90-100151 CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555.
91 -Ib615)
PERMIT NO. 90-200 OWNER'S NAME WILLIAM SHERMAN JOB ADDRESS 34906 11 AVE 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
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TYPE JOB: NEW RESIDENCE �JRODITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY_ (UNITS ) MULTI. ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. 542242-0700 LEGAL DESCRIPTION LOT 70 MEADOWPARK DIVISION 1
(WATER Sr, SEWER IS AVAILABLE) 50% LOT COVERAGE MAX - 2 PARKING STALLS MINIMUM
PLANNING DEPT APPROVAL = KEVIN ELLIS 4/17/90 - SEPA=EXEMPT PUBLIC WORKS APPROVAL=SKIP G. 4/11/90
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 3/23/90
BUILDING INFORMATION
*NE RS7.2 OCCUPANCY R-3 TYPE OF CONSTRUCTION 5-N BLDG. SQ. FT. 1813+600=2413 TCT.
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 10.00 AIR HANDLING UNIT NUMBER _
LAVATORIES 4 DRINKING FOUNTAINS GAS HOT WATER HTR. 6.50 MISC —
RETURNED
SINKS 1 MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS 1 TOTAL FIXTURES 12X5.00 UNIT HEATER TOTAL MECHANICAL 20.00AMOUNT NONE
VALUATION $119,220.00
PERMIT FEE $710_00
PLAN CHECK FEE 469_00
PLUMBING FEE We_
CH0AL BICALLDG.FEE �� 4,-2;1
TAL BLDG. FEES $1252-00 c`�PART P/C FEE
SEPA REVIEW
11-1519I 51)WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE 4.50 3 f, -- W
OTHER FEES
AMOUNT DUE $1256.50
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 INFOR • I'r FUR D BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE
� `' D
OWNER OR AGENT 0...-0...- DATE
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
i BUILDING INFORMATION
NE 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
CHANICAL FEE
TAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
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 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 C/8�.pp�6 4&90
BUILDING PERMIT APPLICATION `4oFprwgY
— Please Print—
BOX 1 OWNER _ 1 AA Ilt�:�l ��t. JOB LOCATION 4 L I C 1 "r(.' N, ,L.,../
OWNER' ADDRESS l L�i�� `�E- CITY BIL` O PHONE
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME Z24 14" ' CONTRACTOR'S REG. #(1M1 Sftf. c---17 ?-y'.y
Card MUST be presented
CONTRACTOR'S ADDRESS 6 `'x- CITY PHONE
EXPIRATION DATE 4- 1' 0
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUIN 'ERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON 1: 1 A PHONE.. - t
BOX 4 SEWER DISTRICT -) WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST 'i/ ,,? EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION -
• WarllLirca
(If necessary, please submit a separate page with the legal description.) l'1e ,4 ,,.! <T/3
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR/Li•77 2ND FLOOR -__-=‘__��_/
3RD FLOOR / BASEMENT / DECK / GARAGE Gam/
BOX 8 (SINGLE FAMILY ('NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ((p
EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
NO. _' WATERCLOSETS GAS PIP G, FEET $
BATHTUBS NO. FURNACE, ELEC. GASIK_ $ D
SHOWERS GAS HOT WATER HEATER $ h C'
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 $
OTAL FIXTURES $
1:,67°P--S TOTAL MECHANICAL FEE $ LD
I CERTIFY UNDER PENALTY OF PERJURY AT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE
OF MY KNOWLE4FUS"BEST ND H' ' AT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PER-
FORM THE WORK FORH P..ti • • P•LIC,ATION S MADE. `�OWNER/AGENT: AA - DATE:MOW Cd1111 / / /� cp
ANP-006 2/90
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0 410
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONEI\)Y7.2- SETBACKS: FRONT c ' SIZE Srt-(Lt REAR HEIGHT LIMIT 30
PLANNING DEPARTMENT APPROVAL K-C-- II / 7 - ��
REMARKS: (f u elik = ,`IO
o Lo L 1'r v-�(` S (�( Alt (�
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SEPA: EXEMPT 7C NOT EXEMPT J
FIRE DEPARTMENT APPROVALDATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL O IL' DATE 4-/1 1 1 9 cD
REMARKS:
5(a_
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 CIN TRACTION @ �� STORES lZ��
SFR. BUILDING SQ. FT. I :5
BUILDING SQ. FT. @ I1 _ 033r)
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ = ra-
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION I (9 Z20
EBUILDING PERMIT NO. PLA I CK FEE RECD RECEIPT NO.
PERMIT FEE 710 PLAN CHECK FEE11&"' =QPLUMBING FEE --4.5&:-1.-- MECH. FEE "" co
TOTAL FEES 12-57— SBCC SURCHARGE 4-`1-.' ENERGY SURCHARGE AMOUNT DUE*i296.
BUILDING DEPARTMENT APPROVAL DATE
REMARKS:
ASSIGNED ADDRESS: 3 I O C ( (I— AL,
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RECEIVED ACCEPTED FOR FILING