98-100827CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
253 -661- -4000
Building Inspection bequests 253 -661 -4140
ADDRESS:32935 1ST AVE S
NO.: 182104 -9037
PROJECT DESCRIPTION: PLUMBING ONLY - UNDERGROUND CHANGES, 1 DRAIN AND 1 FLOOR SINK
= OWNER ______________________ ________________________= = = = =r= CONTRACTOR
SOUTHLAND 7-11 FISCHER PLUMBING CO INC, THE
32935 1ST AVE S 903 NW 50TH ST
FEDERAL WAY WA 98003 j SEATTLE WA 98107
-6711
206-783 -4129
FISCHRC131P1
LENDER
* ** CONTRACTORS, PLEASE USE LOCATION CODE 1732 NHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL HAY.
BLD ?: MEC ?:
PLM ?:X
FLR-- EXIST--PROP-
--
DWELLING
UNITS: 0 !!'
COMP PLAN.........: BUS
0
TYPE OF WORK :?
USE:COM
1ST.:
0:
O :sf
STORIES........:
0 E
REQUIRED PARKING..:
0
SPRINKLERS ?......:?
4<100K...
CENSUS CATEGORY
..... :800
2ND.:
0:
O:sf
HEIGHT.....:
0.00 ft
0
HAZARD CLASS...:?
0
OCCUPANCY GROUP----
-- - - --
3RD.:
0:
O:Sf
VALUATION----
-- - - --
REQUIRED SETBACKS-
- -----
FIRE FLOW....: 0 gpm
FURN>10OK.....:
•? :?
•?
OTHR:
0:
O:sf
EXIST..$:
0
FRONT.........:
0.00 ft
M.SC..........:
0 50+ TON.....:
TYPE OF CONSTRUCTION- - - --
BSMT:
0:
O:sf
PROP...$:
0 �
SIDE..........:
0.00 ft
WATER SERVICE..:?
:? :? :?
:?
DECK:
0:
O:Sf
?
REAR...........
O.00:ft
SEWER SERVICE..:?
OCCUPANT LOAD--
---- - -- ---
GAR.:
0:
O:sf
RECEIVED.:03
/16/98
i
0: 0:
0: 0:
TOTL:
0:
O:sf
IMPERV SURFACE:
0 sf
SENSITIVE AREAS ?.:?
1i
-----------------------------------------------------------------------
FUEL TYPES.:?
?
FANS..........:
- - - - --
0 BOILERS /COMPRESSORS
--- - - - - --
WATER CLOSETS......:
0
URINALS........:
0
PIPING.:
0 ft
HOOD...........
0 0-3 TON......
0
' BATH TUBS...........
0
DRINKING FOUNT.:
0
4<100K...
0
DUCT WORK......
0 3-15 TON.....
0
SHOWERS .............
0
SUMPS...........
0
GAS HWT .... :
0
WOOD STOVES...:
0 15-30 TON...:
0
LAVATORIES.........:
0
VAC BREAKERS...:
0
CONV BURNER:
0
FURN>10OK.....:
0 30-50 TON...:
0
SINKS ..............:
1
DRAINS.........:
1
BBO ........ :
0
M.SC..........:
0 50+ TON.....:
0
DISH WASHERS.......:
0
LAWN SPRINKLERS:
0
g9- 1008-7
PERMIT NO: BLD98 -0130
ISSUED: 03/16/98
BY: KLC
EXPIRES: 09/12/98
TAX RATE : 8.6% * **
FEES:
PLM PRMT ISSUANCE.. $ 40.00
PLUMBING FIXT .... 93* $ 14.00
TOTAL FEES $ 54.00
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS- --- -- - -- ! ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0 j
RANGE......: 0 <: 10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
NITS 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 FUR SHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY F FEDERAL NAY REQUIREMENTS WILL BE MET.
OW ------- - - - - -- DATE - - - --37 - d
OWNER OR AGENT - - -- - --
..... - - -- - -` - - -- -- - - -- - - - - -- - -
FILE COPY
IRW
BUILDING DMSION
crrY of • 33530 First Way South
EDF(ZFiL Federal Way, WA 98003
N) r{y (253) 6614000
q Ec E e V E D Fax (253) 6614129
ERR 6 1999
APPIJQATION FOR BUILDING PERMIT
t,► sUILDING DEPT.
PLEASE PR /NT APPLICATION # �I
Address
oz /
s
I�
Tenant (if know Lot # Assessor's Tax #
a' i7l" S'1 11�t F: >E< ?'sz«i>>'s >E >E:''3<>>'` %'s
i
Name (F,M,L)
Building Owner's Name
City
State
Zi
Contact Person
Address
Oth Phone
Citv FP tnm—
wAy
State
jlL/A
Zip
Phone
a' i7l" S'1 11�t F: >E< ?'sz«i>>'s >E >E:''3<>>'` %'s
i
Name (F,M,L)
Address
City
State
Zi
Contact Person
TD. Phone
Oth Phone
Fax
Company Name
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
..... ................................ ...............................
Name
Address
City
State
Zip
Contact Person
Phone
Fax
LEGAL DESCRIPTION
• Please Complete Reverse Side
•
r.
>:f � >' >` >':`
< >s < > < >' >'<« ':<«':::..
xistin Use
g
State
ro osed Use
P
Contact
Permit includes:
Fax
❑ Building
Plumbing
❑ Mechanical
❑ Other
Type of Work:
VResidential
Commercial
❑ New
❑ Addition
❑ emodel
❑ Garage
❑ Number of Units _
❑ Shed
❑ Deck
❑ Other
Enter 1st Floor
Area Basement
sq ft
sq ft
2nd Floor
Decks
sq ft 3rd Floor sq ft
sq ft Garage sq ft
Existing Floor Area
Proposed Total Area
sq ft
sq ft
Water Availability
❑ Sewer Availability
❑ On -Site Septic System Availability ❑
Project Valuation
$
Zoning
Tctai. ljtlrt Ca(1t1tEr
Lot Size
Existing Bldg Valuation
$
Name
am �+.+'0'I, ....................
Address
State
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
............................................................ ...............................
............................................................. ...............................
............................................................ ...............................
............................................................. ...............................
............................................................ ...............................
Contractor Name
_ S C Fit`' ` PL V � ,6 vu , /V
Address 903 4►
/
Cit SCfr
State
p �/
zip /iT/62;'-
Contact
( L ell-
Phone
Zc ` 7yl 2 ti
F
t 7-0 - � z'
License #
Expiration Date
Verified ❑ Yes ❑ No
Water Closets
Sinks
Urinals
Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains
Other SIN
Showers
Electric Water Heaters
Sumps
Furn <100K BTUs
Lavatories
Washin Machine
Drains �t+PitfCQC�
Titel; Fiiftirre; Gitirit<`:; :.;:;;.; ..:::..::.::.::.:;.;:.;
i
................................................... ...............................
MECHANICAL EVALUATION ONLY $
Fuel Type (electric /other)
Gas Dryer
Air Handlin < = 10,000 CFM
15 -30 Tons
Length of Gas Piping
Range
Air Handling > = 10,000 CFM
30 -50 Tons
Furn <100K BTUs
Gas Log
Unit Heater
50+ Tons
Furn > 100 BTUs
Fans
Miscellaneous
Fuel Tanks
Gas Hwt
Hood
Boilers
Above Ground
Conv Burner
Duct Work
0 -3 Tons
Underground
BBQ's
Wood Stoves
3 -15 Tons
Tctai. ljtlrt Ca(1t1tEr
DISCLAIMER: 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
attomeys' 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 ofthis application.
Owner /Agent: Date: ��
335,30 f -i rs f. 14"4y !J( - �!-1
4f*,edor%..-t Way, Wry
1
2r-,'Q- - 661, - 4 0 0 0
X , 1
BUILDING
13= mni� m w4gi-ni3o
P ER M I") T 'ss-6u-t)-
Reques-t�--. KAl -,1-40 13Y : K L- C
WITHIN THE CITY 01 'LARAt WAY 10 MIE BA Its
AI)L)RLF,(�l:,t29".45 1.'—"T OVf- 1�
h10,. . 18'210 �j 00:37
f1ft0,11-CT DF"-�"( ['�IP'ff C►4: PLUMBING ONLY - UNDERGROUND CHANGES. I DRAIN AND 1 fLOOR SINI:
OWNER ... .........
(OHIPA(TOP
OUTHLAND 7-11
FISCOEF !)LUMCING CO INC, THE
935 1ST AVE S
903 NW 50TH ISI
lll[pflit WAY WA '48003
SEATTLE WA 98107
206.783-4129
FISCOPCI31pi
Its Cft1WI(NK,AWVSI,lKATIOK CW 173 2 V K N AEMIIIK sil
BL[': NEC ?. ftn?:X FLR- fylll*T--lPFOP--- T14! I 1w, IT cal
V�PLL Of WORK:? UsL:com r. 1 0: f Of I
(011;" i^ATEGORY.—.:100 2ml.
v"001,11K, GROUP— 3kk! 0-sl ALI
:? Osf '11,
lypf of (oNsfRLlrTIoN---- SIN ........ 0A0 it
kcr: R ......... 0.00: f t
0• 0: 0: 11)111 IMPERV SURFACE: 0 sf
f � 'I, 11014 . : G ji,i4
;fAtEk SERVICE..:
S(WEp
SENSITIVE AREAS?.:?
ILERSAOMPRI'3SORS MATER CLOSETS....... 0 OPINALS..
GAS PIPING.: 0 ft 0-3 ION.....: 0 PATH TUBS .......... 0 DRINKING FOUNT.:
rufvlodf..: 0 f 3-15 TON..... . 0 SHOWERS ............ 11 SUMPS...........
GAS 0 1 .... : 0 W 15-30 TON...: 0
CONV BURNER: p 0 0 30-50 10H..." 0
880........, 0 94 TON....., 0
GAS Kyrp—: A PLING UNITS FUEL
RANtyil. . . .: :10,090 CFO: 0 ABOVE GROUND: 0
GAS S 10,000 CF": 0 UNDERGROUND.: 0
OWNER OR
LAVATORIES.........: 0 VAC BREAKERS...:
SINKIS .............. I DRAINS..........
DISH WASHERS.......: 0 LAWN SPRIN11,IRS:
ELIt W111 HEATERS...: 0 OTHER FIXTURES.:
LAUN WSHR OUTLTS ... 0
0
0
0
0
0
TOTAL FEES $ 541.00
it ISSVWE IF NO 110 IS SIMIll. RISIKITIAL W COOING PERMITS EXPIRE W- YEAR AFTER NIE Of ISSNAKI.
ONNATIGN FavilKs BY OF IS TM AN CORRECT TO IK REST Of MY KWKLW� AND 19i APPI.KABU CITY Of FEDERAL WAY lfQ9Ilt-KNfS VILl K NET.
7Z�4DATE
FIELD COPY
CDO193 (Rev 4/97)