90-100148 go-Joo ) Lig,
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT N090-197 OWNER'S NAME WILLIAM SHERMAN JOB ADDRESS 34826 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
TYPE JOB: NEW RESIDENCE XADITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS ) MULTI.ADD. SIGN GRADING OTHER_
TAX ACCOUNT NO. 542242-0720 LEGAL DESCRIPTION LOT 72 MEADOWPARK DIVISION 1
(WATER & SEWER IS AVAILABLE) 50% MAX LOT COVERAGE, 2 PARKING STALLS MINIMUM! !
PLANNING DEPT APPROVAL=KEVIN ELLIS 4/4/90 - SEPA=EXEMPT - PUBLIC WORKS APPROVAL=KEVIN ELLIS 4/4/90
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION _ __ . 3/23/90
BUILDING INFORMATION
oNE RS7.2 OCCUPANCY R-3 TYPE OF CONSTRUCTION 5-N BLDG. SQ. FT. 1656+540=2196
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 2 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 DRINKING FOUNTAINS GAS HOT WATER HTR. x.50 MISC. -
SINKS 1 MISC. CONVERSION BURNER BASIC FEE RETURNED _
DISHWASHERS 1 TOTAL FIXTURES 11XS_00 UNIT HEATER TOTAL MECHANICAL 70,00 AMOUNT NONE
VALUATION $10R,771_78
PERMIT FEE $671_00
PLAN CHECK FEE 436 00
PLUMBING FEE $5 (T ll lamU_ ( ^
WCHANICAL FEE _ �� 4 1!,/ -- 9 (',/,
TAL BLDG. FEES $1182.00 (''
PART P/C FEE I' 8' , \ 0
SEPA REVIEW J
WATER SERVICE ��
WATER MAIN CHG. LI,
s
S.B.C.C. FEE 4.50
OTHER FEES
AMOUNT DUE $1186.50
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 INFO- /ATI', FURNISH Y ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE 'T:/
OWNER OR AGENT ( 1.1.---7,— DATE L ~ >•
CITY OFBUILDING 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
.DNE 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
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.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 Xi'o011' `i90 d
BUILDING PERMIT APPLICATION
—Please Print—
BOX 1 OWNER ()3(Y\ \SVvcidir4AJOB LOCATI .5 Z-4 I( ` 61/ S`4),
OWNER'S ADDRESS \V3O CITYk PHONE •liir fai*
DESCRIBE JOB 6 L
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION x
BOX 2 CONTRACTOR'S NAME - x2 V\L CONTRACTOR'S REG. # L-041, -G=1 -/
Card MUST be presented
CONTRACTOR'S ADDRESS bCi\-VYt CITY PHONE
EXPIRATION DATE "/ 1 D
— 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 94 . : : A PHONE 61+ I -3 C 3 ci
BOX 4 SEWER DISTRICT c__ WATER DISTRICT ZP. U'O� 1/4-t------
BOX 5 ESTIMATED PROJECT COST "( ` `- EXISTING BUILDING VALUATION A)___\,_______
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
(jar ---Z me ow v__ --" Tt) I
(If necessary, please submit a separate page with the legal description.) J\C&j ) t 0
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR yyh/ 2ND FLOOR ,0"
3RD FLOOR / BASEMENT / DECK / GARAGE ,� A:/
BOX 8 (4 SINGLE FAMILY (,X NEW CONSTRUCTION CArm DO
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE �/
( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY 'T I� SQ FT
BOX 9 PLUMBI FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
NO. _WATERCLOSETS GAS PIPING, FEET $ 3-S-0
d- BATHTUBS NO. \ FURNACE, ELEC. GAS $ /0 .c U
SHOWERS I GAS HOT WATER HEATER $ t -Co
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 $
f TOTAL FIXTURES $
`(r _ S - . a 0 TOTAL MECHANICAL FEE $ >-4<vp
I CERTIFY UNDER PENALTY OF PE' 'Y THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE
BEST OF MY KNO • -EDGE • I FI R ' - ER THAT I • M AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PER-
FORM THE WO 4R IC ' '`rr APP II A ION I ADE.
OWNER/AG'P ' L DATE: --- ice' 0
ANP-006 2/90
• S
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT I ez,E,5 REAR HEIGHT LIMIT
PLANNING DEP RTM NT APPROVAL JC - qU
REMARKS: _(ytk f` 2-1. Z'
Std(aA/fC-K 1-ct CDve-r-cq.et z (ctrk(rl 5f�'((S A4(t
SEPA: EXEMPT < NOT EXEMPT `l
FIRE DEPARTMENT APPROVAL A)74 DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE Y`Y-'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, K3 TYPE OF CONSTRUCTION 1/.41 STORES
`i V( POT BUILDING SQ. FT. 1(056 @ 6I , oo = jl ,-/z6 y. d 0
Gat -At BUILDING SQ. FT. S`{o @ /7- 3 0 _ q3`17 • e"c)
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. :1,,De
j(OvI AM ( f(e 7- Q` 316
BUILDING SQ. FT.
TOTAL SQ. FT. _ TOTAL VALUATION f 0 67 7 3• Z-6
EBUILDING PERMIT NO. PLAN CHECK FEE REC'D RECEIPT NO.
PERMIT FEE 67 I. 00 PLAN CHECK FEE — .31,-.41-0— PLUMBING FEE CS-,--- MECH. FEE z-0 - 00 ,
TOTAL FEES CI P,2.. . 00 SBCC SURCHARGE '-(.-S 0 ENERGY SURCHARGE -&-- AMOUNT DUE /(El 6 SO
BUILDING DEPARTMENT APPROVAL DATE '/ -5- 90
REMARKS:
ASSIGNED ADDRESS: 3'16 Z6 11 fi4` jt/e_ S`L.,)‘
42
<a) A,N Ols•
0 N9
RECEIVED ACCEPTED FOR FILING