90-100264 96 - l0-0,26y
CITY OF BUILDING INSPECTION I.
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 90-356 OWNER'S NAME VERNON HOULE __. JOB ADDRESS 4400 SW 313 ST
CONTRACTOR OWNER ADDRESS SAME CONT. PHONE 927-6785
CONT. REG. NO. NA OWNER'S PHONE SAME 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 SFR ALTERATION/REMODEL
TAX ACCOUNT NO. 211650-0020-02 LEGAL DESCRIPTION LOT 2 DUMAS PALISADES ADDITION
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 4/18/90
BUILDING INFORMATION
ONE NA OCCUPANCY R-3 TYPE OF CONSTRUCTION 5-N BLDG. SO. FT. 110=LIVING
SET BACKS: FRONT 20' SIDE 5' EACH REAR 5' STORIES NA HEIGHT LIMIT 138-DECK
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
SINKS MISC. CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS TOTAL FIXTURES NONE UNIT HEATER _ TOTAL MECHANICAL NONE AMOUNT NONE
VALUATION $7,893.60
PERMIT FEE $99-00
PLAN CHECK FEE _ 64-00 _
PLUMBING FEE
CHANICAL FEE
OTAL BLDG. FEES -$1-6-3-.--110___
PART P/C FEE
SEPA REVIEW DATE PAID -- I-6w
WATER SERVICE r
WATER MAIN CHG. AMOUNT PAID ) L' I-, S C
S.B.C.C. FEE 4.50 _
OTHER FEES RECEIPT # 4u, - `/
Q w
AMOUNT DUE $167.50
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 if ,/ , //4,. --e":?:-.70/2 __________ DATE i', /,.., 7�
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
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 -7, 66 C
PERMIT FEE 4/
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW TATE PAID �`.
WATER SERVICE `"''"'
WATER MAIN CHG. '9, , YAID 1 `' r
S.B.C.C. FEE —
OTHER FEES x•.-7.1 , --Tore #
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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90- 35
RECEIVED
APR 1 8 1990
CIN OF FEDERAL WAY CITY OF FEDERAL WAY
BUILDING DEPT BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 OWNER "e rn en C_ //c>u/e JOB LOCATION r';', --).e2 5 "/ s/5;
OWNER'S ADDRESS y/dr 5,/ 3/3 CITY..--t-4/4 �l' PHONE 9,27 X785"
DESCRIBE JOB z c >' j(4-11/4,2%757a/e. -7f fj2e-2:(24-
THE PROPERTY IS OWNED BY: SII LE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME _0 el.//aFh7 CONTRACTOR'S REG. #
Card MUST be presented
CONTRACTOR'S ADDRESS CITY PHONE
EXPIRATION DATE
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICHHI/ PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON v n ,) C. e//re PHONE Z27
BOX 4 SEWER DISTRICT j.ce.e71A WATER DISTRICT TSG"/77
BOX 5 ESTIMATED PROJECT COST 74/247a EXISTING BUILDING VALUATION 3j, C1oI'
BOX 6 PROPERTY TAX ACCOUNT NUMBER f/ ,2 /l C-3`0 -O'1.C.t --
LEGAL
LEGAL DESCRIPTION .G.2 7 „:2
(If necessary, please submit a separate page with the legal description.)
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR./7f/;/ 2ND FLOOR
3RD FLOOR / BASEMENT / DECK , / GARAGE 4/..- /
BOX 8 (X) SINGLE FAMILY ��'-�'�' �/ ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) V) EXISTING STRUCTURE '- 2 /•
( ) 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 $
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 PER-
FORM THE WORK FOR W ICH PERMIT APPLICATION I MADE.
OWNER/AGENT: ./.- DATE: 9.&
"`/f 9.&
ANP-006 2/90
i 0
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIZE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
/M- /Uv Gkafy ( V UCS '_- v if c LC u( pa vt C
7
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL A)/4 DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL A jlt DATE
REMARKS:
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. ROOF OTHER
OCCUPANCY, i/ - TYPE OF CONSTRUCTION l/4/ STORES
1..-jviccci BUILDING SQ. FT. I(0 @ L ye• = 7s Qo_co
be--- BUILDING SQ. FT. (3ee. @ /O. 2O = l 3 SO e oa
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ � ( o �-(&
BUILDING SQ. FT. @ ��( � 1
TOTAL SQ. FT. TOTAL VALUATION Z ST) 4 0
EBUILDING PERMIT NO. PLAN CHECK FEE REC'D RECEIPT NO.
PERMIT FEE qq,o -) PLAN CHECK FEE -(--- PLUMBING FEE MECH. FEE 'e--
TOTAL FEES t 6). 00 SBCC SURCHARGE 11e Sv ENERGY SURCHARGE AMOUNT DUE (c7 -S v
BUILDING DEPARTMENT APPROVAL DATE 1- Z i- cj v
REMARKS:
ASSIGNED ADDRESS: S��' S K c (
i
7
RECEWED
APR 1 8 1990
CITY OF FEDERAL WAY
BUILDING DEPT.
RECEIVED ACCEPTED FOR FILING