90-100173 CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
964°6)73
PERMIT NO. 90-0232 NT OWNER'S NAME WILLIAM SHERMAN JOB ADDRESS1224 SW 353 ST
CONTRACTOR OWNER ADDRESS 1150 140 AVE NE BELLEVUE CONT. PHONE 641-3939
CONT. REG. NO. _ _-WMSHECI174L4 7/90 OWNER'S PHONE 641-3939 OWNER'S ADDRESS 1150 140 AVE NE BELLEVUE
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 CONSTRUCT NEW DECK
TAX ACCOUNT NO. 502860-1520 LEGAL DESCRIPTION LOT 152 MADRONA MEADOWS
ISSUED BY_ ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 3/30/90
BUILDING INFORMATION
*NE NA _ OCCUPANCY Ml TYPE OF CONSTRUCTION 5—N BLDG. SQ. FT. DECK = 80 SF
SET BACKS: FRONT 20' 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 $704.00
PERMIT FEE $21.00
PLAN CHECK FEE 14.00
PLUMBING FEE
•CHANICAL FEE
TAL BLDG. FEES $35.00
PART P/C FEE
SEPA REVIEW PAID IN FULL ON erof— (/` d
WATER SERVICE c,�
WATER MAIN CHG.
S.B.C.C. FEE 4.50 /AMOUNT PAID 3 , 5--o
OTHER FEES
AMOUNT DUE 39.50 RECEIPT # 2—/4-0 / �5
ALL PERMITS EXPIRE 180 DAYS AFTER IS UANCE IF NO ARK IS STARTED.'RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION F4- ED j M T'UE AND CORK CT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET: /
OWNER OR AGENT I ' L�` V 9 / a��DATE
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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. SIGN GRADING OTHER
TAX ACCOUNT NO._ LEGAL DESCRIPTION
ISSUED BY DATE OF ISSUE DATE OF APPLICATION
BUILDING INFORMATION
*NE _ 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
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
•
CHANICAL FEE
TAL BLDG. FEES
PART P/C FEE
SEPA REVIEW PAID IN PULL OF
WATER SERVICE —
WATER MAIN CHG. AMOUNT PAIS)
- ---
S.B.C,C. FEE
OTHER FEES k `T''+-`Tr.r: '
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 yc �\� �??9 `�f}
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BUILDING PERMIT APPLICATION Qp,9� a
—Please Print— \A) 1,v
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BOX 1 OWNER 141/4 S //rI /C C c i 'a—Ai 6 JOB LOCATION 42,29 �,J '.53,ea jr`
OWNER'S ADDRESS /4St7 /3' .'e +S CITY ze PHONE C.Y/ 39
DESCRIBE JOB )EC At Ni
THE PROPERTY IS OWNED BY: SINGL /MARRI D PARTNERSHIP CORPORATION 1(
BOX 2 CONTRACTOR'S NAME iki-X? S%7i22/IZA.d K 4 /.r/�' CONTRACTOR'S REG. #A1 t5M 1eIr/15V'#
Card MUST be presented
CONTRACTOR'S ADDRESS SZ) /0)4 4'' /`i' CITYjqf G-iV(AC PHONE`%/ S9 .5'
EXPIRATION DATE 7/ 0
— 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 a•-),.(;c0 g PHONE '// J'S.
BOX 4 SEWER DISTRICT hr— WATER DISTRICT J–_
BOX 5 ESTIMATED PROJECT COST 41_. EXISTING BUILDING VALUATION G 00
BOX 6 PROPERTY TAX ACCOUNT NUMBER 57)2166 45—c20
LEGAL DESCRIPTION Lr 1:512 AiA96Pf,01 /LTii,69zt>5'
(If necessary, please submit a separate page with the legal description.)
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR — / BASEMENT --/ DECK / � GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION , i• � --=� j---
( ) 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 $
0' TOTAL FIXTURES $
TOTAL MECHANICAL FEE $ 0
I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE
BEST OF MY KNOWLE E AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PER-
FORM THE WORK F CH P T APPLICATION IS MADE.
OWNER/AGENT: <A- DATE: 3_3 0 '"- D
ANP-006 2/90
0 0
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIZE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
4/74
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVALWit
DATE
REMARKS:
•
PUBLIC WORKS DEPARTMENT APPROVAL
REMARKS: N
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT X NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. ROOF OTHER
OCCUPANCY i / TYPE OF CONSTRUCTION �� STORES
P C �. BUILDING SQ. FT. bp @ 10 =
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ o r ( y 6 - e
BUILDING SQ. FT. @ K 1
TOTAL SQ. FT. TOTAL VALUATION ?O I�/
EBUILDING PERMIT NO. PLAN CHECK FEE REC'D RECEIPT NO.
PERMIT FEE . ...0 PLAN CHECK FEE —fid'-- PLUMBING FEE MECH. FEE ,-
_
TOTAL FEES 3' c)0 SBCC SURCHARGE '�` T U ENERGY SURCHARGE AMOUNT DUE Y',-S U
BUILDING DEPARTMENT APPROVAL DATE /-6- '70
REMARKS:
ASSIGNED ADDRESS: e-x ( t c
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RECEpJ��
IVED ACCEPTED FOR FILING