90-100231 CITY OF BUILDING INSPECTION
FEDERAL WAY B U I L D I N G P E R M I T 941-1555
9 o- �oa2�f
PERMIT NO. 90-O314P OWNER'S NAME ��ITT YOLJNG JOB ADDRESS 35202 13 PL SW #H9
CONTRACTOR J J PLUMBING AODRESS 36809 2�4 pl� SE pIUBU� CONT. PHONE 939-1390
CONT. REG. NO. JJPLU�.��CC Z�9�. OWNER'S PHONE 874-8504 OWNER'S ADDRESS SAM�. AS SITE
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIA� NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER PLUMBING & MECHANICAL ONLY
TAX ACCOUNT NO. NA LEGAL DESCRIPTION NA
ISSUED BY ELI ZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 4/11/9 0
BUILDING INFORMATION
NE NA OCCUPANCY NA TYPE OF CONSTRUCTION NA BLDG. SQ. FT. NA
SET BACKS: FRONT NA SIDE NA REAR NA STORIES NA HEIGHT LIMIT NA _
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS �_ ELEC. HOT WATER HEATER GAS PIPING FT. �Q BOILER
RECEIVED _
BATHTUBS �_ LAUNDRY DRAINS �_ COMPRESSOR TANK(S)
SHOWERS URINALS FORCED AIR FURNACE 6_50 AIR HANDLING UNIT _ NUMBER _
LAVATORIES �_ DRINKING FOUNTAINS GAS HOT WATER HTR. MISC
: SINKS �- MISC. CONVERSION BURNER BASIC FEE 2n_nn RETURNED
DISHWASHERS _1_ TOTAL FIXTURES � �X�i_O UNIT HEATER TOTAL MECHANICAL �_Q.��Q AMOUNT NONE
VAI.UATION NONE
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE $55 OO -
CHANICAL FEE 3� OO
TAL BLDG. FEES
PART P/C FEE L�
SEPA REVIEW DATE PAID: 7�— �3 - ��
WATER SERVICE � ��
WATER MAIN CHG. AMOUNT PAID: ��
S.B.C.C. FEE / /'
OTHER FEES RECEIPT �: �7 � � 3� V
AMOUNT DUE �H S.O O
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
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OWNER OR AGENT DATE ��� / � �� � �-"
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.
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
—Please Print—
BOX 1 OWNER �'YY� f rU N � JOB LOCATION .� -�2 a Z �3 ' . S• �✓ •
OWNER'S ADDRESS F� yQY� CITY ����'v u� PHONE S�'7 y- k'SUy
DESCRIBEJOB k� 6�NS
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME J`. T PlK,�-� �,'� , CONTRACTOR'S REG. # �P��` �yG CC
3G' SQ�j �� f�. AUC', S �, ^ Card MUST be presented
CONTRACTOR'S ADDRESS CITY �`1�^�u v� PHONE �3� i3��'
EXPIRATION DATE `2-2-5/
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON 7��C N /`? `� 4� �1 g �-�K�� PHONE .3 �-/3 SG
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 (� SINGLE FAMILY O NEW CONSTRUCTION
( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins)��G'--�� MECHANICAL APPLIANCES— BASIC FEE$ u% ��
N0. 3 WATERCLOSETS GAS PIPING, FEET $ 3�5 �=
? 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
�� = �S< c � 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 PER-
FORM TH K FOR HI�H PE�MIT APPLI TION IS MADE. �
OWNER/ Efy� ���� DATE: y�� rC'
� .- � � � � ANP-006 2/90
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OFFICE USE ONLY(PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIZE REAR HEIGHT LI
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS:
TYPE OF JOB: NEW RESIDENC RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. ROOF 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
EBUILDING PERMIT N0. PLAN CHECK FEE REC'D RECEIPT N0.
PERMIT FEE PLAN CHECK FEE ------- PLUMBING FEE ���9-- MECH. FEE }� - � U
TOTALFEES SBCC SURCHARGE ENERGY SURCHARGE AMOUNT DUE ! o S� c a
BUILDING DEPARTMENT APPROVAL ----------------------------- DATE �f '(( � q n
REMARKS:
c � �
ASSIGNED ADDRESS: CeL �-x � S � �S�
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RECEIVED ACCEPTED FOR FILING
CITY OF BUILDING INSPECTION
FEDERAL WAY B U I L D I N G P E R M I T 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�SSUE DATE OF APPLICATION
BUILDING INFORMATION
__NE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. FT.
SET BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT _
PLUMBING NO. NO. MECHANICAI 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
RETURNED __
SINKS MISC. CONVERSION BURNER BASIC FEE
\
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT
VALUATION - ,
PERMIT FEE _
PLAN CHECK FEE
PLUMBING FEE
:CHANICAL FEE
..1TAL 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 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
REQUIRFMENTS WILL BE MET:
OWNER OR AGENT DATE
1
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