90-100517CITY OF
FEDERAL WAY
BUILDING PERMIT
go, 100.5-1
BUILDING INSPECTION
941-1555
90-1276 P QUAIL RUN (YOUNG DEVELOPMENJgi) 31500 33RD PL SW BLDG 18
PERMIT NO. OWNER'S NAME
ADDRESS
CONTRACTOR PUGET SOUND MECHANICAL ADDRESS
10015 19TH AVE E TACOMA CONT. PHONE 537-8900
CONT. REG. NO. PUGET1217LQ OWNER'S PHONE 854-9610 OWNER'S ADDRESS 10803 KENT KANGLEY KENT
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL
NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD _ NEW PUBLIC PUBLIC ADD.--
DD._NEW
NEWMULTI -FAMILY (UNITS ) MULTI. ADD. SIGN
GRADING OTHER
TAX ACCOUNT NO. NA
LEGAL DESCRIPTION NA
ISSUED BY JOANNE JOHNSON
DATE OF ISSUE DATE OF APPLICATION 8-1-90
BUILDING INFORMATION
ZONE OCCUPANCY
TYPE OF CONSTRUCTION BLDG.SQ.FT.
SET BACKS: FRONT SIDE
REAR _ STORIES HEIGHT LIMIT
PLUMBING NO. NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS 8 ELEC. HOT WATER HEATER 8
GAS PIPING FT. BOILER
RECEIVED
BATHTUBS 8 LAUNDRY DRAINS 8
COMPRESSOR TANK(S)
SHOWERS URINALS
FORCED AIR FURNACE AIR HANDLING UNIT
NUMBER _
LAI .TORIES DRINKING FOUNTAINS
GAS HOT WATER HTR. MISC
__$_
RETURNED
SINKc; 8 MISC. BASIC FEE 20-0
CONVERSION BURNER BASIC FEE _
DISHWASHERS _$ TOTAL FIXTURES 7X8X5=9A0 -
00
UNIT HEATER TOTAL MECHANICAL _
AMOUNT
300.00
VALUATION
PERMIT FEE
PLAN CHECK FEE
300. M6
PLUMBING FEE
CHANICAL FEE
OTAL BLDG. FEES
CCCCJJJJ G/�'/ C7
-
DATE:
PART P/C FEE
SEPA REVIEWCIO
AMOUNT:
\
WATER SERVICE
WATER MAIN CHG.
RECEIPT:
/yam
Lti
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE 300-00--
nn_nnALL
ALLPERMITS 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 INFQaMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WI
�CT7�
�' `7 �l
OWNER OR AGENT
DATE
WRECEIVCD
rmit #
,�) CITY OF FEDERAL WAY
C1rYo0 1 1990 BUILDING PERMIT APPLICATION
BUIL�ING D AL WAV — Please Print —
Ep7.
BOX 1
TENANT NAME:
OWNER f;?0 k v --YT youuro v
SITELOCATION
L l_
OWNER'S ADDRESS /b ff o 3 e& -&I -r 11fn-ti&1_4q CITY k��
PHONE 5'6/0
DESCRIBE JOB P/- a B
-,?-S4
THE PROPERTY IS OWNED BY: SINGLE/MARRIED
PARTNERSHIP
CORPORATION X
BOX 2
CONTRACTOR'S NAME tk;e-c-t- 'S°uNp ^i &r-"-1 CONTRACTOR'S REG. #yv,6e--r to/7 4Q
Card MUST be presented
CONTRACTOR'S ADDRESS 1 Do /'T rg44 Av—
e-- CITY 1"'I�
PHONE 53 7 - 9190a
EXPIRATION DATE -31 '70
G'
—OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY TRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3
CONTACT PERSON 5r. -v
PHONE 5 3 7 - 5o a
--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 #
y 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 = 9 )
( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL
TOTAL AREA OF PROPERTY
SQ FT
BOX 9
PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES — BASIC FEE $
NO. -40r 7 WATERCLOSETS
GAS PIPING, FEET
$
ekk ir BATHTUBS
N0. FURNACE, ELEC.
GAS $
SHOWERS
GAS HOT WATER HEATER
$
'V LAVATORIES
CONVERSION BURNER
$
T' SINKS
BOILER, SIZE BTU $
P' DISHWASHERS
AIR HANDLING UNITS
$
p ELECTRIC HOT WATER HEATER
HEAT PUMPS, SIZE
$
LAUNDRY WASHER OUTLET
UNIT HEATERS
$
URINALS
AIR COOLING UNITS, SIZE
$
DRINKING FOUNTAINS
COMMERCIAL HOOD
$
SUMPS, SPRINKLER VACUUM BREAKERS
OTHER
$
DRAINS
$
OTHER
$
TOTAL FIXTURES
$
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 EMP S, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: DATE: e- / - dFo
ANP -008 3/90
FCITY OF EDERAL WAY BUILDING PERMIT BUILDING
941 �N 55ECTlON
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
. 'i"'�'tc
MISC�
_
CONVERSION BURNER BASIC FEE
RETURNED
DISHWASHERS
TOTAL FIXTURES
UNIT HEATER TOTAL MECHANICAL
AMOUNT
VALUATION
PERMIT FEE
PLAN CHECK FEE,
PLUMBING FEE
MECHANICAL FEE
t
TOTAL BLDG. FEES _
DATE':
PART P/C FEE
SEPA REVIEW
jUPTr' '•
WATER SERVICE
WATER MAIN CHG.
iiSa4EIP :.•
S.B.C.C. FEE
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 r/
DATE �`���� --_ BY
PLUMBING ROUGH IN
DATE/. 0_-' `'J_..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. Tp 09CUPY
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DATE _(1 ,_� BY
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