90-100543 CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
9b.-1065Y3* ,
PERMIT NO. 90-738 P OWNER'S NAME EMERALD CITY JOB ADDRESS 29107 9TH PL S
CONTRACTOR INTERURBAN PLUMBING IoNCREss 36056 MILITARY RD S AUBURN CONT. PHONE 838-1463
CONT. REG. NO. INTERI*204CL OWNER'S PHONE 631-3183 OWNER'S ADDRESS 23900 138TH AVE S.E. 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 19 MARINE VIEW FOREST
ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 5-29-90
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 1 GAS PIPING FT. BOILER
RECEIVED _
BATHTUBS LAUNDRY DRAINS 2 COMPRESSOR _ TANK(S)
SHOWERS _a_ URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER _
LAVATORIES 6 DRINKING FOUNTAINS GAS HOT WATER HTR. MISC.
SINKS 1 MISC. BASIC FEE 20-00 CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS 1 TOTAL FIXTURES19X5= 99--00 UNIT HEATER TOTAL MECHANICAL AMOUNT
VALUATION 115.00
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE 115.00
MECHANICAL FEE
TOTAL BLDG. FEES
0 PART P/C FEE
SEPA REVIEW DATE: -,3 / --F0
WATER SERVICE
WATER MAIN CHG. AMOUNT: l ( (
S.B.C.C.
OTHER l � / /
OTHER FEES RECEIPT: w�'/
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 METS:.
OWNER OR AGENT (Ji"`�lrGfj`F- � t /fit DATE c- .3/ - 90
CITY OFBUILDING INSPECTION
FEDERAL WAY BUI LDING 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 GRADINGOTHER
TAX ACCOUNT NO. LEGAL DESCRIPTION 3`: .11..
ISSUED BY DATE OF ISSUE DATE OF APPLICATION
BUILDING INFORMATION
*NE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SO. 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.
SINKS MISC. LQ Ve CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS TOTAL FIXTURES 4.X 95- UNIT HEATER _ TOTAL MECHANICAL AMOUNT
.i c
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
CHANICAL FEE
TAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES _
AMOUNT DUE
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 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 # 1.
CITY OF FEDERAL WAY ' CE/V
BUILDING PERMIT APPLICATION MAY ,9 D
—Please Print— Pill OFF 4e r
LN-Pie WAy
BOX 1 TENANT NAME: t 0
OWNER SITE LOCATION - ►a 7 Q P��` r19
OWNER'S ADDRESS L,39 Cr) 13 4-± 1i- -e_ S-r=, CITY K en-1- PHONE ((3 I- 31 S 3
DESCRIBE JOB Plum bjn
THE PROPERTY IS OWNED BY:�INGLE/MARRIED PARTNERSHIPCORPORATION ,7
BOX 2 CONTRACTOR'S NAME Zr► 1€�ria.,rf_3aA--- PIL.Limbiini "Om CONTRACTOR'S REG. # z/U Te e,I'A,Zoc./C,c_.
Card MUST be presen
CONTRACTOR'S ADDRESS .• . 1 1 • r . i.�R
CITY {k )wa PHONE 3 3 E - /Ll(03 J
._
EXPIRATION DATE 4i 91 /
— 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 4110L.reA-- PHONE $3 8-l 4 3
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST ' EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 1 . , iniffili ,
LEGAL DESCRIPTION , .91 l
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ('() SINGLE FAMILY ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
NO. q WATERCLOSETS /(I/ GAS PIPING, FEET $
3 BATHTUBS IIS NO. FURNACE, ELEC. GAS $
1 SHOWERS i GAS HOT WATER HEATER $
ID LAVATORIES-4t1 CONVERSION BURNER $
1 SINKS / BOILER, SIZE BTU $
I DISHWASHERS I AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
Z LAUNDRY WASHER OUTLET I I UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
I OTHER GAS 14'OT -Pta mbinj ant( $
I 9 TOTAL FIXTURES $
TOTAL MECHANICAL FEE $ ja '
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: �`.�1'UL 7----/GAG DATE: 5— ` 29— ?I,
ANP-008 3/90
•
- OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
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. 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
BUILDING DEPARTMENT REMARKS:
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
bs ASSIGNED ADDRESS:
474,
6�/ ��-/Q PARTIAL PLAN CHECK FEE RECEIVED
� it. tlZa Amount Date Receipt#
BUILDING DEPARTMENT APPROVAL
RECEIVED BY DATE ACCEPTED FOR FILING