90-100222 CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 90-303P OWNER'S NAME GENE JUAREZ JOB ADDRESS 2222 S 314 ST
CONTRACTOR LOYAL MECHANICAL ADDRESS POB 71146 SEATTLE CONT. PHONE 789-8029
CONT. REG. NO. LOYALMI141OK 9/90 ES OWNER'S PHONE 946-6560 OWNER'S ADDRESS 2116 S 314 ST SEATTLE
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 & MECHANICAL ONLY
TAX ACCOUNT NO. NA LEGAL DESCRIPTION NA
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE._ DATE OF APPLICATION 4/10/90
BUILDING INFORMATION
NE NA OCCUPANCY NA TYPE OF CONSTRUCTION NA BLDG. SO. FT. NA
SET BACKS: FRONT NA SIDE NA
REAR NA____ STORIES NA HEIGHT LIMIT NA
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 9 ELEC. HOT WATER HEATER GAS PIPING _FT. BOILER
RECEIVED
BATHTUBS LAUNDRY DRAINS ___1COMPRESSOR TANK(S)
SHOWERS URINALS ___1FORCED AIR FURNACE 10-00 AIR HANDLING UNIT _ NUMBER
LAVATORIES 12 DRINKING FOUNTAINS ___1GAS HOT WATER HTR. 13_00 MISQ„�Q EES 13 -00
SINKS 3 misc. DRAINS _ACONVERSION BURNER BASIC FEE 20-00 RETURNED
DISHWASHERS 1 _ TOTAL FIXTURES 32 UNIT HEATER TOTAL MECHANICAL AMOUNT NONE
VALUATION NONE 20 SHAMPOO SINKS
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEEla
$160_00
CHANICAL FEE 76_00
--
TAL BLDG. FEES
PART P/C FEE _
REVIEW
WATERSERVICE
4-1(.---q0
SEDATE PAID:
WATER MAIN CHG. (-
S.B.C.c. FEE AMOUNT PAID: .------
OTHER FEES ^1[5/'�-_ 43_4
AMOUNT DUE $236-00 RECEIPT #: ,=„7.1,05fJ�Chi
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 M TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET �,/�
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CITY OF FEDERAL WAY
BUILDING'^ PERMIT APPLICATION
���Tom-"C., 1 _ .\Q._- 2 :Y/ -Please Print—
BOX 1 OWNER HILLS,Pe. PL 2_12 1 Nt- JOB LOCATION 12-2.--2— S s iy St Air
OWNER'S ADDRESS 21 ii# S - 3/4 $ CITY S 1 I TZ-6 PHONE `I y to(PSI,0
DESCRIBE JOB PLuwKtS 1,4T Ze 4,W4-5 f12-6o Cans Pi'G w Fv,eivtriEc i ,4 r,,- D,e.Y
THE PROPERTY IS OWNED BY: SINGLE/MARAIED PARTNERSHIP CORPORATION X
BOX 2 CONTRACTOR'S NAME L--v likL i)t[ -rliC-I L N4-- CONTRACTOR'S REG. # LU'JAL 14i I L4/0 k
Card MUST be presented
CONTRACTOR'S ADDRESS P-U. 0fc 7(P60 CITY SEATTLE PHONE 7ki-e" -'-
EXPIRATION DATE L// di 10
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECI T 6 ACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON V-44441\1 r t41 ONI PHONE 7 Y — '
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 ( ) SINGLE FAMILY ()KNEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
XCOMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. I WATERCLOSETS1: owe s,„1x. GAS PIPING, FEET $
BATHTUBSNO. :7 FURNACE,-CSC.g"e1V GAS )' $
SHOWERS -2- GAS HOT WATER HEATER $
1 L LAVATORIES CONVERSION BURNER $
1 SINKS BOILER, SIZE BTU $
DISHWASHERS AIR HANDLING UNITS $
Orel- ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
I LAUNDRY WASHER OUTLET UNIT HEATERS $
I URINALS AIR COOLING UNITS, SIZE $
/ DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS C 2— OTHER /4_0'41'0 id4ASM-�-vt $
'2 OTHER11 PI-VO . 1K NLS $
TOTAL FIXTURES $
TOTAL MECHANICAL FEE $
I CERTIFY UNDER PE A TY OF PERJURY AT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE
BEST OF MY KNOWL D E AND FU TH.r THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PER-
FORM THE WORK F R HICH P MIT - 'PLICAtION IS MADE. �r
OWNER/AGENT: ,. DATE: �yL_ c-
70-
ANP-006
7QANP-006 2/90