92-101243CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
SITE ADDRESS: 32169 33RD AVE SW
PARCEL NO.: 873190-0800
PROJECT DESCRIPTION: NECK
OWNER
0BARTHEL
909 33RD AVE SII
FEDERAL NAY WA 98023
BLD?: MEC?:X PLM?:
TYPE OF WORK:? USE:?
CENSUS CATEGORY.....:?
OCCUPANCY GROUP ----------
:? 0 :? :?
TYPE OF CONSTRUCTION-----
:? :? :? 0
OCCUPANT LOAD ------------
. 0: 0: 0: 0:
FUEL TYPES.:GAS ?
GAS PIPING.: 3 ft
FURN<100K..: 0
GAS HWT....: 1
.BURNER: 0
0
GAS DRYER..: 0
RANGE......: 0
SLOGS...: 0
ALL PERMITS EXPIRE
I CERTIFY THAT
OWNER OR
bld_prmt 0
FLR--EXIST--PROP---
1ST.:
0:
O:sf
2ND.:
0:
O:sf
3RD.:
0:
O:sf
OTHR:
0:
O:sf
BSMT:
0:
O:sf
DECK:
0:
O:sf
GAR.:
0:
O:sf
TOTL:
0:
O:sf
FANS..........: 0
HOOD..........: 0
DUCT WORK.....: 0
WOOD STOVES...: 0
FURN>100K.....: 0
MISC..........: 0
AIR HANDLING UNITS
«10,000 CFM: 0
> 10,000 CFM: 0
BUILDING PERMIT
BUILDING INSPECTION - 661-4140
CONTRACTOR
CITY SHEET METAL
4202 AUBURN NAY N #8
AUBURN NA 98002
852-2174
CITYSM173JA
DWELLING UNITS: 0
STORIES........: 0
HEIGHT.....: 0.00 ft
VALUATION----------
EXIST..S: 0
PROP ... S: 0
RECEIVED.:08/11/92
BOILERS/COMPRESSORS
0-3 HP......: 0
3-15 HP.....: 0
15-30 HP....: 0
30-50 HP....: 0
5+ HP.......: 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
COMP PLAN.........:?
REQUIRED PARKING..: 0
REQUIRED SETBACKS -------
FRONT ......... : 0.00 ft
SIDE..........: 0.00 ft
REAR..........: O.00:ft
LENDER
SPRINKLERS?......:?
HAZARD CLASS...:?
FIRE FLOW....: 0 gpo
WATER SERVICE..:?
SEWER SERVICE..:?
IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
WATER CLOSETS......: 0
BATH TUBS..........: 0
SHOWERS ............: 0
LAVATORIES.........: 0
SINKS..............: 0
DISH WASHERS.......: 0
ELEC WTR HEATERS...: 0
LAUN WSHR OUTLTS...: 0
URINALS........: 0
DRINKING FOUNT.: 0
SUMPS..........: 0
VAC BREAKERS...: 0
DRAINS.........: 0
LAWN SPRINKLERS: 0
OTHER FIXTURES.: 0
,- B/O/iy3
PERMIT NOg.: LD 2-2043
ISSUED: 08/12/92
BY: AJ
FEES:
NEC PRMT ISSUANCE...
NEC APPLIANCE FEES.*
TOTAL FEES
AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
$ 20.00
$ 8.50
$ 28.50
BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
DATE �fx
, . RECEVEDP4pit 1-D � 2 3
MW
AUG 1 1 BE CITY OF FEDERAL WAY
�
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME:
OWNER SITE LOCATION� Iacs
OWNER'S ADDRESS 3u It 3 3 v CITY PHONE - `7 —
DESCRIBE JOB el
THE PROPERTY IS OWNED BY: SINGL ARRIEDA_ PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. Cgk 't Sm , 3
Card MUST be presented
CONTRACTOR'S ADDRESS A -Z-02- NAXXaaxnm Icyl)�CITY nM PHONE SS?_ -?_0 q
EXPIRATION DATE 1--1 --1
—OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON PHONE ':Z S Z - Z�
BOX 4 SEWER DISTRICT
WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER S75 19 0 O S 00
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legai description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed)
1ST FLOOR / 2ND
FLOOR /
3RD FLOOR / BASEMENT / DECK /
GARAGE /
BOX 8'SINGLE FAMILY
( ) NEW CONSTRUCTION
MULTIFAMILY (NO. OF UNITS = )
( XISTING STRUCTURE
( ) COMMERCIAUINDUSTRIAL
TOTAL AREA OF PROPERTY
SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES — BASIC FEE $
N0. WATERCLOSETS
GAS PIPING, FEET ;a `
$
BATHTUBS
NO. FURNACE, ELEC.
GAS $
SHOWERS
—_GAS HOT WATER HEATER
$
LAVATORIES
CONVERSION BURNER
$
SINKS
BOILER, SIZE BTU $
DISHWASHERS
AIR HANDLING UNITS
$
ELECTRIC HOT WATER HEATER
HEAT PUMPS, SIZE
$
LAUNDRY WASHER OUTLET
UNIT HEATERS
$
URINALS
AIR COOLING UNITS, SIZE
$
DRINKING FOUNTAINS
COMMERCIAL HOOD
$
SUMPS, SPRINKLER VACUUM BREAKERS
OTHER
$
DRAINS
$
OTHER
$
TOTAL FIXTURES
$
TOTAL MECHANICAL FEE
-'
I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST QE MYKNOWLEDGE
AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OFTHE 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 ATTpRNEYS'
FEES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUD1I�G THE UNDO RSIGNED,
AND FILED AGAIN HE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY; INt DING ITS
OFFICERS AN MPLO ES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
DATE: F- I f -c? Z
ANR008 3/80
OFRE USE ONLY (PLEASE DO NOT WRITNELOW THIS LINE)
3� 3_ [ a-r�i�i-f4
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT. :.
PLANNING DEPARTMENT APPROVAL
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL
REMARKS:
DATE
PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS:
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY TYPE OF CONSTRUCTION STORES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION
BUILDING DEPARTMENT REMARKS:
s �
RECEIVED
ASSIGNED ADDRESS:
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date
Receipt #
BUILDING DEPARTMENT APPROVAL
BY DATE
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
SITE ADDRESS: 32169 33RD AVE SW
PARCEL NO.: 873190-0800
PROJECT DESCRIPTION: MECK
OWNER
AM BARTHEL
33RD AVE SW
FEDERAL WAY WA 98023
07365
BUILDING PERMIT
BUILDING INSPECTION - 661-4140
CONTRACTOR
CITY SHEET METAL
4202 AUBURN WAY N 08
AUBURN WA 98002
852-2174
CITYSM173JA
LENDER
PERMIT NO.: ELD92®2043
ISSUED: 08/12/92
BY: AJ
BLD?: MEC?:X
PLM?:
FLR--EXIST--PROP---
DWELLING UNITS:
0
COMP PLAN.........:?
FEES:
TYPE OF WORK:?
USE:?
1ST.: 0:
O:sf
STORIES........:
0
REQUIRED PARKING..:
0
SPRINKLERS? ......
0
MEC PRMT ISSUANCE... S 20.00
CENSUS CATEGORY.....:?
2ND.: 0:
O:ef
HEIGHT.....: 0.00 ft
HAZARD CLASS...:?
NEC APPLIANCE FEES.* $ 8.50
OCCUPANCY GROUP----------
3RD.: 0:
Omf
VALUATION----------
REQUIRED SETBACKS-------
FIRE FLOW....:
0 gpm
0 :? :?
:?
OTHR: 0:
O mf
EXIST..S:
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.:08/11/92
0: 0:
0: 0:
TOTL: 0:
O:sf
IMPERV SURFACE:
0 sf
SENSITIVE AREAS?.:?
TOTAL FEES S 28.50
FUEL TYPES.:GAS ? FANS..........: 0 BOILERS/COMPRESSORS
WATER CLOSETS......: 0 URINALS........: 0
GAS PIPING.: 3
ft
HOOD..........:
0
0-3 HP......:
0
BATH TUBS..........:
0
DRINKING FOUNT.:
0
FURN<100K..: 0
DUCT WORK.....:
0
3-15 HP.....:
0
SHOWERS ............:
0
SUMPS..........:
0
GAS HWT.... : 1
WOOD STOVES...:
0
15-30 HP....:
0
LAVATORIES.........:
0
VAC BREAKERS...:
0
BURNER: 0
FURN>100K..... :
0
30-50 HP....:
0
SINKS ..............:
0
DRAINS.........:
0
0
MISC..........:
0
5+ HP.......:
0
DISH WASHERS.......:
0
LAWN SPRINKLERS:
0
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS---------
ELEC WTR HEATERS...:
0
OTHER FIXTURES.:
0
RANGE......: 0
<a10,000 CFM:
0
ABOVE GROUND:
0
LAUN WSHR OUTLTS...:
0
OGS...: 0
> 10,000 CFM:
0
UNDERGROUND.:
0
ALL PERMITS EXPIRE 18 AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT INFORMATION NISHED 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 AGE DATE /
bld_pant 07/31/92
SET BACKS AND FOOTINGS
DATE BY
O.K TO POUR FOUNDATION WALLS
DATE BY
PLUMBING GROUNDWORK
DATE BY
PLUMBING ROUGH IN
DATE BY
WATER LINE O.K.
GAS PIPING O.K LeSS i Wq// G r �l�/
MECHANICAL INSPECTION
DATE /(-/Z-q7- BY �
O.K. TO ENCLOSE FRAMING
DATE BY
INSULATION
DATE BY
WALL BOARD AND FIRE WALL
DATE BY
FINAL O.K. TO OCCUPY
DATE// -/Z-'%.2- BY Ae"I
DCD
PSD
FD
/11 % 7qD If
V,2 /9- c c' s .- r7 ..L i—
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