90-100615 CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
96-006 /S
PERMIT NO. 90-856P OWNER'S NAME CASTLEWOOD HOMES JOB ADDRESS 1306 SW 348 ST
CONTRACTOR JJ PLUMBING ADDRESS 36809 204 AVE SE AUBURN CONT. PHONE 939-1390
CONT. REG. NO. JJPLU196CC 291 OWNER'S PHONE 486-1700 OWNER'S ADDRESS 14040 NE 181 ST WOODINVILLE
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 ONLY
TAX ACCOUNT NO. NA LEGAL DESCRIPTION LOT 21 MADRONA PARK
ISSUED BY ELIZABETH SNYDER _ DATE OF ISSUE DATE OF APPLICATION 6/8/90
BUILDING INFORMATION
NE NA OCCUPANCY NA TYPE OF CONSTRUCTION PLUMBING ONLY BLDG. SQ. FT. NA
BACKS: FRONT NA SIDE NA REAR NA STORIES NA HEIGHT LIMIT NA
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 3 ELEC. HOT WATER HEATER 1 GAS PIPING FT. BOILER
BATHTUBS 2 LAUNDRY DRAINS 1 COMPRESSOR TANK(S) RECEIVED
SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. MISC.
SINKS MISC. BASIC FEE 70_00 CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS 1 TOTAL FIXTURES 13x c_00 UNIT HEATER TOTAL MECHANICAL NONE AMOUNT NONE
VALUATION NONE
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE $85_00
MECHANICAL FEE
AL BLDG. FEES
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WATER SERVICE
WATER MAIN CHG. CO.-- -1 9 ( 1
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S.B.C.C. FEE
OTHER FEES c/
AMOUNT DUE $85.00 X ._?- ( 1
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
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4110 •rmit # 90
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print— D"J [Q
/Yrs GK 1" �""
BOX 1 TENANT NAME:
OWNER O0,54-IPi� rYT6 SITE LOCATION 006 SL-t) ,� 5-r
OWNER'S ADDRESS �'—(Y I� f- ISjDF .` -. CITY11)0x11 n Ik'. PHONEF-17O0
DESCRIBE JOB Pit ►m bj rY
THE PROPERTY IS OWNED BY-INGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME - Lit CONTRACTOR'S REG. #T'I I V.I.
AA, ''- Card MUST be presented
CONTRACTOR'S ADDRESS 21 Fes- S.0 CITY At LLrrl PHONE g51-I,- 614)
EXPIRATION DATE 27,16-11
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON `�bhY -- 1-l(/.9an5ta PHONE C.,(1—I.3 1C)
BOX 4 SEWER DISTRICT ~J WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOU T NUMBER
LEGAL DESCRIPTION H(1C'1rcrYt Rixk-- g
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK_ / GARAGE /
BOX 8 ( SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. 3 WATERCLOSETS GAS PIPING, FEET $
2. 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 $
l 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 INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT --nn Q1 \,Xt DATE: (to M96
ANP-008 3/90