90-100332 CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
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PERMIT NO. 90-462P OWNER'S NAME ANDERSON NUNN HOMES JOB ADDRESS 1204 SW 346 ST
CONTRACTOR SUNRISE PLBG ADDRESS_ 1415 22 ST NW AUBURN CONT. PHONE 874-4083** _
CONT. REG. NO. SUNRIPI164OA 9/90 OWNER'S PHONE 647-5233 OWNER'S ADDRESS SAME AS SITE
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"
TAX ACCOUNT NO. NA LEGAL DESCRIPTION NA
ISSUED BY_ ELIZABETH SNYDER DATE OF ISSUE_ DATE OF APPLICATION 4/25/90
BUILDING INFORMATION
eNE NA OCCUPANCY NA _ TYPE OF CONSTRUCTION _ _ NA 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 FT BOILER
BATHTUBS 2 LAUNDRY DRAINS COMPRESSOR TANK(S) RECEIVED _
SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT _ _ NUMBER
LAVATORIES 4 DRINKING FOUNTAINS GAS HOT WATER HTR. MISC.
SINKS 1 MISC. BASIC FEE 20.00 CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS _ TOTAL FIXTURES 1_1 X5-00 UNIT HEATER TOTAL MECHANICAL NONE AMOUNT NONE
VALUATION NONE
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE $75_00_
.
CHANICAL FEE
TAL BLDG. FEES
PART P/C FEE DATE PAID/1-''451
SEPA REVIEW
WATER SERVICE AMOUNT PAID �5
WATER MAIN CHG. �' ��
S.B.C.C. FEE RECEIPT # 4
OTHER FEES
AMOUNT DUE $75.00
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE M \
OWNER OR AGENT (/'l/ DATE 11.2./
• Smit # < C P
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CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print-
BOX 1 TENANT NAME:
OWNER A yaCi-e -Ok1 /Vu n,1 / ice S SITE LOCATION /z e'Y "w 3Y r-`
OWNER'S ADDRESS /970 S'/.61 3" .61-1.1" S r" CITY fed Way PHONE �' Y7'✓`X33
DESCRIBE JOB /2'ce
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP_X, CORPORATION
BOX 2 CONTRACTOR'S NAME 5 i n ir 5 e /�/u ���y 3 t _CONTRACTOR'S REG. # n r'P/16(1,01f
Card MST be presented
CONTRACTOR'S ADDRESS / '/ ' 2 2 NV) S r f/.(J CITY -4K6^h PHONE97`/'YOF"3 (
EXPIRATION DATE 9-/- c10
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON f j t1 t r/c.- PHONE -2
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST _5-0° EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER _
LEGAL DESCRIPTION
(If necessary, please submy a separate page with the legal description.)
K.C. Plat Recording # 6l 6 y 4(0°0/0
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR J 2ND FLOOR
3RD FLOOR / BASEMENT / DECK J GARAGE /
BOX 8 (/) SINGLE FAMILY (?) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = _ ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. 3 WATERCLOSETS GAS PIPING, FEET
2 BATHTUBS NO. FURNACE, ELEC. GAS $
"V SHOWERS GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER $
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_ $
DRAINS _ $
OTHER $
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 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 THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: /v,✓/ DATE: V"-•2 5 ,�
ANP-008 3/90
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