91-100751 qb) )0 6 75/
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 91-715 P OWNER'S NAME PARKWOOD HOMES JOB ADDRESS 32710 7TH AVE SW
CONTRACTOR JJ PLUMBING INC ADDRESS 3414 "A" STREET SE SUITE 104 AUBURN CONT PHONE 939-1390
CONT. REG. NO. JJPLU196CC OWNER'S PHONE 881-6600 OWNER'S ADDRESS 8920 152ND AVENUE NE REDMOND
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. 302105-9265 LEGAL DESCRIPTION
1..sikISSUED BY JOANNE JOHNSON DATE OF ISSUE q/ DATE OF APPLICATION .5-30-91
BUILDING INFORMATION
ONE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SO. FT._
SET BACKS: FRONT SIDE REAR STORIES .__ HEIGHT LIMIT
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 3 ELEC. HOT WATER HEATER 1 _ GAS PIPING _FT. BOILER
BATHTUBS 2 LAUNDRY DRAINS 1 COMPRESSOR TANK(S) RECEIVED __ _ _
SHOWERS 1 _ URINALS FORCED AIR FURNACE AIR HANDLING UNIT _ NUMBER _
LAVATORIES 5 DRINKING FOUNTAINS _ GAS HOT WATER HTR. MISC.
y,3INKS 1 MISC. PERMIT FEES 20.00 CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS 1 _ TOTAL FIXTURES15X5= 75.00 UNIT HEATER TOTAL MECHANICAL AMOUNT
VALUATION 95.00
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE 95-00 _
OCHANICAL FEE
AL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE DATE: (0/ --1
WATER MAIN CHG.
S.B.C.C. FEE AMOUNT: 95.00
OTHER FEES
AMOUNT DUE 95.00 RECEIPT: , 1
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 ME : 4
OWNER OR AGENT) • &-4--,"T-e_ DATE
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. SIGNGRADING OTHER
TAX ACCOUNT NO. LEGAL DESCRIPTION
ISSUED BY_ _ DATE OF ISSUE - DATE OF APPLICATION
• BUILDING INFORMATION
ZONE OCCUPANCY _ TYPE OF CONSTRUCTION BLDG. SO. 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
.,rr.
DISHWASHERS _ TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT
VALUATION
"zip_
PERMIT FEE
PLAN CHECK FEE 3
•CHANICAL
UMBING FEE
FEE
TOTAL BLDG. FEES
PART P/C FEE LI
SEPA REVIEW1).icji. ,,,1
WATER SERVICE /
WATER MAIN CHG.
S.B.C.C. FEE �/ ppTE
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:
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I OWNER OR AGENT DATE
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• •ermit # 9/ -7 73-
CITY
s CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print— /1 !/97/--r
BOX 1 TENANT NAME:
OWNER ) (i(kt.. Cicx 1-erne-4 SITE LOCATION_,'-.32710 7+1-) Av-e wOWNER'S ADDRESS Pf12�' 152 r-61 A4'{. N .C-• CITY iC1mcr I PHONE r l -
DESCRIBE JOB pi( rmib
THE PROPERTY IS OWNED BY-:-''SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME T -) PI LI mhi t'tif J_ IC . CONTRACTOR'S REG. # 1 TPL.L1 IckCC
JJ Card MUST be presented
CONTRACTOR'S ADDRESS 3'4I'4 ''A'' Sf• .SG, IGS} CITY AL{Ilil-i"n PHONE 61 31-
EXPIRATION DATE 2.12 'g 2
— 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 jC Yi i-1 1f t l ?.�� t PHONE q 3q-
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
\- BOX 6 PROPERTY TAX ACCOUNT NUMBER P - - =f"• .S-6 C 7- 4
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 $
i SINKS BOILER, SIZE BTU $
I DISHWASHERS AIR HANDLING UNITS $
I 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 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/AGE-0 ` 64'' DATE: _
ANP-008 3/90