90-100476 CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
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PERMIT NO. 90-659 P OWNER'S NAME QUADRANT JOB A DRESS 833 SW 346TH ST
CONTRACTOR DELTA PLUMBING ADDRESS 13122 8TH ST E #1 (LINN.ik..3rc,42 _ CONT. PHONE 927-7620
CONT. REG. NO. DELTAPH176QP OWNER'S PHONE P.O. BX 130 OWNER'S ADDRESSPHONE: 455-2900
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
TAX ACCOUNT NO. LEGAL DESCRIPTION LOT 2 CAMPUS HIGHLANDS DIV II
ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 5-17-90
BUILDING INFORMATION
ONE OCCUPANCY TYPE OF CONSTRUCTIONBLDG. SQ. FT.
SET BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 3 ELEC. HOT WATER HEATER 1 GAS PIPING FT. BOILER
BATHTUBS 2 LAUNDRY DRAINS COMPRESSOR TANK(S) RECEIVED
SHOWERS 1 URINALS _ FORCED AIR FURNACE AIR HANDLING UNIT _ NUMBER _
LAVATORIES 5 DRINKING FOUNTAINS GAS HOT WATER HTR. _ MISC
SINKS 1 MISC.BASIC FEE 20.00 CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS __ TOTAL FIXTURES5X15= 75.00 UNIT HEATER TOTAL MECHANICAL AMOUNT
95.00
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE 95_00
41CHANICAL FEE
TAC BLDG. FEES
PART
/C
SEPAREE V� V
EPA REVIEW - DATE
WATER SERVICE
WATER MAIN CHG. AMOUNT: 934.2.Y.--
SB.C.C. FEE
OTHER FEES RECEIPT: 575-c)- 52F p /
AMOUNT DUE 95.00
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 B
T: ,
OWNER OR AGE �L�..F`i 7 ,-- .-_..--___ DATE 6 -22— 73
• mit # v -
RECEIVED
MAY 2 1 1990 CITY OF FEDERAL WAY
CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION
BUILDING DEPT. — Please Print—
BOX 1 TENANT NAME:
OWNER Lr C q C 1 SITE LOCATION , `O'i" t .� `})L 0-1+1
OWNER'S ADDRESS 4),U► (rX )( I q__)(27‘) CITY 'WI I Ibi L..L PHONE 1h - L r Lir
DESCRIBE JOB 1 101)1 till 1C
THE PROPERTY IS OWNED BY: &NGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME.IX I1O I"i U rl l k)I f k11 CONTRACTOR'S REG. #U L-t VL-Ci At-i--1 -
I 1-7 j(�()Card MUST be presented
CONTRACTOR'S ADDRESS 1ry I Z Z t E. CITY )Ll r-1 r1e r PHONE(-\- 110 "LO
EXPIRATION DATE i:Z...—I '1 -- 10
— 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 I .)C--(II PHONE i L 1- I t
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
(If necessary, please submit a separate 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 (1,) 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. WATERCLOSETS GAS PIPING, FEET _ $
BATHTUBS NO. FURNACE, ELEC. GAS $
SHOWERS GAS HOT WATER HEATER $
f3 LAVATORIES CONVERSION BURNER $
SINKS BOILER, SIZE BTU $
DISHWASHERS _AIR HANDLING UNITS $
I ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
I 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 $ (-MIT
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: '. L C L.� DATE: 1* j I I G1 L)
ANP-008 3/90
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
*NE 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
CHANICAL FEE
TAL BLDG. FEES
PART P/C FEE
R
SEPA REVIEW s,p t` n:
WATER SERVICE
WATER MAIN CHG. _- 'T: t'-
S.B.C.C. FEE
OTHER FEES tECTi7PwT:
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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