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JNI1133'a3ON3dSf1S — Ag alea H3A`d1 aNZ - 8MO Ag oleo H3At'll 1S L - BMJ • Ag oleo NOIJV1nSNI Ag alea - ONIWVNAI Ag ales (83H10) 1VOINVHO31111 Ag alea NI-HOndkl1V3INYH331,4J I Ag ales ONIdid SVD Ag i oleo J , )/f NI-Hon() 8Willd±.1 Ag alea S11VM 8V3HS' J Ag alea DNIINVkl3 8OO13a3aNl 1 Ag ales )I!IOMGNnOlrtn,aNISINf 1d Ag ales STIVM NOIIVONfIOI Ag oleo SoN11 '103 V>S)IOv813S ' • e,, -4 w CITY OF FEDERAL WAY BUILDING P 33530 First Way South Federal Way, WA 98003 Building Inspection Requests 661 -4140 661 -4000 ADDRESS:728 S 320TH ST Unit: F NO.: 082104 -9050 PROJECT DESCRIPTION :PLUM - WATER CLOSET, 2- LAY'S, 3- SINKS, ELE WTR HTR, BACKFLOW, VACUUM PUMP, FILM PROCESSOR. (DENTAL OFFICE) OWNER CONTRACTOR LENDER DR. JENNIFER CHOI, DUD, US HEARSEY CONSTRUCTION COMPANY 728 S. 320TH ST., BLDG. 61 10625 62ND PL W FEDERAL NAY MA 98003 EVERETT MA 98204 946 -5100 838 -8327 PERMIT NO: BLD95 -0243 ISSUED: 03/31/95 BY: FC EXPIRES: 09/27/95 BLD ?: NEC ?: PLM ?:X FLR— 7:XIST-- PROP - -- DWELLING UNITT$ 0 COMPPLA%,_.... „f,;tlQ FEES: TYPE OF VORK:NEW USE:COM 1ST.: U O sf STON, -S. .... O , RE 4f� E0 4 KIND.: 0 �# RSI. '� PLN PRMT ISSUANCE.. i 20.00 CENSUS CATEGORY ..... :800 M.: 0 033 HEI lT..' 0.00 ft I� Aft'l,1 PLUMBING FIXT .... 93* t 70.00 t F OCCUPANCY GROUP---- - - - - -- 3#1.: 0: '63f VAL001,6 - - R ED : FIRE 1 . , ... 0 O1HR: 0 Q :sf EXIST..; Q FRONT.......... 0.00 ft TYPE OF CONSTRUCTION - - - - -" BUT: 0: Qssf WP Q SIDE..........: 0.00 ft MATER SERVICE..:? :? :? :? :? : DECK: 1: O:sf REAR..........: O.00:ft SEVER SERVICE..:? OCCUPANT LOAD------ - - - - -- GAR..: O 4 "A f AECEIVED.:03 /31/95 0: 0: 0: 0: TOTL 0: O:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:? FUEL TYPES.:? ? FANS..........: 0 BOILERS /COMPRESSORS WATER CLOSETS......: 1 URINALS........: 0 TOTAL FEES : 90.00 GAS PIPING.: 0 ft HOOD..........: 0 0 -3 HP......: 0 BATH TUBS..........: 0 DRINKING FOUNT.: 0 FURNO OOK..: 0 DUCT WORK.....: '0 3 -15 HP.....: 0 SHOWERS ............: 0 SUMPS..........: 0 GAS HWT....: 0 MOOD STOVES...: 0 15 -30 HP....: 0 LAVATORIES.........: 2 VAC BREAKERS...: 0 CONV BURNER: 0 FURN >100K ..... : 0 30 -50 HP....: 0 SINKS ..............: 3 DRAINS.........: 1 800........: 0 MISC..........: 0 5+ HP.......: 0 DISH WASHERS.......: 0 LAWN SPRINKLERS: 0 GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS--- - - - - -- ELEC WTR HEATERS...: 1 OTHER FIXTURES.: 2 RANGE......: 0 < =10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS ... : O GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 PERMITS EXPIRE 180 DAYS.49 ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE I UA ON FURNISED BY N S TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL MAY REQUIREMENTS WILL BE MET. OWNER OR AGENT DATE -� -------------------------- FILE COPY City of Federal Way DECEIVED ' • � 1995 LIAR 3 APPLICATION FOR BUILDING PERMITCITYOF FEDERAL WAY BUILDING DEPT. PLEASE PR /NT APPL /CAT /ON #: �( —D SITE LOCATION Address '� a0 ` 5-i- C, 13 A A- T nant (if mown) Building Owner Name City E6 %*AL_ Nature of Work State Lot # Address Zip Phone Name (F,M,L) Address City State Zip Contact Person Day Phone Other Phone Fax (c) L4 Company Name Address City State Zip Contact Person Phone Fax Contractor's # (car ust be presented) Expiration Date Verified ❑ Yes ❑ No Name Address City Contact LEGAL DESCRIPTION State Fax Please Complete Reverse Side CD0492 (Rev 4/93) ZUCTURE Gas Dryer ting Use 9 )� Furn <100K BTUs � ,/�(� ,Ibopos.d ( � / Use P t L C� m Hood Ptmit includes: Duct Work Building ❑ Plumbingy ❑ Mechanical ❑ Other 1 Type of Work: ❑ Residential 0 New ❑ Remodel ❑ Number of Units _ ❑ Deck ❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other 0 Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft Water Availability ❑ Sewer Availability ❑ On -Site Septic System Availability ❑ Project Valuation $ Zoning Lot Size Existing Bldg Valuation $ Name Address City State Zip _... CHANICAUCONTUMTOR Contractor Name Address City State Zip Contact Phone Fax License # Expiration Date Verified ❑ Yes ❑ No Water Closets Sinks 3 Bathtubs Dish Washers Showers Electric Water Heaters % Lavatories ,�_ Washing Machine Fuel Type (electric /other) Gas Dryer Length of Gas Piping Range Furn <100K BTUs Gas Log Furn > 100 BTUs Fans Gas Hwt Hood Conv Burner Duct Work BBQ's Wood Stoves Urinals Drinking Fountains Sumps ff/,o w Air Handling < = 10,000 CFM Air Handling > = 10,000 CFM Unit Heater Miscellaneous Boilers 0 -3 Tons 3 -15 Tons Lawn Sprinklers Other IZ AA Q 15 -30 Tons 30 -50 Tons 50+ Tons Fuel Tanks Above Ground Underground 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 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. se out of the reliance of the , including its officers and employees, upon the accuracy of the information supplied to the City as a part of this application. / Owner /Agent: Date: -�E� �� /99C / C