97-101814CITY OF FEDERAL_ WAY
33530 First Way South
Federal Way, WA 98003
661-4000
ADDRESS:33021 20 PL- SW
NO.: 010457-0030
PROJECT DESCRTPTION:NEW LAWN SPRINKLER SYSTEM
DOUBLE - WILKENS 950XL
t= OWNER
CHESTER FLAGGARD
33021 20TH PL S
FEDERAL WAY WA 98003
-5951
Building Inspection Requests 661-41.40
CONTRACTOR ========
OWNER IS CONTRACTOR
97- /0j $"y
PERMIT NO: BL_D97-0314
ISSUED: 05/23/97
BY: FC
EXPIRES: 11/19/97
LENDER
e
4
S CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8.2% #31
BLD?:? MEC?:?
PLM?:X
FLR--EXIST--PROP---
DWELLING UNITS: 0
COMP PLAN.........:?
TYPE OF WORK:NEW
USE:RES
1ST.: 0:
O:Sf
STORIES........: 0
REQUIRED PARKING..:
0
SPRINKLERS?......:?
CENSUS CATEGORY.....:?
2ND.: 0:
O:Sf
HEIGHT.....: 0.00 ft
HAZARD CLASS...:?
OCCUPANCY GROUP----------
3RD.: 0:
O:Sf
VALUATION----------
REQUIRED SETBACKS-------
FIRE FLOW....:
0 gpm
:? :? :?
:?
OTHR: 0:
O:Sf
EXIST..$: 0
FRONT.........:
0.00 ft
TYPE OF CONSTRUCTION-----
BSMT: 0:
O:Sf
PROP ...$; 0
SIDE..........:
0.00 ft
WATER SERVICE-:?
•? •?
•?
DECK: 0:
O:Sf
REAR..........:
O.00:ft
SEWER SERVICE..:?
OCCUPANT LOAD------------
GAR.: 0:
O:sf
RECEIVED.:05/23/91
0: 0:
0: 0:
TOTL: 0: O:Sf
=
IMPERV SURFACE: 0 sf
---------------
7--------------------------------_..___________---------
SENSITIVE AREAS?.:?
L TYPES.:?
?
FANS..........:
0
BOILERS/COMPRESSORS
WATER CLOSETS......:
0
URINALS........:
0
PIPING.: 0
ft
HOOD..........:
0
0-3 HP......: 0
BATH TUBS..........:
0
DRINKING FOUNT.:
0
FURN<IQOK..: 0
DUCT WORK.....:
0
3-15 HP.....: 0
SHOWERS ............:
0
SUMPS..........:
0
GAS HWT.... : 0
WOOD STOVES...:
0
15-30 HP....: 0
LAVATORIES.........:
0
VAC BREAKERS...:
0
CONV BURNER: 0
FURN>100K......
0
30-50 HP..... 0
SINKS ...............
0
DRAINS..........
0
BBQ......... 0
MISC...........
0
5+ HP........ 0
DISH WASHERS........
0
LAWN SPRINKLERS:
1
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS---------
ELEC WTR HEATERS...:
0
OTHER FIXTURES.:
0
RANGE......: 0
<:10,000 CFM:
0
ABOVE GROUND: 0
LAUN WSHR OUTLTS...:
0
GAS LOGS...; 0
> 10,000 CFM:
0
UNDERGROUND.: 0
----..--------------------------------
FEES:
PLUMBING FIXT.... 93$ $ 7.00
PLM PRMT ISSUANCE.. $ 20.00
TOTAL FEES $ 27.00
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 NET.
OWNER OR AGENT (���e �
FILE COPY
DATE --5 Z1,1 /�---
crrroF G
A j
EM:-
-, FiY
PLEASE PR/NT
Tenant (if known)
Building Owner's Name
BUILDING DIVISION
JJ -IJV r11J1 Way 00UU1
E�L Federal Way, WA 98003
(206) 661-4000
Fax (206) 661-4129c
APPLICATION FOR 13UWbINgG PERMIT
+moi i;7EPT.
APPLICATION #
Address PL.
--J
C ct< --�
Lot # Assessor's Tax #
Address
Ci 2 State zipU1. O� j Phone , `3
Nature of Work
I
Name (F,M,L)
Address
City
State
Address
Contact Person
Cit _ �'c, Yti-� ��2
Fax
State Zi
Contact P son
Verified ❑ Yes ❑ No
Day Phone
`j -6t1l 7Z/
Other Phone Fax
a ��+�
/,/,-;
Ila
Company Name
O&ll t,
Address
City
State
Zi
Contact Person
Phone
Fax
Contractor's # (card must be presented)
Expiration Date
Verified ❑ Yes ❑ No
Name
Address
City
State
Zi
Contact Person
Phone
Fax
LEGAL DESCRIPTION /) (, , t1i I-`ee /� L /fie
0 Please Com"I to Reverse Side 0
5`1
Contractor Name
><?
Existing Use
Exi 9
State
Proposed Use
P P
Contact
Permit includes:
Fax
❑ Building
❑ Plumbing
❑ Mechanical
❑ Other
Type of Work:
❑ Residential
❑ Commercial
❑ New
❑ Addition
❑ Remodel
❑ Garage
❑ Number of Units _
❑ Shed
❑ Deck
❑ Other
Enter 1 st 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
Is
Zoning
Duct Work
Lot Size
Underground
Existing Bldg Valuation
1 $
Contractor Name
Address
City
State
Zi
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
...........................................................................................
Contractor Name
Address
City
State
Zi
Contact
Phone
Fax
License #
I Expiration Date
Verified ❑ Yes ❑ No
............................................................................................
Water Closets
Sinks
Urinals Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains Other
Showers
Electric Water Heaters
Sumps
Lavatories
Washing Machine
Drains Total:xture:Go..unt;::.;
...........................................................................................
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
BBO's
Wood Stoves
3-15 Tons
>f"' al: `'t. ovl t«»»«i»>> »<»» !>
_ 0 .Unt..
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: Cid /I � '��fiT Date: ✓2 -3
.Aw
RE—.cva[o 12/17/88
�
. ������ �� BLD97_0314
CITY �F FEDERAL. WAY :
:�3530 Flrst Way SOuth DIJI L DI NG PERMJF1r ISSUED: 05/23/97
Federal Way, WR 98083 Inspe[t.ion Requests 66.1-4I40 BY: FC
661-4000 EXPIRES: 11/19/97
ADDRESS:33021 28 PL
NO.: 0I0457-0030
PROJECT DESCRIPTION -RW LAWN S;klNyL0SYSTEM /
N0Bi[ ' WliK[MS 950Xi
OWNER C0MTKA{l0K i[NDE8
33021 20TH Pt IS
DERAL WAY WA 98003
8L[?:? MIC?:? PLM?:X
TYPE CKNOKX:NEN USIAES
CENSUS CATEGORY ..... :?
OCCUPANCY CROUP ----------
TYPE Of CONSTRUCTION -----
OCCUPANT LOAD -----'
� O: 0: 0: O:
�
FiK [&�T Pk»�
RR - 141ST
�
0f~�
~0':St~'
TOT L-.'
Dpo
��kU.......�nk� .�* $ 1.00.. �,^w lSSUAN E., � 20.00
0 .B%6 IKLFf U
- » qK00,.,_..
0 .,.,.,� 0.00 ft WATER SERVICE..:?
.~....,.: O.UV:ft SEWER SERVICE..:?
fi"c��0.�0�/��,y��
� IMV[KY SURFACE: O sf S[NSDlY[ AREAS?.:? �
I. ;? ? FANS.-.-..''
�
BOILERS/COMPRESSORS
WATER (1OSElS---
...'..� 8
O URINALS-
}08& RES
V ft
00nD...-.'..:
U
0'3 NP..'...
U
04U lUBS....-....
U
0RlNmlN& FOUNT':
U
[URN(100K..:
8
NKT WORK ... ..:
0
3'15 UM.....
0
SHOWERS ............
0
SUMPS .......... :
U
GAS UW[-. :
0
WOOD SlOVES...
U
15'30 HP.....
U
LAVATORIES .........
U
VA( DREA*0S... :
0
{OHV VNH[ :
0
[URN)l00K....:
0
30'50 No...':
U
SlNXS.........,....
0
0AIK ..-'..,.:
0
BN........:
U
HIS( ....'.'..':
0
5/ UP..~.':
0
DISH WASHERS.''...
0
LAWN SPRINKLERS:
1
GAS DRYER-:
O
A0 HANDLING UNITS
FUEL TARS ---------
[LE( MIR HEATERS...:
0
$8N0 FIXTURES.:
O
RANGE '.....
0
<:10,000 [HM:
0
ABOVE 0K00H0:
O
LAU@ WSHR 00LTS... :
0
� GAS LOGS ...�
O
> lU.OU0 [FH:
0
UN0[KQR0VNP.:
U
:
PJERNITS EXPIRE 180 DAYS AFTER ISSUANCE If NO WORK Is STARTED. RESIDEVIIAl AND GRADING PERMITS EXPIRt ONL YLAR AfTER DATE of hslwl.
I CERTIFY THAI lk INJFORNAIION flip'NIS10:1) Ify 1U. IS TRUE AND (URRECT TO IK REST * MY IM11KI AND IN[ APPLICABLE CITY Of f[KRAI. WAY RIMIRENINTS 11111 K fiLl
FIELD COPY
$ 27.00