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95-10104495, Polovy CITY OF FEDERAL WAY�r,�+ PERMIT NO: BLD95-0383 BUILDING �� 33530 First Way South �;„;UU I L I N PERMIT ISSUED: 05/23/95 Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2 661-4000 EXPIRES: 11/19/95 ADDRESS:314 S 309TH ST NO.: 667265-0110 PROJECT DESCRIPTION :APPROVED BASIC 194-1013-V91. PARKWOOD CAMPUS, LOT 111. = OWNER NORRIS HOMES, INC. 10627 SE 18TH ST \FEDERAL WAY WA 98004 925-1821 453-9598 PLUMBING CHECK VALVE(COMBRACO,40-105-02,1") CONTRACTOR ====== NORRIS HOMES INC 10627 SW 18TH ST BELLEVUE WA 98004 874-9778 453-9598 NORRIHI099LC LENDER _....._.. ........... tst CONTRACTORS, PLEASE USE LOCATION CODE 1132 NNEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE : 8.2% ::: BLD?: NEC?: PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN ......... :SR FEES: TYPE OF WORK:? USE:RES 1ST.: 0: O:sf. STORIES........: 0 REQUIRED PARKING..: 0 SPRINKLERS?......:? PLM PRMT ISSUANCE.. $ 20.00 CENSUS CATEGORY ..... :800 2ND.: 0: O:sf HEIGHT.....: 0.00 ft HAZARD CLASS...:? PLUMBING FIXT.... 93* $ 7.00 OCCUPANCY GROUP---------- 3RD.: 0: O:sf VALUATION---------- REQUIRED SETBACKS------- FIRE FLOW....: 0 9P1 :? :? :? :? OTHR: 0: O:sf EXIST A : 0 FRONT.......... 0.00 ft TYPE OF CONSTRUCTION----- BSMT: 0: O:sf PROP...S: 0 SIDE..........: 0.00 ft WATER SERVICE..:? :? :? :? :? DECK: 0: O:Sf REAR........... O.00:ft SEWER SERVICE..:? OCCUPANT LOAD------------ GAR.: 0: O:sf RECEIVED.:05/23/95 0: 0: 0: 0: TOTL: 0: O:Sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:? UEL TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS ===0==-1 WATER CLOSETS......: 0 URINALS........: 0 TOTAL FEES $ 27.00 AS PIPING.: 0 ft HOOD..........: 0 0-3 HP......: 0 BATH TUBS..........: 0 DRINKING FOUNT==: FURN<100K... 0 DUCT WORK...... 0 3-15 HP...... 0 SHOWERS ............. 0 SUMPS........... 0 GAS HWT.... : 0 WOOD STOVES...: 0 15-30 HP....: 0 LAVATORIES.........: 0 VAC BREAKERS...: 0 CONV BURNER: 0 FURN>100K.....: 0 30-50 HP....: 0 SINKS ..............: 0 DRAINS.........: 0 BBQ......... 0 MISC........... 0 5+ HP........ 0 DISH WASHERS........ 0 LAWN SPRINKLERS: 1 GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS--------- ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0 RANGE......: 0 <:10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0 GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 ----------------------------------- 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 IMF TIO F NISHE BY E TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE OF FEDERAL MAY APPLICABLE CITY OF >- REQUIREMENTS MILL BE NET. OWNER OR AGENT - --!_L= - -"---------------------------------------------- - -- -- - - DATE _ _ FILE COPY PLEASE PR/NT City of Federal I� APPLICATION FOR BUILDII �IJM§T CITY OF FEDERAL WAY BUILDING DEPT. APPLICATION #.- Address :Address Tenant (if known) Lot # Assessor's Tax # Building Owner Name Address City State Zip Phone Nature of Work 7 ,1S1 i , I ZZ I APPLICAI�JT Name (F,M,L) Address 3/ 'l` / City State Zip Q�)� Contact Person Day Phone Other Phone Fax BCXILLI)TNG. CONTRACTOR Company NameAM f OT / S 1-16m ,' S /V Address Address 7 TV State CityState t114— Zip ( ) Contact Person i3 %ZT ALJ Phone Fax 11d 9 Contractor's # (card must be presented) ExpiraY n D to �s Verified El Yes ❑ No ............................... 1A CMTZCT Name Address City State Zip Contact Person Phone Fax LEGAL DESCRIPTION Please Complete Reverse Side CD0492 (Rev 4/93) _........_..... _ _ STRUCTUi .. _.................._ ... » xibting Use State posed Use Phone Fax License # Parmit includes: Verified ❑ Yes ❑ No ❑ Building Plumbing echanical ❑ Other Gas Hwt Type of Work: J5�Residential Boilers ❑ New ❑ Remodel ❑ Number of Units _ ❑ Deck BBQ's ❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other 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 ❑ Profect;Valua4ot $ Zoning Lot Size Existing Bldg Va[uetio.rt $ ............................................................................................ .......................................................................................... ............................................................................................ Rl�ti)RR ::.... Name Address City City State Zip ........... .... ................................. ......................................................................... C0NTRACT0R Contractor Name Address City State Zip Contact Phone Fax License # Expiration Date Verified ❑ Yes ❑ No PLUMBING C0NMCT0R. Contractor Name Address City State Zip Contact % Phone Fax Licen1re # Expiration Date Verified ❑ Yes ❑ No PLUMBING FIXTURE 11 COUNT Water Closets Sinks Urinals Lawn Sprinklers Bathtubs Dish Washers Drinking Fountains Other Showers Electric Water Heaters Sumps 50+ Tons Lavatories Washing Machine DrainsTotal :Fixture •Count .._... .......... ........I.. ... MT CAL UNIT :COUNT' Fuel Type (electric o Gas Dryer Air Handling < = 10,000 CFM _._ .. 1-5-30 Tons Length of Gas Piping lRange.. Air Handling > _ 10,000 CFM 30-50 Tons Furn <100K BTUs Gas Log Unit Heater 50+ Tons Furn > 100 BTUs Fans Miscell'aneous Fuel Tanks Gas Hwt �,-- Hood Boilers Above Ground Conv Burner Duct Work 0-3 Tons Underground BBQ's Wood Stoves 3-15 Tons Total Unit Count DISCLAIMER: 1 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 claiml, which may be made by any person, including the undersigned, and filed against the City of Federal Way, but only where such cl 'm avis out 2e eliance oft a City, including its officers and employees, upon the accuracy of the information supplied to the City as a part of this application. Owner/Agent: Date: z� �� CITY OF FEDERAL.. WAYPERP'IIT NO: BL_D95--0383 33530 First Way South DLI I LDT NG P EJ1 M .I..T I'SSuED: 05/23/95 Federal Way, 144 98003 Building Inspert:i.on F o(4(,IPsLs 661-4140 BY: FC2 661--4000 EXPIRES: 11/19/95 ADDRFSS : 314 S 309T14 ST NO.: 667265-01.1.0 PROJECT DT SCRIPTION:APPROVED BASIC 194-1013491 PARKWOOD CAMPUS, LOT 111. " OWNER ::::Y'i;L:1 i<A:A IYLS....`1YYYLiQi4i'�STiiYitCaaC�Gf::Y[YSC:]��i�. a;,1GCYiaaCa:::C NORRIS HOMES, INC. 10621 SE 13TH ST FEDERAL WAY WA 98004 925-1821 453-9598 tss CONTRACTORS, P1EAE,F. USE LOCAT$ :xs:as. ca ssY:u.QaraeLx=c::.xzaz¢=cxuc cs:..a.rs :n s.::r.7r.:c:uwu+wafaraez191�0 BLD?: MEC?: PLM?:X FLR- EXIST- PROP --- TYPE OF WORK:? USE:RES IST. 0. I):sf CENSUS CATEGORY ..... :800 ?ND a 0: 0: (,;f OCCUPANCY GROUP--------- ?RD. !): O:sf TYPE OF CONSTRUCTION-_--- ESMT: is O:ss :? :? •? :? 'Eir: 0. O:sf OCCUPANT LOAD--- ------ OR_ U: O:;f 0: 0: 0: 0: TOIL 0: 1;.Sf PLUMBING CHECK VALVE((OMBRACO,40-105-02,1") CONTRACTORLENDER $ORRIS HOMES INC 10627 SW 18TH ST BELLEVUE WA 98004 874-9778 453-9598 NORRINIO99LC �..:_,w �:..'._:::L_�___x:aranrcmccsacYY:.-mcYYc::a:m�sn:YYY:s::acKassasxYYnu.�aa9u::c.c rx�i::c 1132 0014 REPORTING SALES TAX FOR PROJECTS WITNIN TK CITY OF FEDERAL WAY DNftITNfi URTTS OPOMP PLAH.........:SR REQUIRED PARKIN..: ' 0 4E16HT..,.,: ir.00+ ft VALUATION— SETtkf_ EXIST..$: FRONT.......... 0.00 ft PROP...$' 0 SIDE..........: 0.01) ft REAR..........: O.00:ft RECEIVED. :05/2:')" .; SPRINKLERS?. .;.:? ki FLOW.. WATER SERVICE..:? SEWER SERVICE..:? IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:? TAX RATE = 8.3 sts p FEES: j PLM PRMT ISSUANCE.. $ 20.00 PII,NIBING FTXT.... 93* $ 7.00 EL TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS WATER CLOSETS......: 0 URINALS........: 0 TOTAL FEES .S PIPING.: 0 ft HOOD..........: 0 0-3 HP......: 0 BATH TUBS..........: 0 DRINKING FOUNT.: 0 FURN<IOOK..: 0 DUCT WORK.....: 0 3.15 HP.....: 0 SHOWERS ............: 0 SUMPS..........: 0 GAS TWT....: 0 WOOD STOVES...: 0 15-30 HP....: 0 LAVATORIES.........: 0 VAC BREAKERS...: 0 CONV BURNER: 0 FURN>1OOK...... 0 30-50 HP..... 0 SINKS ............... 0 DRAINS.......... 0 BBQ_ ....... 0 MTS(..........: 0 5+ HP.......: 0 DISH WASHERS.......: 0 LAWN SPRINKLERS: 1 GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS--------- ELIC WTR HEATERS...; 0 OTHER FIXTURES.: 0 RANGE......: 0 (:10,000 CFH: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0 GAS LOGS...: 0 > 10,000 CFH: 0 UNDERGROUND.: 0 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 INF TI F NISHE NY E TRUE AND CORRECT TO INE BUST OF MY KNOWLEDGE AND THE APPLICABLE CITY FEDERAL WAY REQUIREMENTS WILL BE NET OWNER OR AGENT _1!/_�� '-- -_-_-__- DATE. __ _ rc�__-__�_-____----__------------ FIELD COPY $ 27.00