90-100097CITY OF
FEDERAL WAY
BUILDING
PERM
,_:�Mon
qv-looQg7
TBUILDING INSPECTION
941-1555
"INSPECTION REQUEST LINE -946-6794"
PERMIT NO. 90-1359 P OWNER'S NAME
QUAIL RUN IIIJOB ADDRESS I-IfAf 33 PL SW BLDG 11
CONTRACTOR PUGET SOUND MECH
ADDRESS 10015 19 AVE E TACOMA
CONT. PHONE 537-8900
CONT. REG. NO. PUGETI*217LQ 12/90(0
6NER'S PHONE 854-9610 OWNER'S ADDRESS
10803 RENT KANGLEY 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
NA
NA
TAX ACCOUNT NO.
LEGAL DESCRIPTION
ISSUED BY ELIZABETH SNYDER
DATE OF ISSUE
DATE OF APPLICATION 8/15/90
BUILDING INFORMAT ON
NE NA OCCUPANCY
NA TYPE OF CONSTRUCTION PLUMBING
ONLY BLDG. SO. FT NA
SET 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
RECEIVED
BATHTUBS _$ LAUNDRY DRAINS
_�
COMPRESSOR _
TANK(S)
SHOWERS URINALS
_
FORCED AIR FURNACE
AIR HANDLING UNIT
NUMBER _
LAV,,TORIES $_ DRINKING FOUNTAINS
_
GAS HOT WATER HTR.
MISC,
SINKS 8 Mlsc. BASIC FEE
90-0
CONVERSION BURNER
BASIC FEE
RETURNED
DISHWASHERS $ TOTAL FIXTURES 56
X $5-00
UNIT HEATER
TOTAL MECHANICAL NONE
AMOUNT NONE
w
VALUATION NONE
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE $ __
CHANICAL FEE _
TAL BLDG. FEES $
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
�•P
DATE PAID �� AMOUNT $300.00
RECEIPT
OTHER FEES
$ 300. OO
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
n D
_ DATE
Q
C) �� /
0 wermit # a S
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME: f-?ki I _ R'.✓ = Bc.O. A i f
OWNER Yodnis SITE LOCATION ..31SOa 33 PL-'. 5.
OWNER'S ADDRESS /08 o 3 K6 -,-T KA Nc&�e CITY KE-^lp PHONE.
DESCRIBE JOB PL y M.r3
w.
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME
-`16 /0
CONTRACTOR'S REG. #`► usF7-:1-4 7 11 L -g
Card MUST be presented
CONTRACTOR'S ADDRESS i a o r_5 / 9-tl" �— oe5. CITY -7-'A c- . PHONE -5.37 - 8 9 a o
EXPIRATION DATE I;L - 3 / -10
—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. ..>-Te—
BOX3 CONTACTPERSON —DAN PHONE 537-8*00
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUM
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
(,k) MULTIFAMILY (NO. OF UNITS = 6 ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9
PLUMBING FIXTURES (including rough -ins)
NO. 8 WATERCLOSETS
_—BATHTUBS
SHOWERS
R LAVATORIES
R SINKS
_DISHWASHERS
SELECTRIC HOT WATER HEATER
8 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 $
!9UNIT 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: DATE:
ANP -008 3/90
CITY OF
FEDERAL WAY
BUILDING PERMIT BUILDI41
NG�INSPECTION At
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. :`!�{''+�� i�1'"
CONVERSION BURNER BASIC FEE
RETURNED
DISHWASHERS
TOTAL FIXTURES
UNIT HEATER TOTAL MECHANICAL _..
AMOUNT _
VALUATION
,
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
c
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG./
J.
S. B.C.C. FEE
'NTE
r
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 _--BY -.. __
OX TO POUR FOUNDATION WALLS
DATE ...._- _.__..._-.__BY _
PLUMBING GROUNDWORK
DATE � /l �G -_ BY
PLUMBING ROUGH IN
DATE %� _yU BY
WATER LINE O.K. ____ .._
GAS PIPING O.K.__...._ -
____
_-_...__
MECHANICAL INSPECTION
DATE
O.K. TO ENCLOSE FRAMING
DATE _. - .... -- BY -_
INSULATION
DATE BY
_
WALL BOARD AND FIRE WALL
DATE __.... _ BY
FINAL O.K. Tp OCCUPY
DATE _... �' 11L BY
DCD
PSD
FD