90-100240 90 -/oo.)yo
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 90-329P OWNER'S NAME PARKWOOD HOMES JOB ADDRESS 725 SW 328 PLACE _
CONTRACTOR B & R PLUMBING ADDRESS 5913 212 ST E SPANAWAY CONT. PHONE 847-5770
CONT. REG. NO. BRPLUC*132CZ 1/91 OWNER'S PHONE NA 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 4/16/90
BUILDING INFORMATION
NE NA OCCUPANCY NA TYPE OF CONSTRUCTION NA BLDG. SQ. FT. NA
SET BACKS: FRONT NA _ SIDENA_ _ REAR . NA STORIES NA HEIGHT LIMIT NA
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 3 ELEC. HOT WATER HEATER 1 GAS PIPING _ _FT. BOILER
BATHTUBS 2 LAUNDRY DRAINS 2 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. PRES RED. 1 CONVERSION BURNER BASIC FEE RETURNED _
DISHWASHERS 1 TOTAL FIXTURES 17X5.0OJNIT HEATER __ TOTAL MECHANICAL NONE AMOUNT NONE _____
+ 20.00 BASIC FEE
VALUATION NONE
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE $11 5._0_o_____-
IPCHANICAL FEE
OTAL BLDG. FEES (Til) : l0S..-
/}�PART P/C FEE w
SEPA REVIEW _
WATER SERVICE ,.,_ /eV-- ' 4-I -5-'0
WATER MAIN CHG.
S.B.C.C. FEE - N
OTHER FEES {TjLG� , 33 ) - V \ ' L
AMOUNT DUE $105.00 r
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: ijq .471//f/9e)
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OWNER OR AGENT C (V v `�aiW C- DATE ` //f/w — _
CITY OF BUILDING INSPECTION
€EDERAL WAY BUI
LDING 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
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.6.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
SETBACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE BY DATE — BY DATE BY
PLUMBING ROUGH IN WATER LINE O.K. MECHANICAL INSPECTION
DATE /1/.,24351/.# BY ... GAS PIPING O.K._—.......__......—....... DATE
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE BY DATE BY —...... DATE BY ...—
FINAL O.K. TO OCCUPY
DCD PSD FD
DATE BY
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CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
—Please Print—
BOX 1 OWNER - 0 lam.%CO alk )II JOB LOCATION f �J 5 1 � { �jq��
OWNER'S ADDRESS CITY PHONE
DESCRIBE JOB ` u 1 --'
THE PROPERTY IS OWED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME V) 2. �, f)i Lk viA b j ncj `-0 - CONTRACTOR'S REG. # $1311.1PA.Gt ,8r!_:3= 2-
Card MUST be presented
CONTRACTOR'S ADDRESS /a SZ CITY •,__._ C/7Q.�f 'C`/PHONE 7 --:'-)7170
EXPIRATION DATE // r/q/
/
— 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 r Q bb�> t--?3 )6,---Y—Ci PHONE g l+.7 x'2'2
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.)
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( 1►-j- SINGLE FAMILY ( c") NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES — BASIC FEE $
NO. 3 WATERCLOSETS GAS PIPING, FEET $
,) BATHTUBS NO. FURNACE, ELEC. GAS $
1 SHOWERS GAS HOT WATER HEATER $
c: 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 rre ssir e. ReA,- L�t'.yic-e, $
1 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 FO/R' WHICH PER IT APPLICATIQN IS MADE. ///--
OWNER/AGENT: / C��c - .�_�a ��[[fDATE: "7 i
ANP-006 2/90