90-100083 9o-/00023
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 90-0124 OWNER'S NAME MR & MRS ROUBELE JOB ADDRESS 2424 SW 32.5 ST
CONTRACTOR PACIFIC REMODELING ADDRESS 24334 21 AVE S DESMOINES CONT PHONL878-9309
CONT. REG. NO. PACIFRC121NZ 7/90 OWNER'S PHONE 661-2086 OWNER'S ADDRESS SAME AS SITE
TYPE JOB: NEW RESIDENCE ADDITION XXXNEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. 638660-0270 LEGAL DESCRIPTION LOT 27 OLYMPIC VIEW RIDGE 11
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 3/16/90
BUILDING INFORMATION
•NE NA OCCUPANCY R-3 TYPE OF CONSTRUCTION 5—N BLDG. SO. FT. 238 NEW
SET BACKS: FRONT 20' SIDE 5' EACH REAR 5' _ STORIES 2 HEIGHT LIMIT 30' MAX _
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 1 ELEC. HOT WATER HEATER GAS PIPING FT. BOILER
RECEIVED
BATHTUBS LAUNDRY DRAINS COMPRESSOR _ TANK(S)
SHOWERS 1 URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER _
LAVATORIES 2 DRINKING FOUNTAINS GAS HOT WATER HTR. MISC.
RETURNED
SINK MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS TOTAL FIXTURES 5 UNIT HEATER TOTAL MECHANICAL NONE AMOUNT NONE
VALUATION $14,451-00
PERMIT FEE $162_00
PLAN CHECK FEE 1055_00
PLUMBING FEE 25_00
dENCHANICAL FEE
igpirTAL BLDG. FEES $29.2.00
PART PIC FEE PAID IN FULL ON 4-2-[ `� ? 0
SEPA REVIEW
WATER SERVICE AMOUNT PAIDn
WATER MAIN CHG. ��� 7 .5.---D
S.B.C.C. FEE 4.50 RECEIPT # 2�---- iol)
OTHER FEES
AMOUNT DUE $296.50
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 E IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BEM .7 - •
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OWNER OR AGENT _ , DATE /p
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.
SETBACKS: FRONT SIDE REARSTORIES _ 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
ECHANICAL FEE
TAL BLDG. FEES
PART P/C FEE � Y -. I i 'i /�
TM !e!"1T i } { t
SEPA REVIEW
WATER SERVICE \. j A'" : i
WATER MAIN CHG. - - s
S.B.C.C. FEE
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OTHER FEES _ : t
f
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:
1 OWNER OR AGENT DATE
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CITY OF FEDERAL WAY oF,�Tty�
BUILDING PERMIT APPLICATION '"
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— Please Print—
BOX 1 OWNE'!/I ' '5 ,/ -1' JOB LOCATION / OEL 4L e4-14
OWNER'S ADDRES - _ CITY a�7F/Z4L Cc/6- PHONv2(76S7('
DESCRIBE JOB I,2/f-1 a
THE PROPERTY IS OWNED BY: SINGLE/ ARRIED V PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME -44'6' ;e-- / �/ id/,, 5Yt' 4'S7' CONTRACTOR'S REG. #'01;24 . ' _ NZ-
/�2 2// / r� N:7--
Card MUST be presented
CONTRACTOR'S ADDRESS, Y-00 Y` c2/ ' /t �` CITY �C3 /2/ /4, SHONE Y/ Y3677e
EXPIRATION DATE 7/ /, / "76} 01,
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 -T ZA)/}/,'f/n42c PHONE '/Y (r`Se 7
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST I/,�> OCX2 vc) EXISTING BUILDING VALUATION -6"'",-----/
BOX 6 PROPERTY TAX ACCOUNT NUMBER , - A , 70--U _
LEGAL DESCRIPTION >47" a 7 y 41/0/C r £ LJ icer , /
(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 STRUCTUREv
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY p'i Yl SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE $
NO. / WATERCLOSETS GAS PIPING, FEET $
1 BATHTUBS NO. FURNACE, ELEC. GAS $
/ SHOWERS GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER $
itrir 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 $
5 TOTAL FIXTURES $
X S S < U 0 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 AI.D FURTHER THAT!AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PER-
FORM THE WORK FOR ; - H P APPL/ •TION IS MADE.
�;-s
OWNER/AGENT: 1 1 „�,� G.-- DATE: . 0
ANP-006 2/90
• 0
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIZE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS: /11/X ,
/UO Ca (109e_ (ter '-4S Q_ GG-
o( ( CA Itis.
SEPA: EXEMPT NOT EXEMPT /
FIRE DEPARTMENT APPROVAL �, ` DATE
REMARKS: 1/
PUBLIC WORKS DEPARTMENT APPROVAL ,, / DATE
REMARKS: ( v
A--
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 F-3 TYPE OF CONSTRUCTION Vy STORES
1-( V t ri BUILDING SQ. FT. 2'3 S @ ( q� oe = 16 Lf i- ‘ o cc
BUILDING SQ. FT. @
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ Of a v� ( ,Kd 0 (er- z- O , g o
BUILDING SQ. FT. @
TOTAL SQ. FT. TOTAL VALUATION l Lf t{Sf- 34
EBUILDING PERMIT NO. PLAN CHECK FEE REC'D RECEIPT NO.
PERMIT FEE 1G Z- 0 0 PLAN CHECK FEE /CS. — PLUMBING FEE — 7-3.-.-4— MECH. FEE `''5"
TOTAL FEES QRZ -00 SBCC SURCHARGE '-1, S Q ENERGY SURCHARGE , Ci AMOUNT DUE z 9'6 ..S'O
BUILDING DEPARTMENT APPROVAL DATE 3 30 - q'p
REMARKS:
P
ASSIGNED ADDRESS: Se-Q Q_K1 S �(t9
RECEIVED ACCEPTED FOR FILING