90-100032 CITY OF BUILDING INSPECTION
FEDERALWAY BUILDING PERMIT 941-1555
- 10
PERMIT NO. 9O-OO4S OWNER'S NAME POWER ALLEY JOB ADDRESS 31623 PACIFIC HWY SO
CONTRACTOR OWNER — RON MURRAY qDDRESS 4112 SW 325 ST FEDERA.L WAY CONT. PHONE 927-8640
CONT. REG. NO. NA OWNER'S PHONE 874-4405 OWNER'S ADDRESS SAME AS ABOVE
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS ) MULTI.ADD. SIGN GRADINC'i oTHERNEW BATTING CAGES
TAX ACCOUNT NO. LEGAL DESCRIPTION
�SSUED BY ELI ZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 3/2/9 0
BUILDING INFORMATION
NE CC OCCUPANCY B-2 TYPE OF CONSTRUCTION_ S-N BLDG. SQ. FT. NA
SET BACKS: FRONT NA _ SIDE NA REAR_ NA STORIES NA HEIGHT LIMIT IZ�
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. BOILER
RECEIVED
BATHTUBS �AUNDRY DRAINS COMPRESSOR __ _ TANK(S)
SHOWERS URINALS _ FORCED AIR FURNACE AIR HANDLING UNIT _ NUMBER _
LAVATORIES DRINKING FOUNTAINS _ GAS HOT WATER HTR. MISC
RETURNED __
SINKS MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS TOTAL FIXTURES NONE UNIT HEATER TOTAL MECHANICAL NQNF. AMOUNT NONE
VALUATION $2�OOO_OO
PERMIT FEE $45_00
PLAN CHECK FEE 2q_OO
PLUMBING FEE
CHANICAL FEE _
TAL BLDG. FEES �]4 O O
PART PIC FEE
SEPA REVIEW �/I� G. �
WATER SERVICE PAID IN FULL ON: =�
WATER MAIN CHG. -
S.B.C.C. FEE 4 50 AMOiTNT PAID: ��- � �
OTHER FEES �/
AMOUNT DUE �78.SO RECEIPT: � - (� � L( /
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE M T:
OWNER OR AGENT DATE /- (�
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CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 OWNER �- p J B LOCATION
OWNER'S ADDRESS CITY P E —
DESCRIBE JOB 5
THE PROPERTY IS OWNED BY: SINGLE/MA R ED PARTNERSHIP CORPORATION
BOX 2 6B �9R'S NAME e-+�- NTRACTOR'S REG. #
���., Card MUST be presented
CONTRACTOR'S ADDRESS ��2 ��� ?��' �• CITY � Gt� ' PHONE�2��-�,j_
EXPIRATION DATE �� ��`5 ���—��ca
— oR— " .�` .
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF BEGISTRATION.
BOX 3 CONTACT PERSON t�t,(�2� PHONE���— '��
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST � ���- EXISTING BUILDING VALUATION ���
BOX 6 PROPERTY TAX ACCOUNT NUMBER �- :� � �� � - �L —o �— �
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description. b� — �p�� � � � �� �
BOX 7 BUILDING SQUARE FOOTAGE: (Existi /Propose ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEME / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE
(�COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 2���• SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
N0. WATERCLOSETS ��GAS PIPING, FEET $
BATHTUBS N0. FURNACE, ELEC. GAS $
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 $
DRAINS $ :
OTHER $
TOTAL FIXTURES � $
TOTAL MECHANICAL FEE $
I CERTIFY UNDER PEN T OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE
BEST OF MY KNOWL AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PER-
FORM THE WORK F HIC IT AP ATION IS MADE.
OWNER/AGENT: ` DATE: 2
��sL � �L (� _�1��'°-oos ziso
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE �n SETBACKS: FRONT ��3 ' SIZE �� REAR ��> HEIGHT LIMIT �-� '
,�,� PLANNING DEPARTMENT APPROVAL �.✓/ .
REMARKS: `�-�,�y ���% %�-- 4 � /- u,c' �-� i �'� ,...,�-i`=�-i .�>. �.� � ..�..: �'�_���t
. ; T _,
� SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL �C DATE 7 ��I � `/a
REMARKS:
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT�NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/A T TENANT IMP.�_ROOF OTHER
OCCUPANCY �y Z TYPE OF CONSTRUCTION � 'V STORES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
�BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION �GCG . �Q
EBUILDING PERMIT N0. PLAN CHECK FEE REC'D �^ RECEIPT N0.
PERMIT FEE `�S- �v PLAN CHECK FEE —�.��— PLUMBING FEE --�-_-- MECH. FEE '�'
TOTAL FEES �`-I�vCi SBCC SURCHARGE `-j� �o ENERGY SURCHARGE -� AMOUNT DUE ?�� S U
BUILDING DEPARTMENT APPROVAL ----------------------------- DATE '3 � 1 Y - 9c%
REMARKS:
ASSIGNED ADDRESS: 7?�� Z 3 / �C-•l , ` �'`��� "�`''
RECEIVED
MAR 0 2 1990
CITY AF F�DERAL WAY
6UILDING DEPT.
RECEIVED ACCEPTED FOR FILING