90-100202 CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
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PERMIT NO. 90-276 RA OWNER'S NAME MIKE RAFTERY JOB ADDRESS 37113 4TH AVENUE S.W. _
CONTRACTOR SWANBERG CONST ADDRESS 2322-B S.W. 352ND _ FEDERAL WAY CONT. PHONE 952-5951
CONT. REG. NO. SWANBC*12ONT_ OWNER'S PHONE 874-3272 OWNER'S ADDRESS 37113 4TH AVENUE 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. 218820-2530 LEGAL DESCRIPTION LOT 5-7 BLOCK 18 EAST TACOMA EDITION
ISSUED BY JOANNE JOHNSON DATE OF ISSUE_ DATE OF APPLICATION 4-6-90
I
BUILDING INFORMATION
NE OCCUPANCY R3 TYPE OF CONSTRUCTION_ VN BLDG. SQ. FT.651
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 1 URINALS — FORCED AIR FURNACE AIR HANDLING UNIT NUMBER _
LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. MIl'XTEND DUCT-6,50
SINKS MISC. HOT TUB _1_ CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL 6.50AMOUNT
VALUATION _34,7_0_0-16
PERMIT FEE 317.0_0_
PLAN
17_0-0_-
PLAN CHECK FEE 206.00
PLUMBING FEE 10.010-
CHANICAL FEE — 6. 550
TAL BLDG. FEES
RT P/C FEE
DATE: 1--.-2 /7
- O
SEPA REVIEW J
WATER SERVICE AMOUNT: _ g4-4 `n1)
WATER MAIN CHG.
S.B.C.C. FEE 4-50
//'' pp
OTHER FEES RECEIPT: 6 3 p/ C/6 Cr
AMOUNT DUE 544.00 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 F RNISHE BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE ANDTHE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE .....,
'MET:
t ‘ 4
J � t - � �190
OWNER OR AGENT � DATE
CITY OF BUILDING INSPECTION
BUILDING
FEDERAL WAY 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
ZONE 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. .PE L IR 4-
RETURNED _
SINKS MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT
VALUATION 1(O,l{--4-5
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE AT
SEPA REVIEW _,.
WATER SERVICE - AZ11NT
WATER MAIN CHG. . _.
... _ _ .
S.B.C.C. FEE _ RECEIPT:
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:
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� CITY OF FEDERAL WAY �vot, /p�
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 OWNER _ !G _ —! JOB LOCATION ) T74 L ,
OWNER'S ADDRESS - ,yler CITY (-ED tuA / PHONE r, 77
DESCRIBE JOB ADO T)C.&J It, x)STIAir.- STEN„ fjTl)t2 C /)
THE PROPERTY IS OWNED BY: SINGL MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME SwAAJ&!E1S• 15'-t--, CONTRACTOR'S REG. #.iLr/,411J�C I i
Card MUST be presented
CONTRACTOR'S ADDRESS 2-34Z,42 �k ..."-71')12'.) FE
CITY -IO 4y PHONE �5 I
EXPIRATION DATE ''- — o
713
— 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 OAckJ ,, ie PHONE 1
BOX 4 SEWER DISTRICT — WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST 1_270 EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBERli. :. • •
LEGAL DESCRIPTION L.t' 7 • 1-..e IS'7- 01 Tl oA.)
(If necessary, please submit a separate page with the legal description.)
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR I,ai3C`/ 55$11t 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 $
I 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 $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER E-X'T 0 OCC-T $ 6 e S'O
DRAINS $
OTHER 1 1c17 ) U.13 $
z TOTAL FIXTURES $
K� re, 00 TOTAL MECHANICAL FEE $ 6 • 5.-C)
_Ci
I CERTIFY UNDER PENALTY OF 'ERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE
BEST OF MY KNO k LEDGE ANS F RT ER THAT AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PER-
FORM THE WORK F• - WHICH - , - I APPLIC TION IS MADE.
•OWNER/AGENT: ` 1 �r il
�� ' / DATE: 4_� 9
ANP-006 2/90
• S
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 APPROVALDATE
REMARKS: ti(A
PUBLIC WORKS DEPARTMENT APPROVAL Aj/A. DATE
REMARKS:
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT X NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. ROOF OTHER
OCCUPANCY (2‘. TYPE OF CONSTRUCTION VAI STORES
1 V( NI BUILDING SQ. FT. 5 @ 6( � 0 = 3 c35-0 Z . ob
p e—cti BUILDING SQ. FT. 3 @ ID(.0O = c13t)� d0
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ . c = a
BUILDING SQ. FT. @ +. s r(' ' •� c i J' _ _ 4P
TOTAL SQ. FT. TOTAL VALUATION 3 V760 . 16
EBUILDING PERMIT NO. PLAN CHECK FEE REC'D RECEIPT NO.
PERMIT FEE -517 . . 'e) PLAN CHECK FEE --1- c - PLUMBING FEE ---/�_c-A:D — MECH. FEE •3-0
TOTAL FEES 5-3 q• 1.--0, SBCC SURCHARGE `-f cS0 ENERGY SURCHARGE . AMOUNT DUE 5-1/yt ':: d
BUILDING DEPARTMENT APPROVAL DATE '7`/Z - %d
REMARKS:
ASSIGNED ADDRESS: Ce---42- e-�-(5 f((Ay
4)
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RECEIVED ACCEPTED FOR FILING