90-100275 CITY-OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
9.6 -/00.)75--
PERMIT NO. 90-377P OWNER'S NAME QUADRANT CORP JOB ADDRESS 34512 10 AVE SW
CONTRACTOR DELTA PLBG ADDRESS 13122 8 ST E STE 1 SUMNER CONT. PHONE 927-7620**
CONT. REG. NO. DELTAPH176QP 12/90 OWNER'S PHONE 455-2900 OWNER'S ADDRESS POB 130 BELLEVUE
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 LEGAL DESCRIPTION NA
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 4/19/90
BUILDING INFORMATION
*NE 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 1 GAS PIPING FT. BOILER
_
BATHTUBS 1 LAUNDRY DRAINS _ 1 COMPRESSOR _ TANK(S) RECEIVED
SHOWERS 1 URINALS - FORCED AIR FURNACE AIR HANDLING UNIT NUMBER
LAVATORIES 5 DRINKING FOUNTAINS _ GAS HOT WATER HTR. MISC
SINKS _I__ MISC. BASIC FEE 20.00 CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS _ 1 TOTAL FIXTURES 14X5.00 UNIT HEATER TOTAL MECHANICAL NONE AMOUNT NONE
VALUATION NONE
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE _ $90.00
CHANICAL FEE
IIIWTAL BLDG. FEES
PART P/C FEE AMOUNT PAID qL)
SEPA REVIEW _
WATER SERVICE DATE PAID Ai - c,9DWATER MAIN CHG.
S.B.C.C. FEE RECEIPT # ���
OTHER FEES
AMOUNT DUE $90.00
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 1G-'7 ___„1---___:_' --. -�- DATE '44 t' `-s /, : _
c__
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING 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
NE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. FT.
ET 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 A< ,
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
()
•TAL BLDG. FEES
PART P/C FEE PAID
SEPA REVIEW
WATER SERVICE
T PAI
WATER MAIN CHG.
S.B.C.C. FEEVII „ + e
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 FEDERAL WAY
BUILDING PERMIT APPLICATION
—Please Print— , /
1./
BOX 1 OWNER Qua_drant Corp. JOB LOCATION _a45_12 10th Ave. S.W. (6\'
OWNER'S ADDRESS 0. Box 130 CITYBellevue PHONE 455-2900
DESCRIBE JOB P_Lumbing
THE PROPERTY IS OWNED BY: SINGLE/MARRIED_ PARTNERSHIP CORPORATION x
BOX 2 CONTRACTOR'S NAME Delta Plumbing CONTRACTOR'S REG. # CC01 DELTAPH176QP
Card MUST be presented
CONTRACTOR'S ADDRESS 13122 8th St. E. , Suite 1 CITY Sumner PHONE 927-7620
EXPIRATION DATE 12/17190
— 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 Laurie Schuler PHONE 927-7620
BOX 4 SEWER DISTRICT - _ WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION 4
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
(If necessary, please submit a separate page with jhe 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) MECHANICAL APPLIANCES— BASIC FEE$ 20.00
NO. 3 WATERCLOSETS GAS PIPING, FEET $
1 BATHTUBS NO. FURNACE, ELEC. GAS $
1SHOWERS GAS HOT WATER HEATER $
__._LAVATORIES CONVERSION BURNER $
__SINKS BOILER, SIZE BTU $
1DISHWASHERS AIR HANDLING UNITS $
1 VliE,CM W/HOT WATER HEATER HEAT PUMPS, SIZE $
.__T_--_LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS _OTHER $
DRAINS $
OTHER _ $
14 TOTAL FIXTURES _ _ $ 70.00
TOTAL MECHANICAL FEE $ 90.00
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 WQR FO r1W1 1HIICH PERMIT APPLICATION IS MADE.
OWNER/AGENT: C;LL-IAL-Q \UU.A DATE: Li li t►) IQ
I,P^ ANP-006 2/90
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