90-100186 CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
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PERMIT NO. 90-253 RA OWNER'S NAME JOHNSON, VERN & KAREN JOB ADDRESS 29612 22ND AVENUE S.
CONTRACTOR QUALITY N W CONST ADDRESS 5701 4TH ST E. TACOMA CONT. PHONE 839-1804
CONT. REG. NO. QUALINC141DR OWNER'S PHONE OWNER'S ADDRESS 29612 22ND AVENUE S.
TYPE JOB: NEW RESIDENCE ADDITION XX 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 JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 4-3-90
' BUILDING INFORMATION
•NE OCCUPANCY R3 TYPE OF CONSTRUCTION VN BLDG. SQ. FT. 432
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 6,500
PERMIT FEE 90.00
PLAN CHECK FEE 59.00 � ^
__A_ ....._
PLUMBING FEE DATE: (IT)
ECHBICALDG.FEE ( L 5IIl.)
•TAL BLDG. FEES AMOUNT: {J\o��-
PART P/C FEE _ ` f(do
SEPA REVIEW RECEIPT:
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE 4.50
OTHER FEES
AMOUNT DUE 153.50
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 B T:^ '
OWNER OR AGENT -711 --:, DATE LI
.--6' — (0
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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. SIGNGRADING OTHER
TAX ACCOUNT NO. LEGAL DESCRIPTION
ISSUED BY DATE OF ISSUE DATE OF APPLICATION
BUILDING INFORMATION
ZONE __ OCCUPANCY TYPE OF CONSTRUCTION _ BLDG. SQ. 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
45-
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. 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
SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE BY DATE _._. BY _ DATE _ BY -
PLUMBING ROUGH IN WATER LINE O.K. _..... ........_ MECHANICAL INSPECTION
DATE .- BY ---._____-.. GAS PIPING O.K. DATE _. BY
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE 1/_- _4BY 03 DATE _.414--/I'-._��......BY _ --_- DATE BY ......-
FINAL O.K. TO OCCUPY
DCD PSD FD
DATE BY
Li" � _ I F rk q ( Q C.
• - •
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
1 — Please Print—
BOX 1 OWNER �I er n '- IQ rei l Joh SCi'7 JOB LOCATION I" / • hi 44 UC', S:
OWNER'S ADDRES <cc "'le CITY /& evc LL.'ey PHONE
DESCRIBE JOB Q t - L V-e O eri aye — Ve t\r-4 A s r_) G'uev° 0 pry
THE PROPERTY IS 0 ED BY: SINGLE/MARRIED X PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME _ t+ , k . I CONTRACTOR'S REG. #G2(// I .L .)C /1f( 0
Card MUST be presented t.\
CONTRACTOR'S ADDRESS ''7()I u1`17 5 f, CITY 7 Lf PHONE 29/e()y Q�� ►�'
EXPIRATION DATE -1 L'' "9/
— 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 LA /Yj —77-11 S f e'y Y
/ PHONE e '`C.y
9."/
BOX 4 SEWER DISTRICT -- . ''rc /' . WATER DISTRICT FC cI c vvcI (C.'c v
BOX 5 ESTIMATED PROJECT COST ,$ lig 4-00 EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 3 79/Poo -C 70 'Q Li
LEGAL DESCRIPTION _ . 1 it. • - . k—
(If necessary, please submit a separate page with the legal de cripti n.)
cC 't, r6 H e 3 L s -1-*
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1 ' / —I 2fD 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) 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 $
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 F HIGH PERMIT LIC ION IS MADE.
OWNER/AGENT: DATE: L' — 1 `0
ANP-006 2/90
5() -- .2s--.3 2A
• _ •
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIZE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
/1/14-
/ /L
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL " . DATA
REMARKS: NM 11.6;,
PUBLIC WORKS DEPARTMENT APPROVAL//4 • 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/AtT TENANT IMP. ROOF OTHER
OCCUPANCY r`} TYPE OF CONSTRUCTION 1).1/ STORES ,
e- BUILDING SQ. FT. 1(3 Z @ (7. 3 0 = 71/7340
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ . _
BUILDING SQ. FT. @ ' Q
BUILDING SQ. FT. @12.Ic .(1 �d(f(�L o • ce$
TOTAL SQ. FT. V TOTAL VALUATION 65-7G-7 7
EBUILDING PERMIT NO. PLAN CHECK•FEE REC'D RECEIPT NO.
PERMIT FEE 1().db PLAN CHECK FEE —4 — — PLUMBING FEE —=-_-- MECH. FEE - 0
TOTAL FEES t`fq. 0 0 SBCC SURCHARGE d.f. Tc, ENERGY SURCHARGE fJ AMOUNT DUE 15-3' 5 O
BUILDING DEPARTMENT APPROVAL DATE Y- `/- 9d
REMARKS:
ASSIGNED ADDRESS: S e-e 42k( (S f r
RECEIVED
APR - 4 1990
CITY OF FEDERAL
AY
eeACCEPTED FOR FILING