90-100152 96400/ 5,)
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 90-201 OWNER'S NAME WILLIAM SHERMAN CO JOB ADDRESS 1102 SW 348 PL
CONTRACTOR OWNER ADDRESS 1150 140 AVE NE BELLEVUE CONT. PHONE 641-3939**
CONT. REG. NO. WHSHECI174L4 7/90 OWNER'S PHONESAME OWNER'S ADDRESS SAME
TYPE JOB: NEW RESIDENCE XXX 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. 542242-0810 LEGAL DESCRIPTION LOT 81 MEADOWPARK DIVISION 1
(WATER & SEWER IS AVAILABLE) PLANNING DEPT APPROVAL = APPROVED BY KEVIN ELLIS 4/11/90
SEPA EXEMPT PER KEVIN ELLIS- PUBLIC WORKS APPROVAL BY SKIP GREESON ON 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. SQ. FT. 1656+480=2136 TCT.
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 LAUNDRY DRAINS 1 COMPRESSOR TANK(S) RECEIVED _
SHOWERS URINALS FORCED AIR FURNACE 10_00 AIR HANDLING UNIT NUMBER _
LAVATORIES 3 DRINKING FOUNTAINS GAS HOT WATER HTR. 6-50 MISC.
SINKS • 1 MISC. CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS 1 TOTAL FIXTURES 11X5-00 UNIT HEATER TOTAL MECHANICAL 20_00 AMOUNT NONE
VALUATION $107,860
PERMIT FEE $668.00
PLAN CHECK FEE 434.00
PLUMBING FEE 55_00
WCHANICAL FEE 20_00
TAL BLDG. FEES $1177_00 (r�
0
PART P/C FEE ✓✓ Z� �c
SEPA REVIEW
WATER SERVICE (( � ( ' -0
WATER MAIN CHG. J
S.B.C.C. FEE 4_50
Ais /
OTHER FEES
wo.:3
AMOUNT DUE $11R1 ,60_
ALL PERMITS EXPIRE 180 D AFTER ISSUANCE IF NO WORK IS STARTED.'RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INF AT N FU SHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL B •
OWNER OR AGENT I'v 'tot/ DATE zi_,2h-90
CITY OF BUILDING 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.
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
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
41CHANICAL 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 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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BUILDING PERMIT APPLICATION
—Please Print—
BOX 1 OWNER (A) (Y)-J '.- -C4/ JOB LOCATIO EE !,..i.2- S 'w • `{ ' 1' r.-(._09 'Q
OWNER'S ADDRESS ) t 57 . )14 .� ii.
E.. CITY 7 'AA 1'_ PHONE a�
firArar
DESCRIBE JOB .--7. ..-10--
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME .5c-A.w..-`� CONTRACTOR'S REG. #kj11'5f{'g,Gl% 7YLy
Card MUST be presented
CONTRACTOR'S ADDRESS „Sot, 11,-‘,`e CITY PHONE6
EXPIRATION DATE "74--/ 1 G
— 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 0 ` `0ihr _ PHONEOh,_J
BOX 4 SEWER DISTRICT 0A i.0 WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST )°5- c ,-- EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
Z/-CI 41. 44iAla ; 1i2k. ',--2 j>/ i 1
(If necessary, please submit a separate page with the legal description.) p /,--to o_S'c )
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR Wee/ 2ND FLOOR // /
3RD FLOOR / BASEMENT / DECK / GARAGE `7 ,>/
BOX 8 SINGLE FAMILY
KNEW CONSTRUCTION
MULTIFAMILY (NO. OF UNITS = ) EXISTING STRUCTURE ��y-
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY L�'�--f.'1� SO FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$ z
wNO. 5-' WATERCLOSETS GAS PIPING, FEET $ 7
_
BATHTUBS NO. I FURNACE, ELEC. GAS $ 1 `V__ (�
SHOWERS l GAS HOT WATER HEATER $
1LAVATORIES 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 $ Z 00
I CERTIFY UNDER PENALTY OF PERJURY THA THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE
BEST OF MY KNOWLEDG A D FURTHER .„'AT I AM AUTH RIZED BY THE OWNER OF THE ABOVE PREMISES TO PER-
FORM THE WORK : : It P IT -PL ' ATION IS ADE.
..--) o, .77,7
OWNER/AGENT: DATE: ',:___,/:=2-.)
ANP-006 2,90
• •
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE i S7.Z SETBACKS: FRONT "- . SIZE S ` €q_ h REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL K-(- `'(- (( - QU
REMARKS: lirti1kfi= 1.-L
SEPA: EXEMPT `\-- NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL OK--• DATE 415tgC7
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. ROOF OTHER
OCCUPANCY TYPE OF STRUCTION STORES '
6F14 BUILDING SQ. FT. (� @ '2 = 1 Z
CC/EE BUILDING SQ. FT. $Q @ t — = 5720(-F'
BUILDING SQ. FT. @ =
BUILDING SQ. FT. bh14-l.. 10121 (Giz, • isb = 1ZZ5
BUILDING SQ. FT. @ _ .56
BUILDING
/
TOTAL SQ ST @
FT. TOTAL VALUATION * �0-7 �4 v.=
EBUILDING PERMIT NO. PLAN K FEE REC'D RECEIPT NO.
PERMIT FEE 4v4ve7 PLAN CHECK FEE - PLUMBING FEE MECH. FEE SO.1°- AO
TOTAL FEES 1177 SBCC SURCHARGE 'f"4'• ENERGY SURCHARGE AMOUNT DUE` if g5 I.
BUILDING DEPARTMENT APPROVAL DATE
REMARKS:
19
ASSIGNED ADDRESS: ( O Z 5• LA-) . 31 01- f -L
‘A.»jO
RECEIVED ACCEPTED FOR FILING