90-100766CITY OF
FEDERAL WAY
BUILDING
PERM
.e—� ! .5pll
90-)oa*2l,,6
ITBUILDING INSPECTION
941-1555
"INSPECTION REQUEST LINE -946-6794
90-1361 P
QUAIL RUN III
3 PL SW BLDG 14
PERMIT NO. OWNER'S NAME
JOB ADDRESS
CONTRACTOR PUGET SOUND MECH
ADDRESS 10015 19 AVE E
TACOMA CONT. PHONE 537-8900
CONT. REG. NO. PUGETI*217LQ 12/90(0
)DWNER'SPHONE 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. NA
LEGAL DESCRIPTION NA
ISSUED BY ELIZABETH SNYDER
DATE OF ISSUE
DATE OF APPLICATION 8/15/90
BUILDING INFORM-ATIQA
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 12 ELEC. HOT WATER HEATER _�
GAS PIPING FT.
BOILER
RECEIVED
BATHTUBS 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 _8 MISC. BASIC FEE 20-0
CONVERSION BURNER
BASIC FEE
DISHWASHERS _ 8 TOTAL FIXTURES 72
X $5 _ 00
UNIT HEATER
TOTAL MECHANICAL NONE
AMOUNT NONE
VALUATION NONE
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE $ 380.00 _
CHANICAL FEE _
fAL BLDG. FEES $ 380.00
PART PIC FEE
SEPA REVIEW
WATER SERVICE
/
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:
G�
S ' �(�/ - +0
OWNER OR AGENT
DATE
6 ermit #
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1
TENANT NAME:
czv., I (_ (Zv j -M
B L-0. A I
N0. FURNACE, ELEC. GAS
OWNER u A/ R va = Ya ✓,v c -b c -y.
SITE LOCATION o
_FL,
CONVERSION BURNER
OWNER'S ADDRESS /2g3
CITY Kk-).j r
PHONE A5 A - q61 o
AIR HANDLING UNITS
DESCRIBE JOB P` u� a
HEAT PUMPS, SIZE
$
UNIT HEATERS
-IR
THE PROPERTY IS OWNED BY: SINGLE/MARRIED
PARTNERSHIP
CORPORATION
BOX 2
CONTRACTOR'S NAME �u�ET. So�,�r� MET�N
, CONTRACTOR'S REG. 2 t7L-4
$
Card MUST be presented
CONTRACTOR'S ADDRESS to /_5 /91*-
CITY �/'�
PHONE .S3 -7-S400
$
EXPIRATION DATE 12 -31 - RQ
—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.
vw.yQ-_
BOX 3
CONTACT PERSON 'DA,., ��� ,_s orJ
PHONE -s-3:7 - 8406
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
(� MULTIFAMILY (NO. OF UNITS = _ )
( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL
TOTAL AREA OF PROPERTY
SQ FT
BOX 9
PLUMBING FIXTURES (including rough -ins)
NO. I a WATERCLOSETS
8 BATHTUBS
_SHOWERS
LAVATORIES
8 SINKS
S DISHWASHERS
8 ELECTRIC 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
$
N0. FURNACE, ELEC. GAS
$
GAS HOT WATER HEATER
$
CONVERSION BURNER
$
BOILER, SIZE BTU
$
AIR HANDLING UNITS
$
HEAT PUMPS, SIZE
$
UNIT HEATERS
-IR
$
COOLING UNITS, SIZE
$
COMMERCIAL HOOD
T
$
_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: L-),_Uk: -35. ) �� i�� DATE: B " L5 -Y L
ANP -008 3/90
FCITY OF EDERAL WAY BUILDING PERMIT BUILDI94 IN SP-1555
Rr
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 REARSTORIES
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.
t�ASSC_
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
PART P/C FEE
SEPA REVIEW
1
WATER SERVICE
{
WATER MAIN CHG.
i l t
r +ai ' �
S.B.C.C. FEE
DATE PAIL) T: es t3$�: +° t 3Ftt3. 00
OTHER FEES
AMOUNT DUE
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
SET BACKS AND FOOTINGS
DATE —..__—BY ---_
OX TO POUR FOUNDATION WALLS
DATE _ ---. _— BY
PLUMBING GROUNDWORK
DATE _._. — — BY _/4
PLUMBING ROUGH IN ll- 3 s'�
DATE odG _ BYm
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 OC PY
DATE __._..
DCD
PSD
FD
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