90-100272 CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
96' /00.1707
PERMIT NO90-37OP OWNER'S NAME WILLIAM SHERMAN CO JOB ADDRESS 1212 SW 354 PL
CONTRACTOR PERKINS & SON PLBG ADDRESS 8524 NE 147 PL BOTHELL CONT PHONE 488-3535**
CONT REG. NO. PERRII*200BI 6/90 OWNER'S PHONE 641-3939 OWNER'S ADDRESSSAME 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
*NE_ NA OCCUPANCY NA TYPE OF CONSTRUCTION _ NA BLDG. SQ. FT._ NA
SET BACKS: FRONT NA SIDE NA -___- REARNASTORIES
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 2 LAUNDRY DRAINS 1 COMPRESSOR TANK(S) RECEIVED
SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER _
'4WATORIES 4 DRINKING FOUNTAINS _ GAS HOT WATER HTR. _ MISC.
SINKS 1 _ MISC. WTR SERV. 1 CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS 1 _ TOTAL FIXTURES 14X5.00 UNIT HEATER TOTAL MECHANICAL NONE AMOUNT NONE
♦ -
VALUATION NONE
PERMIT FEE
PLAN CHECK FEE _
PLUMBING FEE $90.00 _
CHANICAL FEE
METAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG. - AMOUNT PAID 90
S.B.C.C.
OTHER /5^OTHERFEES DATE PAID4- zD Vl
AMOUNT DUE $90.00
RECEIPT # -,353 - 5' n
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.1 � YLL �'/" ilS (4-4,11 '1 .'` DATE (--1/1---t? `'?C��/G;)
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
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. 14 Sf:Ii'a CONVERSION BURNER BASIC FEE
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT
VALUATION /—
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG. 111.17` PAID 41
S.B.C.C. FEE _ ) "~
OTHER FEES p7► rt. /(
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 ii' C►
BUILDING PERMIT APPLICATION 4p , `ll/fit,
— Please Print— /
�'/81-111/j//41)$/:14Op9 .990
BOX 1 TENANT NAME: VQt
OWNER i___ ' C�-e�' SITE LOCAT'n^I l.2 L __y_S�l� ..f-S-'4 Tti ,L'T,�4
•
OWNER'S ADDRESS/45R, - /q® /'}!/'t Ada CIT`,'►S-1 i.:.t ra"4 : Vow PHONE 1 .-3 7.,_? 7
DESCRIBE JOB S r �-7 C---( /1aS Le/•-' <:(C' �' 3 fiLe,c-t„ 6 CAr Cm
THE PROPERTY IS OWNED BY: SINGLE/MARRIED _ PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME r34/2 t t'&$ a/S m-V per,„ S -%'G. -P-nXZ CONTRACTOR'S REG. #j c. ./ `-2c"a'/? /
Card MUST be presented
CONTRACTOR'S ADDRESS gSCa-4 - /K//4 /41 ry / ( CITY 8.0 7-4-e L 4 PHONE L/ 1 S',1.5-_...3 S'
EXPIRATION DATE 6/%2 I / 769 ' (h„
�`� — 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 � /3 GAJ2�/) i , PHONE4 0 g---?-5=-?S
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER ,.3-4,%;2 - 0 46 - t`170
LEGAL DESCRIPTION (-,d T /7 7 - "i),:t i/2 m of c_ 7-/Z a( L S
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 1 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK _/ GARAGE /
BOX 8 ()c) SINGLE FAMILY (JCS NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBG FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. WATERCLOSETS / /1 GAS PIPING, FEET $
. ( D
BATHTUBS .OJ� NO. FURNACE, ELEC. GAS $
SHOWERS GAS HOT WATER HEATER $
i LAVATORIES CONVERSION BURNER $
/ SINKS BOILER, SIZE BTU $
DISHWASHERS AIR HANDLING UNITS $
/ ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
I LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS _ COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
f^ OTHER 1.Z: _, s,P/e ///C Lv . $
et
FI XZIdOS $
`t ' u ' TOTAL MECHANICAL FEE $
I CERTIFYJUNDER 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 6I4CURRED 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: . /� _ • . L.. ..... DATE: 40' ./ of
ANP-008 3/90