92-100597CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
BUILDING PERMIT
9-)-/00597
BUILDING INSPECTION
661-4140
PERMIT NO. 92-618
OT _OWNER'SNAME CENTEX SITE ADDRESS 1611 SW
330 PL
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 CHANGE FOUNDATION VENTS
TO RIM JOIST
TAX ACCOUNT NO. 010457-0400
LEGAL DESCRIPTION
ISSUED BY E SNDYER
DATE OF ISSUE DATE OF APPLICATION
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 = ICC ELLIS
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:
OTHER FEES
AMOUNT: $30.00
AMOUNT DUE
$3O OO
RECEIPT:
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF N ORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATIO RNISHED�BY M S TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL
BE MET.
'^OWNER OR AGENT
` DATE
«) 6
Permit # 1
d, . - . 0 0 0
"WE IVES
MAY 2 81
CITY OF FEDERAL WAYS
OrrvoF�M 2 BUILDING PERMIT APPLICATION��---
"bliz L�PTM�AY — Please Print —
BOX 1 TENANT NAME:
OWNER Cl&j SITE LOCATION 1 b l l i; 2AC^"OWNER'SADDRESS 23ZC' i'3079AItyP._ i\h CITY PHONE
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. #C'_q-r-,*-A1E V(ZA Q ,
Card MUST be presented
CONTRACTOR'S ADDRESS CITY PHONE
EXPIRATION DATE
—OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEF NI IONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON yh - ( r�sr'jNL PHONE g7I-177S—
BOX 4 SEWER DISTRICT C-WWS WATER DISTRICT V�A�\S
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION C` 00C
BOX 6 PROPERTY TAX ACCOUNT NUMBER �f CIS %— G 40 C)
LEGAL DESCRIPTION U 1 � La- � 1-6i
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # SCO Zc CCLk-n
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR _/ BASEMENT / DECK / GARAGE /
BOX 8 (�SINGLE FAMILY (%y NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (includi rough -ins)
N0. WATERCLOSE
BATHTUBS
LAVA
SINK
DI WASHERS
CTRIC HOT WATER HEATER
NDRY WASHER OUTLET
IES
URINALS
DRINKING FOUNTAINS
SUMPS, 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 KNO (LEDGE
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 FEDERAL WA UT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPL EES, UPO HE AC AC OF THE INFORMATION SUPPLIED TO THE CITY AS A PART,OF THIS APPLICATION.
OWNER/AGENT: ; `� DATE: _icl-�
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:
14v 61A 4 -
RECEIVED
ASSIGNED ADDRESS: j '
Gt
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
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt #
BUILDING DEPARTMENT APPROVAL G�
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. 92-618
NR OWNER'S NAME CENTEX HOMES SITE ADDRESS 1611 SW 330TH PL
CONTRACTOR CENTEX
HOMES
ADDRESS 2320 130TH AVE NE E-200 BELLEVUE CONT. PHONE 622-8288
CONT. REG. NO. CENTEH1010A
EXP. 92 OWNER'S PHONE 622-8288 OWNER'S ADDRESS 2320 130TH AVE NE E-200 BELLEVUE
TYPEJOB: NEW RESIDENCE XX 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. 010457-0400
LEGAL DESCRIPTION LOT 187 ALDERBROOK DIV 8
JOANNE
ISSUED BY
JOHNSON
DATE OF ISSUE _ DATE OF APPLICATION 4-17-92
BUILDING INFORMATION
RS 5.0
201 51 30'
ONE_
LLUMBING
SET BACKS: FRONT
SIDE _ ___REAR HEIGHT LIMIT
CCUPANCY R -A --TYPE
OF CONSTRUCTION
VN CENSUS NO. 101 TYPE OF HEAT GAS BLDG. SQ. FT. 2379 STORIES
NO.
NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS 3
ELEC. HOT WATER HEATER
GAS PIPING 15 FT. 2-00 GAS LOGS _
BATHTUBS
LAUNDRY DRAINS
FORCED AIR FURNACE 10-00 DUCT WORK
RECEIVED
SHOWERS 1
URINALS
GAS HOT WATER HTR. 6-50 AIR HANDLING UNIT
NUMBER
4
LAVATORIES
DRINKING FOUNTAINS
CONVERSION BURNER MISC.
1MISC.
RETURNED
SINKS
BBQ BASIC FEE
DISHWASHERS 1
TOTAL FIXTURES 12X5= 60___00
DRYER TOTAL MECHANICAL 18.50
AMOUNT
PLANNING DEPT APPROVAL: DB 4-24-92
VALUATION
128,785.81)
741.00
PUBLIC WORKS DEPT APPROVAL: DOUWNSPOUT, FOOTING DRAINS, AND RUN—OFF FROM
PERMIT FEE
$136-00
482.00
IMPERVIOUS SURFACES SHALL BE TIGHTLINED TO
PLAN CHECK FEE
JS 4-27-92
60.00
THE APPROVED STORM DRAIN CONNECTION AS RE—
PLUMBING FEE
18.50
QUIRED PER CONDITION OF APPROVED PLAT.
MECHANICAL FEE
PART P/C FEE
(346.00)
BUILDING/FIRE DEPT APPROVAL: KC 5-6-92
PA REVIEW
35.00
JBLIC WORKS
4.50
S.B.C.C. FEE
FIRE FEE
DATE:
OTHER FEES
AMOUNT: $995.00
995.00
AMOUNT DUE
RECEIPT:
1) 1 -- 6 C2 k
ALL PERMITS EXPIRE 180 DAYS AFTER IS
E IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INF
MATION URNIS D
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
Wermit #
CITY OF FEDERAL WAY y �v
` t > > 1992BUILDING PERMIT APPLICATION v
;: l*F4fiL WAY —Please Print 2 Yx 72-
inii.;)im'4 [ FPT `f - L 7 —'E.2—
BOX 1 TENANT NAME:
OWNER e5 SITE LOCATION
OWNER'S ADDRESS r'- % CITYPHONE�iyZS
DESCRIBE JOB -�'-
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME Ce il CONTRACTOR'S REG. # _(__,ep f f'/f /1' A)/ Q �
Card MUST be presented
CONTRACTOR'S ADDRESS 36 A �j C P1 CITY /%C'- (v w PHONE 6402
EXPIRATION DATE .912''
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.
j'�ye__ �G PHONE a ?
BOX 3 CONTACT PERSON .1 �, J �'" I2
BOX 4 SEWER DISTRICT Fi";'"A' `3 WATER DISTRICT EW w
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT
LEGAL DESCRIPTION
(If necessary, please submit a separate 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 /
BOX 8 SINGLE FAMILY bre) NEW CONSTRUCTION � -7
MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 6'-7 2 0 SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES — BASIC FEE $
NO. WATERCLOSETS
GAS PIPING, FEET /_5 , $ ' ���
i BATHTUBS
NO. / FURNACE, ELEC. GAS _ $
SHOWERS
GAS HOT WATER HEATER $ C • S t�
—LAVATORIES
CONVERSION BURNER $
SINKS
BOILER, SIZE BTU $
1 DISHWASHERS
AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER
HEAT PUMPS, SIZE $
i LAUNDRY WASHER OUTLET
UNIT HEATERS $
URINALS
AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS
COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS
OTHER $
DRAINS
$
OTHER _
$
vT� TOTAL FIXTURES
$
X = 60, a 3
TOTAL MECHANICAL FEE $ 9 F _c
I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION
FURNISHED'3Y!AE 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 FED WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY; INCLUDING ITS
OFFICERS AND EMPLOY T CCS RACY OF THE INFORMATION SUPPLIED TO THE CITY A A PART OF THIS APPLICATION.
OWNER/AGENT: _
DATE:
ANP -008 3/90
•
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS %L
ZONE` `> ' ` SETBACKS: FRONT ��� SIDE S` REAR ✓ HEIGHT LIMIT /
PLANNING j*PtRTff NT QPrROVAL qd .
REMARKS: o ui ing sena I encroach or o arly building sseelpbaamine or easemelill, shown or not s m l'
SEPA: EXEMPT LI/ NOT EXEMPT
FIRE DEPARTMENT APPROVAL.- DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE 27-92—
REMARKS: ')
to the approved storm drain connection as rwn��lrod ..�....,n"
r -pvrwnpippir9t�7
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
V 8 Z
OCCUPANCY &
-3 _
TYPE OF CONSTRUCTION
STORES
�K ST
BUILDING SQ.
FT.
3�`
@ 7 Z
BUILDING SQ.
FT.
q 3 Z
@ 7 ?L(Z, o
_ Qw0. 2-
BUILDING SQ.
FT.
6
@ IS "3O = TO 76, 9
BUILDING SQ.
FT.
@ _
BUILDING SQ. FT.
BUILDING SQ. FT.
TOTAL SQ. FT.
BUILDING DEPARTMENT REMARKS:
RECE tv
APR 1 7
ASSIGNED ADDRESS: IC, f I SW 3
TOTAL VALUATION
PERMIT FEE
PLAN CHECK FEE
V 8 Z
PLUMBING FEE
60
MECHANICAL FEE
/ S
TOTAL BLDG. FEES
PART P/C FEE
3�`
SEPA REVIEW
fLBUc woke$
�uS ev,
S.B.C.C. FEE
/ S
OTHER FEES
AMOUNT DUE
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt # 0
( �iL
BUILDING DEPARTMENT APPROVAL
BY _ DATE _6 Z
ACCEPTED FOR FILING
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
BUILDING PERMIT
BUILDING INSPECTION
661-414.0
PERMIT NO.
OWNER'S NAME SITE ADDRESS
CONTRACTOR
ADDRESS
CONT. PHONE
CONT. REG. NO.
EXP. OWNER'S PHONE OWNER'S ADDRESS
TYPE JOB: NEW RESIDENCE
ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMM ERC{/11.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
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
.BL'!)1G APPR(WAL KC
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
P/C FEE
EPA REVIEW
rSART
UBLIC WORKS
.B.C.C. FEE
IRE 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 ___.-BY
OX TO POUR FOUNDATION WALLS
DATE -, . . . ....... . - ..BY ___
PLUMBING GROUNDWORK
DATE BY
PLUMBING ROUGH IN
DATE. - ___-BY
WATER LINE O.K. . ..... .
GAS PIPING
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
Fl)
uc)
0 0
CIT, F FEDERAL WAY
3` 30 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 _
SETBACKS: FRONT SIDE
REAR HEIGHT LIMIT
CCUPANCY
TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG. SQ. FT. STORIES
PLUMBING NO.
L1)
NO.
MECHANICAL APPLIANCES
AMT. AMT.
BOND
4 QGAS
WATER CLOSETS
ELEC. HOT WATER HEATER
GAS PIPING FT.
' LOGS
10. �
RECEIVED
BATHTUBS
LAUNDRY DRAINS
FORCED AIR FURNACE _
DUCT WORK
C . �
a
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
:,.3s.•s..m.�;*,:ls ..::.e.', ::i:i .tIV�I,n
�=zs '�--�z' _�.
,.,� -,c+�
VALUATION
Mi,IC'E:XM'3 PEPTAPPROVAL:,
W-0VUSPOUTO F01PTING DRAINS, AND RUN—OFT FRM
PERMIT FEE
.,
WS �A�..TiS 1.7M L BE TIGHTL.icarINIED "A)
��"1Oi'kf'
PLAN CHECK FEE
q
a sr9 ^s%�'9 .:
TH& APPROVED SWIRM DRAIN LIMA ;{`TION .AS RE .
PLUMBING FEE
Qi IRED g.EalR COUDITI N OF$PP�.r LAT.
�t
MECHANICAL FEE
3TYZLDTffGj F1RE DEPT APPROVAL:
KC. 5-6-92
RT P/C FEE
'EPA REVIEW
PUBLIC WORKS
S.B.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 _�'�_C=5 2BY _ ...— �s __.._—
OX TO POUR FOUNDATION WALLS
DATE _------ _...BY
PLUMBING GROUNDWORK
DATE BY
4'
PLUMBING ROUGH IN
DATE BY
DATEBY -----..._
WATER LINE O.K.j
GAS PIPING O.K.___. Z_-?/� .. _
NSPECTION
MECHANICAL INSPECTION-
DATE
O.K. TO ENCLOSE FRAMING
DATE .� - --_ BY .....--.
INSULATION
DATE ...._ -_y ��......BY - _ _
WALL BOARD AND FIRE WALL
'f
DATE ____
FINAL O.K. TO OCCUPY
-a -
DATE
DCD
PSD
FD
-2- OYA /%/z a
axr- C /V x
G - 30 -9'2