90-100092CITY OF
FEDERAL WAY
BUILDING PERMIT
9'6-i00os a
BUILDING INSPECTION
941-1555
INSPECTION REQUEST LINE -946-6794
90-1244
RA STEVE/KAREN VERLATTI 31423 47 PL SW
PERMIT NO.
OWNER'S NAME JOB ADDRESS
CONTRACTOR OWNER
ADDRESS SAME CONT PHONE 874-0407
CONT. REG. NO. NA
OWNER'S PHONE SAME OWNER'S ADDRESS SAME
XX
TYPE JOB: NEW RESIDENCE
ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
RESIDENTIAL ALTERATION
NEW MULTI -FAMILY (UNITS
) MULTI. ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. 211572-0420-03
LEGAL DESCRIPTION LOT 42 DUMAS BAY ESTATES #3
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 7/26/90
BUILDING INFORMAT
ZONE NA
OCCUPANCY R-3 TYPE OF CONSTRUCTION 5—N BLDG. SQ, FT. LIVING --108 SF
SETBACKS: FRONT 2011
SIDE 51 EACH REAR 5 v STORIES EXISTING HEIGHT LIMIT 301 _MAX
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)
SHOWER:
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 NONE
UNIT HEATER TOTAL MECHANICAL NONE AMOUNT NONE
VALUATION $6,557.00
PLANNING DEPT APPROVAL:NO CHANGE IN USE/OCCUPANCY
BUILDING DEPT APPROVAL:KEVIN ELLIS ON 8/3/90 (DOUBLE FEE PERMIT AMOUNT,
PER44ITFEE $
180.00
PLAN CHECK FEE
59.00
$90.00,) CONSTRUCTION STARTED WITHOUT PERMIT!
uMBING FEE
FIRE DEPT APPROVAL:
-Cf'ANICAL FEE
.iTAL BLDG. FEES $
239.00
PUBLIC WORKS DEPT APPROVAL: NOT APPLICABLE
PART FEE
\ �� 3 C
J
RE
SEPA REVIEW
WATER SERVICE
�f//\J i / r
(� ` j(
L !( qo
WATER MAIN CHG.
$4.50
3 1p
/
S.B.C.C. FEE
OTHER FEES
DATE PAID AMOUNT $243.50 RECEIPT /
AMOUNT DUE $
243.50
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 E IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
.'eiFR OR AGENT DATE �- ) "' L \-,/ I
RECEIVED
JUL 261990
CITY OF FEDERAL WAY
BUILDING DEPT.
w
0
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1
OWNER SIL-Ai'E kl���L%' � '�tAiT'I JOB LOCATION QUJNQL S
IN')DP-G S S
$
OWNER'S ADDRESS 319 13 - H 11H RAU S . V J - CITY t t_D0ZJNL WAy
PHONE
GAS HOT WATER HEATER
DESCRIBE JOB E"nn A L-' k I �; 'yi' i Dr: OF Nt7VSL
CONVERSION BURNER
$
THE PROPERTY IS OWNED BY: SINGLE/MARRIED fnAf -1L� PARTNERSHIP
CORPORATION
BOX 2
CONTRACTOR'S NAME CONTRACTOR'S REG. #
HEAT PUMPS, SIZE
$
Card MUST be presented
$
CONTRACTOR'S ADDRESS CITY
PHONE
COMMERCIAL HOOD
EXPIRATION DATE
OTHER f ` i I--
$
—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.
< -_Z6 7 G'
BOX 3
CONTACT PERSON ���EVt Vi�1�� 1�-i�ri
PHON �,�7�i`
BOX 4 SEWER DISTRICT�0)i=T2PfL. WM WATER DISTRICT _10(-01)1A
PV &AC 0-R 6-B E S
BOX 5
ESTIMATED PROJECT COST 3A S,000 EXISTING BUILDING VALUATION
1)-0, 000
BOX 6
PROPERTY TAX ACCOUNT NUMBER 2't I 12-' L, Li )jj - O3
LEGAL DESCRIPTION LOT L42., 0'\jrrlAS GIM I^. -OATS -S
(If necessary, please submit a separate page with the legal description.)
BOX 7
BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR �� / 12 ,,< 2ND
FLOOR /
3RD FLOOR / BASEMENT / DECK /
GARAGE /
BOX 8
( SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) (.x) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY C SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
NO. WATERCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER C" t
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 f ` i I--
$
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 PER-
FORM THE WORK FOR WHICH PERMIT APPLICATION IS MADE. -T
OWNER/AGENT: Cwt A, --L 1 y WVU DATE:
ANP -006 2/90
ZONE SETBACKS:FRONT_
PLANNING DEPARTMENT APPROVAL
REMARKS:
N al
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
SIZE REAR HEIGHT LIMIT
k- r) Gr o c c
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE—
REMARKS:—
PUBLIC
ATEREMARKS:PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS:
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL
IND. ADD/ALT
NEW COMMERCIAL
COMM. ADD/ALT
NEW MULTIFAMILY (UNITS
)
MULTIFAMILY ADD/ALT
TENANT IMP.
ROOF OTHER
OCCUPANCY ..
3 TYPE
OF CONSTRUCTION L! ti
STORES
BUILDING SQ. FT.
@
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@ J, o
BUILDING SQ. FT.
@ _
5=,7
TOTAL SQ. FT.
TOTAL
VALUATION o
EBUILDING PERMIT NO.
PLAN CHECK FEE RECD
RECEIPT NO.
PERMIT FEE
PLAN CHECK FEE
--�_ — PLUMBING FEE ---`
--- MECH. FEE
O
TOTAL FEES
SBCC SURCHARGE �'(� G ENERGY SURCHARGE
o AMOUNT DUE
2- 3 • S�
BUILDING DEPARTMENT APPROVAL -----------------------_f
DATE 6-31
YO
REMARKS: Doul
I e T-c-�_
-------
'�G� (� 1, 'q U,& C U_L , 110�_
Cc�(/� S I
3 �c_ k
ASSIGNED ADDRESS:
RECENED
ACCEPTED FOR FILING
CITY OF
FEDERAL WAY BUILDING PERMIT
BUILDING INSPECTION
941-1555
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---
THER_TAX
TAXACCOUNT 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
Sc
r z� A , on
'LAMBING DEPT APPRONTAL:,`io CHANCp. IN B.t F/OCCUPANCY
VALUATION
-WILVING DEPT KEVIN j:.It jS ON 8/3/90 ( UBLE i",_-
PERMIT FEE
.IAPPRf0V#),.L:
PLAN CHECK FEE
$90. CIO , I C NSTRUCTL'3.0N e�.�}'�'.�EZ'kil) N._` FI` �. ,T I:: � � .a
FIRE A_'w!' W_A%AI, Z
PILUMBING FEE
MECHANICAL FEE _
t� e�
PMLIC W0,RKS l&llwf APP�:CVA'e' NM. A—PFL1c:1kSLE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
i
S.B.C.C. FEE
Ja'1'E PAID kl+ C SNT R!PXEIPT
OTHER FEES
T.._$243.50
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:
-cNT
DATE
SET BACKS AND FOOTINGS
DATE--___--BY _-_._........
O.K TO POUR FOUNDATION WALLS
DATE -- BY — ...—_..
PLUMBING GROUNDWORK
DATE — —... -- — --- BY — _ ___........ ------
PLUMBING ROUGH IN
DATE ....— —.......... _........ BY
_.—__ _.. ....
WATER LINE O.K. _...._
GAS PIPING O.K.—
... .......
—..._._-__.____
MECHANICAL INSPECTION
DATE
O.K. TO ENCLOSE FRAMING
i •X
DATE. (1_._. BY --
INSULATIONWo'7
DATE ..._
BY _
WALL BOARD AND IRE WALL
DATE ...._-BY
FINAL O.K. TO OCC PY
DATE —� j�BY
(!�
DCD
PSD
FD
---
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