90-100185 9 6- /06/3,5
CITY OF BUILDING INSPECTION
BUILDING PERMIT
941-1555
PERMIT NO. 90-0252 P OWNER'S NAME NEIGEL ELEANOR �g�oDREss 30222 4TH PL S.W.
CONTRACTOR QUALITY N.W. CONST ADDRESS 5701 4TH- ST E TACd W 839-1804
CONT. PHONE
CONT. REG. NO. 27ALINC141DR OWNER'S PHONE 839-2296 OWNER'S ADDRESS 30222 4TH PL. S.W.
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 JOANNE JOHNSON DATE OF ISSUE_ _ DATE OF APPLICATION
4-4-90
BUILDING INFORMATION
INE
OCCUPANCYTYPE OF CONSTRUCTION _ _. BLDG. SQ. FT
T BACKS: FRONT SIDE REARSTORIES 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 1 MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS 1 TOTAL FIXTURES ___2 UNIT HEATER TOTAL MECHANICAL AMOUNT
VALUATION _
PERMIT FEE _
PLAN CHECK FEE
PLUMBING FEE 30.00 -
ECHANICAL FEE ---TAL BLDG. FEES DATE: . /'�
RT P/C FEE , 0 U
SEPA REVIEW AMOUNT: ///---���
WATER SERVICE �jL;'WATER MAIN CHG. RECEIPT:
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE 30.00
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMIT-S EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS T UE 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
BUILDING PERMIT APPLICATION
— Please Print—
I
BOX 1 OWNER N e i cJ G / filept pv-c JOB LOCATION_30 2 ' Pit S 1 Ls
OWNER'S ADDRESS,�4" ' rv2 n CITY �-cJe l.(Qc y PHONE 8'3 5, --)..,15)6'DESCRIBE JOB ����11 tzfr., h 1.i_cl
THE PROPERTY IS OWNED BY: SINGLE/MARRIED X PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME (. u a I t+y Al% (1.)t C,on s b CONTRACTOR'S REG. # C vogL.t A:C 1 bl 0
-�.. C- Card MUST be presented
CONTRACTOR'S ADDRESS .-7C I Lt I, Si a CITY .t O � 0 PHONE ,3?11eoY
EXPIRATION DATE , -le - 9i
— 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 J i ri —Feu icy PHONE FS 3 ci—/�C? Li
BOX 4 SEWER DISTRICT 7 �_cif_ WATER DISTRICT Fed e ra( (,1`,7 Cil
BOX 5 ESTIMATED PROJECT COST _ EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER -72 76 /0 — 2()-0 '—o1 ' /
LEGAL DESCRIPTION �rrt 12 141 c-r7 —U 4' l/ale J1 c/,
(If necessary, please submit a separate page with the legal description.)
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 r, TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) 2-d OC MECHANICAL APPLIANCES— BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS NO. FURNACE, ELEC. GAS $
SHOWERS GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER $
r 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 $
2 TOTAL FIXTURES P/ti rtiA h r pcy $
= /6 - Gc TOTAL MECHANICAL FEE $ ?
w
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIZE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL d DATE
REMARKS: 6`'J
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. ROOF 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
EBUILDING PERMIT NO. PLAN CHECK FEE REC'D RECEIPT NO.
PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECH. FEE `1='-'
TOTAL FEES 30-a'SBCC SURCHARGE ENERGY SURCHARGE AMOUNT DUE 30- 0 0
BUILDING DEPARTMENT APPROVAL DATE Y `y R'
REMARKS:
ASSIGNED ADDRESS: �Acry --(�
R7CEIVED
1990
CITY'FEDERAL WAY
f to .Dli��DEPT.
RECEIVED ACCEPTED FOR FILING
i
1110