90-100153 CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 90-202 OWNER'S NAME WILLIAM SHERMAN CO JOB ADDRESS 1429 SW 349 ST
CONTRACTOR OWNER ADDRESS 1150 140 AVE NE BELLEVUE CONT. PHONE 641-3939**
CONT. REG. NO. W,SJECO174C4 7/90 OWNER'S PHONE SAME OWNER'S ADDRESS SAME
TYPE JOB: NEW RESIDENCE XX 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. 54 -0010 LEGAL DESCRIPTION LOT 1 MEADOWPARK DIVISION 1
(WATER & SEWER IS AVAILABLE) PLANNING DEPT APPROVAL = KEVIN ELLIS 4/11/90
SEPA = EXEMPT - PUBLIC WORKS = APPROVED SKIP GREESON 4/5/90
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 3/23/90
BUILDING INFORMATION
*NE RS7.2 OCCUPANCY R-3 TYPE OF CONSTRUCTION 5-N BLDG. SO. FT. 1834+440=2274 TOT.
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 3 ELEC. HOT WATER HEATER GAS PIPING FT. 3.50 BOILER
BATHTUBS 1 LAUNDRY DRAINS 1 COMPRESSOR TANK(S) RECEIVED
SHOWERS 1 URINALS FORCED AIR FURNACE 10.00 AIR HANDLING UNIT NUMBER _
LAVATORIES 3 DRINKING FOUNTAINS GAS HOT WATER HTR. 6.50 MISC.
SINN$ 2 MISC. CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS _1 TOTAL FIXTURES 12X5.00 UNIT HEATER TOTAL MECHANICAL 90-00 AMOUNT NONE.
VALUATION $118,059.00
PERMIT FEE $706-00
PLAN CHECK FEE 459-00
PLUMBING FEE 60_00 _
OCHANICAL FEE _ 20_00
TAL BLDG. FEES $1245.00
PART P/C FEE
SEPA REVIEW DATE PAID '4-11'C
WATER SERVICE
WATER MAIN CHG.
AMOUNT .:S7 D
S.B.C.C. FEE 4.50 I �/(_
OTHER FEES RECEIPT /351c,"- 3
AMOUNT DUE $1249.50
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMIT'S EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFOTI� FURNIS D ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE E G� �j (G/f/�)
OWNER OR AGENT DATE L / / 1"
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. OWNER'S NAME >L 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
ONE 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
LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. _ MISC
SINKS MISC. CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS TOTAL FIXTURES UNIT HEATER _ TOTAL MECHANICAL AMOUNT
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
�4ECHANICAL FEE
TAL 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 PERMIT-S 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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BUILDING PERMIT APPLICATION '
—Please Print—
BOX 1 OWNER A •A It 1'0 JOB LOCATI i,, 4 Z: ,t, 4 rL
OWNER'S ADDRESS _ • 1 /OW CITY ` �I 0 .�' PHONEfitTHS ' Lr
DESCRIBE JOB * -- (Z_
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME l e__- CONTRACTOR'S REG. 4.3 rri5 k-e cal �1611
Card MUST be presented
CONTRACTOR'S ADDRESS , ? t-1''ti CITY PHONE
EXPIRATION DATE ---j ci v
— OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 NI PROHIBI
SUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON C� O1.1--)f0--- PHONE6 /:..f .
BOX
y
BOX 4 SEWER DISTRICT `-l—eUOQ" f, WATER DISTRICT`-- -(2.0._ LOGL
BOX 5 ESTIMATED PROJECT COST 1- + W ‘L, EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER J
LEGAL DESCRIPTION (__( / fl C dL A)prt rlGr c. (C), / •
(If necessary, please submit a separate page with the legal description.) g1_`�-' j-7 (a.
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 9.S7/ 2ND FLOOR 2'
3RD FLOOR / BASEMENT / DECK / GARAGE < /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE � l ,r-�
( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY ' / `� /D�J SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
NO. .3 WATERCLOSETS GAS PIPING, FEET $
/ BATHTUBS NO. ( FURNACE, ELEC. GAS_/2C_
SHOWERS ( GAS HOT WATER HEATER $ 6:7,
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 $
(Z TOTAL FIXTURES $
lki,o�- TOTAL MECHANICAL FEE $ _-
I CERTIFY UNDER PENALTY PER RY . THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE
BEST OF MY KNOWLED1 F V; H-' T AT I AM AUT, ORI ED BY THE OWNER OF THE ABOVE PREMISES TO PER-
FORM THE WOR • ' i P- ' u - 4( IC,PTI•N IS A' .
AIL'
OWNER/AGENT ' / DATE:
ANP-006 2/90
0
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE1L5 7,2- SETBACKS: FRONT ?_ SIZE S t-`"--k REAR ( HEIGHT LIMIT
PLANNING DEPARTMENTAPPROZVA r--- -- 1 ---(1 `R0
REMARKS: I1 J�t ='-
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL E7 i DATE 4J514iC)
REMARKS:
sa..
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
OCCUPgri TYPE OF CQ SJFjUCTION STORES
` L. BUILDING SQ. FT. r39- @ �'1 IZ(0 (f'1c
C 4 zAcvs BUILDING SQ. FT. �!4b@ 17 = 7 Z
BUILDING SQ. FT. @ ?
BUILDING SQ. FT. = 111:11.5,. .
BUILDING SQ. FT. b F(fi- °' • e
BUILDING SQ. FT. @ =
TOTAL SQ. FT. TOTAL VALUATION gO5q-
EBUILDING PERMI O. PLAN HE K FEE REC'D RECEIPT NO.
PERMIT FEE U PLAN CHECK FEE —A- --1--, L.—T.- PLUMBING FEE — -- MECH. FEE 201112-427,
TOTAL FEES SBCC SURCHARGE �" ENERGY SURCHARGE AMOUNT DUE 1 IV+,•
BUILDING DEPARTMENT APPROVAL DATE
REMARKS:
ASSIGNED ADDRESS: t Li S , w. 3 if 714' s f,
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