92-100598CITY OF FEDERAL WAY
33530 First Way South
FederNW, WA 98003
REVISION ONLY
BUILDING PERMIT
9 ). loo 5751,9 -
BUILDING INSPECTION
661-4140
92-617 OT
CENTEX HOMES 1605 SW 330 PL
PERMIT NO.
OWNER'S NAME
_. SITE ADDRESS
CONTRACTOR OWNER 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 REVISION TO 92-617 NR
TAX ACCOUNT NO.
010457-0390
LEGAL DESCRIPTION CHANGE FOUNDATION VENTS ONLY
ISSUED BY EBS
DATE OF ISSUE �- 2 DATE OF APPLICATION 6/24/92
BUILDING INFORMATION
ZONE
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
APPROVAL=KC ELLIS "1 HR PLAN REVIEW"
PERMIT FEE
PLAN CHECK FEE
$30.00
PLUMBING FEE
MECHANICAL FEE
PART P/C FEE
SEPA REVIEW
PUBLIC WORKS
S.B.C.C. FEE
FIRE FEE
DATE:
$30.00
OTHER FEES
AMOUNT DUE
$30.00
AMOUNT:
RECEIPT:
2 - �Z
ALL PERMITS EXPIRE 180 DAYS AFTER ISSU E IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE I
ORMATION URNISHEiJ B 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
. V60
JUN
JUN 2 4 jqg2
Permit # ( L �t
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION 6004J��
— Please Print
BOX 1
TENANT NAME:
GAS PIPING, FEET
$
OWNER
SITE LOCATION—A1C - l-• ' "� 4—
GAS HOT WATER HEATER
OWNER'S ADDRESS 7.1-2c_, 0<611
CITY_ PHONE L,1 -_ 21
$
,��i:_Yu�+
DESCRIBE JOB
$
THE PROPERTY IS OWNED BY: SINGLE/MARRIED
PARTNERSHIP CORPORATION
BOX 2
CONTRACTOR'S NAME
CONTRACTOR'S REG.
$
AIR COOLING UNITS, SIZE
Card MUST be presented
COMMERCIAL HOOD
CONTRACTOR'S ADDRESS
CITY PHONE
$
EXPIRATION DATE1, r. A 7
—OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DE
IONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS IS UING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3
CONTACT PERSON
PHONE7 7IL
BOX 4 SEWER DISTRICT
WATER DISTRICT
BOX 5
ESTIMATED PROJECT COST
EXISTING BUILDING VALUATION��
BOX 6
PROPERTY TAX ACCOUNT NUMBER c_)
i 'i - Dc_
LEGAL DESCRIPTION 0
1—% -,au_ ��)�,a
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
- (c. _ - ?_'off r.,F4i"�
BOX 7
BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8
SINGLE FAMILY
('>q NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = )
( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL
TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
N0. WATERCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
_SINKS
DISHWASHER
ELECTRIC T WATER HEATER
LAUND WASHER OUTLET
URI S
D KING FOUNTAINS
UMPS, 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 EMPLOYEET"UPON T E ACQURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT:
DATE:
ANP -008 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
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/W NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANyMP. 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 #
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
ACCEPTED FOR FILING
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
BUILDING PERMIT
BUILDING INSPECTION
661-4140
PERMIT NO. 92-617 NR OWNER'S NAME __ CENTEX HOMES SITE ADDRESS 1605 SW 330 PL
CONTRACTOR OWNER ADDRESS 2320 130 AVE NE E-200 BELLEVUE CONT. PHONE 622-8288
CONT. REG. NO. CENTEH*1010A EXP. 10/92 OWNER'S PHONE OWNER'S ADDRESS
TYPEJOB: NEWRESIDENCE XXX ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN-- -- GRADING OTHER ..AND GARAGE
TAX ACCOUNT NO. 010457-0390 LEGAL DESCRIPTION LOT 186 ALDERBROOK DIV 8
ISSUED BY E SNYDER DATE OF ISSUE DATE OF APPLICATION 4117/92
BUILDING INFORMATION
ZONE RS 5.0 _SET BACKS: FRONT 20 SIDE 511 /5 REAR 5 HEIGHT LIMIT 301
OCCUPANCY R3/M1 TYPE OF CONSTRUCTION 5—N CENSUS NO. 101 TYPE OF HEAT GAS ----BLDG. SO. FT. 2730 STORIES 2
LUMBING NO. NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
ATER CLOSETS 3ELEC. HOT WATER HEATER
GASPIPING 15 FT. 2.00 GASLOGS
ATHTUBS 2 LAUNDRY DRAINS �"
rS
FORCED AIR FURNACE 10.00 DUCT WORK
RECEIVED
HOWERS 1 URINALS
GAS HOT WATER HTR. 6.50 AIR HANDLING UNIT
NUMBER
LAVATORIES 5 DRINKING FOUNTAINS
CONVERSION BURNER MISC.
SINKS _ MISC,
BBQ BASIC FEE
RETURNED
DISHWASHERS 1 TOTAL FIXTURES 14 X $5.00
DRYER TOTAL MECHANICAL 18-5
AMOUNT NONE
VALUATION $153,993
PLANNING APPROVAL = DEB BARKER
PERMIT FEE $829.00
PLAN CHECK FEE$ 151. 00 539.00
FIRE/BLDG APPROVAL = KEVIN ELLIS
PLUMBING FEE 70.00
PUBLIC WKS APPROVAL = JEFF S
MECHANICAL FEE 18.50
PART P/C FEE 02-18872 (388.00)
SEPA REVIEW 4/17/92
BLIC WORKS 35.00
B.C.C. FEE 4.50
FIRE FEE
DATE:
OTHER FEES
AMOUNT DUE $1108' 00
AMOUNT: $1108.00
RECEIPT:
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF N KIS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION RNISH BY ME TRU AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL
"nE MET.
OWNER OR AGENT DATE l
BOX 9 PLUMBING FIXTURES (including rough -ins)
"tcIVE'CO Wermit #
l '7ifl (C
GAS PIPING, FEET -is: $ z-, "o
Z BATHTUBS
NO. FURNACE, ELEC. GAS C $
SHOWERS
OR 1 7 1992 CITY OF FEDERAL WAY
LAVATORIES
CONVERSION BURNER $
:At'i'�''isDING PERMIT APPLICATION
r
3�
DISHWASHERS
,M"A — Please Print —
C) D (JY 72-
Z!7
HEAT PUMPS, SIZE $
LAUNDRY WASHER OUTLET
17-4
BOX 1
TENANT NAME:
DRINKING FOUNTAINS
COMMERCIAL HOOD $
OWNER ti SITE LOCATION
OTHER $
OWNER'S ADDRESS 3 2Z 60) f�✓ F '�'-� %' CITY �'L1L /J �
PHONE L,� _
OTHER
DESCRIBE JOB � ._� �_4s
TOTAL FIXTURES
_ $
THE PROPERTY IS OWNEb BY: SINGLE/MARRIED PARTNERSHIP
CORPORATION
BOX 2
CONTRACTOR'S NAME <fzettie 1-7 'y/E`- CONTRACTOR'S REG. #� F't
AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE
CONTRACTOR'S ADDRESS 2,322) (3� f r?"
��, CITY &IMC C
Card MUST be presented
PHONE .�
WAY AS TO ANY CLAIM (INCLUDING COSTS, EXPENSES; ANDATTORNEYS'
EXPIRATION DATE/!�7 7
c
AND FILED AGAINST THE CITY OF FED t -WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
—OR—
OWNER/AGENT:
DATE:`��
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 <' L 1-a
PHONE
BOX 4 SEWER DISTRICT F LO U3 S WATER DISTRICT
BOX 5
ESTIMATED PROJECT COST ,! 0 EXISTING BUILDING VALUATION
"�"'---
BOX 6
PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION i^� - i l�& 1 +" ' ' IML ,L f G%
(If necessary, please submit peyarate page with the legal description.)
K.C. Plat Recording #
BOX 7
BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 1122 2ND
FLOOR //0,70
3RD FLOOR / BASEMENT / DECK /
GARAGE
BOX 8 SINGLE FAMILY NEW CONSTRUCTION
`Z
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE 7�7
COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY
SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES — BASIC FEE $
NO. 3 WATERCLOSETS
GAS PIPING, FEET -is: $ z-, "o
Z BATHTUBS
NO. FURNACE, ELEC. GAS C $
SHOWERS
_GAS HOT WATER HEATER $ St3
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 HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS
OTHER $
DRAINS
$
OTHER
$
TOTAL FIXTURES
_ $
. , 76 _ c; v
TOTAL MECHANICAL FEE $ 'r6
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; ANDATTORNEYS'
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 FED t -WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPL N T ACC RACY OF THE INFORMATION SUPPLIED TO THE CITY AS PART OF THIS APPLICATION.
OWNER/AGENT:
DATE:`��
ANP -008 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE15-1—.0 SETBACKS: FRONTSIDE > _ REAR J HEIGHT LIMIT''
PLANNING DEPARTMENT APPROVAL
REMARKS: - - °� mail encroach ont an bulydfng setback rine or ea-sement; shown or nn*=!- -�- m
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE r
REMARKS: Downsmil f oba drains. and aon-off fw (mperYiOUS SUrf&ceS shah
to the approved storm drain connection as required per condition of ,,AL
TYPE OF JOB: NEW RESIDENCE_ RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALTS TENANT IMP. OTHER
OCCUPANCY h 7 TYPE OF CONSTRUCTION VAI STORES
V S T BUILDING SQ. FT. ZZ� @ '12 Y
2 BUILDING SQ. FT. 1070 @ _ ?0 0o 3
u qe- BUILDING SQ. FT. `'I �f 0 @ • 30
li BUILDING SQ. FT. @ _
BUILDING SQ. FT.
BUILDING SQ. FT. @
TOTAL SQ. FT.
BUILDING DEPARTMENT REMARKS:
ASSIGNED ADDRESS: _ 0 5 0 330
/ to F79— _ _
TOTAL VALUATION —1S 317 q` S
WCEIVED PARTIAL PLAN CHECK FEE RECEIVED
Amount 3�� Date Receipt# U7-- /$j7
APR 1
BUILDING DEPARTMENT APPROVAL
Sb,rs,.� BY ` c,- DATE 1 Z
u�.i�GEiVED
ACCEPTED FOR FILING
e Zy
PERMIT FEE i
PLAN CHECK FEE I\
S-39
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
evsuz W�5
S.B.C.C. FEE
S C
OTHER FEES
AMOUNT DUE
WCEIVED PARTIAL PLAN CHECK FEE RECEIVED
Amount 3�� Date Receipt# U7-- /$j7
APR 1
BUILDING DEPARTMENT APPROVAL
Sb,rs,.� BY ` c,- DATE 1 Z
u�.i�GEiVED
ACCEPTED FOR FILING
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
BUILDING PERMIT
BUILDING INSPECTION
661-4140
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
NE
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
DRYER TOTAL MECHANICAL
AMOUNT
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
ECHANICAL FEE
RT P/C FEE
a EPA REVIEW
WORKS
pPUBLIC
.C.C. FEE
FIRE FEE
DATE:
OTHER FEES
AMOUNT:
AMOUNT DUE
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.
OWNER OR AGENT
DATE
SET BACKS AND FOOTINGS
DATE^//2L1. 2 BY /( ;—* .J _
O.K TO POUR FOUNDATION WALLS
DATE Y _..
PLUMBING GROUNDWORK
DATE — - BY
PLUMBING ROUGH IN
DATE,, 7 `2 Y`9o7-BY ._ G N
WATER LINE O.K. _
GAS PIPING O.K. _�2-- 5/. Z
MECHANICAL INSPECTION
DATE _. �� 2 y y2BYIV-
O.K. TO ENCLOSE FRAMING
DATE,-..--72'.._.1"2.::BY .__ _.—_
INSULATION
DATE ....-3Z_-QL.._.BY .�.
WALL BOARD AND FIRE WALL
DATE �L, J!._Z _......_BY/'
FINAL O.K. TO OCCUPY
DATE !�- ��—BY _>-A-n—T___—
DCD
PSD
FD
:TY OF FEDERAL WAY
3530 First Way South
federal Way, WA 98003
BUILDING PERMIT
BUILDING INSPECTION
661-4140
PERMIT NO.
OWNER'S NAME SITE ADDRESS
_
CONTRACTOR
ADDRESS
CONT. PHONE
CONT. REG. NO.
EXP. OWNER'S PHONE OWNER'S ADDRESS
TYPEJOB: NEWRESIDENCE
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
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
DRYER TOTAL MECHANICAL
AMOUNT
VALUATION
PI1,AN MING As Yt{k.i'f1%i DEB BARKP
PERMIT FEE
FIRF/BLDG APPROVAL = Rf-VT'N ILLIS
7
-
PLAN CHECK FEE
^ I;R
PUBLIC MES APPROVAL =JEFF S
PLUMBING FEE
ECHANICAL FEE
RT P/C FEE
PA REVIEW
PUBLIC WORKS
—
S.B.C.C. FEE
FIRE FEE
DATE:
OTHER FEES
AMOUNT:
AMOUNT DUE
RECEIPT: t '"
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 cr7yvBY _..._jv._...._.
OX TO POUR FOUNDATION WALLS
DATE ....._..._....__BY —....._—.____..
PLUMBING GROUNDWORK
DATE _ BY
PLUMBING ROUGH IN
DATE ... __. BY ..—___
WATERLINE 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 L .BY J� 1`�1
——
DCD
PSD
FD
-36 --,F /W49 1471-41 aiz
r