90-100214 CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
9-6- ,neary
PERMIT NO. 90-0293P OWNER'S NAME CRAFTSMAN HOMES JOB ADDRESS 1121 SW 352 ST
CONTRACTOR R & R CONTRACTING ADDRESS 5012 38 ST NE TACOMA CONT. PHONE 952-8589
CONT. REG. NO. KANDR**191P9 _ OWNER'S PHONE 485-9090 OWNER'S ADDRESS 18712 142 AVE NE WOODINVILLE
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 4/9/90
BUILDING INFORMATION
•NE NA OCCUPANCY NA TYPE OF CONSTRUCTION_ NA _ BLDG. SO. FT. NA
SET BACKS: FRONT NA SIDE NA REARNA STORIES NA HEIGHT LIMIT NA
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 3 ELEC. HOT WATER HEATER GAS PIPING FT. BOILER
RECEIVED _
BATHTUBS 1 LAUNDRY DRAINS 1 COMPRESSOR TANK(S)
SHOWERS 1 URINALS FORCED AIR FURNACE AIR HANDLING UNIT _ NUMBER
LAVATORIES 4 DRINKING FOUNTAINS GAS HOT WATER HTR. MISC
SINKS 1 misc. BASIC FEE 20-00 CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS 1 TOTAL FIXTURES 1 7X5_0 D UNIT HEATER TOTAL MECHANICAL NONE AMOUNT __NONE _
VALUATION NONE
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE $R n__n nn 44 _ ( 3 9 0
MECHANICAL FEE
TAL BLDG. FEES
PART P/C FEE ll� /1 _
SEPA REVIEW {}\ v
WATER SERVICE
WATER MAIN CHG. 1 ( / ( l 7 5S.B.C.C. FEE44-6A-152-k. [//
OTHER FEES
AMOUNT DUE $80_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: t....„1
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OWNER OR AGENT (AL ` DATE ! '� 0
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
SINKS MISC. BAS re CONVERSION BURNER BASIC FEE RETURNED _.
DISHWASHERS _ TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL -_ _ AMOUNT
VALUATION 4, O
O
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
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CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 OWNER 0/21-0Ei 146)-1"u'( -\�) Z JOB LOCATION It L /-_5. 35 Z,k_,L C�
OWNER'S ADDRESS ./S7/Z- M ZJ trVt- Ai L.. CITY •"'"06)P'lilt/LC PHONE yew
DESCRIBE JOB -P(c,•,ti c
THE PROPERTY IS OWNED BY: SIdGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME g4.--(2_ CONTRACTOR'S REG. # j�ft �/� � ( l)/'61
Card MUST be presented
CONTRACTOR'S ADDRESS EDI -17S;r� c "1• t _ CITY PHONE 52 . rS
EXPIRATION DATE
— 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 K.c "�'' l'� l�<,"��° r PHONE �� 5 `i .%�� I-%
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
(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
( ) 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. r WATERCLOSETS GAS PIPING, FEET $
( Mk BATHTUBS NO. FURNACE, ELEC. GAS $
I. SHOWERS GAS HOT WATER HEATER $
Lj 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 $
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 FURL ER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PER-
FORM THE WORK OR WHICH PERMIT APPLICATION IS MADE.
OWNER/AGENT: Uteaj I_ Lu L(f`/ DATE: tiW9 V
M� ANP-006 2/90
5a -a 93
•
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIZE 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. 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 PERMIT NO. PLAN CHECK FEE REC'D RECEIPT NO.
PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECH. FEE
TOTAL FEES SBCC SURCHARGE ENERGY SURCHARGE AMOUNT DUE
BUILDING DEPARTMENT APPROVAL DATE
REMARKS:
ASSIGNED ADDRESS:
RECEIVED
APR 091990
Plfi DEP
Wk
RECEIVED ACCEPTED FOR FILING