90-101224CITY OF
FEvERXL WAY
BUILDING PERMIT
56,/bi2)Y
BUILDING INSPECTION
941-1555
BLDG 16
PERMIT NO. 90l.rl-AlOWNER'S
NAME YOUNG
DEVELOPMENT
JOB ADDRESS 31500 -
33RD PLACE SW
PUG O
ND MECHANICAL
10015 19TH AVE E
TACOMA, WA
537-8900
CONTRACTOR
ADDRESS
CONT. PHONE
PUGETI*217LQ
854-9610
10803 RENT
RANGLEY ROAD RENT
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.
- ,��0—i--�// LEGAL DESCRIPTION
ISSUED BY JOANNE JOHNSON
DATE OF ISSUE
DATE OF APPLICATION 8-30-90
BUILDING INFORMATION
NE
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
_ :2
RECEIVED _
BATHTUBS __8
LAUNDRY DRAINS $__
COMPRESSOR _
TANK(S)
SHOWERS __ 4
URINALS __
FORCED AIR FURNACE
AIR HANDLING UNIT
NUMBER _
LAVATORIES 16
DRINKING FOUNTAINS
GAS HOT WATER HTR. _
MISC.
_
RETURNED -
SINKS _ 0
MISC. PERMITFEE 20.00
CONVERSION BURNER
BASIC FEE
DISHWASHERS _$_
TOTAL FIXTURES72X5=360.00
UNIT HEATER
TOTAL MECHANICAL
AMOUNT
380 00
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
380 _ 00
CHANICAL FEE
OTAL BLDG. FEES
PART PIC FEE
DATE:
SEPA REVIEW
WATER SERVICE
AMOUNT:
}u( CJ
WATER MAIN CHG.
S.B.C.C. FEE
RECEIPT:
2d Z 3
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:
7
n
Q Q
I (�
OWNER OR AGENT a
X A �-
DATE
0
rmit# �()-IY31 f
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1
TENANT NAME:
GAS PIPING, FEET
$
OWNER SITE LOCATION 31500 33 vzo.
'Pi -r— S . w .
GAS HOT WATER HEATER
OWNER'S ADDRESS.., 3 K,.--PJr KA1t6LE-e CITY KENT'
PHONE 854 -9(610
$
DESCRIBE JOB _FL -u-,-5 "gL_D. W IG
$
IR HANDLING UNITS
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP
CORPORATION >Q
BOX 2
CONTRACTOR'S NAME CONTRACTOR'S REG. #P 't
$
IR COOLING UNITS, SIZE
Card MUST be presente
OMMERCIAL HOOD
CONTRACTOR'S ADDRESS loo 15 N/Ill- A VAC, 5'. CITY TA c.0 nn a
PHONE 53-7-9'100 \
$
EXPIRATION DATE r a-31 -F 0
—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 -r->A,,, A L,_ iS o f,)
PHONE S3 Z - a9oo
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5
ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6
PROPERTY TAX ACCOUNT NUMBER
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 / 2ND
FLOOR /
3RD FLOOR / BASEMENT / DECK /
GARAGE /
BOX 8
( ) SINGLE FAMILY NEW CONSTRUCTION
(�--j MULTIFAMILY (NO. OF UNITS = 8 ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY
SQ FT
M •
PLUMBING FIXTURES (including rough -ins)
NO. IoZ WATERCLOSETS
8 BATHTUBS
_SHOWERS
I4 LAVATORIES
8 SINKS
9DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
5DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
TOTAL FIXTURES
MECHANICAL APPLIANCES —
BASIC FEE $
GAS PIPING, FEET
$
N0. FURNACE, ELEC. GAS
$
GAS HOT WATER HEATER
$
ONVERSION BURNER
$
OILER, SIZE BTU
$
IR HANDLING UNITS
$
EAT PUMPS, SIZE
fU
$
NIT HEATERS
$
IR COOLING UNITS, SIZE
$
OMMERCIAL HOOD
$
THER
$
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 EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: -D. R . D DATE: S - 3o - 90
ANP -008 3/90
CITY OF
FEDERAL WAY
BUILDING PERMIT
BUILDING INSPECTION
941-1555
43
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 N0.
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
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
ATE:
PART PIC FEE
-_- _.. -.•_.� .�.__.. _.
SEPA REVIEW
WATER SERVICE
-----
WATER MAIN CHG.
'CIPT:
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 BE MET:
OWNER OR AGENT
DATE
SET BACKS AND FOOTINGS
DATE _.... ... ---._.......... ___ BY _._ _--
OX TO POUR FOUNDATION WALLS
DATE BY
PLUMBING GROUNDWORK
RATE
r'rc,1,` 6 - ,, /, c
PLUMBING ROUGH IN
DATE ,/� �G_kl'r)..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. T OCCUPY
DATE K-' _ �/ .BY _..._"._.' ..........-_.......---
DCD
PSD
FD
-_