90-101116 96 -10/ 0
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
ROCKERY
PERMIT NO. 90-1323 R OWNER'S NAME NADINE HERLBUTT JOB ADDRESS 4250 SW 337TH PL
CONTRACTOR SEA TAC CONSTRUCTION ADDRESS 30035 45TH PL S AUBURN CONT. PHONE 833=3300
CONT. REG. NO. SEATAC*131LH OWNER'S PHONE 838-8188 OWNER'S ADDRESS 4250 SW 337TH PL FEDERAL WAY
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL _ COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILYp (UNITS ) MULTI.ADD. SIGN GRADING OTHER ROCKERY
TAX ACCOUNP 152-0050-02 LEGAL DESCRIPTION LOT 7 WEDGEWOOD WEST II
ISSUED BY JAONNE JOHNSON DATE OF ISSUE F-2 (- li DATE OF APPLICATION 8-6-90
BUILDING INFORMATION
iNE OCCUPANCY M2 TYPE OF CONSTRUCTION VN 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 8-8-90
BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S)
SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER 1003/1622 _
LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. MISC.
RETURNED
SINKS MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT $1,000
VALUATION 2,500 BOND RECEIVED 8-8-90 - $1,000
PERMIT FEE 54.00
PLAN CHECK FEE 35.00
PLUMBING FEE
CHANICAL FEE
ligunTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE DATE: T ---) 1--?c,
WATER MAIN CHG.
S.B.C.C. FEE 4.50 AMOUNT: 4-3 ')---(/
OTHER FEES
AMOUNT DUE 93.50RECEIPT: /-7ur / ‘,('
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-- ' ''l"%/ i .F/ DATE
CITY OF BUILDING INSPECTION
FEDERAL WAY B I I D I N G 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 1.,101/11
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
MBING FEE
HANICAL FEE _
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.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
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RECEIVED # (1G ' -3
AUG 0 8 1990 CITY OF FEDERAL WAY -lIZ .'
Ci_op
pq� WAY BUILDING PEReMIPT APPLICATION
DEPT
BOX 1 TENANT NAME: -C------
OWNER Vi " i Cta'LL7T SITE LOCATION'Y�:SC.)3371IfZ F D //t1'ti_'``?,
OWNER'S ADDRESS / 'W7''1 0,4(7E CITY L. 4-0-7---i - PHONE %'-= = fla
DESCRIBE JOB Rc)c t( CQ (l. -g'.
THE PROPERTY IS OWNED BY: INCL MARRIED _ PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME Sr4 S/4Me l0/U57 'll('77G / CONTRACTOR'S REG. # SE'?i C#/-3/4/74
i&'q 47,fOo/ Card MUST be presented
CONTRACTOR'S ADDRESS 3OC:.�``.ycr//Pk Sou.rlf CITY ,44 8Z/ /1/ PHONE 3 3300
EXPIRATION DATE ../.--/ -- /
— 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 il1,leC ril 'eT '-3 Si-Sin 16 F)S 2'Z HONE
BOX 4 SEWER DISTRICT ,e'er WATER DISTRICT e----
BOX
—`BOX 5 ESTIMATED PROJECT COST,15^p 5-00C XISTING BUILDING VALUATION "- -
BOX 6 PROPERTY TAX ACCOUNT NUMER /. -005c-0
LEGAL DESCRIPTION 0-i �'j� !/iiervetir i t ; UT
(If necessary, please submit a separate page with the legal description.) 40ró, CUE+e�fu'aaC'LL1E:S;IDAct kom,, TO TE
K.C. Plat Recording # /Af}rTHekEv. PEc'Wit19 /V VoiuNE HO OF rS. /ACES T'f3
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR I BASEMENT I DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( )-NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE 1-- S (. --
( ) 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 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 ACCWRACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: , a(i 2-Le, , / T LVA146( DATE: 84 //�
ANP-008 3/90
• a
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL 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. OTHER 1L0
OCCUPANCY TYPE OF CONSTRUCTION li/t) l STORES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION -2-(5-&c>
BUILDING DEPARTMENT REMARKS:
PERMIT FEE
PLAN CHECK FEE i ao
PLUMBING FEE 0
MECHANICAL FEE
TOTAL BLDG. FEES ( w
PART P/C FEE O
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES C)
AMOUNT DUE 3 -
-rASSIGNED ADDRESS: F
4 ,„
sea
a 4.0. fBU'S
-`, 6'\>"D-1, PARTIAL PLAN CHECK FEE RECEIVED
cP
V'
-7 \>-\,, ,s2Amount Date Receipt#
0 3 '�,� BUILDING DEPARTMENT APPROVAL
RED BYDATE ACCEPTED FOR FILING