90-100094CITY OF
FEDERAL WAY
BUILDING PERMIT
9a-/0-bbg y
BUILDING INSPECTION
941-1555
at°.0500 "INSPECTION REQUEST LINE -946-6794"
PERMIT NO. 90-1360
P OWNER'S NAME QUAIL RUN III
JOB ADDRESS 1I�33 PL SW - BLDG 13
CONTRACTOR PUGET
SOUND MECH ADDRESS 10015 19 AVE E TACOMA
7 CONT. PHONE 537-8900
CONT. REG. NO. PUGETI*217LQ
12/90 (OR)OWNER'S PHONE 845-9610
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
TAX ACCOUNT NO.
NA LEGAL DESCRIPTION NA
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE
DATE OF APPLICATION 8 / l 5190
BUILDING INFORMATIO
E NA
OCCUPANCY NA TYPE OF CONSTRUCTION
PLUMBING ONLY BLDG. SQ. 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 10_
ELEC. HOT WATER HEATER
GAS PIPING FT,
BOILER
_10
RECEIVED _
BATHTUBS 10
LAUNDRY DRAINS 10
COMPRESSOR
TANK(S)
SHOWERS
URINALS __
FORCED AIR FURNACE
AIR HANDLING UNIT
NUMBER _
LAVATORIES
DRINKING FOUNTAINS _
GAS HOT WATER HTR.
MISC
-10
RETURNED
SINK$ ' __1.0_
misc. BASIC FEE 90-0
CONVERSION BURNER
BASIC FEE
DISHWASHERS 10
TOTAL FIXTURES 70 X $5-0
UNIT HEATER
TOTAL MECHANICAL NONE-
AMOUNT NONE _
VALUATION
NONE
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
$ 370 00
ECHANICAL FEE
TAL BLDG. FEES
$ 370-00
00
PART P/C FEE
_
SEPA REVIEW
WATER SERVICE
I/
WATER MAIN CHG.
S.B.C.C. FEE
(><'
DATE PAID o AMOUNT
$370.00 RECEIPT 6
OTHER FEES
AMOUNT DUE
$ 370.00
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING
PERMIT -S 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 ` (&-9D
ermit # - 2 6 O
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME
- -Ro- — -BCp,
GAS PIPING, FEET
OWNER
SITE LOCATION 33
7 L- ,
OWNER'S ADDRESS IoS o 3 KE'. -`t- wl-A j
CITY
PHONE 5-15 - 4b 10
DESCRIBE JOB -P-0-6
BOILER, SIZE BTU
$
THE PROPERTY IS OWNED BY: SINGLE/MARRIED
PARTNERSHIP
CORPORATION x,
BOX 2 CONTRACTOR'S NAME MEG
fE CONTRACTOR'S REG. # Tue E-` L--* ar'7LQ
$
AIR COOLING UNITS, SIZE
Card MUST be presented
CONTRACTOR'S ADDRESS to 15 11 Art-.
c.. CITY
PHONE 9-3 7-8 9 0b
EXPIRATION DATE IF —3t— q o
—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. v.r.Ue_
$
BOX 3 CONTACT PERSON
PHONE Si :7 -.q9 D,>
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______J_
GARAGE /
BOX 8 ( ) SINGLE FAMILY
1�e,) NEW CONSTRUCTION
(� MULTIFAMILY (NO. OF UNITS = I
( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL
TOTAL AREA OF PROPERTY
SQ FT
to •
PLUMBING FIXTURES (including rough -ins)
NO. tO WATERCLOSETS
t o BATHTUBS
—`� SHOWERS
I n LAVATORIES
i0 SINKS
in DISHWASHERS
10 ELECTRIC HOT WATER HEATER
I o 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: W —7D DATE:
ANP -008 3/90
CITY OF
FEDERAL WAY
_-, -, " ;f,
BUILDING PERMIT
BUILDING INSPECTION
941-1555 fil
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,
RETURNED
SINKS
MISC. u
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 _
PART P/C FEE
SEPA REVIEW
WATER SERVICE
I
if
WATER MAIN CHG.
i "
S.B.C.C. FEE
i ATE PAID 1 � AMC (INT +„
OTHER FEES
_RECEIPT
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
DATE _ ._/?..... -BY . %x/13
PLUMBING ROUGH IN
// _ J
DATE L_-- _ fJ _ 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 CUPY
DATE __6 1_ BY /1 __--
DCD
PSD
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