93-102897CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
ADDRESS:29500 PACIFIC HW S
NO.: 304020-0093
PROJECT DESCRIPTION: FIRE REPAIR
ONNER
DAVID RHODES
BUILDING PERMIT
Building Inspection Requests 661-4140
CONTRACTOR
LENDER
93• )n')897
PERMIT NO: BLD93-1220
ISSUED: 11/15/93
BY: FLF
EXPIRES: 05/14/94
BLD?:X NEC?: PLM?:
FLR--EXIST--PROP---
DVELLING UNITS: 0
COMP PLAN.........:?
FEES:
TYPE OF NORK:? USE:?
1ST.: 0:
O:sf
STORIES........: 0
REQUIRED PARKING..: 0
SPRINKLERS?......:?
PLAN CHECK DEPOSIT.* S 415.68
CENSUS CATEGORY.....:?
2ND.: 0:
O:sf
HEIGHT.....: 0.00 ft
HAZARD CLASS...:?
BUILDING PERMIT....* $ 639.50
OCCUPANCY GROUP----------
3RD.: 0:
O:sf
VALUATION----------
REQUIRED SETBACKS-------
FIRE FLON....:
0 gpe
SBCC SURCHARGE..... = 4.50
•?
.. .. .. .. .
•? •? •?
OTHR: 0:
O:sf
EXIST..$: 0
FRONT.. .......: 0.00 ft
TYPE OF CONSTRUCTION-----
BSMT: 0:
O:sf
PROF ... $: 100004
SIDE..........: 0.00 ft
MATER SERVICE..:?
:? :? :? :?
DECK: 0:
0:sf
REAR........... O.00:ft
SEVER SERVICE..:?
OCCUPANT LOAD------------
GAR.: 0:
O:sf
RECEIVED.: 11/12/93
0: 0: 0: 0:
TOTL: 0:
O:sf
IMPERV SURFACE: 0 sf
SENSITIVE AREAS?.:?
TOTAL FEES $ 1059.68
FUEL TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS
NATER CLOSETS......: 0 URINALS........: 0
S PIPING.: 0 ft
HOOD..........:
0
0-3 HP......: 0
BATH TUBS..........: 0
DRINKING FOUNT.:
0
N<100K..: 0
DUCT NORK..... :
0
3-15 HP.....: 0
SHOVERS ............: 0
SUMPS..........:
0
GAS HMT....: 0
NOOD STOVES...:
0
15-30 HP....: 0
LAVATORIES.........: 0
YAC BREAKERS...:
0
CONV BURNER: 0
FURN>100K..... :
0
30-50 HP....: 0
SINKS ..............: 0
DRAINS.........:
0
BBQ........: 0
RISC..........:
0
5+ HP.......: 0
DISH MASHERS.......: 0
LANK SPRINKLERS:
0
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS---------
ELEC NTR HEATERS...: 0
OTHER FIXTURES.:
0
RANGE......: 0
<:10,000 CFM:
0
ABOVE GROUND: 0
LAUN VSHR OUTLTS... : 0
GAS LOGS...: 0
> 10,000 CFM:
0
UNDERGROUND.: 0
-------------
PERMITS EXPIRE 180
I CERTIFY THAT THE
OWNER OR AGENT
NORK ARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
VAND RECT TO THE BEST OF MY KNONLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS MILL BE MET.
------------- DATE-=�
FILE COPY
res�Z�
.
;v
PLEASE PR/NT
0 City of Federal Way is
APPLICATION FOR BUILDING PERMIT
APPL/CATION #.
Address .2,,,��- 41±�
.0/09
State
0 1 -10210
Lot # / Assessor's Pax #
Address ` '
Zip (: Q� ?, Phone
Name (F,M,L) � ,) !
v /
Address
City
State
Zip
Contact ParsonDay
i:
Phone
Other Ph e
OVA
Fax
BUILDING CO1ITRACT4R
Company Name
r,
�v
Address
j
City
Contact Person
State
Zip
Contact Person
Phon �
Fax
Contractor's # (card must be presented)
Expiration Date
Verified ❑ Yes ❑ No
- RCHITECT AI
Name
Address
City
State
Zip
Contact Person
Phone
Fax
LEGAL DESCRIPTION
Serer /�Ir
Please Complete Reverse Side
C00492 (Rev 4/93)
Z�CTURfisting
Address
Use
❑ Other
Permit includes
❑ Deck
Building
❑ Plumbing
Type of Work:
❑ Residential
❑ New
❑ Remodel
Furn > 100 BTUs
❑ Commercial
❑ Addition
❑ Garage
Enter 1 st Floor
sq ft
2nd Floor
sq ft 3rd Floor sq ft
Area Basement
sq ft
Decks
sq ft Garage sq ft
Water Availability
❑ Sewer Availability ❑ On -Site Septic System Availability ❑
Zoning
Tote(' Unit Count'
I Lot Size
proposed Use
Address
"] Mechanical
❑ Other
❑ Number of Units _
❑ Deck
❑ Shed
❑ Other
Existing Floor Area
sq ft
Proposed Total Area
sq ft
/J
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
- .................
......................
PLUMBING FIXTURE COUNT
............................................................................................
..........................................................................................
Water Closets
Sinks
Urinals Lawn Sprinklers
Bathtubs
Dish Washer
Drinking Fountains Other
Showers
Electric Water Heaters
Sumps
Lavatories
Washing Machine
>_....
Drains . OWE Firs :re.::>rocin f;< < >:»:>>>> :
1VIECHAMCAI UNIT COUNT
Fuel Type (electric/other)
Gas Dryer
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 > 100 BTUs
Fans
Miscellaneous
Fuel Tanks
Gas Hwt
Hood
Boilers
Above Ground
Conv Burn
Duct Work
0-3 Tons
Undargro Pd
BBQ's
Wood Stoves
3-15 Tons
Tote(' Unit Count'
r
DISCLAIMER: I certify
of the above premises I
and attorneys' feesZc
but only where suc
application.
Owner/Agent
,enalty of perjury that She informatio/ai-/hima
a is ue and correct to the best of my knowledge and further that I am authorized by the owner
rm the work f whic perm' isrt er agree to save harmless the City of Federal Way as to any claim (including costs, expenses.
investigate and ens f suc be ade by any person, including the undersigned, and filed against the City of Federal Way,
:es out of reli a the ier end employees, upon the accuracy of the information supplied to the City as a part of this
(11TY OF FEDERAL WAY
33530 First Way Sauth
rederal Way, WA 98003
661-4000
ADDRESS :29500 PACIFIC HW "S
7
NO.: 304020-0093
PROJECT DESCRIPTTON-fiRf REPAIR
I--- �.rft
DAVID RHODES
Rtb?: X M[C?: PLM?:
TYPE Of WORK:? USE:?
CENSUS CATEGORY.....:?
OCCUPWIY GROUP--______._
TYPE
ROUP----------
TYK Of CONSTRUCTION---__
OCCUPANT I OAD -------------
0: 0: 0: 0:
FUEL TYPES.:? ?
U`
As PIPING.: 0 ft
N<100K..: 0
64S HNT....: 0
COOV BURNER: 0
884......... 0
GAS DRYER,.: 0
PANGE ...... : 0
GAS 0
PERMITS EXPIRE 180 *
I CFR(IfY THAT THE WE
IST.:
Oa
0:5
0:
FANS.
HOOD... ......: 0
DUCT WORK...... 0
OW STOVES...: 0
FURN)LOOK ..... : 0
MISC........... 0
AIR MNOUNG UNITS
(10,000 CFM: 0
> 10,000 Cffl- 0
BUILDING PERMIT
Building Inspection Requests 661-4140
= CONTRACTOR —
PIAN.........:'
RED PARKI#G..: 0
LENDER
PERMIT NO: BLD93-1220
ISSUED: 11/15/93
BY: FLF
EXPIRES: 05/14/94
FEES:
SPRIPKI.FRS? ...... :? PLAN CHECK DEPOSILS S 415.68
&A * 'I BUILDING PERMIT.... 639. 50
p
, �Lll_� .. IME SKC SURrHARG1.....S 1 4.50
O.F., E MlATER _ :?
......... : 0.00:f1 SEVEN SERVICF-:7
A1
1 -
SURFACE: 11151-
"Mi" ""AMPERV RF 0 5f SENSITIVE ARE
TOILERS/COMPRESSORS WATER CIASITS ...... 0 URINALS........: 0 TOTAL FEES
0-3 HP......: 0 BATH TUBS...........; 0 DRINKING FOUNT.: 0
3-15 OP--: 0 SW MERE .......... 0 SUMPS........... (I
15-M HP—.: 0 LAVATORIES........,: 0 VAC BREAKERS...: 0
30-50 HP—.: 0 SINKS-- ........... 0 0
S+ HP....,..: 0 DISH WASHERS.......: 0 LAWN SPRINKLERS: 0
futt TANKS---__-_-- ELEC VTR KATCAS—: 0 OTHER FIXTURES.: 0
MOVE GROUND: 0 LAUN VSHR OUTLTS—: 0
UNDIR6ROUND.: 0
ESIDENTIAL AND GRADIM PERMITS EXPIRE ONE YEAR AFTER DATE Of ISSUANCE
I TO INE BEST OF MY RNMEOGE AND THE APPLICABLE CITY Of FERCRAL WAY REQUIREMENTS WILL Of "G.
FIELD COPY
S 1059.63
1.-4
SETBACKS & FOOTINGS
CDO193
Date
By
_............
__...............
FOUNDATION WALLS
..._
_ __
Date
By
PLUMBING: GROUNDWORK
Date
By
7
UNDERFLOOR FRAMING€
Date
By
SHEAR WALLS
Date
By
PLUMBING ROUGH -IN
Date
By
__ ......... _
_......
GAS PIPING
........11
Date
By
MECHANICAL ROUGH.IN
Date
By
MECHANICAL tOTHERI
11.1......_
..........
Date
By
FRAMING....U�
to ' 'IAV
t
�uUIS12
Date
B
7
INSULATION
Date
i ��
By
GWB - 1ST LAYER
Date 77(7 •- �(
By
7GWB
- 2ND LAYER
Date
By
SUSPENDED CEILING
,
Date — (�
By
PLANNING' FINAL>'
Date
By
7
ENGINEERING FINAL
Date
By
FIRE FINAL
Date
By
BUILDING FINAL
Date i2- C7 y
BY
3
J-
l
OTHER
Date
By
OTHER
Date
By
CDO193