92-100351 7
CITY OF FEDERAL WAY 9a' ;S
33530 First Way South BUILDING PERMIT BUILDING INSPECTION
Federal Way, WA 98003 661-4140
PERMIT NO. 92-302 P OWNER'S NAME HILLSIDE PLAZA CLEANERS SITE ADDRESS 2016 SW 314TH
CONTRACTOR J & R PLUMBING ADDRESS 1710 S 341ST PL B-20 FEDERAL WAY CONT.PHONE 838-1865
CONT.REG.NO. JRPLUI159RD EXP. 3/92 OWNER'S PHONE . OWNER'S ADDRESS 608 S 152ND SEATTLE
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
TAX ACCOUNT NO. 092104-9053 LEGAL DESCRIPTION
ISSUED BY JOAN1E EJOHNSON _ DATE OF ISSUE 2 ,'• L '9-_ DATE OF APPLICATION 2-26-92
BUILDING INFORMATION
GONE SET BACKS:FRONT SIDE - _REAR HEIGHT LIMIT
OCCUPANCY TYPE OF CONSTRUCTION _ CENSUS NO. TYPE OF HEAT _ BLDG.SQ.FT. STORIES
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 1 ELEC.HOT WATER HEATER 1 GAS PIPING FT. GAS LOGS
BATHTUBS LAUNDRY DRAINS 2 FORCED AIR FURNACE _ DUCT WORK RECEIVED
SHOWERS URINALS - GAS HOT WATER HTR. AIR HANDLING UNIT _ NUMBER
LAVATORIES _ 1 DRINKING FOUNTAINS CONVERSION BURNER MISC.D
SINKS _ y�IMIT FEE 20.00 BBQ BASIC FEE RETURNED
DISHWASHERS TOTAL FIXTURESSX$5= 25.00 DRYER TOTAL MECHANICAL AMOUNT
45.00
VALUATION
PERMIT FEE
PLAN CHECK FEE _
PLUMBING FEE $$45.00
dikECHANICAL FEE
ART P/C FEE
SEPA REVIEW
PUBLIC WORKS -
S.B.C.C.FEE - -2 . ')- i-5-1-
FIRE
1-FIRE FEE - DATE:
OTHER FEES - - AMOUNT: $45.00
AMOUNT DUE 45-00— RECEIPT: L
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 INFO' ATION FURNISHED B 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 ,A $ /� DATEa� ( Z_
• POit # 7z _302 P
FEB 2 1992 CITY OF FEDERAL WAY
,inyoi �EDERA DeptAY BUILDING PERMIT APPLICATION
- Please Print—
BOLDING
BOX 1 TENANT NAME: /4/:/%0/2 1z ' .44,1!t�
OWNER /42/c',44Ce- — ✓'l SITE LOCATION �-O/ J-iti 3/�
OWNER'S ADDRESS e.'"n- - Z5 . 0i/', CITY Fit/_ PHONE
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SINGLE/MARRIES PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME � "K G ir2B/ CONTRACTOR'S REG. # - / /S', '
--
CONTRACTOR'S
Card MUST be presented
CONTRACTOR'S ADDRESS /7 "-A9- `�Y/ i1- —40 CITY r:=f:. n PHONE r3f-/5- ..)--
EXPIRATION DATE 3/
— 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 ,D PHONE7✓;%/AZ:a)
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 0? /`'y?<)5-3
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 = ) (--f EXISTING STRUCTURE
( 6OMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. I 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 $
_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, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: 1 �"'' 4DATE: =2 - -4 '
ANP-008 3/90
CITY OF FEDERAL WAY 9 -/01)35-/
33530 First Way South BUILDING PERMIT � BUILDING INSPECTION
Federal Way, WA 98003 661-4140
PERMIT NO. OWNER'S NAME SITE ADDRESS
CONTRACTOR ADDRESS CONT.PHONE
CONT.REG.NO. EXP. 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
ONE SET BACKS:FRONT SIDE REAR HEIGHT LIMIT
CCUPANCY TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG.SQ.FT. STORIES
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC.HOT WATER HEATER _ GAS PIPING FT. GAS LOGS
RECEIVED _
BATHTUBS LAUNDRY DRAINS _ FORCED AIR FURNACE DUCT WORK
SHOWERS _- URINALS GAS HOT WATER HTR. _ AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC.
RETURNED _
SINKS MISC. BBQ BASIC FEE
DISHWASHERS TOTAL FIXTURES _ DRYER TOTAL MECHANICAL AMOUNT
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
ART P/C FEE
.,EPA REVIEW
PUBLIC WORKS
S.B.C.C.FEE
FIRE FEE DATE:
OTHER FEES AMOUNT:
AMOUNT DUE RECEIPT:
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
! `
SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE -....... BY _....._. DATE _..- BY ._ DATE ..- BY ..__
PLUMBING ROUGH IN WATER LINE O.K. MECHANICAL INSPECTION
DATE ...._ BY _ GAS PIPING O.K._ ____ DATE BY
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE BY DATE _ -_.__ BY DATE _ BY
FINAL O.K. TO OCCUPY
�1 �(� DCD PSD FD
DATE_.% // --BY
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