90-100269 96 • lo-ao6 9
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 90-367P OWNER'S NAME WILLIAM SHERMAN JOB ADDRESS 1243 SW 354 PL
CONTRACTOR PERKINS & SON PLBG ADDRESS 8524 NE 147 PL BOTHELL CONT. PHONE 488-3535**
CONT. REG. NO. PERRIIO200BI 6/90 OWNER'S PHONE 641-3939 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
TAX ACCOUNT NO._ NA LEGAL DESCRIPTION NA
ISSUED BY ELIZABETH SNYDER _ DATE OF ISSUE DATE OF APPLICATION 4/19/90
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 NA
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 3 ELEC. HOT WATER HEATER 1 GAS PIPING FT BOILER _
BATHTUBS 1 LAUNDRY DRAINS 1 COMPRESSOR TANK(S) RECEIVED
SHOWET+S 1 URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER _
LAVATORIES 4 DRINKING FOUNTAINS _ GAS HOT WATER HTR. MISC
SINKS ` 1 MISC. 1 TRAY 1 CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS 1 TOTAL FIXTURES 15X5.00 UNIT HEATER TOTAL MECHANICAL _NONE_ AMOUNT _NONE
VALUATION NONE 1 WATER SERVICE $20.00 BASIC FEE
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE $95.00
ECHANICAL FEE nC
&— ---
OTAL BLDG. FEES �J
AMOUNT PAID
PART P/C FEE
SEPA REVIEW DATE PAID
WATER SERVICE i
WATER MAIN CHG. RECEIPT 4 , (
S.B.C.C. FEE _ -- —
OTHER FEES
AMOUNT DUE $95.00
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:
1441 � . pOWNER OR AGENT4 ! '),,e-1.4t.,<, DATE ti- =/{-! e.)CV 7e,
CITY OFBUILDING INSPECTION
BUILDING
FEDERAL WAY 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
ZONE OCCUPANCY _ TYPE OF CONSTRUCTION BLDG. SG. 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
x-'illsa'LC.Lt Zzaty
VALUATION k°7
/"`
PERMIT FEE X //)
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.0 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
1
i
J
J
Y m z >- m J
Cr o c ow IN
a w II
z a a \
o z c i
a _I a
oa a
O U Q N
z_ Q 0 .'
N
m S �
D •
• H U H1 -J H �f -.`
w <
a < 2 < 0 ,i,i
S I \
0
J
Z
vi I 1 NJ
a 1
r ›.-
P COI_ m ',4,
1
oi , I
D
w
�
¢ O \ '
w z
C7
z 0 1 n,
Z_
a
cc a a
H• w w a j w i
H 0
O < < z a a \,
i
1 r\1
c.3 I z iN
m < m wm \^• m 0
o z D '-
U \11`
z , O o j '
tq cr 1 / 1
O Z � W � II
f
a coo \ ji
m w 2 w F' w_I Y a a o c o q
• mit # 610 ----2414-p
CITY OF FEDERAL WAY RECEIVED
BUILDING PERMITAPPLICATION app 9 1990
— Please Print—
CITY OF FrngRAL WAY
BOX 1 TENANT NAME: j BUILDING DEPT. 1 , '
OWNER ! , . • �i.�i is.. �U 1 SITE LOCATION 1 -• 43 C. �- • • Uw
OWNER'S ADDRESS I/50 -/4 a 4' Niz CITY_re/4-.J10//.f V'ace PHONE 6 /-,..?,(-737
DESCRIBE JOB fiC u 6 ' -, e;',
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME 1/---12-1<if-SLS V ' g ,y fit 0/,,rht.4,7.F-ry c CONTRACTOR'S REG. #14$ /C 2 eek/
Card MUST be presented
CONTRACTOR'S ADDRESS65-.24 , /VL ' /4)/Y) p4_ CITY /!374-r,eGL PHONE 4 g .<Z -as-"..33S"-
EXPIRATION DATE 4/ z 1/ g'Q
J � — OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 Wh1 CH PROHIBIISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON •' - if iii a ' .._ A PHONE 4 s'S ~3 s•. '..s -
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER—. 2 - iwD - 02-- d zt G9
LEGAL DESCRIPTION _
(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. WATERCLOSETS d GAS PIPING, FEET $
BATHTUBS NO._ FURNACE, ELEC. GAS $
SHOWERS �— GAS HOT WATER HEATER $
_LAVATORIES - CONVERSION BURNER $
t 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 _. $
OTHERS l Sf/111"C $
TOJAi;�URS ___ $
SS UU � 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.
/ e n � C}
OWNER/AGENT: P/ i.- DATE: (5 /O f e .
ANP-008 3/90