90-100210 CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
9-6-/156„)10
PERMIT NO. 90-0289P OWNER'S NAME CRAFTSMAN HOMES JOB ADDRESS 1113 SW 352 ST
CONTRACTOR K & 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. SQ. FT. NA
SET BACKS: FRONT NA SIDE NA REAR NA 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 COMPRESSOR _ TANK(S)
SHOWERS ____1-___ URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER _
LAVATORIES ____A-__ DRINKING FOUNTAINS GAS HOT WATER HTR. MISC.
SINKS 1 MISC. BASIC FEE 70_00 CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS 1 TOTAL FIXTURES 1 7XS_00 UNIT HEATER TOTAL MECHANICAL NONE AMOUNT NONE
VALUATION NONE
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE $80_00
AIECHANICAL FEE �'f ,\
STL BLDG. FEES q-C 3 - C CJ
PART P/C FEED ,,• \
SEPA REVIEW Y6. w
WATER SERVICE /4V
WATER MAIN CHG. i
S.B.C.C. FEE Li ? J` I
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: 1 �J /�
OWNER OR AGENT 16:1-i-i4A., �/`�' " //ii'1J/ 2/LZDATEq((.3 I V
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
OE OCCUPANCY TYPE OF CONSTRUCTION - ._ BLDG. SO. FT.
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
MECHANICAL FEE
AL BLDG. FEES
HT 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 PERMIT-S 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
0 m 0 O a -o a
1 -Di z Di -Di C > m
QA m r m -i m K m W
co D
z n
'1 i 0 z 0
Z
;.2. p, c\, 00c
> z O
D
G z 0
f� _ 1 O
'
a
1 ` 0 a D z > > D
—1 > •
0 0
l m c m
vcn
m —4
D _° S1 O
o
,\ Z ° O
0 T O
C
r1
>
N
\ t CO
(� a °
z
'I, ^ COD
1 " --\ o cn
mr. (..,, C O K a
\' > > > m > C
C
m w m = m K •
co I D W_
O Z Z
> 0 0
1 33
Cm
'n
V, Z u) O
m0 m a
n m 0
o
zz W 33
I-
r-
1
• I
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
—Please Print—
BOX 1 OWNER Ill. A I 4 /1-1° _ JOB LOCATION • ('`) • n d/
OWNER'S ADDR' 4f'/ i n > v! •� . C- CITY l/J0 a frhv;I . PHONE '/SS- `)eq
DESCRIBE JOB (AM Inc
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME -'4-'_ Cin \ \.. CONTRACTOR'S REG. #\ISN ORE -1`1/Ix/
/ Card MUST be presented
CONTRACTOR'S ADDRESS CO I Z 3 1 ' 5* /� ' (. CITY re:( L-C7 1'v1A. PHONE.. q c 2 —SS-
EXPIRATION
SSEXPIRATION 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 PHONE
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 (,jQ SINGLE FAMILY 4 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. `3/ 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 $
/2-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 Fs ' WHICH PERMIT AP' 'ICA !ION IS MADE.
OWNER/AGENT: 1 N ♦_' DATE:
P-006 2/90
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 0 9 1990
CITYO {LAFEDERAL Y
DIA
UACCEPTED FOR FILING