91-101313 CITY OF FEDERAL WAY
Federal33530 PECTION
I ` W 98003 BUILDING PERMIT BUILDING INS
Way, 661-4140
PERMIT NO. 91-1267 P __OWNER'S NAME PARKWOOD HOMES SITE ADDRESS 32800 7 AVE SW
CONTRACTOR JJ PLBG ADDRESS 3414"A" ST SE #104 AUBURN CONT.PHONE 939-1390
CONT.REG.NO. JJPLU196CC EXP. 2/92 OWNER'S PHONE 881-6600 OWNER'S ADDRESS 8920 152 AVE NE REDMOND 98052
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. . 302105_-9265 LEGAL DESCRIPTION NA
ISSUED BY ELIZABETH SNYDER __ DATE OF ISSUE l DATE OF APPLICATION 9/12/91
BUILDING INFORMATION
ZONE-_ _ _ SET BACKS:FRONT SIDE REAR HEIGHT LIMIT
OCCUPANCY_ -TYPE OF CONSTRUCTION _CENSUS NO.(VS . - TYPE OF HEAT_ -- BLDG.SO.FT. STORIES_
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 3 ELEC.HOT WATER HEATER 1 _ GAS PIPING FT. - GAS LOGS
BATHTUBS 2 LAUNDRY DRAINS _2 FORCED AIR FURNACE DUCT WORK RECEIVED_
SHOWERS 1 URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER
LAVAT TRIES 5 DRINKING FOUNTAINS CONVERSION BURNER MISC.
SINKS 1 MISC. BASIC FEE 20.00 BBC) BASIC FEE RETURNED
DISHW.,SHERS 1 TOTAL FIXTURES 16 X $5.00 DRYER TOTAL MECHANICAL NONE AMOUNT NONE
VALUATION - -
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE _$100.00
MECHANICAL FEE
PART P/C FEE
SEPA REVIEW j
PUBLIC WORKS ` / /
S.B.C.C.FEE
FIRE FEE --- -- - DATE:
OTHER FEES -$100-.-0-0-- AMOUNT: $100.00
AMOUNT DUE RECEIPT:
a
-Cit '.."---
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 ,_ --x-c--t—e--t. , R /5 /
CITY OF FEDERAL WAY
33530 Irst Way SouthWay, WA 98003 BUILDING PERMIT BUILDING INS
ECTION
Federal 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
NE SET BACKS:FRONT SIDE _ REAR HEIGHT LIMIT
ib
BOND
OCCUPANCY TYPE OF CONSTRUCTION — _ CENSUS NO. TYPE OF HEAT_ BLDG.SQ.FT. STORIES
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT.
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.
SINKS MISC. `. (7.00 BBQ _ BASIC FEE RETURNED
lg P
DISHWASHERS TOTAL FIXTURES " DRYER TOTAL MECHANICAL AMOUNT
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
RT P/C FEE
SEPA REVIEW /
• / ' !
PUBLIC WORKS / t
/ R
EXPI ED
S.B.C.C.FEE — J
FIRE FEE DATE: `, 'D���+ . - c'
OTHER FEES AMOUNT: BY,------ --
1/ U AMOUNT DUE — RECEIPT: n '
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. AN
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 ��z WATER LINE O.K. ....... MECHANICAL INSPECTION
DATE / �-?f BY /V -__ 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
DCD PSD FD
DATE BY
• •
Permit # yI -, I I-fICl--
RECEIVED CITY OF FFDEFIAL WAY
BUILDING PERMIT APPLICATION
5Ep 121991��( — Please Print—
°"r,�,=pp�_
Otrisumo4G
BOX ANT NAME:
OWNER Cir It .•an.Q. SITE LOCATION , 2./5'e) '71-h Ave. SCJ
OWNER'S ADDRESS &C120 i52rci A J-e. t\l•F CITY IRerlmalY-1 PHONE 881-G06)00
DESCRIBE JOB Pi rnh;
THE PROPERTY IS OWNED BYNGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME J.J PI Urn 1i Cq Zr c. CONTRACTOR'S REG. #J TPL(.� Ic1(c(
�J 1 Card MUST be presented
CONTRACTOR'S ADDRESS I`I l'1\ Sf•S•E• #i 4 CITY AUJ-L.t.in PHONE6131- /890
EXPIRATION DATE 2/2
— 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 John 11' n5 kr PHONE 93q- 1396
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST ------- EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER iO 21 X510
LEGAL DESCRIPTION 1 hA. Qi n-t Ld 3
(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 ( t,rfINGLE FAMILY (v<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 $
2 BATHTUBS NO. FURNACE, ELEC. GAS $
I SHOWERS GAS HOT WATER HEATER $
5 LAVATORIES CONVERSION BURNER $
SINKS BOILER, SIZE BTU $
I DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
2. LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
OTHER $
Co 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 EMPL EES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: ap�".l, ' _ 1 . . I/_% DATE: `n 2 `I
ANP-008 3/90