90-100219 CITY OFBUILDING INSPECTION
FEDERAL WAY BUILDING
ILDING PERMIT 941-1555
96,rob0)/9
PERMIT NO. 90-300 OWNER'S NAME JOHN LORENTZEN JOB ADDRESS 36607 9 AVE SW
CONTRACTOR OWNER ADDRESS SAME AS ABOVE CONT. PHONE 927-2917
CONT. REG. NO. NA OWNER'S PHONE 924-6472** OWNER'S ADDRESS SAME
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 "CONSTRUCT STORAGE SHED"
TAX ACCOUNT NO. 302104-9142-OS LEGAL DESCRIPTION LOT 4 KC SHORT PLAT NO 177005 REC #8110190924
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 4/9/90
BUILDING INFORMATION
eNE RS15 OCCUPANCY Ml - TYPE OF CONSTRUCTION 5-N BLDG. SQ. FT. SHED=624 SF
SET BACKS: FRONT 20 I SIDE 5' EACH REAR 5' STORIES NA _ HEIGHT LIMIT NA
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 NONE UNIT HEATER TOTAL MECHANICAL _NONE AMOUNT NONE
VALUATION $7,962_24
PERMIT FEE $99.00 -
PLAN CHECK FEE 64-00
PLUMBING FEE
ECHANICAL FEE
TAL BLDG. FEES ______-$163._._0_0---_
PART P/C FEE
SEPA REVIEW
WATER SERVICE DATE PAID .6 "3 - v
WATER MAIN CHG. AMOUNT PAID
S.B.C.C. FEE 4.50
OTHER FEES RECEIPT # L q 3/C/`1`/
AMOUNT DUE $167-50
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL MET: /
OWNER OR AGENT \vrl DATE_._
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THERE ARE TO BE NO DEVIATIONS
TO THE APPROVED DRAWINGS
UNLESS OTHERWISE APPROVED BY
THE FEDERAL WAY BUILDING
DEPARTMENT.
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CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 OWNER �TTN/V R. Lo.'FA)7ZE71I JOB LOCATION Udrrie
OWNER'S ADDRESS ....36,6Q0`7 4t4 i4iie. , . CITY Idem/ 1//,447 PHONE 927-L79/7
DESCRIBE JOB r1 f)(l .01 / -- P --.)
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME NJ/Li -A9 Ind a/a CONTRACTOR'S REG. #
Card MUST be presented
CONTRACTOR'S ADDRESS CITY PHONE
EXPIRATION DATE
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSONThHA LOP£_iLJ T1—Ai PHONE 9.r:'l-6Y772 d/1/'
BOX 4 SEWER DISTRICT %.2`/ (ifs L-) WATER DISTRICT %d/
BOX 5 ESTIMATED PROJECT COST 6, DDU EXISTING BUILDING VALUATION NONE:
-
BOX 6 PROPERTY TAX ACCOUNT NUMBER H 2'/4'71- 9i'/;' -05 /8351/4
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT /_. DECK / GARAGE / 42
BOX 8 SINGLE FAMILY (,' , NEW CONSTRUCTION )t( Pi—:b ill h.
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE 9'A,
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 7��"',. OCC SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
NO. - WATERCLOSETS GAS PIPING, FEET $
BATHTUBS NO. - FURNACE, ELEC. GAS $
SHOWERS GAS HOT WATER HEATER $
- 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 $
UOn)E 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 F RTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PER-
FORM THE WORKWHIG P MIT A"LIGATION IS MADE.
OWNER/AGENT: X-7,-- • ,e___e .
-y-' DATE: C Lz G'
G �?
ANP-006 2/90
At
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE(C5(S SETBACKS: FRONT SIZE ) CUA REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS: i'(- -74±
SEPA: EXEMPT `\-- NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
^94 REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL A17/ DATE
REMARKS:
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT k" 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. 6 1-(g
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ K�q(v r .A4 d(y('x a - Fr e
BUILDING SQ. FT. J 1
TOTAL SQ. FT. TOTAL VALUATION 7 T 6 Z , 2-L/
EBUILDING PERMIT NO. PLAN CHECK FEE REC'D RECEIPT NO.
PERMIT FEE Q'a cov PLAN CHECK FEE - � �c- PLUMBING FEE ----- MECH. FEE 'la-
TOTAL FEES fc,3. °O SBCC SURCHARGE N- 0 ENERGY SURCHARGE e- AMOUNT DUE /b7-.5"d
BUILDING DEPARTMENT APPROVAL DATE i iI .- `(c
REMARKS:
ASSIGNED ADDRESS: See Q4C(S¢(vkee
car`v
Or(
1 Bo`p N�0pT.
RECEIVED ACCEPTED FOR FILING