90-100731O
`2
z
m
(�
m
I
m n
Dm
C
M
z D
��
m
r
O
T
•
z
my
r,
3
N
K
m
N
m
7Dz
c
n
M
rn
x m
0 m n
z 2 n
a m m
c m
m
�
'
g g �n
-Di v
m m D
D 2 D
D m T
z m m m
2 5 m
p
zi c
a x
r D
o n
p p
m m
m m
v v
c
3 z
m 0
0 m
T
m -n
m
m
3
m
m
<
�
1
z
zAHq
v_
_<
D
x
m
N
p
a
a
m
m
cn
n
O
m
Cl)
m
z
O
cc
r
z
cn
p-4
m
m
7co
z
r,
m
�
C
m
Z
m
<
a
ch
g
m
2
r-
m
1
m
0
2
o
s
m
m
2
C
3
IM
C)
Z
o
cn
-
m
a
m
z
T
m
z
m
pL'
O
0
a
{
c
m
v
<
H
H
7G
z
m
n m
(� C O
C� m�
z T z
z *
v
m
I
I D
m
0
� z
v
o
m
I
n n m
z z x
i n
D D
3 0
z m
O
O I
~
w
H
�o
N �
z
C a
F.
CD
m
m
m
O
n C)
rt
n
D
m z
z
Oa
o v 7d
0
33
C
;K
r'r H
Fri
z
p
>
m N
D
N
O R
G7
N
r r
2
zv
a
ro
O
O
ro
y D
O N
z
O
a
0
0
D
m
_ n
f
o
x x
H
p
r p
m m
z d
m ~
n
p
m
y
2
m
2
m
m
-D
x
m
m
m
m
9 n
a
N
[H�
U]
H
D
m
O�
p
m
z
p
z
OT
m
N
I OCO
❑
W
O
MZ
�'�
z
D
70
c
a
m
O
P
m
z m
_tNv
33
c
m
D
D
>
z
O
= n
�p
I
m
0
m
D
c
III
m
y
ma
Z
n
D
m
m
s
m
L=1 I
W C!}
O
J
3
�
0
z
m�
-n
rt
n
:2N
s
d
In n
V}
(D
Fp
z
H p
H K
x
z
N.
C�
3
Z H m
❑
p H
O
N
~
H
cn
n
m
Q
X
v
m
0
�
"
J
O r
q O Dv
U)❑m
D D
m
G)
mm
y
rt
b[1
"C
:3
�
FC
z o
vv vv
Z
N
H
H
m
3
D
m
d
H
'�
I
m m
m
'TJ
rt,
0
x
m
m
J -1
m
(OD
p
Cro+]
r
m
a
zo
m
m
z
D
m
m
D
D
m
r-
N
m
Z
D
m
v
2
W
1_
m
D
z
is
C
,\ 0
'VJ DZ
D
D
W
v
m
m
(%i
rt,
h]
a
n
N
C7
y
G
(D
H
;
1
N
{
v
30
m
w
v
z.
m
z
7d
y
mr
�
H
K
m
C
m
p
p
C-
tji
2
m
o
Cm
m
m
-j
ZD
mm
OZ
n
n
z
O
Qy
�oco
m
ca
?
z
>
C
I
H
�
mr
r
n
C�rJ
0
o
BOX 1
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
OWNER'S ADDRES �/►�
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SINGI 6MORRIED
BOX 2 CONTRACTOR'S NAME
LOCATION
CITY {
r
PARTNERSHIP
CORPORATION
CONTRACTOR'S REG.
Card MUST be presented
CONTRACTOR'S ADDRESS 44d CITY PHONEFzw 4o41D
EXPIRATION DATE
&r -/Tb —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 -<'_4t]0_ PHON
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, 1 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 $ 1-10
N0. WATERCLOSETS
BATHTUBS
GAS PIPIN , FEET
NO-. ^ FURNACE, ELEC.
$
GAS i25 $
SHOWERS
yo_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 PENALTY PERJU THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE
BEST OF MY KNOWL ND FURT R THAT I AM AUTHORIZED BY THE OWNER OF THE
ABOVE PREMISES TO PER-
FORM THE WORK F ICH PE APPLICATION IS
MADE.
OWNERIA T''—
_ DATE:
-
ANP -006 2/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT_ SIZE,__ REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT - NOT -EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL.
REMARKS:
DA
p
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT
NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL
COMM. ADD/ALT
NEW MULTIFAMILY (UNITS )
MULTIFAMILY A00/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 NO.
PLAN CHECK FEE REC'D RECEIPT NO.
PERMIT FEE
PLAN CHECK FEE - --
---- PLUMBING FEE --------- MECH- FEE
TOTAL FEES
SBCC SURCHARGE _
ENERGY SURCHARGE , AMOUNT DUE
BUILDING DEPARTMENT APPROVAL ---------------------------------
DATE
REMARKS:
ASSIGNED ADDRESS:
RECEIVEDi"
ACCEPTED FOR FILING
2r
z 22
0 �§
a z c
G) cn
k
¥ E§ |
m |
$ 7
_ t
} �
§ �
)
CO )
|
{ |
M
U)
�
m |
k |
0 i
m
C)
'
0
\
m
0
I �
«
0
�
§ §
a
§
m
\
E
n
m
j
0
-n
m
/
t
x
2 g,$$
o m.
C m
Z
0 m
m G
g
n
m>
-4
m
k
9
--1
m»®
m�
2$
m
T
a
m%
m
>_
r;§
m
m
m r
n c
a o
r- M
2
m
m
Z
0=
m
X
P
m
m
m
m
i
c
a
°
E§\
»
»
?
M
CD
»
w�
o
®
mat
o
m
Vi
w
�
a
c=
m@
a
m
U)
r
c
■
§$
m
a
�
A
0
z
z '
m
\
§
/
0
§
» m
k
ON
/$
k
0g
0
/
z
E
r p
/®
2
/
§
z
Q
�
m
\
0
E
0
m
rt
0
0
r
m
�
\
¢
ro
\
H
�
h
\
N
_
W
2
�
W
u
cn
q
q
k
%
\
�
q
k
«
F3
2
\
r
\
\
%
/
) \ k k § 0 0
] /
x ° % $
71
( c k /
$ k m
§ m k
m
0
zi k � 0 -u -0 x m
§ k -1 > § $ z k
M k/ 0° U m 0
a) m ( §
z > c
/m § ]
m
&
M ,
k k § ° §
a p m d
m m k
i k >
0 z $
�@
�)
c
5
/
0 /
§
§
0o
$
®
I
rl
E \
t
\
§
/
0
§
» m
k
ON
/$
k
0g
0
z
E
r p
/®
2
/
§
z
Q
�
m
\
�
ƒ
0
0
E
/
a
(D
/
�
§
k
k
e
w
m
$
k
m
/
§
f
m
�
§
(1)
C6
\j
%
/
1
(D
o
:3
-In
§
E
0
m
rt
0
0
r
m
�
\
¢
ro
\
H
�
h
\
N
_
W
2
�
W
u
cn
q
q
k
%
\
�
q
k
«
F3
2
\
r
\
\
%
/
) \ k k § 0 0
] /
x ° % $
71
( c k /
$ k m
§ m k
m
0
zi k � 0 -u -0 x m
§ k -1 > § $ z k
M k/ 0° U m 0
a) m ( §
z > c
/m § ]
m
&
M ,
k k § ° §
a p m d
m m k
i k >
0 z $
�@
c
z
■
0
�
�
0
z
k
§
�
m
k
C:
m
i
o
o c
�)
c
5
T
o
-
0 0
m
I
G
x M
Z Z _
k
9 §
§
$
(
$
®
I
\
§
(
§
» m
z
33
■
3
0g
0
z
E
r p
m
2
§
z
m
m
\
>
0
�
§
§
§
2
c
z
■
0
�
�
0
z
k
§
�
m
k
C:
m
i
o
o c
�)
c
5
T
o
-
0 0
m
I
G
x M
Z Z _
k
9 §
§
$
(
$
®
\
(
M
z
\
>
�
§
§
§
2
§
k
m
$
k
m
/
§
f
m
�
§
(1)
C6
\j
)
m
§
0
�
(
g
1
.7)
\
0 z
{ 2
o §
§
�
e
�
S
0
k
\
z
m
0
/
a)
C0