90-100239 CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
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PERMIT NO. 90-327 P OWNER'S NAME PERSON & PERSON HOMES JOB ADDRESS 410 S.W. 345TH PL
CONTRACTOR PERSON & PERSON HOMES ADDRESS 13410 8TH ST E SUMNER, WA CONT. PHONE_. . -863-4408
CONT. REG. NO. PERSOPH11OBF OWNER'S PHONE 863-4408 OWNER'S ADDRESS 13410 8TH ST E SUMNER, WA
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. 132170 0090 LEGAL DESCRIPTION LOT 9 CAMPUS HIGHLANDS
ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 4-13-90
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 4_ ELEC. HOT WATER HEATER _ 1 GAS PIPING FT. BOILER
BATHTUBS 3 LAUNDRY DRAINS 1 COMPRESSOR RECEIVED
SHOWERS _A__ URINALS FORCED AIR FURNACE AIR HANDLING UNIT _.__ NUMBER
LAVATORIES 4 DRINKING FOUNTAINS GAS HOT WATER HTR. MISC.
SINKS ___2-__ MISC. BASIC FEE 20.00 CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS 1 TOTAL FIXTURES 17X 85.00 UNIT HEATER TOTAL MECHANICAL AMOUNT
VALUATION 105.00
PERMIT FEE -
PLAN CHECK FEE
PLUMBING FEE 105.OO_
IICHANICAL FEE _ DATE: C _ O
OTAL BLDG. FEES 1 D C '�
PART P/C FEE AMOUNT:
REVIEW ()- -7 qq----5 WATER
SERVICE RECEIPT:WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE 105.00
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 FURN1S1 ED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
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OWNER OR AGENT/ L`T2,7 �2 `✓<<_.,__ DATE (J2 • ( 1�(I
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CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
—Please Print—
BOX 1 OWNER -F2L-rz. v.11 4— PCrz$0. i llowt--S JOB LOCATION <I1 D 6•c,v • 3 5 ¢ pL.
OWNER'S ADDRESS 13i-/ ► o 0)7'14 .5% c` CITY-`_ -t i to w BVI PHONE F_'• 3- y41C..)b'
DESCRIBE JOB -.- r1
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME f—'': 4— r CONTRACTOR'S REG. #?L- OPN ((0 ax Card MUST be presented `,1
CONTRACTOR'S ADDRESS 13'41 a 43 7- ' CITY t u 1"0 , -' -- PHONE 86,3' 4"O d
EXPIRATION DATE I z -. - =� v
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON L' ''a7 C-4L.��z�- PHONE 963-/VO
BOX 4 SEWER DISTRICT WATER DISTRICTt��t12,1( 4-J4y
BOX 5 ESTIMATED PROJECT COST 5 s Ur> EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER (3-2 1 7�)
LEGAL DESCRIPTION Gr?l 7 C Fu s Ali ce,//C. Cs'
(If necessary, please submit a separate page with the legal description.)
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR
3RD FLOOR / BASEMENT / DECK / GARAGE
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. 4 WATERCLOSETS GAS PIPING, FEET $
�3 BATHTUBS NO. FURNACE, ELEC. GAS $
SHOWERS GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER $
z 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 $
t 7 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 PER-
FORM THE WOR2<___Tliyo-jjai PE IT APPLICATION IS MADE.
OWNER/AGENT: L-1/Z DATE: 13 igv/)
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ANP-006 2/90
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CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 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
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
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 pp
CHANICAL FEE TE: L.#. ._I_L.._
OTAL BLDG. FEES _ Ii .......----
PART P/C FEE 'DUN T -..-.1.1-L2.) --.-,y.
SEPA REVIEW t ».;.,
WATER SERVICE RECEIPT: ..._.. _ _ 'j
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 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
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