90-101154 016,10115 y
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
"INSPECTION REQUEST LINE-946-6794'
PERMIT NO. 90-1374 P OWNER'S NAME PARKWOOD HOMES JOB ADDRESS 32812 7 AVE SW
CONTRACTOR JJ PLUMBING ADDRESS 36809 204 AVE SE AUBURN CONT. PHONE 939-1390
CONT. REG. NO. JJPLU196CC 2/91 (OK) OWNER'S PHONE A' /--- 6c. 00 OWNER'S ADDRESS 8920 152 AVE 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 PLUMBING ONLY
TAX ACCOUNT NO. -NA 61(3 7 Ye7 00S 0 LEGAL DESCRIPTION NA
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE i' '23 41° DATE OF APPLICATION 8/15/90
BUILDING INFORMATION
RFSNE NA OCCUPANCY NA TYPE OF CONSTRUCTION PLUMBING ONLY BLDG. SQ. FT. NA
T 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 1 GAS PIPING FT. BOILER
BATHTUBS 2 LAUNDRY DRAINS 2 COMPRESSOR _ TANK(S) RECEIVED _
SHOWERS 1 URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER _
LAVATORIES 5 DRINKING FOUNTAINS GAS HOT WATER HTR. MISC.
SINKS A— MISC. BASIC FEE 20.00 CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS 1 TOTAL FIXTURES 16 X $5.00 UNIT HEATER TOTAL MECHANICAL NONE AMOUNT NONE
VALUATION NONE
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE $ 100-nn
MECHANICAL FEE
TAL BLDG. FEES $
1T P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE DATE PAID 5---.,-3- !r) AMOUNT $100.00 RECEIPT / 7 i / / 0 ,k0_
OTHER FEES
AMOUNT DUE $ 100.00
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: t
OWNER OR AGENT ' DATE 23 - /Q
31Va INJOV d0 d3NMO
:131A1 39 11IM 81N30131:11(103d
AVM 1V1d3a33 30 A110 3l9VOIlddV 3141 aNV 30a31MON>I AW dO 1939 3H1 01 10313d00 aNV 3ndl SI 3W AO O3HSINdnd NOI1V J 0dNI 3H1 IVH1 Ad11830 I
'3ONVf1SSI dO 31VO 831dV HV3A 3NO 3HIdX3 S11Wd3d DNIOVHD ONV 1VIIN3OIS31A "031HVIS SI )IdOM ON Al 30NVf1SSI H31dV SAVa 08L 3HIdX3 SIIWId3d 11V
3na 1NnowV
..,_,,,,,....,, __ 9333 831-110/ 11s OpfQQrt disc. 446,1:.. 333 0095
OHO NIVW H31VM
301A83S 831VM
M31A38 Vd3S
333 Old 18Vd
5333 'oa18 1V1.
333 1VOINVHO
333 ONI9Wnld
333)103H0 NVId
333 1IW83d
• •• NOIIVnlVA
1Nf101NV 1VOINVH031N Mol 83IV3H IINn S38niXld 1V101 S83HSVMHSIO
333 0ISV9 83N8119 NOIS83ANO0 OSIW SNNIS
a3N8n138
OSI1N 81H 831VM_OH SVO SNIVINf10d ONI)INIFJG S31801VAV1
8391/11f1N llNn ON11ONVH HIV 30VN8nd 81V 030803 S1VNIHn S83MOHS
(S6iNV1 - 8OSS3HdINO0 SNIV8a ABGNI1V1 S9l1HIV9
a3A13038
831109 ld ONIdid SVO 83IV3H 831VM_OH '0313 .- S13S010 831VM
ONOO '11A1V '1WV S30NVIlddV IVOINVH03W "ON 'ON ONIBWflld
.110111 11-1013H S31801S 8V38 3915 1N083 5H0V913S
Id OS '0019 NOIIOl8ISNO0 JO 3dAi AONVd11000 3NO0
NOIIVWHOdNI ONlallfl9
NOIlVOIlddV dO 31V0 3nSSl JO 31V0 A9 a3nSSI
NOIIdI8OS301VO31 •
ON INl000V XVI
83H10 0NI0VIJO NO'S a0V '1118 (- S11Nn) AllINVJ-1.1.111IN M3N
aaV Onand 011Ond M3N Clay 1VI81SnaNI GOV 1V108301W00 1V1083WW00 M3N 1VI81SnaNI M3N NOI11GGV 30N30IS38 M3N Sof 3dAl
SS38aaV S,83NMO 3NOHd S,83NMO ON 038 _WOO
3NOHd 1NO3 SS38aaV 8010V81NO0
SS3800V 90f 3WVN S,83NMo ON 111/483d
ss51.-`Vs llWE13d JNlailn8 AVM1Va3a3A
NOI133dSNI JNIa'1If18 AO A113
M
V\
Y m Z m m
O
o w
o
t
o Z a
CC i
Q 0
U a
CC
Z Z
� 0
aco
Lu
• 2 wOI-- J
IZI
~
aowo a
2 o
ch I
J I o
Z a
o } i } p
a• m m
oZ
o Y Y Vj
U_
Ocr O
w Z �,
a J Z O C
CI
O cr I— Lil w LIJ
a a
• O a S Cal Z Cn 0 o
i
1 14,,
, 3
' '..
O i L
0 , z
Z ‘>1144
N
o mi z m < m a m
O z LL U N
o N u) o N 01
Z O O-J I O
U Z �i W Y
a m O O {�
m w 0 W ~ w J¢ Ili
\
Z (Nt
cwn o a o 0 0 1 o ` o
•rmit # Tv /3 7'0 "j
• r
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME:
OWNER T--)1.r irk d, 1-f r SITE LOCATION ,'r >(2_ 11+h ,kyr. f-AJ
OWNER'S ADDRESS P 1 Z213 11 'nd
. A' . ,.t - CITY _ie d h'-;irr.-. PHONE
DESCRIBE JOB Pt u
THE PROPERTY IS OWNED BY: SOLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME T- r CONTRACTOR'S REG.
Card MUST be presented
CONTRACTOR'S ADDRESS , 0YY1 2.04+-11 Ave. 5 CITY ALLI) f.) PHONE(1-717!- )39r,�
EXPIRATION DATE %j Z 1c-
— OR —
I
c — 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 . IL 14/1. PHONE
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION MC. t rL P4- 5
(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 ( MINGLE 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 $
1 SHOWERS GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER $
1 SINKS BOILER, SIZE BTU $
I DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
7 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/AGENTh �( _ /L(mL oi DATE: FY/5 hi.)
ANP-008 3/90