90-101367CITY OF
FEDERAL WAY
BUILDING PERMIT
90 - !a /,3 G 7
BUILDING INSPECTION
941-1555
"INSPECTION REQUEST LINE -946-679,
PERMIT NO. 90-1575
P OWNER'S NAME QUAIL RUN III
JOB ADDRESS 31500 33 PT. SW (BLDG 3)
CONTRACTOR PUGET SOUND MECH ADDRESS 10015 19 AVE E TACOMA
CONT. PHONE 537-8900
CONT. REG. NO. PUGETI*217LO
1290 (Ox) OWNER'S PHONE 854-9610
OWNER'S ADDRESS 10803 RENT RANGLEY RD RENT
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 PLUMBING ONLY
TAX ACCOUNT NO.
-'- 122103-9131 LEGAL DESCRIPTION NA
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE
DATE OF APPLICATION 1011 / 90
BUILDING INFORMATION
.ONE NA
OCCUPANCY NA TYPE OF CONSTRUCTION
PLUMBING ONLY BLDG. SO. FT. NA
ET BACKS: FRONT
NA SIDE NA REAR NA
STORIES NA HEIGHT LIMIT NA
PLUMBING NO.
NO.
MECHANICAL APPLIANCES
AMT. AMT.
BOND
WATER CL9SETS _ 19
ELEC. HOT WATER HEATER -_.8
GAS PIPING FT
BOILER
RECEIVED
BATHTUBS 12-
LAUNDRY DRAINS _g
COMPRESSOR
TANK(S)
SHOWERS
URINALS _
FORCED AIR FURNACE
AIR HANDLING UNIT
NUMBER _
LAVATORIES -20_
DRINKING FOUNTAINS
GAS HOT WATER HTR.
MISC
SINKS 8
MISC. BASIC FEE -2-0..-00
CONVERSION BURNER
BASIC FEE
RETURNED
DISHWASHERS 8
TOTAL FIXTURES 76 X $5-00
UNIT HEATER
TOTAL MECHANICAL NONE
AMOUNT NONE
VALUATION NONE
PERMIT FEE
PLAN CHECK FEE
400.00
PLUMBING FEE $
MECHANICAL FEE _
TOTAL BLDG. FEES $
400.00
ART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
41A
DATE PAID t- AMOUNT
$400.00 RECEIPT
OTHER FEES
$
400.00
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 lJ _ V
RECEIVED Is eermit #
OCT 1 1990 CITY OF FEDERAL WAY
,01"0, FFGOEPT.AY BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME:
OWNER SITELOCATION 31Soo 33 RO. PLAe- -6.W-
OWNER'SADDRESS ioso3 K� N�' (<wt.vc e_E)w CITY PHONE 854 -9(o I a
DESCRIBE JOB 'PLy vv.3 . 3c -n. 4;r 3
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION 25
BOX 2 CONTRACTOR'S NAME PL, rc e -r CONTRACTOR'S REG. # Rb r --Fz 4 nO L�k
Card MUST be presented
CONTRACTOR'S ADDRESS loo te, tq�- w vF. CITY -_FR c or ►A PHONE S3 -2 - 8°i @o
EXPIRATION DATE I2--31 -",to
—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. wD�
BOX 3 CONTACT PERSON TPHONE
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 1,2 2 10_3 Q1( ?
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 JXj NEW CONSTRUCTION
( MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
:M
PLUMBING FIXTURES (including rough -ins)
NO. Id WATERCLOSETS
Ia BATHTUBS
0 SHOWERS
-2 Q_LAVATORIES
8 SINKS
8 DISHWASHERS
,_ELECTRIC HOT WATER HEATER
6 LAUNDRY WASHER OUTLET
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 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: a% DATE: 10-f - '�c
ANP -008 3/90
ZONE SETBACKS:FRONT
PLANNING DEPARTMENT APPROVAL
REMARKS:
•
0
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
SIDE—,— -REAR HEIGHT LIMIT
v
BUILDING DEPARTMENT REMARKS:
0 C T 1 1990
CITY OF FEDERAL V
BUILDING DEPT.
RECEIVED
ASSIGNED ADDRESS:
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt #
BUILDING DEPARTMENT APPROVAL
BY 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
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:
0 C T 1 1990
CITY OF FEDERAL V
BUILDING DEPT.
RECEIVED
ASSIGNED ADDRESS:
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt #
BUILDING DEPARTMENT APPROVAL
BY 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
FCITY OF EDERAL WAY BUILDINg PERMIT BUILDING IN S�FE�TION
C
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 NEWINDUSTRIAL 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
SINKS
MISC. 4AG ('
CONVERSION BURNER BASIC FEE
RETURNED
DISHWASHERS
TOTAL FIXTURES A,
UNIT HEATER _ TOTAL MECHANICAL _
AMOUNT
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
rAal`E peri Otra$400-00 RECr'+iPT
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 o K
DATE I_J. .—! 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 _.._.� BYf` ---
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