90-100448NSPE
FCITY OFEDERAL WAY BUILDING PERMIT BUILDI9N41-1555 CT ON
90-1275 P QUAIL RUN (YOUNG DEVELOPMENJ!911 31500
33RD PL SW BLDG 21
PERMIT NO. OWNER'S NAME
ADDRESS
CONTRACTOR PUGET SOUND MECHANICAL ADDRESS
10015 19TH AVE E TAOMCA
CONT PHONE 537-8900
CONT. REG. NO. PUGET1217LQ OWNER'S PHONE 854-9610 OWNER'S ADDRESS 10803 RENT
RANGLEY 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
TAX ACCOUNT NO. NA LEGAL DESCRIPTION NA
to I
ISSUED BY JOANNE JOHNSON
DATE OF ISSUE DATE OF APPLICATION 8-1-90
BUILDING INFORMATIO
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 12 ELEC. HOT WATER HEATER 8
GAS PIPING FT. BOILER
8 8
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,
SINKS 8 misc. BASIC FEE 20.00
CONVERSION BURNER BASIC FEE
RETURNED
DISHWASHERS 8 TOTAL FIXTURES72X5=3fiD_ QSZ
UNIT HEATER TOTAL MECHANICAL
AMOUNT
380.00
VALUATION
PERMIT FEE
PLAN CHECK FEE
FEE 380-00
111hp
ECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
DATE:
SEPA REVIEW
_ /�
�-
WATER SERVICE
AMOUNT:
�
WATER MAIN CHG.
`
S.B.C.C. FEE
RECEIPT:
OTHER FEES
v
AMOUNT DUE 3 g o _ 0
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
(::� -
OWNER OR AGENT
DATE
RE D
CEfVE � Oermit # )
crrYe AUG 0 1 Iggg CITY OF,FEDCRAL WAY BCD 4-
-r
a �
SUIL�INGDEPT AY BUILDING PEReMIase T tAPPLICATION
BOX 1 TENANT NAME:
OWNER Q tj PLL— R u N ITT SITE LOCATION 3/ 5 00 3 3 e n PL S cv
OWNER'S ADDRESS k %1 CITY <% PHONE it -
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION SC
BOX 2 CONTRACTOR'S NAME Pur -e-17 50u --D /4er,+&*j1ct4- CONTRACTOR'S REG. # P" 6a-' I z2) -2 4
Card MUST be presented
CONTRACTOR'S ADDRESS /0015 )945 A-ve� L_ CITY PHONE 93-7- 9900
EXPIRATION DATE D
U—OR
—
I HAVE READ CHAPTER 18.27. 010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPEC�4jY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON Dc,14 Ct4�12 � PHONE 5-3-7-9'7,90
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
()C) MULTIFAMILY (NO. OF UNITS = 8 ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins) MECHANICAL APPLIANCES — BASIC FEE $
NO. I WATERCLOSETS GAS PIPING, FEET $
_--BATHTUBS N0. FURNACE, ELEC. GAS $
SHOWERS GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER $
SINKS BOILER, SIZE BTU $
DISHWASHERS AIR HANDLING UNITS $
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 EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: (:;� DATE: 2 - I — c:�' v
ANP -008 3/90
CITY OF
FEDERAL WAY
BUILDING
PERMIT
BUILDING INSPECTION
941-1555
in
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
SETBACKS: 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
DATE---
PART P/C FEE
SEPA REVIEW
AMOLM1.--
WATER SERVICE
--- --, _.-
WATER MAIN CHG.
REE IPI
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
_._
OX TO POUR FOUNDATION WALLS
DATE - ----.BY -__
PLUMBING GROUNDWORK
DATE$' -_3 "O __ ___ BY�
PLUMBING ROUGH IN
DATE _[�'��/ BY v�L
___
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 OCCUPY
^
DATE BY
_-
DCD
PSD
FD
1�- - 0 4l®✓
��co c -c(