90-100170 CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
sD -106 1-7 0
PERMIT NO. 90-229 OWNER'S NAME WILLIAM SHERMAN CO JOB ADDRESS 43925 10 PL SW
CONTRACTOR OWNER ADDRESS 1150 140 AVE NE BELLEVUE CONT. PHONE 641-3939**
CONT REG. NO. WMSHECI174L4 7/90 OWNER'S PHONE SAME OWNER'S ADDRESS SAME
TYPE JOB: NEW RESIDENCE XXX 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._ 542243-0380-00 LEGAL DESCRIPTION LOT 38 MEADOW PARK
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE_ S/rY/Q0 I R DATE OF APPLICATION 3/29/90
BUILDING INFORMATION
NE RS7 2liffil OCCUPANCY R-3 TYPE OF CONSTRUCTION 5'N _ BLDG. SQ. FT. 1656+454=2110 TC TL.
SET BACKS: FRONT 20 SIDE 5' EACH REAR 5' STORIES 2 HEIGHT LIMIT 30 MAX
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 3 ELEC. HOT WATER HEATER GAS PIPING FT 3._50 BOILER
BATHTUBS 2 LAUNDRY DRAINS 1 COMPRESSOR _ TANK(S) RECEIVED
SHOWERS URINALS FORCED AIR FURNACE 1_QQQ AIR HANDLING UNIT _ NUMBER _
LAVATORIES 3 DRINKING FOUNTAINS GAS HOT WATER HTR 50 MISC
_
SINKS 1 MISC. CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS 1 TOTAL FIXTURES 11X5.00 UNIT HEATER TOTAL MECHANICAL 20.00 AMOUNT NONE
VALUATION $107,464.00 PLANNING DEPT APPROVAL = KEVIN ELLIS APPROVED 4/11/90
PERMIT FEE $668_00 _ SEPA = EXEMPT
PLAN CHECK FEE 434_00
PLUMBING FEE 59_00 PUBLIC WORKS DEPT APPROVAL = SKIP GREESON ON 4/6/90
OCHANICAL FEE = 20_00-
TAL BLDG. FEES $1177.00 FIRE DEPT = NOT NEEDED
PART P/C FEE
SEPA REVIEW DATE PAID _ 5//44/90
WATER SERVICE
WATER MAIN CHG. AMOUNT PAID // /g/, so
S.B.C.C. FEE 4.50
OTHER FEES RECEIPT # SD6/ 79y
AMOUNT DUE $1181.50
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 TH FORMA ION F,-NISH D :Y ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS W L BE ' ET:/Villin".
'
OWNER •R AGENT A_ . �� DATE_ / 4/
CITY OFBUILDING INSPECTION
FEDERAL WAY BUILDING
ILDING 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. SIGN _ GRADING OTHER
TAX ACCOUNT NO. LEGAL DESCRIPTION
ISSUED BY DATE OF ISSUE DATE OF APPLICATION
BUILDING INFORMATION
GONE 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. 1•- BOILER
BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) RECEIVED
SHOWERS URINALS FORCED AIR FURNACE ' 1.0C 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 PLANNING 31EP`` APPMOVAL = !MIN ELLTS APPROVED 4/11/9G
PERMIT FEE SEPA X a PT _
PLAN CHECK FEE
PLUMBING FEE PUBLIC WORKS DEPT APPROVAL In S P ca /. 4/6/91
ECHANICAL FEE ,4 7/J,) ,
TAL BLDG. FEES _ PIRE DEPT as NOT • EDk.D• / T(/
PART P/C FEE __________ ,
SEPA REVIEW DATE PAID .yr, 'r:d__(` ' •
WATER SERVICE (1-4-t4/46.„60
WATER MAIN CHG. AMOUNT PAIN ).R., , �__..
S.B.C.C. FEE
OTHER FEES RECEIPT _ _
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:
OWNER OR AGENT _ DATE __ __
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CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 OWNER . .c t. ! ' VNC JOB LOCATION -z- S (C rti S , i.,,,,/,
OWNER'S ADDRESS// 1V0 A/c 1- CITY ' -ci/Gjf' PHONE /. --.. i/r
DESCRIBE JOB 5;> t___ / .1"_ sille
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME I—A4 Sf/42,014) et- `O .��Lr CONTRACTOR'S REG. #kJf4-21£/2..7 / 'V '
Card MUST be presented
CONTRACTOR'S ADDRESS 1150 /YJ It/ Air CITY "cI:54/cl 0 PHONE L '/ ..S'92j'
EXPIRATION DATE ?/-&-:,)
— 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 P,. &/r c9A/ PHONE 6Y/ 3_93'2
BOX 4 SEWER DISTRICT 'ibi L .JA/ WATER DISTRICT Fk6 /.C2.41
BOX 5 ESTIMATED PROJECT COST 94i.) EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER . c2c2g3 `c.>3 —,f tp
LEGAL DESCRIPTION 46,7 $` /Lrno)EetJ A "
(If necessary, please submit a separate page with the legal description.)
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / /VL 2ND FLOOR ",6__3RD FLOOR / BASEMENT / DECK / GARAGE 4 i
BOX 8 (x-}--SINGLE FAMILY (>4 NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$yp
NO. IWATERCLOSETS GAS PIPING, FEET �o
a. BATHTUBS NO. / FURNACE, ELEC. GAS x. $ 1_0
SHOWERS / GAS HOT WATER HEATER $ Io(9--
-
` 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 $
TOTAL FIXTURES $
4 acj.°C' TOTAL MECHANICAL FEE $ 7c)"-`'
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 FQ�jf IC1k�PE MIT APPLICATION IS MADE.
OWNER/AGENT: /jj�/�2 7. (i- DATE: 029' ?.
96 4 7 ANP-006 2/90
N al
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE'4‘5 7`2- SETBACKS: FRONT 2_0° SIZE ' Ca-c-lik. REAR HEIGHT LIMIT
PLANNING DEFAf3TMENT APPROVAL V-� 11' (('- YC)
REMARKS: t f' ( 1k ' Zzi
SEPA: EXEMPT - NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL t211---; DATE (7(1 O
REMARKS:
.
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 r` TYPE OF CONSTRUCTION V/(/ STORES
6t BUILDING SQ. FT. I @ I:44 e--"= _ E � '
G- {v.E BUILDING SQ. FT. 4
@ 17 = %_/__
BUILDING SQ. FT. @ = C.
BUILDING SQ. FT. @ _ •
BUILDING SQ. FT. f?EO0-14-L MOQJ L € _ ---
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION I014Io4-
EBUILDING PERNIIT NO. PLA CK FEE REC'D RECEIPT NO.
PERMIT FEE IviriE5 PLAN CHECK FEE - ---- PLUMBING FEE -- j`-'�- MECH. FEE ?AE'1
�
TOTAL FEES 1 Ill SBCC SURCHARGE -I- '- ENERGY SURCHARGE AMOUNT DUE # I 111
BUILDING DEPARTMENT APPROVAL DATE
REMARKS:
ASSIGNED ADDRESS: 31I q z S I O �-k t-C._ S,. L-,I,
RECEIVED ACCEPTED FOR FILING