92-100221CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
BUILDING PERMIT
BUILDING INSPECTIO
661-4140
PERMIT NO.
OWNER'S NAME SITE ADDRESS
CONTRACTOR
ADDRESS
CONT. PHONE
CONT. REG. NO.
EXP. ___ OWNER'S PHONE OWNER'S ADDRESS
TYPEJOB: 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
SET BACKS: FRONT SIDE__ ___ REAR
HEIGHT LIMIT
OCCUPANCY
TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG. SQ. FT.
STORIES
PLUMBING NO.
NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS
_ ELEC. HOT WATER HEATER
GAS PIPING FT. GAS LOGS _____.
RECEIVED
BATHTUBS _
LAUNDRY DRAINS
FORCED AIR FURNACE DUCT WORK
SHOWERS
URINALS
GAS HOT WATER HTR. AIR HANDLING UNIT
NUMBER
LAVATORIES
DRINKING FOUNTAINS
CONVERSION BURNER MISC.
RETURNED
SINKS
MISC.
BBQ BASIC FEE
DISHWASHERS
TOTAL FIXTURES
DRYER TOTAL MECHANICAL
AMOUNT
or t fl pin4•
VALUATION
,
s,.r'.;`'RO't%AL +@ PSII..L
PERMIT FEE
PLAN CHECK FEE
T
?" RE DEPT APPROVAL � KEVIN EiLLIS/MP"' ""GRA.
PLUMBING FEE
MECHANICAL FEE
"4LD(; DEPT "PROvA L REWN E LIS
RT P/C FEE
SEPA REVIEW
`e=
PUBLIC WORKS
S.B.C.C. FEE
—1
FIRE FEE
DATE:
OTHER FEES
AMOUNT:
�/ ((
AMOUNT DUE
RECEIPT:
DA�
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
PLUMBING GROUNDWORK
DATE BY
PLUMBING ROUGH IN
DATE - BY-_
WATER LINE O.K.
GAS PIPING O.K.
MECHANICAL INSPECTION
DATE
O.K. TO ENCOSRAMING
DATE., 2- BY
INSULATION
DATEDATE
WALL BOARD AND,IRE WALL
BY
FINAL O.K. TO OCCUPY
DATE. .. ... _.___..-_BY . . ...... ..... . . ..... ...
DCD
PSD
FD
I
BUILDING DEPARTMENT
CITY OF FEDERAL WAY
. • .
Correction Notice
Job Located at
have this day inspected this structure and these premises
and have found the following violations of City and/or State
laws governing same:
otc, 64,,27-S ,cl � W XL,
You are hereby notified that no more work shall be approved
upon these premises until the above violations are corrected.
When corrections have been made, call for inspection.
Dated
inspector for Buil g Dept.
DO NOT REMOVE THIS TAG
AMP -007 3/09/90