90-100518,CITYOF
_V RAL WAY
BUILDING PERMIT
9 0- 1-r3it�sjg
BUILDING INSPECTION
941-1555
PERMIT NO. 90-712 RA OWNER'S NAME ALBERT POPE JOB ADDRESS 2101 S 324TH ST SPACE #105
CONTRACTOR SELF
ADDRESS gA CONT. PHONE
CONT. REG. NO. NA
OWNER'S PHONE (NONE) OWNER'S ADDRESS 2101 S 324TH ST SPACE #105
TYPE JOB: NEW RESIDENCE ADDITION NEW
INDUSTRIAL NEWCOMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY (UNITS ) MULTI. ADD.
SIGN GRADING___ OTHER DECK FOR MOBILE HOME
TAX ACCOUNT NO. 162104 9037
LEGAL DESCRIPTION LOT 105 BELMOR MOBILE HOME PARK
ISSUED BY JOANNE JOHNSON
DATE OF ISSUE 6-5-90 DATE OF APPLICATION 5-25-90
BUILDING INFORMATION
ONE 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
BATHTUBS LAUNDRY DRAINS
COMPRESSOR - _-_ TANK(S)
RECEIVED _
SHOWERS URINALS
FORCED AIR FURNACE _ AIR HANDLING UNIT _
NUMBER
LAVATORIES DRINKING FOUNTAINS
_
GAS HOT WATER HTR. MISC _
SINKS MISC.
CONVERSION BURNER BASIC FEE
RETURNED
DISHWASHERS TOTAL FIXTURES
UNIT HEATER TOTAL MECHANICAL
AMOUNT
VALUATION 1,232.00
PERMIT FEE 31.00
PLAN CHECK FEE 20.00
PLUMBING FEE
Wk ECHANICAL FEE
JTAL BLDG. FEES
PART P/C FEE _
SEPA REVIEW
DATE: �� - S �y
WATER SERVICE
WATER MAIN CHG.
AMOUNT: J S 0
S.B.C.C. FEE 4.50
OTHER FEES
RECEIPT: S
AMOUNT DUE 55.50
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:
J
OWNER OR AGENT
DATE_C>
P.mit # 2
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME:
OWNER SITE LOCATION /e'!
OWNER'S ADDRESSCITY 11IZ PHONE '—
DESCRIBEJOB � f -, /�t,� �� _ vb; , Zvi t C_L
C
THE PROPERTY IS OWNE BY: SINGLE/MARRIED /se, PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAMEc Oc ck CONTRACTOR'S REG. #�—
/S/`{ a r ,_ j � Card MUST be presented
CONTRACTOR'S ADDRESS-, CITY PHONE
EXPIRATION DATE �,? _—
—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.
BOX 3 CONTACT PERSON r� T j' % 7-3 1 - A!? G e _ PHONE Atzt-F «�
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER A6/G;C G� — �'U3
LEGAL_ DESCRIPTION c 7- R,< --/Moi M fi<<7AA ,�
A7 c
(If necessary, please submit a s crate 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 N>�,'nf /" `' /."a ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
N0. WATERCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
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
$
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 TIfINFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AG T:��_ �� DATE:
ANP -008 3/90
ZONE SETBACKS:FRONT_
PLANNING DEPARTMENT APPROVAL
REMARKS:
.qFPA• FXFMPT
FIRE DEPARTMENT APPROVAL
REMARKS:
PUBLIC WORKS D
REMARKS:_
0 40
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
SIDE
DATE
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. OTHER
OCCUPANCY TYPE OF CONSTRUCTION STORES
BUILDING SQ. FT. /`�� @
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @
BUILDING SQ. FT. @
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION Z 3 Z c
BUILDING DEPARTMENT REMARKS:
RECEIVED
MAY 2 5 1990
rY OF FEDERAL WAY
BUILDING DEPT.
RECEIVED
ASSIGNED ADDRESS: �i ��° Z�( S
PERMIT FEE
3 '
PLAN CHECK FEE
c
PLUMBING FEE
v
MECHANICAL FEE
TOTAL BLDG. FEES
o a
PART P/C FEE
°
SEPA REVIEW
S.B.C.C. FEE
�Sd
OTHER FEES
6
AMOUNT DUE
5-6
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt #
BUILDING DEPARTMENT APPROVAL q
BY �{ DATE
ACCEPTED FOR FILING
44 -
VO
1/ 7,7
IVED
MAY 2 5 1990
CITY LOERAL WAY
BUILDING DEPT
CITY OF
FEDERAL WAY
BUILDING
17JA-laT m
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_
TAX ACCOUNT NO.
LEGAL DESCRIPTION
ISSUED BY
DATE OF ISSUE DATE OF APPLICATION
BUILDING INFORMATION
ZONE
OCCUPANCY _ TYPE OF CONSTRUCTION
BLDG. SO. 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
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
RT P/C FEE
DATE:
SEPA REVIEW
�.__. ..,.
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
J
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
PLUMBING ROUGH IN
DATE BY
O.K. TO ENCLOSE FRAMING
DATE --- BY
FINAL O.K. TO OCCUPY
DATE ?1.1c
BY
OX TO POUR FOUNDATION WALLS
DATE .., __ — BY
—
WATER LINE O.K.
GAS PIPING O.K.
INSULATION
DATE __ — __— .BY
DCD
ME
PLUMBING GROUNDWORK
DATE BY
MECHANICAL INSPECTION
DATE BY
WALL BOARD AND FIRE WALL
DATE __ ___._BY
FD