90-100445CITY OF
FEDERAL WAY
BUILDING PERMIT
Cep-/ObYYS
BUILDING INSPECTION
941-1555
PERMIT NO. 90-1274
P OWNER'S NAME QUAIL RUN (YOUNG DEVELOIJnss 31500 33RD *PLSW BLDG 20
CONTRACTOR PUGET SOUND MECH ADDRESS 10015 19TH AVE E TACOMA CONT. PHONE 537-8900
CONT. REG. NO. PUGET1217LQ OWNER'S PHONE 854-9610 OWNER'S ADDRESS Zx=1DX=3XB%X1wXXx jffiB
TYPE JOB: NEW RESIDENCE
ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. IND I L ADD. N ADD.
NEW MULTI -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.SO.FT.
SET BACKS: FRONT
SIDE REAR STORIES HEIGHT LIMIT
PLUMBING NO.
NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS 16
ELEC. HOT WATER HEATER 12
GAS PIPING FT. BOILER
RECEIVED
BATHTUBS 1_2_
LAUNDRY DRAINS 12_
COMPRESSOR TANK(S)
_
SHOH{ERS _4
URINALS
FORCED AIR FURNACE AIR HANDLING UNIT _
NUMBER _
LAVATORIES 2 Q
DRINKING FOUNTAINS
GAS HOT WATER HTR. MISC,
SINKS 12
misc. BASIC FEE 20.00
CONVERSION BURNER BASIC FEE
RETURNED
DISHWASHERS
TOTAL FIXTURES 100X5=500 . 0
UNIT HEATER TOTAL MECHANICAL
AMOUNT
VALUATION
520. Of
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
520 _ 00
CHANICAL FEE
1oTAL BLDG. FEES
PART PIC FEE
DATE:
SEPA REVIEW
WATER SERVICE
AMOUNT:
WATER MAIN CHG.
S.B.C,C. FEE
RECEIPT: �
I ��
OTHER FEES
AMOUNT DUE 520.00
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 WIL M T.
.,
y _
OWNER OR AGENT
DATE 0
�rmit #
RECEIVED
AUG O 1� CITY OF FEDERAL WAY 1A
90 BUILDING PERMIT APPLICATION
CITY OF FEDERAL WAy — Please Print —
BUILDING DEP-
BOX 1 TENANT NAME:
OWNER 0'F- A SITE LOCATION / :5'00 3 3,ep 0L S W
OWNER'S ADDRESS / J r; . CITY— PHONE
DESCRIBE JOB r t -�--"4�_%6__kfal
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION �C
BOX 2 CONTRACTOR'S NAME u,vo CONTRACTOR'S REG. # PU 6e T t -2' -7 4 4
Card MUST be presented
CONTRACTOR'S ADDRESS +-ve- k CITY -rA-e 14, wti PHONE S3-7- &9oy
EXPIRATION DATE 3/ Dtc qp
Zi —OR
—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY,901 TRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. ��•�
BOX 3 CONTACT PERSON PHONE -5-37—S700
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 (�O NEW CONSTRUCTION
(}�) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins) MECHANICAL APPLIANCES —
BASIC FEE $
NO. /6 WATERCLOSETS GAS PIPING, FEET
$
/2 BATHTUBS NO.—FURNACE, ELEC.GAS
$
-- SHOWERS GAS HOT WATER HEATER
$
go LAVATORIES CONVERSION BURNER
$
2 SINKS BOILER, SIZE BTU
$
/2- DISHWASHERS AIR HANDLING UNITS
$
12- ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE
$
/Z 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
$ r .
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.
C
OWNER/AGENT: DATE: ?_ 7— qy
ANP -008 3/90
CITY OF BUILDANG INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
F L
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
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.
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
f
DATE:
PART P/C FEE
SEPA REVIEW
WATER SERVICE
A�'IOUNT'
WATER MAIN CHG.
FEE
RECEIPT:
S.B.C.C.
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 -- --
OX TO POUR FOUNDATION WALLS
DATE - — - --- BY -_ ___.____-
PLUMBING GROUNDWORK CCK
/o
DATE- 1� -I f--..BY
PLUMBING ROUGH IN
DATFI'�6-y�/BY ----
WATERLINE O.K.
GAS PIPING O.K.__...- —.._— --_-.
MECHANICAL INSPECTION �Z
DATE-/�`'ZG-U BY J►0{� - -_
O.K. TO ENCLOSE FRAMING
DATE ......— .--...--.. BY --
INSULATION
DATE - — - _ BY -- -
WALL BOARD AND FIRE WALL
DATE -- BY
FINAL O.K. T CCUPY
/ -
DATE _�...---BY
/
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