90-100754CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
"INSPECTION REQUEST LINE -946-6794"
PERMIT NO. 90-1362 P OWNER'S NAME QUAIL RUN III JOB ADDRESS 44s&6:,33 PL SW BLDG 15
CONTRACTOR PUGET SOUND MECH ADDRESS 10015 19 AVE E TACOMA CONT. PHONE 537-8900
CONT. REG. NO. PUGETI*217LQ 12/90 (OIC) OWNER'S PHONE 845-9610 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. NA LEGAL DESCRIPTION NA
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 8/15/90
BUILDING INFORMATI
NE NA OCCUPANCY NA TYPE OF CONSTRUCTION PLUMBING ONLY BLDG. SO. FT. NA
7SET BACKS: FRONT NA SIDE NA REAR_ NA _ STORIES NA HEIGHT LIMIT NA
PLUMBING NO, NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS ELEC. HOT WATER HEATER _�
GAS PIPING FT. BOILER
BATHTU6S LAUNDRY DRAINS �_
COMPRESSOR TANK(S)
RECEIVED _
SHOWERS 4 URINALS
FORCED AIR FURNACE AIR HANDLING UNIT _
NUMBER _
LAVATORIES _I IS DRINKING FOUNTAINS _
GAS HOT WATER HTR. MISC
SINKS__ MISC. BASIC FEE -2.0._._0
CONVERSION BURNER BASIC FEE
RETURNED
DISHWASHERS �_ TOTAL FIXTURES 72 X $5-0
UNIT HEATER TOTAL MECHANICAL NONE—
AMOUNT _SONE
VALUATION NONE
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE $ 380.00
CHANICAL FEE
TAL BLDG. FEES $ 380.00
PART P/C FEE
SEPA REVIEW
r'
WATER SERVICE
xto
WATER MAIN CHG.
S.B.C.C. FEE
DATE PAID AMOUNT $380_00 RECEIPT
OTHER FEES
$ 380.00
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 I -' - •- ��•>t�C�/4 - �� O
DATE 8
• Wrmit # incl -113 6 /J
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME: Qy,g r Ru-') tt:F I S
OWNER Yo u... a 1>tv- SITE LOCATION 3 i So o 33 -Pi-. S. w
OWNER'S ADDRESS 16so 3 e�c-N-r KA j-,. c ---y CITY 4ctil PHONE R4s -fib i o
DESCRIBEJOB-PILur\a
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION X
BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. # -P ur iF T _:r * a )-) Llk
Card MUST be presented
CONTRACTOR'S ADDRESS I o o is 19A' a v-6-. 6 . CITY / A L . PHONE -!5-3 7 - 8�0 b
EXPIRATION DATE 19t- 3 1- 50 _
—
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. w r) R.
BOX 3 CONTACT PERSON -D AN P LL. 1s or,) PHONE 537- 9Q o Z)
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 _j(5<) NEW CONSTRUCTION
( MULTIFAMILY (NO. OF UNITS = 8 ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
:m
PLUMBING FIXTURES (including rough -ins)
NO. 19 WATERCLOSETS
_BATHTUBS
t_SHOWERS
�LAVATORIES
�$SINKS
6 DISHWASHERS
_ELECTRIC HOT WATER HEATER
;R LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
�^ TOTAL FIXTURES
MECHANICAL APPLIANCES —
BASIC FEE $
GAS PIPING, FEET
$
NO. 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:W '►J DATE: S-15, - qo
ANP -008 3/90
FCITY OF EDERAL WAY BUILDING PERMIT BUILDING
941- N 55EC�ON
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. 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. !A"i- t
CONVERSION BURNER BASIC FEE
RETURNED _
DISHWASHERS
TOTAL FIXTURES 7 •
UNIT HEATER TOTAL MECHANICAL
AMOUNT
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES _
PART P/C FEE
SEPA REVIEW
r
WATER SERVICE
Jf
WATER MAIN CHG.
S.B.C.C. FEE
PATE PAID AMOUNT_ ��+t��_�.. rECEIPT
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 _ ---.
O.K TO POUR FOUNDATION WALLS
DATE _ --- ... BY —_... —
PLUMBING GROUNDWORK D
DATE `_�,. _�v- BY FJe l
<
PLUMBING ROUGH IN 0K_
DATE _l Z (_ (U_ BY 1-�C-_—_....
f�
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.TNCUPY n
(
DATE_� -___
DCD
PSD
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