92-100611CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
BUILDING PERMIT
9�- /o o 6 l/
BUILDING INSPECTION
661-4140
PERMIT N9.2-0642 P
OWNER'S NAME MTI
SITE ADDRESS 33701 9TH AVE S BLDG "C"
CONTRACTOR GV PLUMBING & CONST ADDRESS
141 VALENTINE CT
PACIFIC CONT. PHONE 735-1344
CONT. REG. NO.
EXP.
OWNER'S PHONE
OWNER'S ADDRESS _
TYPEJOB: NEWRESIDENCE
ADDITION NEW INDUSTRIAL
NEW COMMERCIAL COMMERCIALADD.
_INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY
(UNITS _) MULTI. ADD. SIGN GRADING OTHER
TAX ACCOUNT NO.
926480-0190
LEGAL DESCRIPTION
ISSUED BY JOANNE JOHNSON
DATE OF ISSUEICL
-DATE OF APPLICATION 4-22-92
BUILDING INFORM
ION
NE -
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.
SINKS
OROR DRAIN
BBO
RETURNED
BASIC FEE
IT FEE
_ _
DISHWASHERS
TOTAL FIXTURES
DRYER
TOTAL MECHANICAL AMOUNT
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
FEE
26.50
WERTCHANICAL
P/C FEE
SEPA REVIEW
PUBLIC WORKS
S.B.C.C. FEE
<, _f f
FIRE FEE
-
DATE:
!
OTHER FEES
AMOUNT:
26.50
AMOUNT DUE
26.50 -
RECEIPT:
U
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
___
- _
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
BUILDING PERMIT
BUILDING INSPECTION
661-4140
PERMIT NO.
_ OWNER'S NAME
SITE ADDRESS
CONTRACTOR
ADDRESS
CONT. PHONE
CONT. REG. NO.
EXP. OWNER'S PHONE _ OWNER'S ADDRESS
TYPEJOB: NEW RESIDENCE
ADDITION _ NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD.
INDUSTRIAL ADD. _ NEW PUBLIC PUBLICADD.
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
SET BACKS: FRONT SIDE _ _ _
REAR _ _ HEIGHT LIMIT
OCCUPANCY
TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT
BLDG. SO. 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 _ _
4iAA9LINT
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
L/
FEE
0AECHANICAL
RT P/C FEE
J
SEPA REVIEW
I /Y
PUBLIC WORKS
wv_
S.B.C.C. FEE
FIRE FEE
DATE:
O�
OTHER FEES
AMOUNT:
AMOUNT DUE
-
RECEIPT:
ALL PERMITS EXPIRE 180
DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE Y R AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION
FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE ABLE CITY OF FEDERAL WAY REQUIREMENTS WILL
BE MET.
OWNER OR AGENT
_
DATE
SET BACKS AND FOOTINGS OX TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
4�� _ . ... ... .
DATE . ........ . . BY . . . .. ....... . . .... ..... -_ DATE ... . --_....----BY . . ....BY DATE
PLUMBING ROUGH IN WATER LINE O.K. MECHANICAL INSPECTION
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 OCCUPY
DATE - - __ ___ BY
PSD
9-91
APR 2 2 1992 CITY OF FEDERAL WAY`
fYOFPEDeRA.WAY BUILDING PERMIT APPLICATION
WIU)ING MPrr.
— Please Print —
BOX 1 TENANT NAME: M 'T- '-T-
OWNER
T
OWNER -z , c' SITE L CATION 7)_5 J 0 1 �1 TH N 0 E _ ilkiLo L
OWNER'S ADDRESS L fit j f469 `Q - ,ITY 13ct-L u ` PHONE
DESCRIBE JOB FLc��ti2 V PVA k j J�j 9S.n�; c�
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME LL /vS� _CONTRACTOR'S REG. # (,GC ' Jq'Z'
Card MUST be presented
CONTRACTOR'S ADDRESS _ 1 4�\ V ALE -AT 1 A) Z Q 1 CITY N-1 IFI'(- PHONE ') _�- J .� 144
EXPIRATION DATE `•7l Is I Ci'L
0
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 'f PHONE C r
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST �%��' EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUM
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
()G) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
N0. WATERCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
TOTAL FIXTURES
MECHANICAL APPLIANCES —
BASIC FEE $
GAS PIPING, FEET
$
N0. FURNACE, ELEC. GAS
$
GAS HOT WATER HEATER
$
CONVERSION BURNER
$
BOILER, SIZE BTU
$
AIR HANDLING UNITS
$
HEAT PUMPS, SIZE
$
UNIT HEATERS
$
AIR COOLING UNITS, SIZE
$
COMMERCIAL HOOD
$
OTHER
$
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: l- 11c �-- DATE: AP 4, 199 2—
ANP-008 3/90