
PLUMBI G FIXTURES (including rough -ins)
NO WATERCLOSETS
I BATHTUBS
I SHOWERS
LAVATORIES
SINKS
_DISHWASHERS
ELECTRIC HOT WATER HEATER
I LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
TOTAL FIXTURES
MECHANICAL APPLIANCES —
BASIC FEE $
GAS PIPING, FEET
$
NO. 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 UNbER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOgLEDGE
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 - ?,/
ANP -008 3/90
OFRE USE ONLY (PLEASE DO NOT WRITE BELOW TRIS LINE)
ZONE SETBACKS:FRONT_
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
` FIRE DEPARTMENT APPROVAL
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVA
REMARKS:
SIDE REAR HEIGHT LIMIT
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 J I S ( c
OCCUPANCY A3 TYPE OF CONSTRUCTION lZti STORES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION
BUILDING DEPARTMENT REMARKS:
REIVED
ASSIGNED ADDRESS: jCk- (�-KSS % I k
Amount
PARTIAL PLAN CHECK FEE RECEIVED
Date
Receipt #
DA
DA
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
BUILDING DEPARTMENT APPROVAL
BY DATE (G y
ACCEPTED FOR FILING
CITY OF
FEDERAL WAY
BUILDING PERMIT BUILDING
941!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
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
BLDG DEPT APPROVAL ]MVIN ELLIb
PERMIT FEE
PLAN CHECK FEE
FEE
kUMBING
CHANICAL FEE _
TOTAL BLDG. FEES _
TEt
PART P/C FEE
SEPA REVIEW
$30.00
WATER SERVICE
WATER MAIN CHG.
IPT:
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
CITY OF
FEDERAL WAY
BUILDING PERMIT BUILDING
941!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.--
DD._NEW
NEWMULTI -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
ACA9+v f)1
VALUATION
thir. RF.RMIT WIT,m EXPIRE ON 5/I8/92 AND CANTNOT
ilR R'. TV*7.B.
PERMIT FEE
PLAN CHECK FEE
aLUMBING FEE
ECHANICAL FEE -
FEES DUE $PI'll OF ` fir i't'401-11"N'T COLLECTED FOR TTIF FIRST PEkHIT ON ` fiV; .()T.
TOTAL BLDG. FEES
PART PIC FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
}
}
BATE PD Ate- $373.OP
Rrrr 1
[
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
CITY OF
FEDERAL WAY 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 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
NE
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
DEP' ' APPiWVAL TM." SM I'i H , - PAPAI NG STALLS r I XIMUN itMU T F,ED .
PERMIT FEE
HP13 SITE WAS VERIFIED BY PILL KINGMAN Or, 4/29/9(
PLAN CHECK FEE
PLUMBING FEE
SRPA EXEMPT BUILDING DEPT "PRWAL r KEWN ELLIS ON 5I/ %J 90
ECHANICAL FEE _
/s
41,.
FIRE; DEPT APPFUV- MA PER KEVIN Z.LYS N 5f %/90
TAL BLDG. FEES
PUBLIC WORKS DEPT APPAL = NEVIN ELLIS ON 5/7/90
PART P/C FEE
REVIEW
WATER
WATER SERVICE
'TE pJUD
- '
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 ANDFOOTINGS
�DATE_..._/1� BY _ �)(,1/
p�XO'f
OX TO POUR FOUNDATION WALLS
DATE — ---__BY _
PLUMBING GROUNDWORK
DATE -- — .---.,,,BY
PLUMBING
/ROUGH -IN
DATE _. BY
WATER LINE O.K.
GAS PIPING O.K.----.� 7'l `%
MECHANICAL INSPECTION
DATE 0.---� _BY
O.K. TO ENCLOSE FRAMING
DATE _. Q� .� BY l��C/
INSULATION
DATE .... l ._e/ -BY — L --
._._
WALL BOARD AND FIRE WALL
DATE - '� T �_ BY ...
FINAL O.K. TO OCCUPY
DATE
DCD __[PSD
FD
-7 y, / Aj0
¢/ 6 'p, _c_
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81 ,3
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