93-101227CITY OF FEDERAL WAY BUILDING PERMIT
33530 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 33320 1ST WY S Unit: BLD A
PARCEL NO.: 926500-0255
PROJECT DESCRIPTION: PLUMBING — INSTALL BACKFLOW DEVICE (WILKINS #975)
OWNER
MCKINSTRY
5005 - 3RD AVE S
SEATTLE WA 98124
01316 762-3311
CONTRACTOR
MC KINSTRY CO
2730 4TH AVE S
P 0 BOX 24567
SEATTLE WA 98124
762-5900
MCKIN372NO
LENDER
BLD?: MEC?:
PLM?:X
PERMIT NO.:
BLD93-0531.
ISSUED:
05/20/93
BY: FLF
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* $ 5.00
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...........
O.00:ft
SEWER SERVICE..:?
OCCUPANT LOAD------------
GAR.: 0:
O:sf
RECEIVED.:05/20/93
0: 0:
0: 0:
TOTL: 0:
O:sf
IMPERV SURFACE:
0 sf
SENSITIVE AREAS?.:?
TOTAL FEES $ 25.00
FUEL TYPES.: FANS..........: 0 BOILERS/COMPRESSORS
WATER CLOSETS......: 0 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.........: 0
VAC BREAKERS...:
1
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
RANGE......: 0
—10,000 CFM:
0
ABOVE GROUND: 0
LAUN WSHR OUTLTS...: 0
FOGS...: 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.
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 '-- l /,/-/' 3
9 9
SET BACKS AND FOOTINGS
DATE -,,- -- __BY . .. ...
OX 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 - __ - __BY
INSULATION
DATE --.......BY
WALL BOARD AND FIRE WALL
DATE . . . ... ... ... . ____ BY
FINAL O.K. TO OCCUPY
DATE BY 117/11/
. . .... ..... .
DCD _FPSD
I'D
CITY OF FEDERAL WAY BUILDING PERMIT PERMIT NO.: BLD93-0531
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 05/20/93
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 33320 1ST WY S Unit: BLD A
PARCEL NO.: 926500-0255
PROJECT DESCRIPTION:
PLUMBING —
INSTALL BACKFLOW DEVICE (WILKINS
#975)
OWNER
CONTRACTOR
LENDER
MCKINSTRY
MC KINSTRY CO
5005 - 3RD AVE S
2730 4TH AVE S
SEATTLE WA 98124
P 0 BOX 24567
SEATTLE WA 98124
•1316 762-3311
762-5900
MCKIN372NO
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* $ 5.00
OCCUPANCY GROUP----------
3RD.: 0:
O:Sf
VALUATION----------
REQUIRED SETBACKS-------
FIRE FLOW....:
0 qpm
:? :? :? :?
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.:05/20/93
. 0: 0: 0: 0:
TOTL: 0:
O:sf
IMPERV SURFACE:
0
sf
SENSITIVE AREAS?.:?
TOTAL FEES $ 25.00
FUEL TYPES.: FANS..........: 0 BOILERS/COMPRESSORS
WATER CLOSETS......: 0 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.........:
0
VAC BREAKERS...:
1
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
R ......: 0
—10,000 CFM:
0
ABOVE GROUND: 0
LAUN WSHR OUTLTS...:
0
C GS...: 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.
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 / ��-- DATE
bld_prmt 10/23/92
PLEASE PRINT
S
City of Federal Way S •�
APPLICATION FOR BUILDING PERMIT
APPiIrATinA/ #
,5U�3 as3
SITE LOCATION Address ��� LyL�
Tenant (if known) Lot # Assessor's Tax #
Building Owner NaAddre s
City State Zip Phone
Nature of Work
APPLICANT
Name (F,M,L)- A
z
G IMUS '�
Address szy),5 /� �J
City '
State �(.% Zip � Z
Contact P n Day Phone Other Phone Fax
L 762--3731f I 277' 1T? -y
BUILDING CONTRACTOR I .
Company Name
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified O Yes O No
ARCHITECT
Name
Address
City State Zip
Contact Person Phone --tFax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492 (Rev 4193)
APPLICANT
Name (F,M,L)- A
z
G IMUS '�
Address szy),5 /� �J
City '
State �(.% Zip � Z
Contact P n Day Phone Other Phone Fax
L 762--3731f I 277' 1T? -y
BUILDING CONTRACTOR I .
Company Name
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified O Yes O No
ARCHITECT
Name
Address
City State Zip
Contact Person Phone --tFax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492 (Rev 4193)
BUILDING CONTRACTOR I .
Company Name
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified O Yes O No
ARCHITECT
Name
Address
City State Zip
Contact Person Phone --tFax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492 (Rev 4193)
ARCHITECT
Name
Address
City State Zip
Contact Person Phone --tFax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492 (Rev 4193)
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492 (Rev 4193)
C
RUCTURE
Address
isting Use
State Zip
Proposed Use
Contact
Phone
Permit includes:
License #
Building
bing MW
❑ 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
$
Zoning
Lot Size
Existing Bldg Valuation
s
LENDER.
Lty
Address
City
State Zip
MECHANICAL CONTRACTOR
Contractor Name
s
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR
Contractor NameAkI ,
Address A15—
City
S�_
State//
Zip
Contact �-.
A4,
�'�
Phone fr 3 lW
z77- T
Fax
-1. Zs
License # MC1-11372 O
Expiration Dater '
Verified Yes ❑ No
PLUMBING FIXTURE COUNT
Water Closets
Sinks
Urinals
Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains
Other fj
Showers
Electric Water Heaters
Sumps
CG `t
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 <100K BTUs
Gas Log
Unit Heater
50+ Tons
Furn >11 00 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
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 informat' n supplied to the City as a part of this
application.
Owner/Agent: