90-100245 9t- /00 E9s
CITY OF BUILDING BUILDING INSPECTION
FEDERAL WAY PERMIT 941-1555
PERMIT NO. 90-334 OWNER'S NAME ROBERT E. FLOOR JOB ADDRESS 27907 21 AVE S
CONTRACTOR OWNER ADDRESS SAME AS SITE CONT. PHONE 946-2587
CONT. REG. NO. NA OWNER'S PHONE SAME OWNER'S ADDRESS SAME
TYPE JOB: NEW RESIDENCE ADDITION XXX NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS ) MULTI.ADD. SIGN GRADING OTHER CONSTRUCT NEW DECK
TAX ACCOUNT NO. 757562-0530 LEGAL DESCRIPTION LOT 53 SCARBOROUGH DIVISION #3
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 4/16/90
BUILDING INFORMATION
NE RS7.2 OCCUPANCY DECK TYPE OF CONSTRUCTION NA BLDG. 50. FT. _ NA
ET BACKS: FRONT
ST20 SIDE 5 EACH REAR 5 STORIES NA HEIGHT LIMIT NA
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 _
SINKS MISC. CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS TOTAL FIXTURES NONE UNIT HEATER TOTAL MECHANICAL NONE AMOUNT NONE
VALUATION 1 ,500_00 PLANNING DEPT APPROVAL BY SKIP GREESON ON 4/17/90
PERMIT FEE $35-00
PLAN CHECK FEE 23_00
PLUMBING FEE
Alif CHANICAL FEE
up,TAL BLDG. FEES $58.00
PART P/C FEE
SEPA REVIEW1, y),..D
5--WATER SERVICE DATE PAID //
WATER MAIN CHG. I _ 1' 5-
S.B.C.C. FEE 4.50 AMT PAID
x"000 �-
OTHER FEES RECEIPT # 14 s V )---(9
AMOUNT DUE $62.50
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 BE MET: -
OWNER OR AGENT '' / 4/0-0O---L-- DATE 5/1/,6
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. 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 • 4216Ar.:d1.. t..: ...L :' .Pl.aiu< ... ,.« ., .;. ::4j?,i, ,..:;x, . ,. ►L.
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PERMIT FEE '1 /
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW fATS PAID r 1... {
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WATER SERVICE
WATER MAIN CHG. MT PAID ' Sof
S.B.C.C. FEE ---
OTHER FEES "It.�.._` i '""`
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
RECUREMENTS WILL BE MET:
OWNER OR AGENT_ DATE
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CITY OF FEDERAL WAY ���oF�<4
BUILDING PERMIT APPLICATION Ar qy
— Please Print-
BOX 1 OWNER %ZZe1fY 6 A 2 JOB LOCATION -.4 I.a
OWNER'S ADDRESS 79G J :21$' 4J, Hca CITYr'<</ese6/ 4-4y PHONE?1 '%S 7
DESCRIBE JOB .Lz.-4 Ai/-2,_,... . S? (iZ
THE PROPERTY IS OWNED BY: SINGLE/MARRIED/ /1/lizc1 PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME Clt)life'( _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 WHI H PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON ,,61.%/ A7.3 /2 PHONE/4 e Zi-e6;1:2
BOX 4 SEWER DISTRICT WATER DISTRICT r---
BOX 5 ESTIMATED PROJECT COST 625-06, EXISTING BUILDING VALUATION'/5 . X
BOX 6 PROPERTY TAX ACCOUNT NUMBER 151 5-jp Z — 053 D
LEGAL DESCRIPTION D
- - - AMU, •affirP"P
(If necessary, please submit a separate page with the legal description.)
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR I BASEMENT / DECK -—5r_- /-,,R / 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 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 $
RAINS $
ceiOTHER $
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 FO' fe...ICH PERU • PPLICATION IS MADE.
OWNER/AGENT: /1Arr . DATE: 41// /7e1;
ANP-006 2/90
• •
•
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE e4/11 SETBACKS: FRONT 20 SIZE `1 4.S REAR HEIGHT LIMIT /6
PLANNING DEPARTMENT APPROVAL
REMARKS: 4117 f
In
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 PER IT NO. PLAN CHECK FEE REC'D RECEIPT NO.
PERMIT FEE �°O PLAN CHECK FEE 4-14-24—..- PLUMBING FEE MECH. FEE
TOTAL FEES of oo SBCC SURRI-jARGE '1+1=-9 ENERGY SURCHARGE AMOUNT DU •
BUILDING DEPARTMENT APPROVAL -- DATE ' '1 ao
REMARKS:
ASSIGNED ADDRESS:
‹Ci co'� g QS
Q�' � L<<,4(
qkD ACCEPTED FOR FILING
411.
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OWNER RIZ IZ p
DATE SUBMITTED DATE APPROVED 41!i 110
APPROVED BY ata
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