98-102686CITY OF FEDERAL WAY PERMIT NO: BL.D98-0478
'h �i ISSUED: 077 09 99
3: 530 F i rs t Way So u t r, I�:� .M... N...,.,...N,.....�:: �' N �� _� 14' E I•• , � �: f l
Feuer -al Ways, WA 95003 Builu:iri0 Inspection Requests 253-661-4140 BY: FC2
253•-661--4000 EXPIRES: IRES: 01,`
ADDRESS:53.29 SW 311TH PL
NO.. 321020--0440
PROJECT DESCRIPTION:NSF - WITH PLUMBING AND MECHAINCAL
COMBINATION OF 3 LOTS IN HEALEY
;= OWNER CONTRACTOR - •: - :_. _ _�_ ..��
LANE RAY PECKHAM OWNER IS CONTRACTOR
2016 INITIAL AVE
s ENUMCLAW WA 98022
-502-8432 360-825-3664
M CONTRACTORS, PLEASE USE LOCATION
BLD?:X MEC?:X PLM?:X
TYPE OF WORK:NEW USE:RES
CENSUS CATEGORY ..... :101
OCCUPANCY GROUP ----------
:R3 :? :? :?
TYPE OF CONSTRUCTION -----
:5N :? :? :?
OCCUPANT LOAD ------------
0: 0: 0: 0:
FLR EXIST --PROP- -
1ST.;
0:
1156:sf
2ND.:
0:
1156:sf
3R1:
0.
O:sf
OTHR.
0:
O:Sf
ISM T:
0:
1156:sf
DECK:
0:
500:sf
GAR.:
0:
1632:sf
TOTL:
0:
5600:sf
NIA
ATI0N -- -
L. 0'
REEI!tED,:D7IllJ48
gg, 1c.) & 86
i ,6UD9J PY%cC�@w
;�_ _• =====- LENDER
SEAFIRST BANK
d
FEDERAL WAY
TING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.6% pix
FUEL TYPES.:GAS GAS
FANS,....,•..,:
4
BOILERSICOMPRESSORS
GAS PIPING.:
99 ft
HOOD..........:
1
0-3 TON.....:
0
<100K..:
NHWT....:
1
1
DUCT WORK.....;
WOOD STOVES...:
0
0
3-15 TON....:
15-30 TON...:
0
0
CONV BURNER:
0
FURN>100K.....:
0
30-50 TON...:
0
BBQ..,......
0
MISC...........
0
50+ TON......
0
GAS DRYER..:
0
AIR HANDLING UNITS
FUEL TANKS ---------
RANGE ...... :
1
<:10,000 CFM:
0
ABOVE GROUND:
0
GAS LOGS...:
3
> 10,000 CFM:
0
UNDERGROUND.:
0
----------------- ---- -----------------
COMP PLAN, ...... :URBA FEES:
-REQUIRED PARKING... 2 SPRINKLERS?......:? SBCC SURCHARGE.....* $ 4,50
HAZARD CLASS ? BUILDING PERMIT,...* $ 1066,50
REQUIRED SETBACKS------- FI1 E FOO, , 9mI Mechanical Permit* $ 122.50
ERONT.P,,.....:0.00 ft PLM PRMT ISSUANCE.. $ 86,45
5.00 ft WATER'SSERNICE PLUMBING FiXT,,..93� $ 133.00
REAR.....,,,,,. :5.00:ft SEWER SERVI I.,,: EP KLAN CHECK FEE $ 693.23
SCH IMPACT (SFR)NEW $ 2882.00
IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N PUB WKS PLCK(SF)..93 $ 80.00
=____ PW - ROW MOD REQUEST $ 56.00
WATER CLOSETS.,...,4 „ ^URINALS...., ... : �0 TOTAL FEES $ 5124,18
.
BATH TUBS..........: 3 DRINKING FOUNT.: 0
SHOWERS......... 1 SUMPS........... 1
LAVATORIES...,.....: 5 VAC BREAKERS...: 0
SINKS ............... 2 DRAINS.......... 0
DISH WASHERS......,: 1 LAWN SPRINKLERS: 0
ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
LAUN WSHR OUTLTS...: 2 1
4
-------------
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.
OWNER OR AGENT K -
`�a________________-_-___DATEZ�
FILE COPY
•rY OF 33530 First Way South
Federal Way, WA '98003
(253) 661-1000
Fax (253) 661-4129
CITY OF F LL,='FtAL WAY
M IN
- ObING PERMITdU
APPLICATION FOR
PLEASE PRINT APPLICATION #'
A V1, L
AddressjaA3r !SLJ
Tenant (if known) Lot # Assessor's Tax #_
?,Z jo )6 41fo
Building Owner's Name Address
Citv State zip Phone
... ............ ..................
............
... ....... ..........
.....................
............
Name (F,M,L) i
Address
Address
J.
CkA QIJ:9,
City Er,
Contact Person
State W(fl_ -Jzip
UD";)"�).,
Contact Person
Expiration Date
Day Phone
45�) 50�,
Other Phone
_2�0 yNn
I X53 spa
i -AX
........... ............. ..
.... .......... .....
........... ...
..... ....
...........
Company Name T -ST)
Address
Ci ty
State
Zip
Contact Person
Phone
Fax
Contractor's # (card must be presented)
Expiration Date
Verified 0 Yes 0 No
..............
.................
..........
.......................
....... ........ . .............................
..............................
.............................
Name (A
Address
City
State
Zip
Contact Person
Phone
Fax
LEGAL DESCRIPTION
dee --P> I v -v Y
Please Complete ReverseSide
rI
r
L-5, 1`1 I/V
Contractor Name
Address
Ex' g Use
Proposed Use
Zi
Permit includes:
Phone
VB(B.ilcling ePlumbirigMechanical
License #
❑ Other
Type of Work:
PC Residential
❑ Commercial
1!K New ❑ Remodel
❑ Addition ❑ Garage
❑ Number of Units _
❑ Shed
❑ Deck
❑ Other
Enter 1st Floor 15�, sq ft
Area Basement I I sq ft
2nd Floor C 1r sq ft 3rd Floor sq ft
Decks `U 0 s q ft Garage tfr,17 sq ft
Existing Floor Area
Proposed Total Area
sq ft
sq ft
Water AvailabilityASewer
Hood
Availability
❑ On -Site Septic System AvailabilityProject
Valuation
$
ZoningrdrGri
5
Lot Size . `1) Al cS
Existing Bldg Valuation
$
L-5, 1`1 I/V
Contractor Name
Address
City
State
Zi
Contact
Phone
Fax
License #
Ex iration Date
Verified ❑ Yes ❑ No
Contractor Name
Address
City
State
Zi
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
0. N 1 I i ,.�..E� 111 ::::::.:.:::::::::
Water Closets
Sinks
Urinals Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains Other
Showers
Electric Water Heaters
Sumps
Lavatories................ s
WashingMachine
Drains r .. Dunt ........................
11 AN
MECHANICAL EVALUATION ONLY $
Fuel Type (electric/other)
Gas Drver
Air Handling < = 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 >I 00 BTUs
Fans
Miscellaneous
Fuel Tanks
Gas Hwt
Hood
Boilers
Above Grour
Conv Burner
Duct Work
0-3 Tons
Under round
BBQ's
Wood Stoves
3-15 Tons
Tata(.:Unrt:Cou..
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correctto 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 hamiless 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.
')wner/Agent:
G.A.
9!28!97
Date: -� { I 1
I I", T, J ON 4Sf WT III PLUMBIK AND Mb'HAIMM
r tw.7) rylcs
C,
(MEM110 AF 3 IOTS IN HEAM
ct Io
0
O:sf v
I
DRINKING FOUNT.:
PERM11' NO: 131-1 ,
'M - 04 78
:sf p
LANE RAY PF1HAM
I'] If, L)q I NG PER M
1-J,
o /oc
SEM IRST BANK
0
2016 INITIAL AV[
I
I ty I
1
[HUMCI,.Av 4A qpp'Lll
L Y P I I I- o o f o
0
15-30 TON...:
FEDERAt WhY
LAVATORIES.........:
-04,12 360-825-3664
VAC BREAKERS..,:
0
CORY BURNER:
rdrf'� 005A
0 4)1140
0
30-50 TON....
0
SINKS... .........
I I", T, J ON 4Sf WT III PLUMBIK AND Mb'HAIMM
r tw.7) rylcs
C,
(MEM110 AF 3 IOTS IN HEAM
156:Sf H
0
O:sf v
I
DRINKING FOUNT.:
LEND LP,
:sf p
LANE RAY PF1HAM
OWNER
IS CONTRACTOR
o
SEM IRST BANK
0
2016 INITIAL AV[
I
SUMPS...,.......
1
[HUMCI,.Av 4A qpp'Lll
WOOD STOVES...:
0
15-30 TON...:
FEDERAt WhY
LAVATORIES.........:
-04,12 360-825-3664
VAC BREAKERS..,:
0
CORY BURNER:
0
FURN)IOOK ..... :
0
30-50 TON....
0
SINKS... .........
2
DRAINS..,...,...
N jr
BBQ........:
0
MIS(..........:
0
50+ TON.....:
0
DISH WASHERS;-....,:
s.
CONINAMRS, MASE USE LOCAIISN CO
0
TING SALES JAX f0ft MJECTS
111111111 IK CITY Of FEDERAL VAY. LAX RATE = 8.6%
P_ :
NINO clam URBA
TYPE Of WQRK:NEN USE:RIS
CENSUS CAT'LGOfY ...... 101
OCCUPANCY GROUP-._-__----
TYPE
ROUP----------
TYPE Of (08STRUMON -----
OCCUPANT LOA- ----------
." 0: 0, 0: 0:
NEOUIRED PARKING—:`
SIDE.
SPRINKLERS?......:?
MIARD (:LASS...:?
EP
SURFACE: 0 sf SEHSITIVL AP.EAS?.:N
f (Es'
SIKC SURCHAM .....
BUILDING MMIT ....
.. Mechanical
Persit*
;PEM PRM1 ISSUANCE.,
`r PLUHBING Ixt .... q31
FEE
SCH INPAn (SFR)NEW
PUB WKS PLCK(SF)..93
PW ROW MOD REQUEST
4
FOIL TYPE .:GAS GAS FANS "4'�
, , ;. , *„. ._ URINALS,......,: 0 TOTAL FEES
m-”' q, 80119SICOMPRIMS' WATER CLOSETS......: : M
1066.50
122.50
M.00
1 56.00
$
51'214.111
GAS PIPING.:
119 ft
HOOD.
2ND.:
156:Sf H
0
O:sf v
I
DRINKING FOUNT.:
0
:sf p
NEOUIRED PARKING—:`
SIDE.
SPRINKLERS?......:?
MIARD (:LASS...:?
EP
SURFACE: 0 sf SEHSITIVL AP.EAS?.:N
f (Es'
SIKC SURCHAM .....
BUILDING MMIT ....
.. Mechanical
Persit*
;PEM PRM1 ISSUANCE.,
`r PLUHBING Ixt .... q31
FEE
SCH INPAn (SFR)NEW
PUB WKS PLCK(SF)..93
PW ROW MOD REQUEST
4
FOIL TYPE .:GAS GAS FANS "4'�
, , ;. , *„. ._ URINALS,......,: 0 TOTAL FEES
m-”' q, 80119SICOMPRIMS' WATER CLOSETS......: : M
1066.50
122.50
M.00
1 56.00
$
51'214.111
GAS PIPING.:
119 ft
HOOD.
0-3 TON.. ..
0
IIAIR TABS..,,.. .
I
DRINKING FOUNT.:
0
FUMIooK_:
I
DUCT WORK......
o
3-15 TOM.....
0
SHOWERS ..............
I
SUMPS...,.......
1
WOOD STOVES...:
0
15-30 TON...:
0
LAVATORIES.........:
5
VAC BREAKERS..,:
0
CORY BURNER:
0
FURN)IOOK ..... :
0
30-50 TON....
0
SINKS... .........
2
DRAINS..,...,...
0
BBQ........:
0
MIS(..........:
0
50+ TON.....:
0
DISH WASHERS;-....,:
IL
LAWN SPRINKLERS:
0
GAS DRYIP.,:
I)
AIR HANDLING UNITS
FUEL TANKS---------
ELIC WIR HEATERS.,.:
0
OTHER FIX111RIS.:
0'
RAKE .....:
1
"10'000 CFM:
0
ANDVE GROUND:
0
J LA1,10 NSNR OIJILTS...:
2
GAS L04'_.:
3
10,000 (I'll:
0
UNKMOUND.:
0
Pwif-'s fXVIRt 190 Mys Aflu I=wt if No NC x is STARTED.'RESIDE NTIAt AND QADING PERMS Milt OK YEAR AFTER ME Of ISSUANCE.
I ("fify INAI Is INfORNA110N rVANIS.810 NY NE is Tow w Cw)tL(l To IIK-- v! or NY AN" INt APPMAMF MY ff 11DIPAII MY R19111111"INIS Mi. K "n,
14 — i � - 4v --x
k FIELD COPY
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CDO193 (Rev 4/97)
1
SETBACKS & FO)TfNCiS
Date z—lqqBY
2
1=OUNDATI' NWA $ ......
Date /
By `
3
PLUMBING GROUNOWORK
Date
BY
4
SLAB INSu TIi3N
Date
By
5
F .WINGIDOWNSPOUT DRAINS
Date
By
6
UNDERFLOOR FLAMING:
Date
By
7
SHEAR WALLS .>
Date
By
8
PLUMBING ROU IN
.
Date
9
GAS PIPING
Date a7To YBy,
10
MECHANICAL ROUGH -IN
Date 4JSoVC
By FL -1
11
FRAMING
Date .- `1 c� S
BY Q-Eo
12
........... .....................
INSULATIQN
...... .
..............
Date .. ✓
By
13
...........................................................................
Date p . dS
By G c
14
GWB - 2NQ LAYER
Date
By
15
..........
SUSPENDED CEILING
Date
By
16
PLANNING FINAL
Date
By
17
PUBLIC WORKS FINAL
Date
By
18
__
FIR FINAL
Date
By
19
BUILDINGFINAL;
Date
By 0_ \A
20
OTHER
........... ............ ........
..............
Date
By
■' . •
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CDO193 (Rev 4/97)