90-100475 CITY OF BUILDING INSPECTION
FEDERAL NAY BUILDING PERMIT 941-1555
90-/00175
PERMIT NO. 90-658 P OWNER'S NAME SUNRIDGE CONSTRUCTION JOB ADDRESS 30313 17TH AVE SW
CONTRACTOR XXX A-1 PLUMBING ADDRESS 26207 MAPLE VALLEY HWY MAPLE VALLE�NT. PHONE 432-2500
CONT. REG. NO. AIPLUSI1731LD OWNER'S PHONE 854-6101 OWNER'S ADDRESS 25725 101ST SE KENT
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 LOT 2 ADELAIDE
ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 5-17-90
BUILDING INFORMATION
lE 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 3 ELEC. HOT WATER HEATER 1 GAS PIPING FT. BOILER
BATHTUBS 2 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 __X__2_ MISC. L. TRAY 1 CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS 1 TOTAL FIXTURES 17X5= 85.00 UNIT HEATER TOTAL MECHANICAL AMOUNT
BASIC FEE 20.00
VALUATION
105.00
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE 105-00
CHANICAL FEE _
AL BLDG. FEES
PART P/C FEE DATE: G 7 -9-'4")
SEPA REVIEW
WATER SERVICE AMOUNT: I O.s =3
WATER MAIN CHG.
S.B.C.C. FEE RECEIPT: A) 314,41
OTHER FEES
AMOUNT DUE 105.00
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 ET:
OWNER OR AGENT ,2.w //�.% 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
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 ' 7XS CJ•a"' UNIT HEATER _– TOTAL MECHANICAL AMOUNT _.
VALUATION tf
195 00
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
AIIKCHANICAL FEE
TAL BLDG. FEES
PART P/C FEE AT ------ ------
SEPA REVIEW -
WATER SERVICE AMOUNT:---------,-----------
WATER MAIN CHG. rtEC81PT.
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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Permit # � - S _Y P
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION MAY 1 8 1990
— Please Print—
BOX 1 TENANT NAME:
OWNER --C-(//YE r c< </—/(''SITE LOCATION a, 3 %3 / 7 7L/ Av6
OWNER'S ADDRESS _2,5-7 .2,_5— /0/T1 s6_ CITY K Af % ✓f1 PHONET' — /0/
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME / /T6 - c J'e?"7" 7 CONTRACTOR'S REG. # Al/1"e-‘A-r- / 73' )i
Card MUST be presented
CONTRACTOR'S ADDRESS 02 el /7 '1/4',11=7- 11 e 6-7A' 1TY /7 . PHONE s K =`-5
EXPIRATION DATE _ -/ - 9/
— 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 PHONE
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
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 l 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. 3 WATERCLOSETS GAS PIPING, FEET $
:.2 BATHTUBS NO. FURNACE, ELEC. GAS $
/ SHOWERS GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER $
/ SINKS BOILER, SIZE _ BTU
U $
/ 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 G,772"? A3r9,e J-/i(//' $
/ 7 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
OFHCERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: e �. .✓J/�� DATE: 7
ANP-008 3/90