93-101670CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
BUILDING PERMIT
BUILDING INSPECTION - 661-4140
SITE ADDRESS: 32124 1ST AVE S Unit: #200
PARCEL NO.: 926450-0050
PROJECT DESCRIPTION: PLUMBING
OWNER
SMITH KLINE BLOOD CENTER
32124 1ST AVE S #200
FEDERAL WAY WA 98003
-4500
CONTRACTOR
HUBERS PLUMBING CO
30604 54TH AVE S
AUBURN WA 98001
839-7876
HUBERP2321-7
LENDER
/aQ3-05.75
PERMIT NO.: BLD93-0735
ISSUED: 07/06/93
BY: JJ
q5-- 101b-�-o
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 ..... :600
2ND.: 0:
O:Sf
HEIGHT.....: 0.00 ft
HAZARD CLASS...:?
PLUMBING FIXT....93* $ 28.00
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 ... $: 0
SIDE..........:
0.00 ft
WATER SERVICE..:?
:? :? :?
:?
DECK: 0:
O:Sf
REAR...........
0.00:ft
SEWER SERVICE..:?
OCCUPANT LOAD------------
GAR.: 0:
O:Sf
RECEIVED.:07/06/93
0: 0:
0: 0:
TOTL: 0:
O:Sf
IMPERV SURFACE:
0 sf
SENSITIVE AREAS?.:?
TOTAL FEES $ 48.00
FUEL TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS
WATER CLOSETS......: 1 URINALS........: 0
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.........:
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........
0
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
GAwGS...: 0
> 10,000 CFM:
0
UNDERGROUND.: 0 11
11
1
' w
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
DATE
SET BACKS AND FOOTINGS
DATE ........ ____ —BY _..........-_...._.
OX TO POUR FOUNDATION WALLS
DATE ..... ._.... .... .... _ BY-__. --
PLUMBING GROUNDWORK
DATE c� BY
PLUMBING ROUGH IN
DATE.i `/3..-.......BY... ___......_
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.K. TO OCCUPY
qq 2
DATE 1." t_ q 3.......BY �iR/
DCD
PSD
TFD
CITY OF FEDERAL WAY BUILDING PERMIT
33530 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 32124 1ST AVE S Unit: #200
PARCEL NO.: 926450-0050
PROJECT DESCRIPTION: PLUMBING
OWNER CONTRACTOR
LENDER
SMITH KLINE BLOOD CENTER HUBERS PLUMBING CO
32124 1ST AVE S #200 30604 54TH AVE S
FEDERAL WAY WA 98003 AUBURN WA 98001
iv 4500 839-7876
HUBERP2321-7
PERMIT NO.: BLD93-0735
ISSUED: 07/06/93
BY: JJ
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 .....
:600
2ND.: 0:
O:Sf
HEIGHT.....: 0.00 ft
HAZARD CLASS...:?
PLUMBING FIXT.... 93* $ 28.00
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 ... $: 0
SIDE..........:
0.00 ft
WATER SERVICE..:?
:?
:?
DECK: 0:
O:Sf
REAR..........:
0.00:ft
SEWER SERVICE..:?
OCCUPANT LOAD------------
GAR.: 0:
O:sf
RECEIVED.:07/06/93
0: 0:
0: 0:
TOTL: 0:
O:Sf
IMPERV SURFACE:
0 sf
SENSITIVE AREAS?.:?
TOTAL FEES $ 48.00
FUEL TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS
WATER CLOSETS......: 1 URINALS........: 0
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.........:
1
VAC BREAKERS...:
0
CONV BURNER: 0
FURN>10OK......
0
30-50 HP..... 0
SINKS ...............
1
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...: 1
OTHER FIXTURES.:
0
&FOGS...:
LAUN WSHR OUTLTS...: 0
0
> 10,000 CFM:
0
UNDERGROUNDD: p
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 �����i� DATE
bld_prmt 10/23/92 ,� '
Y
PLEASE PRINT
SITE
i City of Federal Way
APPLICATION FOR BUILDING PAMIT
APPLICATION !t:
LOCAT
ION Address - ;?1, 2 V
Tenantffif known)✓ J/ Lot # Assessor's Tax #
Building Owner Name Address
City p, State a. Zip 'd 0 ---3 Phone
Nature of Work
--.1W
APPLICANT
Name (F,M,L)
Address
City
State Zip %e C 0
Contact Per so
Day Phone
1 3 6,-1
Other Phone Fax
--6'02 2`3 v
Fax
J-1 -'
—<5
Verified ❑ Yes ❑ No
--.1W
APPLICANT
Name (F,M,L)
Address
City
State Zip %e C 0
Contact Per so
Day Phone
1 3 6,-1
Other Phone Fax
--6'02 2`3 v
Fax
J-1 -'
—<5
BUILDING CONTRACTOR
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 4;93)
C
RUCTURE
Address
I Existing Use
State Zip
Proposed Use
Contact
Phone
Permit includes:
License #
Building
❑ Plumbii
61 Mechanical
❑
Other
Type of Work: ❑
❑
Residential
Commercial
❑ New
❑ Addition
❑ Remodel
❑ Garage
❑ Number of Units
❑ Shed
❑
❑
Deck
Other
Enter 1st 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
3-15 Tons
sq ft
sq ft
Water Availability ❑
Sewer Availability ❑ On -Site Septic System Availability ❑
Project Valuation
S
Zoning
Lot Size
Existing Bldg Valuation
$
LENDER
Name
Address
City
State Zip
NIECHANICAL CONTRACTOR
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
PLUTNIBING CONTRACTOR
Contracto�Nl
Address
City -i
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
PLUMBING FIXTURE COUNT
Water Closets
Sinks
Urinals Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains Other
Showers
Electric Water Heaters /
Sumps
Lavatories
Washing Machine
Drains Total Fixture Count
MECHANICAL UNIT COUNT
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 <1OOK BTUs
Gas Log
Unit Heater
50+ Tons
Furn > 100 BTUs
Fans
Miscellaneous
Fuel flanks
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. i
Owner/Agent: Date: r r -
.7 .2 / 5