90-100763 96 —)8D763
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
X1/37
PERMIT NO. 90-1136 CA OWNER'S NAME ONE HOUR PHOTO JOB ADDRESS 2112 S/ 314TH ST SUITE 25
CONTRACTOR P & P INTERIOR CONSTwON 9313 S TACOMA WAY TACOMA WA CONT. PHONE 582-5317
CONT. REG. NO. PPINTC1O1MS OWNER'S PHONE (604) 688-21�yNER's ADDRESS 2112 S 314TH ST SUITE 25 FEDERAL
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD.XX INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. W y
NEW MULTI-FAMILY (UNITS ) MULTI.ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. 362403-9009-09 LEGAL DESCRIPTION (SEE ATTACHED)
Adank AP
lJED BY JOANNE JOHNSON DATE OF ISSUEMLI. DATE OF APPLICATION 7-12-90
BUILDING INFORMATION
ZONE OCCUPANCY B2 TYPE OF CONSTRUCTION VN BLDG. SQ. FT. 130
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 902.20
PERMIT FEE 25.00
PLAN CHECK FEE 16.00
MBING FEE
ECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW DATE: H 0_,
pc?
WATER SERVICE �\
WATER MAIN CHG. AMOUNT: � / p
S.B.C.C. FEE 4.50 ' �J
OTHER FEES RECEIPT: /4 cf 2/w/G
AMOUNT DUE 45.50 CC: FD
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.'RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I C'SF TIFY 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: q
OWNER bR AGENT / / A DATE (� /� O
1
•t # 90 . I( 3-Lp not
OwAiSRs A.DPR1 $ ; j?
4/35 a arck (ar,� CITY OF FEDERAL WAY ECE1vED
. G
'6'‘ , URRA3 sT. BUILDING PERMIT APPLICATION JUL 12 1990
YA ti C.o VCS, 8 C vK c z X - Please Print— CI YOFFEDERAL WAY
BUILDING DE
BOX 1 TENANT NAME: o/7c 'airy• PIT L5 •&,a-1
OWNER 8 C ✓E= Lop M ci:-_-41T /Al C SITE LOCATION .2// . -)/ /'eitkLaif
OWNER'S ADDRESS See a b 0 tie CITY .E A1.30 Ue PHONE s 041�cf'�'•�l7!
DESCRIBE JOB (`f=idA /dr / mPROVr
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME f 4' -;11-c:r;t,r con f ic0. CONTRACTOR'S REG. #Tr'It
L Card MUST be presented
CONTRACTOR'S ADDRESS q3 ice, 3 , 7A 65i"1/ CiY jCITY 6) " PHONE .S%'0- ' - 3
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 j'f- (-/ / f I c_I� 1 C�i\ Lc-' /�' S T R I i( f i () Al PHONE ? 3/
BOX 4 SEWER DISTRICT - 'r'4 ATER DISTRICT � � . (iOA‘iv (r1/4 f C5f I_S611, '
BOX 5 ESTIMATED PROJECT COST 41) . y7) 61; EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 0j - g v 0 q 0
LEGAL DESCRIPTION ( 4 T T 4 CM e 11
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 00 / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) (,> ) EXISTING STRUCTURE
( ) 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 ACCURACY OF THE I FORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGEN : */ ! , DATE:
��
ANP-008 3/90
•
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIDE ' HEAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
•
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE 7o "Q�
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL t DATE
REMARKS: 7if
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
OCCUPANCY = TYPE OF CONSTRUCTION 1I/11 STORES
BUILDING SQ. FT. r3C- @ 3'1:7 0 =
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @
BUILDING SQ. FT. @ d ( e8� 0- k—c
TOTAL SQ. FT. TOTAL VALUATION - 2-G
BUILDING DEPARTMENT REMARKS: S. vo
PERMIT FEE 2
PLAN CHECK FEE (6.
PLUMBING FEE 0
MECHANICAL FEE
TOTAL BLDG. FEES d
PART P/C FEE
SEPA REVIEW ?)
S.B.C.C. FEE rO
OTHER FEES
AMOUNT DUE ti S SU
ASSIGNED ADDRESS: _See- e((-S 7-(`�
•b41 /yd�`�..
QBE$ Z� �"40 PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt#
�� 11 �.0 BUILDING DEPARTMENT APPROVAL
RECEIVED BY DATE ACCEPTED FOR FILING
96-466-743
CITY OFBUILDING 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.
ET 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
TAL BLDG. FEES
ART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG. A.WMPIT
S.B.C.C. FEE
OTHER FEES TIC P14
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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