90-100401 96 •/boyo,
CITY OFBUILDI
NG INSPECTION
BUILDING
FEDERAL WAY PERMIT
941-1555
PERMIT NO. 90-552 P OWNER'S NAME LORRIE HOMES JOB ADDRESS 461 SW 345TH PL
CONTRACTOR FAWCETT PLUMBING ADDRESS_ 6609 48TH ST CT W TACOMA CONT. PHONE 565-7.019
CONT. REG. NO.FAWCEP122BJ OWNER'S PHONE 564-3888 OWNER'S ADDRESS 33410 4TH PL SW
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 JOANNE JOHNSON _ DATE OF ISSUE_ DATE OF APPLICATION 5-7-90
BUILDING INFORMATION
*NE - 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 5 ELEC HOT WATER HEATER 1 GAS PIPING FT BOILER
BATHTUBS 3 LAUNDRY DRAINS 1 COMPRESSOR TANK(S) RECEIVED
SHOWERS __A___ URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER
LAVATORIES 6 DRINKING FOUNTAINS GAS HOT WATER HTR. MISC.
RETURNED
SINKS _ 3 MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS 1 TOTAL FIXTURES 5 X 21=1 0 5 A/CHEATER TOTAL MECHANICAL __. AMOUNT
BASIC FEE 20- -T0
VALUATION 125.00
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE 125_00 _
VWCHANICAL FEE
TAL BLDG. FEES 5 Qei 0
PART P/C FEESEPl
REVIEW =-- AMU-11 --
/ a ��(—WATER SERVICE
WATER MAIN CHG. _ �)
S.B.C.C. FEE _ R4C(21/17 'IV /( 7YOTHER FEES 00
AMOUNT DUE _195.00
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\ '-1 4"1 DATE `5 -- P-- L
0795 5.;/9/
*mit # L)-, 2-
CITY
--..CITY OF FEDERAL WAY C/ NY
BUILDING PERMIT APPLICATION ry8 o1990
— Please Print— ev/CD VQ 4. 1/VAe
,[� r
BOX 1 TENANT NAME: 01'Aar /'�M`-s
OWNER ( AlSITE LOCATIO . Y4 / <sec .9 vs1X 1,-)4OWNER'S ADDRESS � . . ---' CITY t PHONE 5L1— ;S-6'S
DESCRIBE JOB 1. t �
THE PROPERTY IS OWNED BY: INGLE/MARRIED - PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME F4,...)-(/.7/7 CONTRACTOR'S REG. #/ & Cizi /22481
Card MUST be presented!
CONTRACTOR'S ADDRESS 1.e.C.) S W CITY /4CenyA PHONE .52.6"--74)/ S
EXPIRATION DATE / — //- 9/ fk
— 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 Ale Ai J-A't.'G4:7ir PHONE 24,C— 3/C
— BOX 4 SEWER DISTRICT - WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
r.--BOX 6 PROPERTY TAX ACCOUNT NUMBER
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
B0 'FLUME G FI •URES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. --5 WATERCLOSETS GAS PIPING, FEET $
3 BATHTUBS NO. FURNACE, ELEC. GAS $
/ SHOWERS GAS HOT WATER HEATER $
IP LAVATORIES CONVERSION BURNER $
,3 aC 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 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, UPN THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: DATE:
ANP-008 3/90
410
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIDE 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. 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
BUILDING DEPARTMENT REMARKS:
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS:
q47
j/ PARTIAL PLAN CHECK FEE RECEIVED
,1' 4,i Amount Date Receipt it
4 BUILDING DEPARTMENT APPROVAL
RECEIVEW BY DATE ACCEPTED FOR FILING