90-100511 96-/a as//
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 90 114 OWNER'S NAME FEDERAL WAY COURTHOUSE JOB ADDRESS 33506 10 PL S
CONTRACTOR PLUMBING MASTERS ADDRESS POB 278 RENTON CONT. PHONE 228-3134**
CONT. REG. NO. PLUMBMI22Q3 11/90 OK OWNER'S PHONE NA OWNER'S ADDRESS NA
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 5/24/90
BUILDING INFORMATION
eNE NA OCCUPANCY NA TYPE OF CONSTRUCTION PLUMBING ONLY 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 1 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 1 DRINKING FOUNTAINS GAS HOT WATER HTR. MISC. _
SINKS MISC.BASIC FEE 20.00 CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS TOTAL FIXTURES 2X5.00 UNIT HEATER TOTAL MECHANICAL NONE AMOUNT NONE
VALUATION NONE
PERMIT FEE
PLAN CHECK FEE \
PLUMBING FEE $30.00 po., .._ 5 -y2 3 —l`O
CHANICAL FEE
y TAL BLDG. FEES CA
PART P/C FEE /J "'r / L�
SEPA REVIEW a'CA-152.4
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WATER SERVICE / L�WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE $30.00
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMIT-S EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET: '���J'
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CITY OF FEDERAL WAY 13C ,11/ 1)
/,' I BU LDING PER— PleMIPTtAPPLICATION Cm 2 4190
Ili A.11 Q4 _1,_y... iti . Af..L' -A / _ C BU/,FidR 4 . .
BOX 1 TENANT NAME: ' PT.
OWNER %,,, - C0c/sir/ Fe.: , 1;;)/(25 i 1L SITE LOCATION 335"0 C. f(: 'I P4,., <,, 5 .
OWNER'S ADDRESS CITY_ PHONE
DESCRIBE JOB Pk,‘...,4 r✓
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME U ' 4 1. . ' e r S CONTRACTOR'S REG. # 3
Card MUST be presente
CONTRACTOR'S ADDRESS ,R) ,2 ) CITY (Q ,1/4/ ' PHONE 2--2. 313 9
EXPIRATION DATE ' !_ l3 4 & J — OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON 7; hi C c� PHONE 3 3/ 3 `I
—BOX 4 SEWER DISTRICT --- WATER DISTRICT
OX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BDA( 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
,--BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
-' ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
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
"L TOTAL FIX�TU ES .11 $ l _
,,..)—V..5,,..)—V..5I b + Zv - 31) 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�JCITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: G7t 4fec,..454„....._ , „,DATE:
ANP-008 3/90