91-101821CITY OF FEDERAL WAY
First Way South
Feder BUILDING PERMIT
Federal Way, WA 98003
RRVTRTOW TO fXTSTTNr 4l _l �f2S2
BUILDING INSPECTION
661-4140
91-1388 OT THOMAS/LUCILLE MAHONEY 31012 36 AVE SW
PERMIT NO.
OWNER'S NAME SITE ADDRESS
CONTRACTOR TOM BRAATEN CONST ADDRESS 33415 4 PL SW FEDERAL WAY 98023 CONT. PHONE 927-3998
CONT. REG. NO.
TOMBRCI142DR EXP. 1/93 OWNER'S PHONE SAME OWNER'S ADDRESS 29854 1 AVE S FEDERAL WAY
TYPEJOB: NEWRESIDENCE
ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD.-- NEW PUBLIC_ PUBLIC ADD.
NEW MULTI -FAMILY
(UNITS ) MULTI. ADD. SIGN GRADING OTHER REVISION TO ORIGINAL PERMIT TO CHANGE FLOOR
TAX ACCOUNT NO.
058755-0220 LEGAL DESCRIPTION FRAMING IN THE LIVING ROOM
SUED BY
ELIZABETH SNYDER DATE OF ISSUE _ DATE OF APPLICATION 3130192
BUILDING INFORMATION
rONE
SET BACKS: FRONT____ SIDE REAR HEIGHT LIMIT
CCUPANCY
TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG. SQ. FT. _ STORIES
PLUMBING
NO. NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS
ELEC. HOT WATER HEATER
GAS PIPING FT. GAS LOGS
RECEIVED
BATHTUBS
LAUNDRY DRAINS
FORCED AIR FURNACE DUCT WORK
SHOWERS
URINALS
GAS HOT WATER HTR. AIR HANDLING UNIT
NUMBER
LAVATORIES
DRINKING FOUNTAINS
CONVERSION BURNER MISC.
RETURNED
SINKS
_ MISC.
BBQ BASIC FEE
DISHWASHERS
TOTAL FIXTURES NONE
DRYER TOTAL MECHANICAL NONE
AMOUNT NONE
VALUATION
BLDG DEPT APPROVAL = KEVIN ELLIS
PERMIT FEE
LAN CHECK FEE
$30.00
"1 HR OF PLAN REVIEW @ $30.00 HR"
UMBING FEE
MECHANICAL FEE
gBUILDER—OWNER SHALL MAINTAIN MINIMUM SETBACKS AS REQUIRED BY THE
PLANNING DEPT"
PART P/C FEE
SEPA REVIEW
PUBLIC WORKS
S.B.C.C. FEE
FIRE FEE
DATE:
$30.00
OTHER FEES
AMOUNTDUE
$30.00
AMOUNT:
RECEIPT:
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.
--
�— cj
OWNER OR AGENT DATE —
I
0
CITY OF FEDERAL WAY
Perm 1 �1
1992 BUILDING PERMIT APPLICATION
SAL WAY — Please Print —
ReCE ED
JAN 3 Q 1992
BOX/TEIIANT NAME: �Ncn,As t' L_VC-ILL /�AkVF- PQ; # �� 1 I �e
OWNER 'T'fk as 4 c -u cIc F- M*0tj£Y SITE LOCATION 3 1 a Z 7!o t` AJ'f S-,,)'
OWNER'S ADDRESS 8 5 . CITY -WAY PHONE S'91- 3 80
DESCRIBE JOB 450",tJ%1 - SioNr_hAA)41A Ftoolt, FAm vvL 1N L vIN(, 0
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME o 4AA < oaMT I r✓C. CONTRACTOR'S REG. #T0M FkCX 14Z Df,
Card MUST be presented
CONTRACTOR'S ADDRESS �3`>t ' S ��c, sJ CITY r*Fi SIL w.9Y PHONE %7-3-19b'
EXPIRATION DATE l/--
—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 � PHONE TZ -7-7199
BOX 4 SEWER DISTRICT rig Y WATER DISTRICT _.AUM,4
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 05'875'5'1 07-7-0
LEGAL DESCRIPTION Lzv 4tt 7-zV,"i Caunn KY &S ra.'fE�
(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 I GARAGE /
BOX 8 (SINGLE FAMILY ( kNEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
Il •
PLUMBING FIXTURES (including rough -ins)
NO. WATERCLOSETS
_BATHTUBS
Z SHOWERS
5—LAVATORIES
Z SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
IL NDRY WASHER OUTLET
INALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
TAL FIXTURES
MECHANICAL APPLIANCES —
BASIC FEE $
GAS PIPING, FEET
/ $
NO. FURNACE, ELEC. GAS
y $
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 IANDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MYOOWLENE
AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT AP LICATION
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.
ANP -008 3/90
0
OFFICE USE ONLY (PLEASE DO NOT WRITE BE�W THIS LINE)
ZONE SETBACKS: FRONT_
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL
REMARKS:
SIDE
HEIGHT LIMIT
DATE
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:
RECEIVED
ASSIGNED ADDRESS:
Amount
PARTIAL PLAN CHECK FEE RECEIVED
Date
Receipt #
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 (✓ Z
ACCEPTED FOR FILING
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
BUILDING PERMIT
BUILDING INSPECTION
661-4140
PERMIT NO. 91-1388
NR OWNER'S NAME . THOMAS/LUCILE MAHONEY SITE ADDRESS 31012 36 AVE SW
SELF
CONTRACTOR
ADDRESS CONT. PHONE
CONT. REG. NO.
EXP. OWNER'S PHONE 839-3980 OWNER'S ADDRESS 29854 1 AVE S FEDERAL WAY 98003
yqy
TYPEJOB: NEW RESIDENCEXXX ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC_ PUBLIC ADD.
NEW MULTI -FAMILY
(UNITS ) MULTI. ADD. SIGN GRADING OTHER .. AND GARAGE/DECK
TAX ACCOUNT NO. 058755-0220 LEGAL DESCRIPTION LOT 22 BAYVIEW COUNTRY ESTATES PLAT RECORDED IN VOL
140 OF
PLATS, PGS 16-19 INCLUSIVE IN KING CO WASH
SUED BY ELIZABETH SNYDER DATE OF ISSUE (] -! - DATE OF APPLICATION 10/3/91
BUILDING INFORMATION
ZONE RS 15.0 SET BACKS: FRONT 20 ' __ SIDE 5 /5 _REAR _5 HEIGHT LIMIT 30'
OCCUPANCY R3/M1
TYPE OF CONSTRUCTION 5-N CENSUS NO. 101 TYPE OF HEAT GAS BLDG. SQ. FT. 4807 STORIES 2
PLUMBING NO.
NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS 4
_ ELEC. HOT WATER HEATER
GAS PIPING FT. 3.50 GAS LOGS
BATHTUBS 2
LAUNDRY DRAINS 1
FORCED AIR FURNACEGAS 1.0.00 DUCT WORK
RECEIVED
SHOWERS 2
URINALS
GAS HOT WATER HTR. 6.50 AIR HANDLING UNIT
NUMBER
LAVATORIES 5
DRINKING FOUNTAINS
CONVERSION BURNER MISC.
SINKS 2
misc.
—sstr**BOILER—SEE BELOW* BASIC FEE
RETURNED
DISHWASHERS 1
TOTAL FIXTURES 17 X--$-5.00
DRYER TOTAL MECHANICAL 20.00
AMOUNT NONE
2 486
$53
**STATE OF WASHINGTON REQUIRES DEPT OF LABOR & INDUSTRIES
VALUATION
•
PERMIT & INSPECTION APPROVAL FROM THE "BOILER" DIVISION**
PERMIT FEE $1179-00
LAN CHECK FEE 224. 00 766.00
PLANNING DEPT APPROVAL = MICHAEL THOMAS "SEPA EXEMPT"
UMBING FEE
85.00
FIRE/BLDG DEPT APPROVAL = KEVIN ELLIS
MECHANICAL FEE
20.00
(542.00)
PART P/C FEE
PUBLIC WKS DEPT APPROVAL = SUZI CUZZETO "DRIVEWAY TO ABUT & BE FLUSH
SEPAREVIEW
45.00
WITH EXISTING SIDEWALK & NOT TO ENCROACH WITHIN THE SIDEYARD SETBACK.
PUBLIC WORKS
4.50
APPROVED DRAINAGE SYSTEM IS TO BE USED FOR DOWNSPOUTS & ALL DRAINS"
S.B.C.C. FEE
FIRE FEE
DATE:
$1557.50
OTHER FEES
AMOUNT DUE
$1557.50
AMOUNT:
RECEIPT: l �%
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.
l�`
OWNER OR AGENTFz���
��_ DATE
Perm' 1 ' l 3 yy Iye
RECEIVIED CITY OF FEDERAL WAY 5 yam -
0 OCT 3 - 1991 BUILDING PERMIT APPLICATION 1-"1"4 16-3 -�7/
— Please Print U_ j
CITY OF FEDERAL WAY
NOT
BOX 1 NT AME: A I'I'I v
OWNERMq"kt'SITE LOCATION 1 Q'N— 5% \k
OWNER'S ADDRESS -D-q 86-4 - is-�V e 5, . CITY ,,N,,A )!v� PHONE 3_:S` -
DESCRIBE JOB Wevv
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION_
BOX 2 CONTRACTOR'S NAMECONTRACTOR'S REG
CONTRACTOR'S ADDRESS
EXPIRATION DATE h
1'
CITY
1211P►la
-•d MUST he presented
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 T,. Ma,\tieti PHONE 'I - 2A S O
BOX 4 SEWER DISTRICT t-eay,r�\\Na.si WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST --l- (_-'L,/) (-,)/ X) EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER - V 7 — -- 0 --
LEGAL DESCRIPTION LOt "!) 'I V'1,0,, s�n��cn ES
(If necessary, please submit a separate page with the legal des(cription.)
K.C. Plat Recording #
•X 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR'S / 2ND FLOOR /
3RD FLOOR / BASEMENTf� DECK 22GARAGE
BOX 8 (X) SINGLE FAMILY
NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = )
( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL
TOTAL AREA OF PROPERTY E 0
SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES — BASIC FEE $
NO. 4 WATERCLOSETS
GAS PIPING, FEET
$ 3
BATHTUBS
NO. I FURNACE, ELEC. GAS
$ /F' - c '
_:;?- SHOWERS
GAS HOT WATER HEATER
$ - ^ C
x, LAVATORIES
CONVERSION BURNER I oo app
$
K
SINKS
_BOILER, SIZE � g.D . BTd1
$
DISHWASHERS
AIR HANDLING UNITS
$
ELECTRIC HOT WATER HEATER
HEAT PUMPS, SIZE
$
1 LAUNDRY WASHER OUTLET
UNIT HEATERS
$
URINALS
:�:AIR COOLING UNITS, SIZE
$
DRINKING FOUNTAINS
COMMERCIAL HOOD
$
SUMPS, SPRINKLER VACUUM BREAKERS
OTHER 1Ti
DRAINS
! ;`e -f i. 0 L
'64 � $'
'
�' C-4 C v' 41 =-., F
j-�dw $
TOTAL FIXTURES
'
$
TOTAL MECHANICAL FEE
$ u -I c'C/
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
I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM (INCLUDING COSTS, EXPENSES, AND ATTORNEYS'
f_DE.
S 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 QVHE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS
APPLICATION.
OWNER/AGENT: `
DATE:
ANP -008 3/90
•
0
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE S t'�;.OSETBACKS: FRONT 2u ( SIDE S REAR 5 f HEIGHT LIMIT °
PLANNING DEPARTMENT APPROVAL
REMARKS: .kL
SEPA: EXEMPTS NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE /D -3� - Fj.
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVALCzv.� DATE ' -' 7
REMARKS: w,e,- fe -V— W iS c1 %, �►�-C��-�-C�
_b Grew Sc�f �G� G.ItLL A*Pit-,617� _!e OtZWI— /O 4e hxe ti
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 CONSTRICTION
STORES
l,t v(t �Sr
BUILDING SQ. FT.
S
@
72-
137gq
2k
BUILDING SQ. FT.
f `$ 3
@
(f =
3)
6a e,
BUILDING SQ. FT.
65-
@
l 1 6 B. ZO
ne K
BUILDING SQ. FT.
Lfz
@
l7, 7
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@Z�(I�(�
TOTAL SQ. FT.
TOTAL VALUATION
'55
3���`O�
BUILDING DEPARTMENT REMARKS:
PERMIT FEE It 77
PLAN CHECK FEE 7
PLUMBING FEE 95 -
MECHANICAL
SMECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE {
OTHER FEES
AMOUNT DUE
PF—cS- NED
CC, 3 - A99A
ASSIGNED ADDRESS: 3 10 f Z 3 Vy- S.
Amount
PARTIAL PLAN CHECK FEE RECEIVED
Date
Receipt #
BUILDING DEPARTMENT APPROVAL
BY DATE 11 18 - q
ACCEPTED FOR FILING
'ITY CF FEDERAL WAY
3530 First Way South
=ederal Way, WA 98003
BUILDING PERMIT
BUILDING INSPECTION
661-4140
PERMIT NO.
OWNER'S NAME _ _. SITE ADDRESS
CONTRACTOR
ADnRESS
CONT. PHONE
CONT. REG. NO.
EXP. OWNER'S PHONE OWNER'S ADDRESS
TYPEJOB: 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
ONE
SET BACKS: FRONT SIDE REAR
HEIGHT LIMIT
OCCUPANCY
TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT _ BLDG. SQ. FT.
STORIES
PLUMBING
NO. NO,
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS
ELEC. HOT WATER HEATER
GAS PIPING FT. GAS LOGS
RECEIVED
BATHTUBS
LAUNDRY DRAINS
FORCED AIR FURNACE DUCT WORK
SHOWERS
URINALS
GAS HOT WATER HTR. AIR HANDLING UNIT
NUMBER
LAVATORIES
DRINKING FOUNTAINS
CONVERSION BURNER MISC.
RETURNED
SINKS
MISC.
BBQ BASIC FEE
DISHWASHERS
TOTAL FIXTURES
DRYER TOTAL MECHANICAL
AMOUNT
VALUATION
PEMNIZIT. & IM;PFCT.; ON 1�..I PPOVAL
?'x ilii G 1-i eT APPROVAL ae "_•UCHARL Tii(.MM *l.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
' %Y �?F sl :a i}? -°PT APPROV - "I --FTN F`s
{'
MECHANICAL FEE
PART P/C FEE
`r ,e- �. r•e+ ,cs:u etx4 zT .r;".' :r
' l AnJTc �.'Y+v i
,^.s1
SEPA REVIEW
.PPROVAT,--
s:�� T�, eai=l�x :i'k'u�.: bt
PUBLIC WORKS
S.B.C.C. FEE
FIRE FEE
DATE:
OTHER FEES
AMOUNT:
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 ...../1 _ 9 BY _.....- - -
O.K TO POUR FOUNDATION WALLS
DATE_..- .-BY -
PLUMBING GROUNDWORK
DATE ... - �7 92 __BY
PLUMBING ROUGH IN
DATE ..-3'"/: fl...BY ...--.....
WATER LINE O.K. _..._ /q_-_._ _
GAS PIPING O.K. __/_/-....yZ __ _
MECHANICAL INSPECTION �+
DATE 11 5<-4..2 BY CU ll
O.K. TO ENCLOSE FRAMING
DATE /" 2BY _ ....._-
INSULATION
DATE ....L `�Z.._BY -_
WALL BOARD AN FIRE
'� WALL
�� J
DATE -.......-.���BY
FINAL O.K. TO OCCUPY j
DATE _ ..-- -- _�BY
DCD
PSD
F
FID
ITY OF FEDERAL WAY
3530 Federal Way, WA 98003 BUILDING PERMIT BUILDING INSPECTION661-4140
PERMIT NO.
OWNER'S NAME SITE ADDRESS
CONTRACTOR
ADDRESS
CONT. PHONE _
CONT. REG. NO.
EXP. OWNER'S PHONE OWNER'S ADDRESS
TYPEJOB: 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
ONE
SET BACKS: FRONT SIDE REAR
HEIGHT LIMIT
OCCUPANCY
TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG. SQ. FT.
STORIES
PLUMBING NO.
NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS
ELEC. HOT WATER HEATER
GAS PIPING FT. GAS LOGS
RECEIVED
BATHTUBS
LAUNDRY DRAINS
FORCED AIR FURNACE DUCT WORK
SHOWERS
URINALS
GAS HOT WATER HTR. AIR HANDLING UNIT
NUMBER
LAVATORIES
DRINKING FOUNTAINS
CONVERSION BURNER MISC.
RETURNED
SINKS
MISC.
BBQ BASIC FEE
DISHWASHERS
TOTAL FIXTURES
DRYER TOTAL MECHANICAL
AMOUNT
VALUATION
BLDG DEPT J,rrv:vVAL = Kk-. N ELLIS
PERMIT FEE
~ HR OF PLAN REVIEW $30.00 Rw
PLAN CHECK FEE
PLUMBING FEE
q
SHALL MAINTAIN XINIMUM S AB AS
PKO.UIRED BY THE
MECHANICAL FEE
ABUILDFiR'"'/"IER iCKS
PLANNING DEPT"
PART P/C FEE
SEPA REVIEW
PUBLIC WORKS
S.B.C.C. FEE
FIRE FEE
DATE:
OTHER FEES
AMOUNT:
AMOUNT DUE
RECEIPT: 4
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 _—_... BY
PLUMBING ROUGH IN
DATE _ _.__—. BY_
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
FD
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