90-108661 CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555 .s
9.6-/0666 /
PERMIT NO. 90-942P OWNER'S NAME TMB ASSOCIATES JOB ADDRESS 33406 4 CT SW
CONTRACTOR PELTRAM PLBG ADDRESS _ POB 4031 FEDERAL WAY CONT. PHONE 838-4067
CONT. REG. NO. PELTRP*152RT OWNER'S PHONE 838-8626 OWNER'S ADDRESS 33305 1 WAY S FEDERAL WAY
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 6--- ..7 -9Z DATE OF APPLICATION 6/20/90
BUILDING INFORMATION
ONE NA OCCUPANCY NA TYPE OF CONSTRUCTION PLUMBING ONLY 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 4 ELEC. HOT WATER HEATER I GAS PIPING FT. BOILER
BATHTUBS 2 LAUNDRY DRAINS COMPRESSOR _ TANK(S) RECEIVED
SHOWERS 2 URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER
LAVATORIES 5 DRINKING FOUNTAINS GAS HOT WATER HTR. MISC.
SINKS 3 MISC. BASIC FE E 20.00 CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS 1 TOTAL FIXTURES 19X5.00 UNIT HEATER TOTAL MECHANICAL NONE AMOUNT NONE
VALUATION NONE
PERMIT FEE
PLAN CHECK FEE
MBING FEEAgt
$115.00
HANICAL FEE
TAL BLDG. FEES
PART P/C FEE
SEPA REVIEW 6 - a C 5'J
WATER SERVICE j u.)
WATER MAIN CHG.
-
S.B.C.C. FEE q C/
OTHER FEES /(r 7 75
AMOUNT DUE $115.00
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.'RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I,CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET: �)OWNER OR AGENT �• DATE & /261 /'V
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Permit # 9U — / <72_./
'REVISION
RECEIVED CITY OF FEDERAL WAY
JUN 1 01990 BUILDING PERMIT APPLICATION
— Please Print—
PERMIT#
BOX 1 TENANT NAME:
OWNER ) 11 _6 /155 0 C I ct, SITE LOCATION 7'/9 y C- 33y o L Loh C 1 , 5t-0
OWNER'S ADDRESS 33330 5 /5 W`.y -Sail -71-h CITY keder 41 G�7 y PHONE Z 3� -
DESCRIBE JOB IZo uq v\ h�( ��u ►'�b ; /
THE PROPERTY IS OWNED B?: SINGLEDMARRIED PARTNERSHIP CORPORATION X
BOX 2 CONTRACTOR'S NAME ?C I r\ ? U vt- ; hC — CONTRACTOR'S REG. # P E L T-R P 1 s-)azr
Card MUST be presented
b x y I
CONTRACTOR'S ADDRESS?.0 • 031 CITY CC &I //d7 PHONE E_,- (E.) - `10 C-7
EXPIRATION DATE
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON PHONE
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR _I 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. 4 WATERCLOSETS GAS PIPING, FEET $
.2 BATHTUBS NO. FURNACE, ELEC. GAS $
-2 SHOWERS GAS HOT WATER HEATER $
5 LAVATORIES CONVERSION BURNER $
3 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 _ $
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 ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: 47
6%�A - DATE: 16/A1/9
ANP-008 3/90