93-101280ee
CITY OF FEDERAL WAY BUILDING PERMIT PERMIT NO.:� BLD93� 548
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 05/25/93
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 118 SW 330TH ST
PARCEL NO.: 182104-9045
PROJECT DESCRIPTION: PLUMBING — INSTALL WASHING MACHINE
OWNER
TERRY WALLEN
118 SW 330TH ST
FEDERAL WAY WA 98023
940
CONTRACTOR
G V PLUMBING & CONST
141 VALENTINE CT
PACIFIC WA 98047
735-1344
GVPLUC*160NM
LENDER
BLD?: MEC?:
PLM?:X
FLR--EXIST--PROP---
DWELLING UNITS: 0
COMP PLAN.........:?
FEES:
TYPE OF WORK:?
USE:?
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 gpm
:? :? :?
:?
OTHR: 0:
O:Sf
EXIST..$: 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.:05/25/93
0: 0:
0: 0:
TOTL: 0:
O:Sf
IMPERV SURFACE:
0 sf
SENSITIVE AREAS?.:?
FUEL TYPES.:
FANS..........:
0
BOILERS/COMPRESSORS
WATER CLOSETS......:
0
URINALS........:
0
TOTAL FEES $ 27.00
GAS PIPING.: 0
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....: 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:
0
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS---------
ELEC WTR HEATERS...:
0
OTHER FIXTURES.:
0
RAE......: 0
-10,000 CFM:
0
ABOVE GROUND: 0
LAUN WSHR OUTLTS... :
1
OGS...: 0
> 10,000 CFM:
0
UNDERGROUND.: 0
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
1 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 MET.
OWNER OR AGENT
bld_pant 10/23/92
DATE 'S—/ -SI
PLEASE PR/NT
City of Federal Wa
. y
2c - 02 -2 173 1'7
APPLICATION FOR BUILDING PERMIT '
cle-- Y �J z'y
APP/ M_d TMN }t•
SITE LOCATION Address
Tenant (if known) Lot dl As�r',s�Taicex�
Building Owner Name Address
t—=e-t Ak-L-�� /I J
CityFE-64` A L State W4 ZP lgoblPhone P--)
Nature of Work s
APPLICANT :.;
Name (F, M, L)
Address
City Istate w A. Zip ' o
Contac ersson Day Ph ne _ 0 her Phone / Fa q O p
7J �l J 1 l� l���� —O� O
BUII.DING CONTRACTOR
Ai 1A
Company Name
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
ARCHITECT
Name
Address
city State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492 (Rev 4193)
APPLICANT :.;
Name (F, M, L)
Address
City Istate w A. Zip ' o
Contac ersson Day Ph ne _ 0 her Phone / Fa q O p
7J �l J 1 l� l���� —O� O
BUII.DING CONTRACTOR
Ai 1A
Company Name
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
ARCHITECT
Name
Address
city State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492 (Rev 4193)
BUII.DING CONTRACTOR
Ai 1A
Company Name
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
ARCHITECT
Name
Address
city State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492 (Rev 4193)
ARCHITECT
Name
Address
city State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492 (Rev 4193)
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492 (Rev 4193)
Name
Address
City
State Zip
MECHANICAL: CONTRACTOR
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name
Address I I
C
City
State 1AZA
Zip 210
Contact ���
Ph �13,4�
Fa�3s^O'^�
g❑
License # U
Expiration Date '7//J—/J,;?,^Verified
Yes No
� PLU;I�ING FIXTURE COi�N'1�
Water Closets
Sinks
Urinals Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains Other
Showers
Electric Water Heaters
Sumps
LavatoriesWashing
Machine
Drains Tot6(`Fix2ure;Count .>
11IECHAMCAL UNIT COUNT t
Y /9
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 Burner
Duct Work
0-3 Tons
Underground
BBQ's
Wood Stoves
3-15 Tons
Total Unit Count
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 attorneys' 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: 1�
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
SITE ADDRESS: 118 SW 330TH ST
PARCEL NO.: 182104®9045
PROJECT DESCRIPTION: PLUMBING
OWNER
TERRY WALLEN
118 SW 330TH ST
FEDERAL WAY WA 98023
06940
BLD?: MEC?: PLM?:X
TYPE OF WORK:? USE:?
CENSUS CATEGORY ..... :800
OCCUPANCY GROUP----------
:?
TYPE OF CONSTRUCTION-----
:?
OCCUPANT LOAD ------------
. 0: 0: 0: 0:
BUILDING PERMIT
BUILDING INSPECTION - 661-4140
NN IT -0 100
INSTALL WASHING MACHINE
FLR--EXIST--PROP---
1ST.:
0:
0.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
FUEL TYPES.:
FANS..........: 0
GAS PIPING.:
0 ft
HOOD..........: 0
FURN<100K..:
0
DUCT WORK.....: 0
GAS HWT....:
0
WOOD STOVES...: 0
CONV BURNER:
0
FURN>100K.....: 0
BBQ........:
0
MISC..........: 0
GAS DRYER..:
0
AIR HANDLING UNITS
R E......:
0
-10,000 CFM: 0
QGS... :
0
> 10,000 CFM: 0
CONTRACTOR
G V PLUMBING $ CONST
141 VALENTINE CT
PACIFIC WA 98047
735-1344
GVPLUC*160NM
DWELLING UNITS: 0
STORIES........: 0
HEIGHT.....: 0.00 ft
VALUATION ----------
EXIST..$: 0
PROP ... S: 0
RECEIVED.:05/25/93
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
IMPERV SURFACE:
WATER CLOSETS......:
BATHTUBS..........:
SHOWERS............:
LAVATORIES.........:
SINKS..............:
DISH WASHERS.......:
ELEC WTR HEATERS...:
LAUN WSHR OUTLTS...:
LENDER
SPRINKLERS?......:?
HAZARD CLASS...:?
FIRE FLOW....: 0 gpo
WATER SERVICE..:?
SEWER SERVICE..:?
0 sf SENSITIVE AREAS?.:?
0 URINALS........: 0
0 DRINKING FOUNT.: 0
0 SUMPS..........: 0
0 VAC BREAKERS...: 0
0 DRAINS.........: 0
0 LAWN SPRINKLERS: 0
0 OTHER FIXTURES.: 0
1
PERMIT NO.: BLD93®0548
ISSUED: 05/25/93
BY: FLF
FEES:
PLM PRMT ISSUANCE.. $ 20.00
PLUMBING FIXT.... 93* $ 7.00
TOTAL FEES S 27.00
ALL 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 MET.
OWNER OR AGENT
bld_prmt 10/23/92
l LJ"
DATE 5-) X"s ) 13
SET BACKS AND FOOTINGS
DATE BY
OX TO POUR FOUNDATION WALLS
DATE BY _
PLUMBING GROUNDWORK
DATE BY
PLUMBBI G ROUGH IN
DATEC)3 BY29V
WATER LINE O.K.
GAS PIPING O.K.
MECHANICAL INSPECTION
DATE BY
O.K. TO ENCLOSE FRAMING
DATE BY
INSULATION
DATE BY
WALL BOARD AND FIRE WALL
DATE BY
FINAL O . TO OCCUPY
DATE Y
DCD
PSD
FD