90-100230 CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
96-/6b?30
PERMIT NO. 90-0313P OWNER'S NAME MERRITT YOUNG JOB ADDRESS 1420 SW 350 ST
CONTRACTOR J J PLUMBING ADDRESS 36809 204 AVE SE 939-1390
CONT. PHONE
CONT. REG. NO. JJPLA196CC 2/91 OWNER'S PHONE 874-8504 OWNER'S ADDRESS SAME AS SITE
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" & "MECHANICAL ONLY"
TAX ACCOUNT NO. NA LEGAL DESCRIPTION NA
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 4/11/90
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 2 ELEC. HOT WATER HEATER GAS PIPING FT. 3.50 BOILER
BATHTUBS 2 LAUNDRY DRAINS 1 COMPRESSOR TANK(S) RECEIVED _
SHOWERS URINALS FORCED AIR FURNACE 6.50 AIR HANDLING UNIT NUMBER
LAVATORIES 2 DRINKING FOUNTAINS GAS HOT WATER HTR. MISC. _
SINKS 1 MISC. CONVERSION BURNER BASIC FEE 20.00 RETURNED
DISHWASHERS 1 TOTAL FIXTURES 9X5-00 UNIT HEATER TOTAL MECHANICAL AMOUNT NONE
VALUATION NONE
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE $45.00
ANCHANICAL FEE - 30_00
TAL BLDG. FEES
PART P/C FEE
SEPA REVIEW �/
WATER SERVICE DATE PAID: r- 1 - U
WATER MAIN CHG.
S.B.C.C. FEE AMOUNT PAID: y- (3 -54)
OTHER FEES /
AMOUNT DUE $75.00 RECEIPT #• 9 L9 / 3 / O
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.'RESIDENTIAL AND`GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE M�
OWNER OR AGENT �4 ri -- DATE V 75- a-
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CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
—Please Print—
BOX 1 OWNER tiev r' t f y G,�, JOB LOCATION /q? 4 S. `✓ ,75,--0-4s A
OWNER'S ADDRESS PO. 4ia 4' c q CITY ?c//cvCAe PHONE g79- gS'Oy
DESCRIBE JOB P/u'"rk- N 7
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME T T P/kh A.I N ,LNC. CONTRACTOR'S REG. # �7P/a /r CCC
3(Eo. 209"M• /4 or. S.E. Card MUST be presented
CONTRACTOR'S ADDRESS - ,-td. 94v7-19, CITY 14-1440 v N PHONE 93 9-/-1%e
EXPIRATION DATE 2 -Z - y/
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON 7 4A) /'1 a icy c ti S K/' PHONE 9 2 2- /15 e
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 (x) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES(including rough-ins)2-.E; C.) MECHANICAL APPLIANCES— BASIC FEE$ 2-0 ° :C3NO. ti WATERCLOSETS GAS PIPING, FEET $ 3.s--`O
2 BATHTUBS NO. FURNACE, ELEC. GAS $
SHOWERS / GAS HOT WATER HEATER $ 6•5-0
4''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 $
' 11 C- O c TOTAL MECHANICAL FEE $ 30• v O
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 PER-
FORM THE WORK FOR ICpH PE MMIT' APPLICATION IS MADE. C� / /�
OWNER/NT: (L ' ��'P< fr0�--7- DATE: / '_7( ' (V
ANP-006 2/90
� 0 - 3I3 f
•
•
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIZE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE
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 JENANT IMP. ROOF OTHER _
OCCUPANCY �/ TYPE OF CONSTRUCTION STORES
.-BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
_ BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION
EBUILDING PERMIT NO. PLAN CHECK FEE RECD RECEIPT NO.
PERMIT FEE PLAN CHECK FEE PLUMBING FEE -ors O - MECH. FEE 3o<o
TOTAL FEES SBCC SURCHARGE ENERGY SURCHARGE AMOUNT DUE 9C-10-4
BUILDING DEPARTMENT APPROVAL DATE if' ft ` Ta
REMARKS:
\. � r
ASSIGNED ADDRESS: 5� --
RECEIVED ACCEPTED FOR FILING