90-100165 CITY„OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
90 -/a0J, s
PERMIT NO.__ 90-0219P OWNER'S NAME BOB LANGDON JOB ADDRESS 125 SW 307 PL
CONTRACTOR OWNER ADDRESS SAME AS SITE CONT. PHONE 946-5891
CONT. REG. NO. NA OWNER'S PHONE SAME AS ABOVE OWNER'S ADDRESS SAME AS ABOVE
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
TAX ACCOUNT NO. NA LEGAL DESCRIPTION NA
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 3/29/90
BUILDING INFORMATION
ONE _ NA OCCUPANCY NA TYPE OF CONSTRUCTION NA BLDG. SQ. FT. NA
SET BACKS: FRONT NA SIDE NA REAR NA STORIES NA HEIGHT LIMIT N A
PLUMBING NO. basic fee = $20.00 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 1 MISC. drains 2 CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS TOTAL FIXTURES 4XS UNIT HEATER TOTAL MECHANICAL E AMOUNT NONE
VALUATION NONE J
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE $40_00
MECHANICAL FEE
.TAL BLDG. FEES
RT P/C FEE
SEPA REVIEW PAID IN FULL ON: 3 — 3 0 - 96)
WATER SERVICE 5� U ..
WATER MAIN CHG. AMOUNT PAID: .s+f j G}
S.B.C.C. FEE
OTHER FEES RECEIPT: 2-051 3 IS_
AMOUNT DUE $40.00
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 betAE L DATE ��1)Of Cl
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CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
(I (—Ai„ g_E.,
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
liNE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SO. FT._
ET 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
CO
VALUATION 'It 2}�
PERMIT FEE v
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
•TAL BLDG. FEES
PART P/C FEE _
SEPA REVIEW PAID IN FULL ON:
WATER SERVICE
WATER MAIN CHG. AMOUNT PAID: -?
S.B.C.C. FEE RECEIPT:
�y/t� _
dCy1►EI .I. i ''
OTHER FEES _A' .x«.1....—
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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CITY OF FEDERAL WAY < U
BUILDING PERMIT APPLICATION p/N�o�pr4,4Y
— Please Print—
BOX 1 OWNER 130 b L ft Cr )0 U`' JOB LOCATION I S�"�. -13t-) 1 p1,
OWNER'S ADDRESS I a 5,v1. 3 0 ) p I CITY Fe-4.,\.q T A I t'� 1 Y PHONE cAq E-. '3 15r1
DESCRIBE JOB PIu r• 6 IN tr ; Idi, S ,W k i' ± o F c r c1 h1�1;1.,5
THE PROPERTY IS OWNED BY: SINGLE/MARRIED S I ( LL PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME NOAik- 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 I 0 D -' 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 X / 2ND FLOOR /
3RD FLOOR / BASEMENT_ / DECK / GARAGE X / +`J
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL --TOTAL AREA OF PROPERTY VW 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 $
I LAVATORIES CONVERSION BURNER $
I 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 $
d\ DRAINS $
OTHER $
LI 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 PER-
FORM THE WORK FOR WHICH PERMIT APPLICATION IS MADE.
OWNER/AGENT: 1 , VDATE: 311AC 1(G\ 0
ANP-006 2/90
1110
•
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 TENANT 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 REC'D RECEIPT NO.
PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECH. FEE
TOTAL FEES SBCC SURCHARGE ENERGY SURCHARGE AMOUNT DUE
BUILDING DEPARTMENT APPROVAL DATE
REMARKS:
ASSIGNED ADDRESS:
44(
4‘,
RECEIVED ACCEPTED FOR FILING