91-100351 CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
RENEWAL OF 90-219P G'j i i°C)3 s/
PERMIT NO. 91-316 RE OWNER'S NAME BOB LANGDON JOB ADDRESS 125 SW 307 PL
CONTRACTOR OWNER ADDRESS SAME CONT. PHONE 946-5891
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 PLUMBING ONLY (RENEWAL OF 90-219P)
TAX ACCOUNT NO. 556000-1160 LEGAL DESCRIPTION
ISSUED BY ELIZABETH SNYDER _ DATE OF ISSUE_ ` DATE OF APPLICATION 3/20/91
-_
BUILDING INFORMATION
ZONE OCCUPANCY _ TYPE OF CONSTRUCTION BLDG. SO. FT. NA
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 1 DRINKING FOUNTAINS GAS HOT WATER HTR. MISC.
SINKS 1 MISC. DRAINS CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS TOTAL FIXTURES 4 UNIT HEATER TOTAL MECHANICAL AMOUNT
i
VALUATION NONE
PERMIT RENEWAL WILL EXPIRE ON 4/1/92
PERMIT FEE
PLAN CHECK FEE _
PLUMBING FEE $20_0_0 -- FEES COLLECTED ARE 1 OF ORIGINAL FEES COLLECTED FOR THIS PERMIT.
MECHANICAL FEE
TOTAL BLDG. FEES _
PART P/C FEE
SEPA REVIEW
WATER SERVICE '
WATER MAIN CHG.
s.B.c.c. FEE DATE PD 4::
I AMT $20.00 REC'T zo I
OTHER FEES
AMOUNT DUE $20.00
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
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 Iii OF APPLICATION
• BUILDING INFORMA ON
ZONE - OCCUPANCY TYPE OF CONSTRUCTION _ _ _ - BLDG. SO. 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
_ ..-__IT RENEWAL WILL EXPIRE ON 4/l/.
PERMIT FEE • •4!
PLAN CHECK FEE .a
UMBING FEE FEES COLLECTED ARE i OF ORIGINAL FEES
CHANICAL FEE x' , A
,
TOTAL BLDG. FEES _
PART P/C FEEJ00: 1'
SEPA REVIEW
WATER SERVICE ogle
WATER MAIN CHG.
S.B.C.C. FEE DATE P
3)10h I
_
D AMT $20.00 ty SI 001011.1.6.1.111111
OTHER FEES
AMOUNT DUE
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMIT-S EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. (.1
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY 0,---
REQUIREMENTS WILL BE MET:
OWNER OR AGENT DATE
Permit
CITY OF FEDERAL WAY Ls P
D
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME:
OWNER sc.)b L iAly GOON SITE LOCATION S Ame.
OWNER'S ADDRESS 13,6 S �� �01 p 1 CITY Fede r W 1 )i PHONE x'146 SV'N
DESCRIBE JOB 3k c6 X 30 X I GArZ
THE PROPERTY IS OWNED BY: /MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME N C N� _ CONTRACTOR'S REG. #
Card MUST be presented
CONTRACTOR'S ADDRESS _ _ CITY PHONE
EXPIRATION DATE
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON PHONE
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST 1 0,000 EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 5 b 6 uo 0 --it Go -0 S
LEGAL DESCRIPTION r' ir - r (Ake PEA-LA o<-lc �o
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 9'1 ) / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY G-hRA(-E ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
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 $ J, i
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: 166/"C- JDATE: -Si '0 ) C
ANP-008 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIDE 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 TENANT IMP. 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
BUILDING DEPARTMENT REMARKS: PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS:
- RECEIVED
Amount Date 3-g-qt _ Receipt#
BUILDING DEPARTMENT APPROVAL
RECEIVED BY DATE _ ACCEPTED FOR FILING