91-100707CITY OF
FEDERAL WAY BUILDING
434 "RENWAL OF PERMIT # 90-452"
PERMIT
9/�_ /007D7
BUILDING INSPECTION
941-1555
91-653 RE
DORENBUSH HOMES 1322 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. DORENI*210 M3 6/91
OWNER'S PHONE SAME 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 RENEWAL OF EXISTING PERMIT TO CONSTRUCT RESIDENCE
TAX ACCOUNT NO. 192104-9048
LEGAL DESCRIPTION LOT 43 PARRLANE ESTATES
ISSUED BY ELIZABETH SNYDER
DATE OF ISSUE DATE OF APPLICATION 5/20/91
BUILDING INFORMATION
ZONE RS 7.2 OCCUPANCY R-3 TYPE OF CONSTRUCTION 5-N BLDG. SQ. FT. 2346
SET BACKS: FRONT 20' SIDE
5' REAR 5' STORIES 2 HEIGHT LIMIT 30' MAX _
PLUMBING NO.
NO. MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER: LOSETS 3 ELEC. HOT WATER HEATER GAS PIPING FT, XXXX- BOILER
1
1
RECEIVED
BATHTUBS LAUNDRY DRAINS
COMPRESSOR TANK(S)
SHOWERS I URINALS
_ FORCED AIR FURNACE XXXX_ AIR HANDLING UNIT
NUMBER
LAVATOF4ES 4 DRINKING FOUNTAINS
GAS HOT WATER HTR XXXXMISC
1
RETURNED
SINKS MISC.
CONVERSION BURNER BASIC FEE
DISHWASHERS 1 TOTAL FIXTURES
�_2- UNIT HEATER TOTAL MECHANICAL -BFJQW
AMOUNT NONE
VALUATION $121,748- 00
THIS PERMIT WILL EXPIRE MAY 18, 1992 AND CANNOT BE RENEWED.
PERMITFEE $358_50
PLAN CHECK FEE
PLUMBING FEE 30 00
FEES DUE ARE 3 OF THE AMOUNT COLLECTED FOR THE 1ST PERMIT ISSUED
MECHANICAL FEE _ 10-00
FOR THIS LOT.
TOTAL BLDG. FEES $39R 50
PART PIC FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
�-
DATE PD AMT $ 3 9 8.5 0 REC' T�
OTHER FEES
AMOUNT DUE $398.50
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 INFOR ION IF BY ME
IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL B T:
W �1��
��� =?4
OWNER OR AGENT
DATE
RECEIVED
MAY 2 0 1991
TTY OF FEDERAL WAY
BUILDING DEPT.
BOX 1 TENANT NAME:
Permit # q. I-- 6!�3
CITY OF FEDERAL WAY �.
BUILDING PERMIT APPLICATION
Please Print —
OWNER j tC_V�>v 5 11
OWNER'S ADDRESS IMC;
--
DESCRIBE JOB <-1LI�/c
THE PROPERTY IS OWNED BY
F-ft M C� SITE LOCATION -
Z �cJ( A -,e S CITY PHONE _-�)'s'1-21-f77
SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. # ,hri� Z _"0^1 3
Card MUST be presented
CONTRACTOR'S ADDRESS CITY PHONE
EXPIRATION DATE
—OR—
I HAVE READ CHAPTER 18.27. 010 REI ATI T DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSOPHONE ,,2s/- 7
BOX 4 SEWER DISTRICT / l�G� WATER DISTRICT=�� ���1, K
J r
BOX 5 ESTIMATED PROJECT COST 12-1 EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER / i 2, / G/ - i C'
LEGAL DESCRIPTION La 7- S/3 - P19 -n/
(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 57 2— /
BOX 8 ( Lf SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY �� Cyd SQ FT
:/ •
PLUMBING FIXTURES (including rough -ins)
NO. 3 WATERCLOSETS
BATHTUBS
1 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
$
NO. 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
$
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 EgELOYEES, URDU-TNE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AG
DATE: ?
ANP -008 3/90
a3VI303R
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL 09
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL
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
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:
RECEIVED
ASSIGNED ADDRESS:
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt #
BUILDING DEPARTMENT APPROVAL
BY _ DATE
DA'
DAT
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
ACCEPTED FOR FILING
BUILDING DEPARTMENT
CITY OF FEDERAL WAY
9/-6, s 3
Correction Notice
Job Located at - 5 �117 /`�2
I have this day inspected this structure and these premises
and have found the following violations of City and/or State
laws governing same:
,��ity� I try 55� S SGS �lj hi dh015'e 6' -w -e
a
You are hereby notified that no more work shall be approved
upon these premises until the above violations are corrected.
When corrections have been made, call for inspection.
Date Aell
Inspector for Building Dept.
DO NOT REMOVE THIS TAG
AMP -007 9/03/90
CITY OF
FEDERAL WAY
BUILDING PERMIT BUILDI41
NG IN 55ECTION
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. INDUSTRIALADD. 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
QQ
MIS EXPIRE x$, 1932 ANDC-AN140T BF FXF Sin.
r
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
rFF.S DUE OF THE R+_OIT''dT C:OLLFCTED FOR 1.1HB IST PILR11'1+s+
MECHANICAL FEE
POR THIS IDT.
TOTAL BLDG. FEES
PART PIC FEE
SEPA REVIEW
WATER SERVICE
.� I�
WATER MAIN CHG.
S.B.C.C. FEE
f
+^R /fR'S` rn "C l
~
$398.50 T t
4
OTHER FEES
r
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. 90-452
OWNER'S NAME DORENBUSH HOMES JOB ADDRESS 1322 SW 347 PL
CONTRACTOR OWNER
ADDRESS 275 118 AVE SE #110 BELLEVUE CONT. PHONE 451-1994
CONT. REG. NO. DORENI*21OM3 6/90 OWNER'S PHONE SAME OWNER'S ADDRESS SAME
TYPE JOB: NEW RESIDENCE XX
ADDITION NEWINDUSTRIAL NEWCOMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY (UNITS
) MULTI. ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. 192104-9048 LEGAL DESCRIPTION LOT 43 PARKLANE ESTATES
ISSUED BY ELIZABETH
SNYDER DATE OF ISSUE DATE OF APPLICATION 4/27/90
BUILDING INFORMATION
NE RS7.2
OCCUPANCY R-3 - __ ___ TYPE OF CONSTRUCTION_ 5-N BLDG. SO. FT. 1891+455=2346_
SET BACKS: FRONT 20 SIDE 5' EEEACH REAR_..__ _ STORIES 2 HEIGHT LIMIT 301 MAX
PLUMBING NO.
NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS 3
ELEC. HOT WATER HEATER
GAS PIPING FT. -3-5D BOILER
BATHTUBS 1
LAUNDRY DRAINS 1_
COMPRESSOR _ TANK(S)
RECEIVED _
SHOWERS -_1
URINALS
FORCED AIR FURNACE _I _O--QO AIR HANDLING UNIT
NUMBER _
LAVATORIES 4
DRINKING FOUNTAINS
GAS HOT WATER HTR. _�., 50 MISC.
SINKS -L
MISC.
CONVERSION BURNER BASIC FEE
RETURNED
DISHWASHERS _ 1
TOTAL FIXTURES 12X5.00
UNIT HEATER TOTAL MECHANICAL 20-0n
AMOUNT NONE
VALUATION $121,74B-00
PLANNING DEPT APPROVAL = BILL KINGMAN ON 5/3/90 (SITE VERIFIED)
PERMIT FEE $717
-OG---
SEPA = EXEMPT
PLAN CHECK FEE 466.00
FIRE DEPT APPROVAL = NOT NECESSARY PER KEVIN ELLIS ON 5/7/90
PLUMBING FEE
60.00
CHANICAL FEE
2 p _gam
HPUBLIC WORKS DEPT = KEVIN ELLS ON 5/7/90
TAL BLDG. FEES $1963
n n
HBUILDING DEPT APPROVAL= KEVIN ELLIS ON 4/27/90
PART P/C FEE
SEPA REVIEW
WATER SERVICE
DATE PAID
WATER MAIN CHG.
AMOUNT PAID
S.B.C.C. FEE 4-90
OTHER FEES
RECEIPT #� /
-�
AMOUNT DUE
-50
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:
~
J6
``�
OWNER OR AGENT -
" '� DATE "
'OT
CITY OF FEDERAL WAY.
BUILDING PERMIT APPLICATION
— Please Print —
i3ZZ
BOX 1 OWNER ori JOB LOCATION 1 3 r ? t
OWNER'S ADDRESS ? D CITY PHONE AIAI—If4v
DESCRIBE JOB1, �Ij fi-11246a 41
THE PROPERTY IS OWNED Bf. SINGLE/MARAIE PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME
CONTRACTOR'S REG.
�/- Cud MUST be presented
CONTRACTOR'S ADDRESS 7 I Yr S� 'lO CITY _ �1�•t�l[ PHONE
EXPIRATION DATE W.o
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 WITIIOUT PAOOF OF REGISTRATION.
BOX 3 CONTACT PERSON Y-/vl J6H-n9gi 7Y PHONE *57— /9941
BOX 4 SEWER DISTRICT Md GU WATER DISTRICT d SCG/
BOX 5 ESTIMATED PROJECT COST DD 70 EXISTING BUILDINr., VALUI ;;0;4
BOX 6 PROPERTY TAX ACCOUNT NUMBE6 1q12 104 90 If -12 --
LEGAL DESCRIPTION t _ .__4,_ _ ar G7Y)� Sfzt
(If necessary, please submit a separate page with the legal description.)
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed 1ST FLOOR -Z0,1 Z -� 2ND
FLOOR
3RD FLOG BASEMENT--Y_—J_DECK
.C- /
GARAGES ____
BOX 8 (A) SINGLE FAMILY
()() NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ——)
( ) EXISTING STRUCTURE
( ) COMMERCIAUINDUSTRIAL
TOTAL AREA OF PROPERTY
SO FT
BOX 9 PLUMBING FIXTURES (Including rough -ins)
MECHANICAL APPLIANCES --- BASIC FEE $
NO.-
GAS PIPING, FEET
5WATERCLOSETS
$ .s -c
BATHTUBS
NO.- I URNACE, ELEC. GAS '� $ 1 .. L2
SHOWERS
..Z _GAS HOT WATER HEATER
$ ..jc,
LAVATORIES
CONVERSION BURNER
$
SINKS
BOILER, SIZE BTU
$
DISHWASHERS
AIR HANDLING UNITS
$
ELECTRIC HOT WATER HEATER
,_HEAT PUMPS, SIZE
$
LAUNDRY WASHER OUTLET
UNIT HEATERS
$
URINALS
AIR COOLING UNITS, SIZE
$
DRINKING FOUNTAINS
COMMERCIAL FLOOD
$
SUMPS, SPRINKLER VACUUM BREAKERS
OTHER
$
DRAINS
$
OTHER
$
'TOTAL FIXTURES
'*'&0.6)C:
TOTAL MECHANICAL FEE
I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE
BEST OF MY KNOWLE GEAND FILIRTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PER-
FORM THE WORK F ICH ER IT APPLICATION IS MADE.
OWNER/AGENT:, �� DATE:
mp-m sm
OFFICE USE ONLY PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIZE S REAR — 'HEIGHT LIMIT
PLANNING DEPARTMENT APPROVALyC-K 1F7 iso
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS'_.
PUBLIC WORKS DEPARTMENT APPROVAL , C DATE
REMARKS:
TYPE OF JOB: NEW RESIDENCE,
_r RES. ADD/ALT NEW INDUSTRIAL _ IND. ADD/ALT
NEW COMMERCIALCOMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. ROOF OTHER
OCCUPANCY TYPE OF CONSTRUCTION t A, STORES 2
I civ BUILDING SQ. FT.. -41W~l / 7 @ E C If % 7 n c
BUILDING SO. FT. 4LAftm 9 7 @ _ _ C, 9,E,o
BUILDING -GO. FT. i -5--i- @ / 7' (f) ..,1 7_'-S-7- / s-�>
BUILDING SO. FT. @
BUILDING SO. FT. @ a
BUILDING $0. FT. Cgs
TOTAL 50. FT. TOTAL VALUATION 1 z l
EBUILOING P RMIT N0. PLAN CHECK FEE REC'D RECEIPT NO.
PERMIT FEE PLAN CHECK FEE PLUMDING FEE �-==� MECN. FEE 27
TOTAL FEES ), 3, CI, SBCC SURCHARGE ' ENERGY SURCHARGE AMOUNT DUI` r
BUILDING DEPARTMENT APPROVAL —------------------ DATE y -.���L
REMARKS:
ASSIGNED ADDRESS:
RECEIVED
ACCEPTED FOR FILING
FCI'W'Y OF EDERAL WAY BUILDING PERMIT BUILDI94 IN 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. 3u BOILER
RECEIVED
BATHTUBS
LAUNDRY DRAINS
COMPRESSOR _ TANK(S) _
a
SHOWERS
URINALS
FORCED AIR FURNACE AIR HANDLING UNIT _
NUMBER _
ci4''f,
LAVATORIES
DRINKING FOUNTAINS
GAS HOT WATER HTR. MISC
RETURNED
SINKS
MISC.
CONVERSION BURNER BASIC FEE
DISHWASHERS
TOTAL FIXTURES
UNIT HEATER TOTAL MECHANICAL
• `
AMOUNT
VALUATION
. DM d'iVA400*A, J' lisi, it i>':ium" ON 51 3! 90
SSFA aT�+"T
(•''ITL ` isAl:1`l t i))
PERMIT FEE
PLAN CHECK FEE
rTPRr D"T "pSoVj6L N+ t WESS"Y PICR KEVIN
ELLIS ON 5/7/90
PLUMBING FEE
MECHANICAL FEE _
0
$'luE iac WORKS DEPT KIWIS ELLIS ON 5/7/90
TOTAL BLDG. FEES
AAMWING DEPT APP& A6.L,- XMIN .LUIS ON 4/27/90
PART P/C FEE
SEPA REVIEW
DA'ft MUD '2
WATER SERVICE
WATER MAIN CHG.
lW(Xq(T PAID
S.B.C.C. FEE
PT
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
SFT BACKS ANB�DFFOOTINGSS/
tDATE fi�.�� BY JL
OX TO POUR FOUNDATION WALLS
DATE ' 2 _te l BY d7 _
_-.-
PLUMBING GROUNDWORK
DATE _.- - ---_-_ BY
PLUMBING ROUGH IN
DATE BY _�VILwL
WATERLINE O.K.
GAS PIPING O.K.---,BY
/
MECHANICAL INSPECTION
DATE L __
L2a
_
O.K. TO ENCLOSE FRAMING SE's
Iv�10.J
DATE - _-
--.BY
Fk
INSULATION �k
DATE I_?-I� -L� _BY
-
-
WALL BOARD AND FIRE WALL
DATE_ - yz - BY
�-_
FINAL O.K. TO OCCUPY
DATE ��z BY _-�L1J
DCD
PSD
FD
o
f/ i c,,•
e
.2 �
� 5
C O 3'd-- X5T
c
led w% c- 3' . c-,
An
,SCD o�- cQu6t., P
1