90-100180 CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT941-1555
9D -/06/ K6
PERMIT NO. 90-0241 OWNER'S NAME TMB ASSOCIATES JOB ADDRESS 33623 7 PL SW
CONTRACTOR KAREL PELTRAM ADDRESS 30950 325 LANE FEDERAL WAY CONT. PHONE 838-4067
CONT. REG. NO. PELTRP*152RT 12/90 OWNER'S PHONE 838-4067 OWNER'S ADDRESS SAME AS SITE
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. NA LEGAL DESCRIPTION NA
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 4/2/90
BUILDING INFORMATION
E NA OCCUPANCY NA TYPE OF CONSTRUCTION NA 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 3 ELEC. HOT WATER HEATER GAS PIPING FT. BOILER
BATHTUBS 2 LAUNDRY DRAINS 1 COMPRESSOR TANK(S) RECEIVED
SHOWERS 1 URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER
IR
LAVATORIES 5 DRINKING FOUNTAINS GAS HOT WATER HTR. MISC.
SINKS 2 MISC. CONVERSION BURNER BASIC FEE RETURNED
DISiiWASHERS 1 TOTAL FIXTURES 15x5.00 UNIT HEATER TOTAL MECHANICAL NONE AMOUNT NONE
VALUATION NONE $20.00 BASIC FEE FOR PLUMBING
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE $95.00
iliCHANICAL FEE
IMP)TAL BLDG. FEES
PART P/C FEE
SEPWATER
REVIEW 4...._ 3 „- To
WATER SERVICE PAID IN FULL ON:
WATER MAIN CHG. Qs'''. \ 1
S.B.C.C. FEE AMOUNT PAID: U (/,�\
OTHER FEES /1
AMOUNT DUE $95.00 RECEIPT: c 9
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 akPC%�% DATE05', /Q f! ` C7
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. OWNER'S NAME JOB ADDRESS _. Li7
CONTRACTOR ADDRESS - CONT. PHONE yGg-�
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 _
UED BY DATE OF ISSUE DATE OF APPLICATION
BUILDING INFORMATION
ZONE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. 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
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT
VALUATION *24.00 3iASIC Via"e FOR PLUMBING
PERMIT FEE 41.c°
.AN CHECK FEE _ ./.----
UMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW -
WATER SERVICE PAID IN FULL ON: f dam.._
WATER MAIN CHG. _
S.B.C.C. FEE '. UNT PAID" /_i _:-.
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 BES1 OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
OWNER OR AGENT DATE
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CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 OWNER t78 45-5:0S2. J B LOCATION 3.3 bac 3 7" ,�z- ski t-or /y—,
OWNER'S ADDRESS 3 33O /sf - S. � '4 CITY A-.oe:eat, wai PHONE b). er— 2175,706
DESCRIBE JOB Qo-''i-ti pcc,frtA,v , F7/.'_ A tj7 e-
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME 7, c.-r' 4'1 CONTRACTOR'S REG. # P&-t--7 P.P -4- /5d crA
Card MUST be presented
CONTRACTOR'S ADDRESS 3al 3.15 L_4 CITY %<" w41/ PHONE 6 3 rs `/067
EXPIRATION DATE /a//s/90 /gcrv3
— 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 PHONE
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
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) 10,O C7 I C- fE- MECHANICAL APPLIANCES — BASIC FEE$
NO. - WATERCLOSETS GAS PIPING, FEET $
Z BATHTUBS NO. FURNACE, ELEC. GAS $
! SHOWERS l GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER $
2, 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 $
/S TOTAL FIXTURES $
k 5 S- ° b 4- Qa s 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 PER-
FORM THE WORK FOR WHICH PERMIT APPLICATION IS MADE.
OWNER/AGENT: l/ DATE:
/ ANP-006 2/90
(/ / i .� , /
•
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIZE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS: 41
7,L
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS: /1k
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS
MULTIFAMILY ADD/ALT TENANT IMP. ROOF OTHER
OCCUPANCY TYPE OF CONSTRUCTION STORES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION
EBUILDING PERMIT NO. PLAN CHECK FEE REC'D RECEIPT NO.
PERMIT FEE Z.O-d'O PLAN CHECK FEE PLUMBING FEE MECH. FEE
TOTAL FEES 'S, 60 SBCC SURCHARGE P. ENERGY SURCHARGE AMOUNT DUE /S- do
BUILDING DEPARTMENT APPROVAL DATE ` -
REMARKS:
ASSIGNED ADDRESS: /�� 15. C Ay
RECEIVED
APR - 2 1990
CITY OF FEDERAL WAIS
BUILDING DEPT.
RECEIVED ACCEPTED FOR FILING