90-101448 CI1TY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
"INSPECTION REQUEST LINE-946-6794"
PERMIT NO. 90-1669 P OWNER'S NAME STERLING HOMES JOB ADDRESS 470 SW 345 PL
CONTRACTOR STERLING HOMES ADDRESS 130 ANDOVER PARK EAST TUKWILA CONT. PHONE 431-7920
CONT. REG. NO. STERLHIL32R4 12/90(OR)OWNER'S PHONE 431-7920 OWNER'S ADDRESS SAME
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 PLUMBING ONLY & MECHANICAL
TAX ACCOUNT NO. --NA- 132170-0030 LEGAL DESCRIPTION NA
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE /Cl - (8 _Q. 0 DATE OF APPLICATION 10/16/90
BUILDING INFORMATION
oNE NA OCCUPANCY NA TYPE OF CONSTRUCTION PLUMBING ONLY/MECH BLDG SQ FT. NA
SET BACKS: FRONT NA SIDE NA REAR NA STORIES NA HEIGHT LIMIT NA
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 3 ELEC HOT WATER HEATER GAS PIPING 20 FT 2.00 BOILER
BATHTUBS 2 LAUNDRY DRAINS _l______ COMPRESSOR TANK(S) RECEIVED
SHOWERS 1 URINALS FORCED AIR FURNACE 10.00 AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. MISC
SINKS 5 MISC. DRAIN 1 CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS 1 TOTAL FIXTURES 14 X $5.00 UNIT HEATER TOTAL MECHANIC/*-NONE-- AMOUNT NONE
VALUATION NONE BASIC FEE = $20.00 $12.00
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE $ 90.00
OCHANICAL FEE 12_00
TAL BLDG. FEES $ 102.00
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE DATE PAID /Q 18-&)AMOUNT $102.00 RECEIPT '2 s"J / /3 ‘4.
OTHER FEES
AMOUNT DUE $ 102.00
ALL PERMITS EXPIRE 180 DAYS AFTER ISS 'NC NO WORK IS STARTED.'R -I' TIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE I OR AT N FUR -HES = MEI RUE AND C //r//
THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
:::0M:::
WILL E T: / 0.---1L - %I DATE I i NT C
CITY OF - ` BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. - q _ 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
0 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
VALUATION
PERMIT FEE
PLAN CHECK FEE
_UMBING FEE
CHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE WO* PA10 .✓ MICAW'P $10 s VV RECEIPT
OTHER FEES __ ..._—,.__...
AMOUNT DUE C
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:
IOWNER OR AGENT DATE
0 a.
SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE_ _ BY --_ DATE BY ____ _ DATE ___ --_ — BY
PLUMBING ROUGH IN ��7 !WATER LINE O.K. �i�� MECHANICAL/ INSPECTION�/ tie- Or'''-'4-4/7
DATE _ •
/� yc BY __— L GAS PIPING O.K. /' //� DATE L�/ /�--- BY
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE __ BY __ DATE BY DATE BY
FINAL O.K TO OCCUPY 4
DCD PSD FD
DATE_to -41_BY_ W\,_
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Permit # 90 -16 C -p
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
—Please Print—
BOX 1 TENANT NAM : 1/
OWNER ..,� . ,A.., SITE LOCATION /
OWNER'S ADDRESS ' ..r ! _ M i _ i_ _!... CITY ' _ AI PHON .:� !ri
DESCRIBE JOB Oji In, ( rew1
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION ),/
BOX 2 CONTRACTOR'S NAME at 5 +[o►,v CONTRACTOR'S REG.
:A1•4444-1 be pre to
CONTRACTOR'S ADDRESS -1,39- CITY PHON
EXPIRATION DATE I. . — y —90
—OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICHIPROHIBITS/- ISSUING PERMITS WIT OUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON NI I Ic , r1'1 14
1 1) PHONE
BOX 4 SEWER DISTRICT VIA) WATER DISTRICT fit)
BOX 5 ESTIMATED PROJECT COST 14S'!XD EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER I )I 1 L ' c2
7 -(IfLEGAL DESCRIPTION LOT 3 C-4tilPUSS NibNLiff)r b1 U -7 -
(If
necessary, please submit a separate page with the legal description.)
K.C. Plat Recording#
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR-1'V° / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK.fa� J 2GARAGE l.Gr, /
BOX 8 (,SINGLE FAMILY ()(j NEW CONSTRUCTION
( ) MULTIFAMILY(NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY 10 �� SQ FT
BOX 9 PLUMB FIXTURES(including rough-ins) MEC ANICAL APP}.IANCES— BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS NO. I FURNAC , ELEC. GAS 1( $
SHOWERS GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER $
5 SINKS BOILER, SIZE BTU $
__DISHWASHERS AIR HANDLING UNITS $
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 $
__I___DRAI NS $
OTHER $
-q-TOTAL FIXTURES $
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 IF FEDERAL WAY,BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
OFFICERS AND EMPLOY S, 'ON TH ,CC u , 0 E INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: u lAJ_e �►'*.r DATE: Jo �
!r [
ANP-0013 3/90