90-100149 qtr /Do) y 9
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 1 D r 19 7 OWNER'S NAME WILLIAM SHERMAN JOB ADDRESS MI , --I ) b FL SLO
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_XX 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. 542243-0390 LEGAL DESCRIPTION LOT 39 MEADOWPARK DIVISION 2
(WATER & SEWER IS AVAILABLE) 50% LOT COVERAGE MAX - 2 PARKING STALLS MINIMUM REQUIRED!
PLANNING DEPT APPROVAL=KEVIN ELLIS 4/5/90 SEPA=EXEMPT PUBLIC WORKS APPROVAL=KEVIN E. 4/5/90
ISSUED BY F.LIZABF.TH SNYDER DATE OF ISSUE DATE OF APPLICATION 3/23/90
BUILDING INFORMATION
fiNE RS7.2 OCCUPANCY $-3 TYPE OF CONSTRUCTION 5-N BLDG. SQ. FT. 1656+480=2136 TOT.
SET BACKS: FRONT 20' SIDE 5' EACH REAR 5' STORIES 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 1a_0_o_ AIR HANDLING UNIT NUMBER _
LAVATORIES 3 DRINKING FOUNTAINS GAS HOT WATER HTR. 6.50 MISC.
SINKS . RETURNED
1 MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS 1 TOTAL FIXTURES 11X5.00 UNIT HEATER TOTAL MECHANICAL 20_410 AMOUNT NONE
VALUATIO'IS $10'4259.84
PERMIT FEE $668.00
PLAN CHECK FEE 414_00
PLUMBING FEE 99_00
OCHANICAL FEE $20.00 rn1J/ .4.--21 -1D�
TAL BLDG. FEES $1177_00
PART P/C FEE
SEPA REVIEW � O I i SD
WATER SERVICE
WATER MAIN CHG. 3qc / C 2-3
S.B.C.C. FEE 4.50
OTHER FEES
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 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
CITY OF BPE
BUILDING INSPECTION
I L D I N
FEDERAL WAY u G R941-1555
4'
TT G�' /s /2./E,92.. fli),, /zz
PERMIT NO. qv I L V OWNER'S NAME JOB ADDRESS d4 L,:)-- i-[ 'w `�
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
ONE 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
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
•TAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.0 FEE
OTHER FEES
AMOUNT DUE
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.'RESIDENTIAL AND GRADING PERMIT-S 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 FEDERALWAY ®GA�'`,6 ���`
BUILDING PERMIT APPLICATION ��'�%�'�� % d
—Please Print— 0 -1/
BOX 1 OWNER ar6 kath-&r JOB LOCATION 3 H I )0 V-e- s, (-L.'OWNER'S ADDRESS k (,5 I q0 �w N 2- CITY ter/ PHONE G3,_,;r5
DESCRIBE JOB ''c- 0
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME �6.i'we, CONTRACTOR'S REG. #ttP'v' s e-- I 0
Card MUST be presented
CONTRACTOR'S ADDRESS ‘,S�V � CITY PHONE
EXPIRATION DATE
— OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 W CH 'ROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON 11 _ II). _ _ . L_ PHONE -
r
BOX 4 SEWER DISTRICT �� 1. WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST 9?. 6,,Z6---) — EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION Tag me ,P,9-4`z (('‘,/
(If necessary, please submit a separate page with the legal description.) 192_,/¢/1) • / a
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 4.13T 2ND FLOOR We.)/
3RD FLOOR / BASEMENT / DECK / GARAGE WO/—
BOX 8SINGLE FAMILY EW CONSTRUCTION
8p
) 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 PIPIF1G, FEET $ 3,5-0
BATHTUBS NO. / FURNACE, ELEC._ GAS $ !C' C'
SHOWERS ( GAS HOT WATER HEATER $ 6<5-c)
3 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 ,„ $
IC TOTAL FIXTURES $
XS -- Sc, o c) TOTAL MECHANICAL FEE $ LD- >O
I CERTIFY UNDER PENALTY OF PERJURY T THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE
0
BEST OF MY KNOWLE' ' ND FURTHE.,r •T I AM AUT ORIZED BY THE OWNER OF THE ABOVE PREMISES TO PER-
FORM THE WORK FP ' CH ' ` u ' PP CAT!'N I M� �/�CJ
OWNER/AGENT: ��1�/ / DATE:
ANP-006 2/90
• 0
,
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE I'S 7 L SETBACKS: FRONT '?-0' SIZE_5 r Cb REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL I'-e- tf- 7 - RC
REMARKS: f+e(a fi= 7-1 -5-
\--ore -446K � fi CoL/traye_r z 19Q6_ icy ,AI(c .-cwt cc&.
SEPA: EXEMPT > NOT EXEMPT �/
FIRE DEPARTMENT APPROVAL /07-4 DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL (--C- DATE y' c` TO
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 (Z3 TYPE OF CONSTRUCTION (,f il/ STORES
Lt`s/ (c(A BUILDING SQ. FT. 16 S6 @ 6q- 6° = fry 2--Cy, 00
(9cgr ccq/e- BUILDING SQ. FT. L{$6 @ 17. 3 6 = 63011 , 06
,Jf' BUILDING SQ. FT. @
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ t 0 i AA0d
BUILDING SQ. FT. @
TOTAL SQ. FT. TOTAL VALUATION (0 7&S/, 8 y
EBUILDING PERMIT NO. PLAN CHECK FEE REC'D RECEIPT NO.
PERMIT FEE 6 kA •L C PLAN CHECK FEE3, 6-0-- PLUMBING FEE -- -00 — MECH. FEE - ��
TOTAL FEES 11 77 • C'O SBCC SURCHARGE tie e S-O ENERGY SURCHARGE -&-- AMOUNT DUE /f 8/t 5 O
BUILDING DEPARTMENT APPROVAL DATE y-- S- FO
REMARKS:
ASSIGNED ADDRESS: 314Q Z ( I� 1.- Q, S ` w
RECEIVED ACCEPTED FOR FILING