92-100757 CITY OF FEDERAL WAY 92 /0 D 7ECTION
Way South
5'�
FedeOral First BUILDING
WA 98003 BUILDING PERMIT BUILDING INS 661 4140
PERMIT NO. 92-0788 P OWNER'S NAME ROY BOWINGTON SITE ADDRESS 30125 17TH AVE SW
CONTRACTOR SELF ADDRESS CONT.PHONE
CONT.REG.NO. -- EXP. OWNER'S PHONE 952-2913 OWNER'S ADDRESS 30125 17TH AVE SW FEDERAL WAY
TYPEJOB: 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. 005070-0120-09 LEGAL DESCRIPTION
ISSUED BY JOANNE JOHNSON DATE OF ISSUE 5 - 2 DATE OF APPLICATION 5-20-92
BUILDING INFORMATION
ZONESET BACKS:FRONT SIDE REAR HEIGHT LIMIT
siCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG.SQ.FT. STORIES
UMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC.HOT WATER HEATER GAS PIPING FT. GAS LOGS
RECEIVED
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK
SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC.
ACKFLOW 5.00 RETURNED
SINKS MIS BBQ BASIC FEE
DISHWASHERS TOMS FEE 20.00 DRYER TOTAL MECHANICAL I AMOUNT
25.00
VALUATION
RAINBIRD BACKFLOW PREVENTER APAS-075—P 3/4" PIPE CONNECTION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE 25.00
MECHANICAL FEE
PART P/C FEE
diEPA REVIEW
ELIC WORKS
S.B.C.C.FEE
FIRE FEE DATE: S f 2 —7
OTHER FEES AMOUNT: 25.00 //ft)q
AMOUNT DUE 25.00 RECEIPT: 0i �- L (l V
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. 4.--'
7
OWNER OR AGENT ��7 Z1%2; DATE /�;� /7
CITY OF FEDERAL WAY
33530 First Way South BUII_ DING PERMIT BUILDING INSPECTION
Federal Way, WA 98003 661-4140
PERMIT NO. OWNER'S NAME SITE ADDRESS
CONTRACTOR ADDRESS CONT.PHONE
CONT.REG.NO. EXP. 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 SET BACKS:FRONT SIDE REAR _ _ HEIGHT LIMIT
OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO._ TYPE OF HEAT BLDG.SQ.FT. STORIES
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC.HOT WATER HEATER GAS PIPING _ FT. _ GAS LOGS
RECEIVED
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK
SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT _ NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. _
RETURNED
SINKS _ MISC. BBQ BASIC FEE
DISHWASHERS TOTAL FIXTURES _ DRYER TOTAL MECHANICAL AMOUNT
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
aECHANICAL FEE
PART P/C FEE •
SEPA REVIEW
PUBLIC WORKS
S.B.C.C.FEE - /
FIRE FEE - DATE: I/d
OTHER FEES AMOUNT: \ VVV LL� 1-7
AMOUNT DUE RECEIPT: /���u� \,(t L
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 WIA
.L
BE MET.
OWNER OR AGENT DATE
•
SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE __ -....... BY_. -......_. DATE ..__ _.... BY -__ ._ DATE ..-_._.BY
PLUMBING ROUGH IN WATER LINE O.K. MECHANICAL INSPECTION
DATE.... BY .._. -._.._-_.-__ GAS PIPING O.K.-- . DATE -__ BY
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE BY ....- DATE .. -.. _. _BY DATE - BY
FINAL O.K. TO 0 CUPY
DCD PSD FD
DATE 6/S7 BY
• •
R EC IV ED termit # 9 -2
MAY 2 9 1992 CITY OF FEDERAL WAY
+1 +v0"'et*IiALIIUILDING PERMIT APPLICATION
- Please Print—
BOX 1 TENANT NAME:
OWNER J(-IC)V .4 • /3e;alo/✓ 7G=i0 SITE LOCATION
OWNER'S ADDRESS &C/c..2,5— /2"4,9 E S4J CITY 7343?2,57( 60,4`i PHONE 6%
DESCRIBE JOB '3 7/9 Lc —5,2 (-C 6A i ,Y) ?
THE PROPERTY IS OWNED BY: SINGL /MARRIES PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME Oc.) n v 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 PERSON Z.`.' Z. i''GU>ivc=TCr„ PHONE 1151--5 11L c�
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER ? (15- -- 01
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
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$
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 $
X SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS AI/W5-a;'_s-y' $
OTHER /vf Ai le 42/twer ies✓ $
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 FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
MADE.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
FEES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
AND FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPLOYEES UPON THE ApCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: e A% ��' / DATE: "20 i'
ANP-008 3/90
OFFICE U ONLY (PLEASE DO NOT WRITE BELOW THIS LICE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE
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. OTHER
OCCUPANCY TYPE OF CONSTRUCTION STORES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION
BUILDING DEPARTMENT REMARKS: PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS:
�� PARTIAL PLAN CHECK FEE RECEIVED
RE ED Amount Date Receipt#
MA`I L 1892 BUILDING DEPARTMENT APPROVAL
eF F.L.±Akl
BY DATE ACCEPTED FOR FILING