90-101665I
C;
z
m
m
O
m
z
z
T
C
z_
m
v
cu
m
F
-I
D
m
D O to :E :E cn - 3 v v v
O m n m m D D x z K
Z X 0 M X mr D m 0 q
v m m D m� 0 O Z Z m T
C> O m
m �' m z<� m m m
= m m m m m
O m m m
0 Lam]
O
G
a
rr HH
O tI
O
gy
O
rt,
a
F-
T
(D
N
01
U1
O
9
0
(D
rt
O
1
r
ro
H
ro
H
a
rt
(D
rt
m
n
r-r
(D
W
N
0
a
H
N
rt_
0
O
rt
(D
H
ro
H
En
ro
H
ro
H
6)
M
H
C
H
H
H
cn
In
H
H
H
H
r
oor
q
tv
F-I
C+7
D
r
c
1
O
z
cn Z< x_1 D r z
� m m D m
En � 77 W 0
m m r0
w cn
cn c! O
i i i i i I �
� K v c a m
OEn
ZT. D Z n
r v 2
m < O
D 0c D_ D
cn z
D cn m
m
(zn m
1
m
M
al
.11
co
Im
O
0
0
c
a
z
Q
c
c
m
v
z(n
�
K
D
m
`x
m-0
(n
-D2
0
-0
m
O
x m
D�
v
m�
Z
0
m
T
D
in
a)
n
C
m
m
D
m
c
71
z
r
v
m
C
DDo
Z
x
D
C
D
D
m
-1
�
Z
T
z
a
m
m
3
fZ
O D D O
ci D m
m Gz
0 m
D cz)
0 Q Z
D t y
r y
N N
01 O 01
U1 O L, n
Oc m
c
m x 0
v
D
3
m
-Fl
x m z z 9 v
C m ;
n 3 �
1
C G) A m 0
z m z0 D r
P � ro
10lm to in O
S2 En � m �J~ `<
N z H H 00
01Z m Z��1
Lrl * 10
Ocn *c:
AI vH�
s v 0 too
c � N 0
z g
z
H
v n U)
Z
Z D
m K
U) z
o D
c
z Z m E
D m N x
r x H
r C6 Z
a D I x H
v z v O H
n� M m O Z Z 3
o
�
0 .. x
�
z m 9C '7d
c
I o 0) W
01 �
01
0
o�
ro
o Ln pq
3
03 0z y 0 � H
>�ro Hrn
� m
v v v �i
m mG]
u�'s sn �
Z
v
C
D �I
D
vn
z
O
m
z
C
m
I
O N
0
rn
0
m
0
O
Z
O
n O �n
g g
w v -
T
v
v
<
v—
v_,
S
cn
m
v
vn
F,
D
z
m
-1
0
O
0
O
v
0m
O�
r
o m m
a a
T m m
c
a
m
r-
m
=
z
m>
0=
n
r
z
U'
x
D
Z
m n
m m
n 1 n=
r
z
c
ai n
m
m
3
m
m
m
n
m
-zi
3
m
m
z m n
�o m
m v D
(�
1
D
o
c
2
m
n
v
n
c
O
p
D
m�
O
m
z
a'
Co
Z
Oc
m
O
n
O
m�
3
v m m>
m
m<
v n
r-
n
m
2
m
m
m
r
ai
O
N
m m
z<
m
m
m
-Ti
-
D
z
z
p
M
m
�D
cn �
m
2 m
m m
m m
m
m
m
z
Z
<
:
a
D
m
�m
m
Z
0
co ZO
m
m-n
OD
o
2p
z
m
m 7o
�D
v
>
�
N
Z-n
O-
D
m
D
O
v
D
„
m
aCl)
z
z
z
0
0
o
C
r
r
V'
v
<
C
1
Z
fn
X
O
O
1
n
Z
1
z
2
I
{
O
m
m
a
Z
:0Oc
m
z
D
2-1
D
v
vi
Co
m
D
D
CO
z
(nD
m
(
m
m
Z
0 m
� W
-4
_
O
0
0 n
G
rr
m
z
c
I
n
'U n
z
O
v
x C
X_
rr H
110
H F'•
Z
I
m:
Z
m
m
N
r
Cl)
O t"
(DInO
3
Zc)
v
ro
O
ro
m
O
v
n
O �TJ
x 'ORH
r
O
E
Z
D
D
jC
O
m
z
m
m
v
10 H
O H
�
O
z Cl)
O
m
O
m
m
n
{
T
m
O
c�'i
L)
m
1-3
< 4S
Otij
n
v
2
m
D
Cl)
!/]
n
u) �
n
m
z
Z
OT
m
m
3
O
O
W
F-3
m
0
D
m
4�
0
m
c>
c
c
0
z
z
N
N
�°
z-
T
z
�
y
z
p
"'
09
m
33
2
m
d
a
FJ
G
c m
m
D
z
D
v
m
m
z
O
m
n
Co
a
H
x
D D
m
y
z
m
v
W'-T1"�N-
m
z
c
O
CO)
a
(D
H
D
O
v
'
'
0
K
Z
D
D
3
Z
O
H
cD_)
z
Cy
r
M
m
o
m
3
1-3b
N
m
m
W
F,
H
E
r
m 3
D
m
M.:-
m
Zo
z
�
>-0D
I
v
�
P
m
D
D
2
m
m
O
m
(D
p
�
x1
n
m
m
z
v
m
m
D
vz
D
<
�j
7d
D
z
m
1
Z
m
m
r
a
D
c
z_
O
n
coo
33
r
D
n
c
a
m
v
C)
(D
H
3
>
<
a
co'b
z
OT
m
id
y
m
to
0
0
m
c)
m
:E
z
ri
H
O
N
�_
r'
00
1
r.
n
�_"
Z
r
m
O
N
rQ
C
m
m
v
-a
'�
r
n
z
m
Z
my
m
m
v
n
Z
o
O
<
m
cn
�
c
K]
n
CrJ
0
v
-n
v-1
m<
a°
r
a
m
C
r
v
A co Z
j G)
� rr
N z
N "O
m
n
1
O
z
SET BACKS AND FOOTINGS
DATE _ _-___-.. BY
OX TO POUR FOUNDATION WALLS
DATE ._ _ _.BY _
PLUMBING GROUNDWORK
DATE
PLUMBING ROUGH IN
DATE _BY T
WATERLINE O.K.
GAS PIPING O.K.
MECHANICAL INSPECTION
DATE _ _ _ __BY _
O.K. TO ENCLOSE FRAMING
DATE BY
INSULATION
DATE ------.-BY _
WALL BOARD AND FIRE WALL
DATE _BY
FINAL O.K. TO OCCUPY
DATE _ r i BY V
DC❑
PSI)
FD
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SINGLE/MARRIED
PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME
C� CONTRACTOR'S REG. # F07FI
Wtt 3750
Card
MUST be presented
CONTRACTOR'S ADORES ;7
CITY �,�A.Tf PHONE �ZZ-
j ZS Z
EXPIRATION DATE
—OR—
I HAVE READ CHAPTER 18.27.010 R T G 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
PHONE (QZZ-IZ5Z-
BOX 4 SEWER DISTRICT
WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST 'JFJ 6P
EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE F 0 AGE: (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
SO FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES — BASIC FEE $
N0. WATERCLOSETS
GAS PIPING, FEET
$
BATHTUBS
NO. 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
$
itFF�]���� TrLE�{ -���T
$
BRAINS
OTHER
$
TOTAL FIXTURES
$
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:
DATE: I Z -7- 90
I ANP-008 3/90
OFFICE USE ONLX_(PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIDE_— REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS: 1 "`
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 SO. FT. @ _
BUILDING SO. FT. @ _
BUILDING SO. FT. @ _
BUILDING SO. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SO. FT. @
TOTAL SQ. FT. TOTAL VALUATION
BUILDING DEPARTMENT REMARKS:
RECEIVED
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE `S
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS:
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date _ _ Receipt #
BUILDING DEPARTMENT APPROVAL
BY _ _ _ DATE
ACCEPTED FOR FILING