90-100360CITY OF
�4
FEDERAL WAY BUILDING PERMIT
90 - )003/, a
PERMIT NO. 90-500
P OWNER'S NAME HARDIMAN JOB ADDRESS 30808 36TH CT S.W.
CONTRACTOR SAILSBERY-MORFORD INC ADDRESS 11126 S.E. KENT
CONT. PHONE 850-1954
CONT. REG. NO.
OWNER'S PHONE 630-0818 OWNER'S ADDRESS
TYPE JOB: NEW RESIDENCE
ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL AQD.
INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER
`_
TAX ACCOUNT NO.
T�LI.� LEGAL DESCRIPTION
ISSUED BY JOANNE
JOHNSON DATE OF ISSUE
DATE OF APPLICATION 5-3-90
BUILDING INFORMATION
NE __
OCCUPANCY__ TYPE OF CONSTRUCTION_
BLDG. SQ. FT.
SETBACKS: FRONT
- SIDE REAR_ _ _
STORIES HEIGHT LIMIT
PLUMBING NO.
NO.
MECHANICAL APPLIANCES AMT.
AMT.
BOND
WATER CLOSETS 4
ELEC. HOT WATER HEATER
GAS PIPING FT.
BOILER
_
._.
RECEIVED
BATHTUBS
LAUNDRY DRAINS �_
COMPRESSOR
TANK(S)
_
SHOWERS' 1
URINALS
FORCED AIR FURNACE
AIR HANDLING UNIT _
NUMBER
LAVATORIES _6___
DRINKING FOUNTAINS
GAS HOT WATER HTR.
MISC
RETURNED
SINKS 2
MISC.
CONVERSION BURNER
BASIC FEE
DISHWASHERS l
TOTAL FIXTURES X18 90
0.191IT HEATER
TOTAL MECHANICAL _
AMOUNT
VALUATION`
�yj
�I �1
PERMIT FEE
PLAN CHECK FEE
/I
PLUMBING FEE
CHANICAL FEE _
„TAL BLDG. FEES
DATE:
PART PIC FEE
SEPA REVIEW
AMOUNT: f '
WATER SERVICE
WATER MAIN CHG.
RECEIPT: Ala hJ i- au
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 BEM
T:
OWNER OR AGENT
G' DATE
Ormit # IL
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATIONR9�G 31990 ,N
— Please Print — Mai
PI
�c1FR _n'C_
BOX 1 TENANT NAME:
OWNER )% f f /, - A _� o, C', V, M is JY SITE LOCATION .30 20 W S6_1- e-1 S L✓
OWNER'S ADDRESS---- _ CITY �/� ��' PHONE
DESCRIBE JOB Lei_ --i �-
THE PROPERTY IS OWNED BY: SINGLE/MARRIED X PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME (_ l bc1 /�I ��y CONTRACTOR'S REG. # Sa : 1,S: //ys `l
Card MUST be presented
CONTRACTOR'S ADDRESS I t z G S ✓ `G� CITY '� e �` PHONE J Ss
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 PERSON �� '.c_ t e) I -k " ` PHONE e1'0 l 5S`-/
BOX 4 SEWER DISTRICT �— WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION --
BOX 6 PROPERTY TAX ACCOUNT NUM
LEGAL DESCRIPTION c
(It 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 KSINGLE FAMILY NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
:M
PLUMBING FIXTURES (including rough -ins)
NO.LZ WATERCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
SINKS
_DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
_OTHER
/ CR 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
$
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
ZONE SETBACKS: FRONT
PLANNING DEPARTMENT APPROVAL
REMARKS:
# •
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
SIDE REAR HEIGHT LIMIT
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL 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
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:
i an UNI
AVM IVHN 107J
0661 E
D ADDRESS:
GDA1308 PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt #
RECEIVED I BY
BUILDING DEPARTMENT APPROVAL
DATE
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
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 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. 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 7 c4�•
UNIT HEATER TOTAL MECHANICAL
AMOUNT
VALUATION—tH1�ll�
PERMIT FEE
PLAN CHECK FEE
)�
PLUMBING FEE (
r�
MECHANICAL FEE
TOTAL BLDG. FEES
�bAL•; l X j �+
PART P/C FEE
—
SEPA REVIEW
WATER SERVICE
'
WATER MAIN CHG.bi
S.B.C.C. FEE
OTHER FEES
_
AMOUNT DUE I
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
DATE _. �! `O BY _ ( 3
PLUMBING ROU H IN
DATE l� _..BY/Y��
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- BY
-
DCD
PSD
F D