93-101225CITY OF FEDERAL WAY BUILDING P
33530 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 33310 IST WY S Unit.* BLD B
PARCEL NO.: 926500-0258
PROJECT DESCRIPTION: PLUMBING — INSTALL BACKFLOW DEVICE (WILKINS #975)
OWNER CONTRACTOR
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
LENDER
q 3- (0l a -a5
PERMIT NO.: BLD93®0532
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...........
0.00: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
E......: 0
<-10,000 CFM:
0
ABOVE GROUND: 0
LAUN WSHR OUTLTS...: 0
0GLOGS...: 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
el
DATE 5z13-0zL3
��
.�
SET BACKS AND FOOTINGS
DATE _....
___-____-ov_�__�_____
--
PLUMBING ROUGH |w
o4TE
BY
Oa.TOENCLOSE FRAMING
oxTs oY____-__�-��
FINAL O.x.TOOCCUPY
DATE BY
OXTOPOUR FOUNDATION WALLS
DATE ���.... ... ��.... ��...
WATER LINE OX.
GAS PIPING -_....
__-
|wsULAT|0w
DCD
PSD
0
PLUMBING GROUNDWORK
DATE
MECHANICAL INSPECTION
DATE BY
WALL BOARD AND FIRE WALL
DATE BY
up]
CITY OF FEDERAL WAY BUILDING PERMIT
33530 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 33310 1ST WY S Unit: BLD B
PARCEL NO.: 926500-0258
PROJECT DESCRIPTION: PLUMBING — INSTALL BACKFLOW DEVICE (WILKINS #975)
OWNER
CONTRACTOR
MCKINSTRY
MC KINSTRY CO
5005 - 3RD AVE S
2730 4TH AVE S
SEATTLE WA 98124
P 0 BOX 24567
• 1316 762-3311
SEATTLE WA 98124
762-5900
MCKIN372NO
LENDER
PERMIT NO.: BLD93-0532
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
R ......: 0
—10,000 CFM:
0
ABOVE GROUND: 0
LAUN WSHR OUTLTS...:
0
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.
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 512c: h,�
bld_prmt 10/23/92
uv �
PLEASE PRINT
• City of Federal Way 0
APPLICATION FOR BUILDING PERMIT
APP/ /rd Tim/ it•
U
STTE LOCATION
Address �3 �-)- U� S �L is
city
Tenant (if known)
Lot #
Assessor's Tax #
Day Phone
77-131
Building Owner Name '�
5 G
Address
o
Expiration Date
City State
Zip 4) Phone 57-S-
`C APPLICANT
Name (F,M,L) �f�C %,`A ; z
/ K ,v
Address�� 3 S 96)21 -
city
State
Zip
Cont t Perso -
La,
Day Phone
77-131
Other PhoneAt-.
7 2-331/
riPXZ
7 -/,S -
]BUILDING CONTRACTOR
Company Name v
Address
City
State
Zip
Contact Person
Phone
Fax
Contractor's # (card must be presented)
Expiration Date
Verified ❑ Yes ❑ No
ARCHITECT
Name
Address
City
State
f Zip
Contact Person
Phone
Fax
LEGAL DESCRIPTION
Please COmP ete Reverse Side
CD0492 (Rev 4/93)
C
'R'UCTUREisting
Address
Use
State Zip
Proposed Use
Contact
Phone
ermit includes:
License #
Building
Plumbing
❑ Mechanical
❑
Other
ype of Work: ❑
❑
Residential
Commercial
❑ New
C1 Addition
❑ Re
❑ 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
Name ---JAddress
Address
City
State Zip
MECHANICAL CONTRACTOR
Contractor Name
i
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
�-/- PLUMBING CONTRACTOR
Contractor Name ,�/� �
Address
City EState
Lawn Sprinklers
Zip 9 6 c72 3
Contact,- R12 -k:-
I`—
Ph/o�ne i)7 % - l3� �O
(a
Fax
7 7— /-5-2-
License #ALLA) 0
Expiration Date
Verified XYes ❑ No
..... .
P.. . .. . LUMBING FIXTURE COUNT
Water Closets
Sinks
Urinals
Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains
Othe I1) r CtJ JiEl%/C�
Showers
Electric Water Heaters
Sumps
-i` LeJlt KovS
Lavatories
Washing Machine
Drains
Total F-ixture`Count
MECHANICAL UNIT COUNT /l/ /r
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: