90-100033 CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
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PERMIT NO. 90-0046 RA OWNER'S NAME HANSEN, KEITH & ANNE JOB ADDRESS 34527 5TH PLACE S.W.
CONTRACTOR TMH ASSOCTATES ADDRESS 33305 1ST WAY S. FEDERAL WAY CONT. PHONE 838-8626
CONT. REG. NO. TMHHUL*1 00CA OWNER'S PHONE 838-8626 OWNER'S ADDRESS 33305 1ST WAY SO FED WAY 98003
TYPE JOB: NEW RESIDENCE ADDITIONXX NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. 132170 0220 04 LEGAL DESCRIPTION LOT 22 CAMPUS HIGHLANDS DIV 1
ISSUED BY _ JOANNE JOHNSON, TYPIST DATE OF ISSUE DATE OF APPLICATION 3-2-90
BUILDING INFORMATION
INE N/A OCCUPANCY_ N/A TYPE OF CONSTRUCTION VW BLDG. SO. FT_ 728__.
SET BACKS: FRONT N/A SIDE N/A _-______ REAR N/A 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 7,280-0_0_
PERMIT FEE 90.00
PLAN CHECK FEE 59.00
PD $93. 50 3-2-90
PLUMBING FEE - RECEIPT #104/110
�CHANICAL FEE _
TAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE DATE: 3 ---2-5- FO
WATER MAIN CHG.
S.B.C.C. FEE 4.50 AMOUNT: & U
OTHER FEES
AMOUNT DUE 153.50 RECEIPT: .9e-/// '''j
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 ET:
OWNER OR AGENT 6` O �-,- _ ,�C.e�L�L DATE J--c7 ?-- Z)Z)
90- Oy G
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CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
—Please Print-
BOX 1 OWNER / a- ;AP / Art _ JOB LOCATION - 1 _ /
OWNER'S ADDRESS 5304 -.00 �1 %ITY 101,2M- PHONE
DESCRIBE JOB //7 /1P rrfri 1/ r .
THE PROPERTY IS OWNS BY: SINGLE/MARRIED /77 PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME T/'2 / 14 2 f-/` itr CONTRACTOR'S REG. 2218#3 '/ '/V '%
4.
_ Card MUST be presented
C
CONTRACTOR'S ADDRESS .�.3.��5 '/lt,�cy�D, CITY �if'd idC-(� PHONE �3X 2Ce.1.�0
EXPIRATION DATE 6/80/90 /
— 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 „DOW gity PHONE 3-9X iY Z
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST O° EXISTING BUILDING VALUATION ".554 GOO
BOX 6 PROPERTY TAX ACCOUNT NUMBER 0.9 /70a. a o ()(/
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 / BASEMEN1' ,y DECK 7:43'/ GARAGE
BOX 8 (X SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = (›c,,) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIALTOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE $
NO. WATERCLOSETS GAS PIPING EET $
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 HER $
DRAINS S
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 F• WHIC PERMIT APPLICATION IS MADE.
OWNE• AGE i A'_ _i ' � DATE: j'-
yr
C7c-
ANP-006 2/90
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OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIZE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL ��� �/
REMARKS: ' 5 ,�"
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SEPA: EXEMPT NOT EXEMPT V
FIRE DEPARTMENT APPROVAL DATE
REMARKS: A)//1
PUBLIC WORKS DEPARTMENT APPROVAL �� DATE
REMARKS:
A ,
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT :K NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. ROOF OTHER
OCCUPANCY �I3 TYPE OF CONSTRUCTION VA) STORES
D€C-K, BUILDING SQ. FT. "7 2 2 @ (f).0O = 7 2-sa
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ r J(L�_ =
BUILDING SQ. FT. @ fl(ORS?. I '`^dG�
TOTAL SQ. FT. TOTAL VALUATION 6 qc7�
0 6, 9 O
BUILDING PERMIT NO. PLAN CHECK FEE REC'D c-,-;--- RECEIPT NO.
PERMIT FEE q0-CPLAN CHECK FEE -- c'PLUMBING FEE --._-- MECH. FEE O
TOTAL FEES l'-f1S8CC SURCHARGE `{.-)z) ENERGY SURCHARGE -r AMOUNT DUE 15-3 , S--0
BUILDING DEPARTMENT APPROVAL DATE 3 -- I t/ - 90
`
REMARKS: t-
ASSIGNED ADDRESS: 3 3 O . ffl L4-)0 f .5
-,,, ,-,* ( 7
REVISION
RECEIVED
MAR 2 1990
PERMIT# RF.CFJVFn ACCEPTED FOR FILING