90-101537BUILDING I SSPENT �
c/l D- i
FEDERAL WAY
CITYBUILDING PERMIT
941-1555
"INSPECTION REQUEST LINE -946-6794"
PERMIT NO. 90-1747 P OWNER'S NAME GLAMOUR SHOT JOB ADDRESS 2019A SO SEATAC MALL
CONTRACTOR CARTER PLBG/HTNG ADDRESS POB 33895 SEATTLE CONT. PHONE 363-8559
CONT. REG. NO. CARTEPH235JJ 1191 (OR) OWNER'S PHONE 839-6156 OWNER'S ADDRESS 1928 SO SEATAC MALL _
TYPE JOB: NEW RESIDENCE ADDITION NEWINDUSTRIAL NEW COMMERCIAL COMMERCIALADD INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY (UNITS_ ) MULTI. ADD. SIGN__ GRADING OTHER PLUMBING ONLY
TAX ACCOUNT NO. --'— 762240-1037 LEGAL DESCRIPTION NA _ --
ELIZABETH SNYDER DATE OF ISSUE 6 - �J
DATE OF APPLICATION 11/5/90
ISSUED BY __
BUILDING INFORMATION
NE NA OCCUPANCY NA TYPE OF CONSTRUCTION PLUMBING ONLY BLDG. SO. FT. NA
ET BACKS: FRONT NA SIDE_ NA _ REAR_ NA STORIES NA HEIGHT LIMIT_ NA
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 �_ Mlsc. BASIC 2_0._-0
CONVERSION BURNER BASIC FEE
DISHWASHERS TOTAL FIXTURES 3 X $9-00
UNIT HEATER TOTAL MECHANICAL NONE'S
AMOUNT NONE
VALUATION NONE
PERMIT FEE
PLAN CHECK FEE _--
PLUMBING FEE $ 15 _ nn _
MECHANICAL FEE
TAL BLDG. FEES nn
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG. _
S.B.C.C. FEE
DATE PAID L L _ ` �lJ AMOUNT $35.00 RECEIPT
(
OTHER FEES
'z
AMOUNT DUE $ 35. 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
REOlJIREMENTS WILL BE M
/ v
OWNER OR AGENT DATE
FCITY OF EDERAL WAY BUILDING PERMIT BUILDI94 IN SSECTION
PERMIT NO.
OWNER'S NAME JOB ADDRESS
y
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
NE
OCCUPANCY_ TYPE OF CONSTRUCTION_ _ - _
BLDG. SQ. FT.
T 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
MISC. 20.0
CONVERSION BURNER BASIC FEE
RETURNED
DISHWASHERS
TOTAL FIXTURES i X 15,00
UNIT HEATER TOTAL MECHANICAL
AMOUNT
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TAL BLDG. FEES
ART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
g � A� r1 • UQ T;.EC_.Z$T
DATEPAID--N
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 BY
PLUMBING ROUGH IN
DATE _41fn 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. TO OCCUPY
DATE BY
DCD
PSD
FD
REG rmit # c1�2A9:2m
EIVED
N 0 V 0 5 1990 CITY OF FEDERAL WAY
CITY OFFEDERAL WAY BUILDING PERMIT APPLICATION
BUILDING DEPT. - Please Print - C (C
BOX 1 TENANT NAME:
OWNER Z7,' Lo Ho tiff-,Sf/v'T' SITE LOCATION 2-C11��� Sc'RT,�(� /VP 41--
OWNER'S ADDRESS / 1 Z K s S-6-47 -4C /VI) tL CITY PHONEeK V -4,'_ 1,5-6
DESCRIBE JOBPILL"
THE PROPERTY IS OWNED BY: SMILE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME C CONTRACTOR'S REG. # C'A�TEP;?3
Card MUST be presented
CONTRACTOR'S ADDRESS l'U U��X �3�1 S- CITY -S L 79"ISPHONE 16-3-E5_3_77
EXPIRATION DATE
—OR—
I HAVE READ CHAPTER 18.27.0 10 RE LA NG TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHIC#PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON
BOX 4 SEWER DISTRICT
WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST "— EXISTING BUILDING VALUATION
PROPERTY TAX ACCOUNT
LEGAL DESCRIPTION
PHONE_:5�'�
(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)
MECHANICAL APPLIANCES —
BASIC FEE $
N0. 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
$
1 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
$
__NOTAL FIXTURES
n ��
$
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,
OAND�F! RS AND EMPLOYEE
U0ONvTH0AV UR�WAY, B TONHFINFRMATION UE SUCH I PLIEISES OUT OF THE D TOTHE �CITY AS AIANCE OF THE PART OF THISCA PLICATION. ITS
OWNMAGENT: [S ! Al� /` / �1'f/ L// l DATE: // Z J 7 r
ANP -008 3/90