92-101988CITY Of: FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
SITE ADDRESS: 30914 B 16TH PL 8W
PARCEL NO.: 122103-9141
PROJECT DESCRIPTION: FIRE REPAIR
F i
OWNER
CTL MANAGEMENT INC.
310019TH PL SW
raDERAL WAY WA 98023
BUILDING PERMIT
BUILDING INSPECTION - 661-4140
CONTRACTOR
J D PURVIS CONST. SERVICES INC
4242 24TH WEST
SEATTLE WA 98199
282-3028
JDPURCS195ND
LENDER
A
PERMIT NO.: BLD92-2417
ISSUED: 11/10/92
BY: FLF
9 a- )tip 4 ?"g
BLD?:X MEC?:
PLM?:
FLR--EXIST--PROP---
DWELLING UNITS: 0
COMP PLAN ......... :7
FEES:
TYPE OF WORK:REP
USE:COM
1ST.: 0:
O:sf
STORIES........: 0
REQUIRED PARKING..:
0
SPRINKLERS?......:?
BUILDING PERMIT....* S 198.00
CENSUS CATEGORY ..... :570
2ND.: 0:
O:sf
HEIGHT.....: 0.00 ft
HAZARD CLASS...:?
OCCUPANCY GROUP----------
3RD.: 0:
O:sf
VALUATION----------
REQUIRED SETBACKS-------
FIRE FLOW....:
0 gpm
:? 0 :?
:?
OTHR: 0:
O:sf
EXIST..$: 0
FRONT.........: 0.00
ft
TYPE OF CONSTRUCTION-----
BSMT: 0:
O:sf
PROP ... $: 19000
SIDE..........: 0.00
ft
WATER SERVICE..:?
:7 :7 :?
:?
DECK: 0:
O:sf
REAR..........: O.00:ft
SEWER SERVICE..:?
OCCUPANT LOAD------------
GAR.: 0:
O:sf
RECEIVED.:11/10/92
0: 0:
0: 0:
TOTL: 0:
O:sf
IMPERV SURFACE:
0 sf
SENSITIVE AREAS?.:?
TOTAL FEES $ 198.00
FUEL TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS WATER CLOSETS......: 1 URINALS........:
0
GAS PIPING.: 0
ft
HOOD..........:
0
0-3 HP......: 0
BATH TUBS..........:
1
DRINKING FOUNT.:
0
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.........:
1
VAC BREAKERS...:
0
CONV BURNER: 0
FURN>100K..... :
0
30-50 HP....: 0
SINKS ..............:
1
DRAINS.........:
0
BBQ........: 0
MISC..........:
0
5+ HP.......: 0
DISH WASHERS.......:
1
LAWN SPRINKLERS:
0
JODRYER..: 0
E......: 0
AIR HANDLING UNITS
<=10,000 CFM: 0
FUEL TANKS---------
ABOVE GROUND: 0
ELEC WTR HEATERS...:
LAUN WSHR OUTLTS...:
1
0
OTHER FIXTURES.:
0
LOGS...: 0
> 10,000 CFM:
0
UNDERGROUND.: 0
ALL PERMITS EXPIRE 180 DAYS AFTER
I CERTIFY THAT THE INFORMATION FVI
IF N W013* IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT L DATE / ! 7Z
blddrmt 10/23/92
W Pere#
RECEIVEDCITY OF FEDERAL WAY
Nov 1®1992 BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 MN ffi
OWNER C T -L MA I"C-.vT XAle SITE LOCATION 3o9Iq B -- A," PL S.W.
OWNER'S ADDRESS 3 /oo -V /9 W� P/ 5: a✓. CITY liffdc-4R/ IV41 PHONE -_R 38 - 9 x.36
DESCRIBE JOB -D ✓-e 7/V ru 42c
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION `x
BOX 2 CONTRACTOR'S NAME T ij,'s Co v f CONTRACTOR'S REG. # J-7) PaR CS / 4SitoD
Card MUST be presented
CONTRACTOR'S ADDRESS //Z 4/Z ave` .4/1v- L ksrCITY Se:WM/c= IVV- PHONE 7R Z-30 2l*
EXPIRATION DATE
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUMIG PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON 3® N oJ UA -' ►M -4 PHONE 2.P' Z-- 30 2.8
BOX 4 SEWER DISTRICTc- d W.4 WATER DISTRICT fkrd WAS_
BOX 5 ESTIMATED PROJECT COST 190 ood °— EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER _ 73 5
'3 0 / � - /� �` PL. ' uJ.
LEGAL DESCRIPTION 9 Z �
Z/fa -Fed I�au was f1
9—lee— �z
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 400 2ND FLOOR
3RD FLOOR_____J_ BASEMENT. / DECK_____J_ GARAGE
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
(�) MULTIFAMILY (NO. OF UNITS = ) (}c) EXISTING STRUCTURE
( ) COMM ERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
:A
PLUMBIN FIXTURES (including rough -ins)
NO. WATERCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
_SINKS
_DISHWASHERS
_�—ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
TOTAL FIXTURES
MECHANICAL APPLIANCES — BASIC FEE $
GAS PIPING, FEET $
N0. FURNACE, ELEC. GAS $
GAS HOT WATER HEATER $
CONVERSION BURNER $
BOILER, SIZE BTU $
AIR HANDLING UNITS $
HEAT PUMPS, SIZE $
UNIT HEATERS $
AIR COOLING UNITS, SIZE $
COMMERCIAL HOOD $
OTHER $
TOTAL MECHANICAL FEE $
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 ATTORNEti,
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.
OWNER/AGENT:
DATE: /Z - AP -,""3
ANP -008 3/90
CITY'OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
SITE ADDRESS: 30914 B 16TH PL SW
PARCEL NO.: 122103-9141
PROJECT DESCRIPTION: FIRE REPAIR
BUILDING PERMIT
BUILDING INSPECTION - 661-4140
PERMIT NO.: BLD92-2417,
ISSUED: 11/10/92 -
BY: FLF
vwncrt
CTL MANAGEMENT INC.
%. m1rmUlum
J D PURVIS CONST. SERVICES INC
LCRYCR
310019TH PL SW
4242 24TH WEST
FEDERAL WAY WA 98023
SEATTLE WA 98199
-9230
282-3028
JDPURCS195ND
BLD?:X MEC?: PLM?:
FLR--EXIST--PROP---
DWELLING UNITS: 0
COMP PLAN.........:?
FEES:
TYPE OF WORK:REP USE:COM
1ST.: 0:
O:sf
STORIES........: 0
REQUIRED PARKING..:
0
SPRINKLERS?......:?
BUILDING PERMIT....* $ 198.00
CENSUS CATEGORY ..... :570
2ND.: 0:
O:sf
HEIGHT.....: 0.00 ft
HAZARD CLASS..::?
OCCUPANCY GROUP----------
3RD.: 0:
O:sf
VALUATION----------
REQUIRED SETBACKS-------
FIRE FLOW....:
0 gpm
:? :? :? :7
OTHR: 0:
O:sf
EXIST..$: 0
FRONT.........: 0.00
ft
TYPE OF CONSTRUCTION-----
BSMT: 0:
O:sf
PROP ... $: 19000
SIDE..........: 0.00
ft
WATER SERVICE—:?
:? :? :7 :?
DECK: 0:
O:sf
REAR..........: O.00:ft
SEWER SERVICE..:?
OCCUPANT LOAD------------
GAR.: 0:
O:sf
RECEIVED.:11/10/92
0: 0: 0: 0:
TOTL: 0:
O:sf
IMPERV SURFACE:
0 sf
SENSITIVE AREAS?.:?
TOTAL FEES $ 198.00
FUEL TYPES.:? 7 FANS..........: 0 BOILERS/COMPRESSORS
WATER CLOSETS......: 1 URINALS........:
0
GAS PIPING.: 0 ft
HOOD..........:
0
0-3 HP......: 0
BATH TUBS..........:
1
DRINKING FOUNT.:
0
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.........:
1
VAC BREAKERS...:
0
CONV BURNER: 0
FURN>100K.....:
0
30-50 HP....: 0
SINKS ..............:
1
DRAINS.........:
0
BBQ........: 0
MISC..........:
0
5+ HP.......: 0
DISH WASHERS.......:
1
LAWN SPRINKLERS:
0
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS---------
ELEC WTR HEATERS...:
1
OTHER FIXTURES.:
0
RANGE......: 0
<=10,000 CFM:
0
ABOVE GROUND: 0
LAUN WSHR OUTLTS... :
0
G OGS...: 0
> 10,000 CFW
0
UNDERGROUND.: 0
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF N . WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS
1 CERTIFY THAT THE INFORMATION FURNISHED BY/04 IS T%JE AND CORRECT TO THE BEST OF MY KNOWLEDGE At
OWNER OR AGENT
bid_pant 10/23/92
r ET.
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.
MECHANICAL INSPECTION
DATE BY
O.K. TO ENCLOSE FRAMING
DATE �r�/ BY 3
INSULATION
DATE ��l -$k-BY
ALL BOAR AND FIRE WALL
DATE 30 rZ- BY _
1
FINAL O.K. TO OCCUPY
DATE BY
DCD
PSD
7FD
2-
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T 1 IS �. l