90-101488CITY OF
FEDERAL WAY
BUILDiNG PERMIT
�,l6
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.
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
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES _
PART P/C FEE
_
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
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 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__
OX TO POUR FOUNDATION WALLS
DATE -_ __ _BY
PLUMBING GROUNDWORK
DATE _ --- _ -.,,BY
PLUMBING ROUGH IN
DATE *50p BY
WATER LINE 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 /7/ 4//- BY
DCD
PSD
FD