93-10222201F
CITY OF FEC>ERAL WAY
33530 First Way;South
Federal Way, WA 98003
X66.1-4000
BUILDING PERMIT
Building Inspection Requests 661-4140
ADDRESS:134 STH PL
NO.: 891420-040
PROJECT DESCRIP
I
OM: RESIDENTIAL ADDITION - POOL CONSTRUCTION (APPROX 18,000 GALLOMS)
REVISIONS RECD 10/6,(93 TO CLUDE PLURB/NECH NORK.
ON#ER - CONTRACTOR
ROD NALKER KRISCO CORPORATION
134 S 300TH P1 6302 NE BOTHELL NAY
FEDERAL NAY #A 98003 _SEATTLE #A 98155
941-3706
BLD?:X NEC?: Pur:X FLR- +X T--PROP---
TYPE OF NORK:NEN USE:RfS 1ST.: 0- :
CENSUS CATEGORY._. -570 M. 0:
OCCUPANCY GROUP--_ __ .: b 0 ;
:R1 :? :? 010. +, 0:,
TYPE OF CONSTRUCTIO#- T: a ':
:SN :? :? :? OEti: 0: U 4
OCCUPANT LOAD------------ .4.:, -,.Sf
0: 0: 0: 0. TI} ; 0. O. -Si
FUEL TYPES.:GAS
FANS............ 0
GAS PIPING.:
30 ft
HOOD..........: 0
FURN<IOOK..:
0
DUCT WORK.....: 0
GAS WT._:
0
WOOD STOVES...: 0
CONY BURNER:
0
FURN>100K..... : 0
680.........
0
RISC........... 1
GAS DRYER..:
0
AIR HANDLING UNITS
RANGE......:
0
t:10,000 CFR: 0
GAS LOGS...:
0
> 10,000 CEN: 0
487-6400
ALUAT'TO#----- _-_
RTs %TVEri .:il€3{21%x,
BOILERS/COMPRESSORS
0-3 HP....... 0
315 HP.....: 0
15-30 HP..... 0
30-50 NP....: 0
5+ HP........ 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
OLS - 10Z21vv
a3. (dti2v3
PERMIT NO: BLD93-0954
ISSUED: 09/29/93
BY: FLF
EXPIRES: 03/28/94
** REVISED PERMIT ***
COMP PLAN ......... :SR
0
FEES:
0
TOTAL FEES S 268.05
WIRED PARE11,16..: 2
SPRIMKLERS?...... :?
PLAN CHECK DEPOSITJ
0
16.05
L ......
PUN OKS PLCII(Sf)..93
SUMPS..........:
40.00
L
FINAL PLAN CRICK ... 4
YAC BREAKERS...:
0.00
a+ IT.......
SINKS .....:.........
_MING ING PERMIT....1
DRAINS..........
117.00
i........^ : 5.ir: ft
RATER S€RVICE..:FED
SBCC SURCHARGE.....*
;
4.50
ffAR.......... : 5.00:ft
SEVER SERVICE..:FED
NEC APPLIANCE FEES.*
$
9.50
PLUMBING FIXT.... 93=
=
21.00
INPERV SURFACE: 5680 sf
SENSITIVE AREAS?.:M
NATER CLOSETS......:
0
URINALS........:
0
TOTAL FEES S 268.05
AATN TUBS..........:
0
DRINXING FOUNT.:
0
DATE
SHOWERS ............:
I
SUMPS..........:
0
LAVATORIES.........:
0
YAC BREAKERS...:
0
SINKS .....:.........
0
DRAINS..........
2
DISH WASHERS.......:
0
LAWN SPRINKLERS:
0
ELEC ITR HEATERS...: 0 OTHER FIXTURES.: 0
LAUN NSHR OUTLTS... : 0
PERMITS EXPIRE 180 DAYS AFTER ISSUANCF
IF NO WORK 15 STARTED. RESIDENTIAL AND GRADING PERMITS
EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION fURNISED
DY MZIRIe*CORRECT TO THE BEST OF NY XNO#LEOGE AND THE APPLICABLE CITY Of FERERAL NAY REQUIREMENTS
#ILL BE NET.
OWNER OP AGENT
_--------------------------- __—_
DATE
FIELD COPY
—,
low
SETBACKS & FOQTYNGS
Date 7 By
FOUNDATION WALLS
Date By
PLUMBING GROUNDWORK
3
Date By
UNDERFLOOR FRAMING
Date By
SHEAR WALLS
Date By
PLUMBING ROUGH -IN ,+
Date L �l, By
GAS PIPING
Date ? By
MECHANICAL ROUGH -IN
Dat / By
MECHANICAL (OTHER)
Date By
FRAMING
Date By
INSULATION
Date By
GWB - 1ST LAYER
Date By
GWB - 2ND LAYER
Date By
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL
Date By
BUILDINjG FINAL
Date B -
OTHER
Date By
OTHER
Date By
CDO193
4
CITY OF FEDERAL WAY
4 33530 First Way South
+ Federal Way. WA 98003
'661-4000
BUILDING PERMIT
Building Inspection Requests 661-4140
ADDRESS:134 S 300TH PL
NO.: 891420-0400
PROJECT DESCRIPTION: RESIDENTIAL ADDITION - POOL CONSTRUCTION f APPkOX 18,000 GALLONS)
(INNER - - = CONTRACTOR ---~
ROB WALKER KRISCO CORPORATION
134 S 300TH PL 6302 NE BOTHELL NAY
FEDERAL NAY NA 98003 SEATTLE NA 98155
01
941--3706
QLD?:X MEC?: PLN?:
FLA--(XIST- i'*Oi
--
TYPE Of YORK AEN USE: RES
1ST,
0-
01 �s l
CENSUS CATEGORY ..... :570
211 ';0:
2
0.-,'
OCCUPANCY aROUP----------
TP -
0:
0.,;
A2 :? :? :?
OT111%
0'
0:SI
TYPE OF CONSTRUCTION--
b.0i.
w.
0 -.;
:5N ? ? •a
K,
SINKS ..............:
FINAL PLAN CHECK ...
OCCUPANT LOAD ----- --------
?.
0
f
0: 0: 0: 0:
int:-.sf
LAVN SPRINKLERS:
8li11D[NG PERMIT .... t
FUEL TYPES..
•GAS PIPING.: 0 ft
FURNc100K... 0
GAS HVT..... 0
CONY BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
lH100° ........ 0
DUCI WORK.....: 0
1000 STOVES...: 0
FURN) I00K..... : 0
RISC........... 0
AIR NAHDLING UNITS
<=10,000 CfM: 0
i 10,000 CFM: 0
487-6400
KRISCCS182DN
LENDER
PERMIT NO:
ISSUED:
BY:
EXPIRES:
BLD93--0954
09/29/93
FC
03/28/94
�4I.t!X1 Uh i4. v ,
COMP PLAN.........: SR
0
URINALS........:
FEES:
TOTAL FEES = 237.55
0-3 HP......: 0
+t .,.......
REQUIRED PARKING..:
2
iPRINKLERS?...... :?
PLAN CHECK DEPOSIT.$
_
76.05
SUMPS..........:
0
HAZARD CLASS . ?
LAVATORIES.........:
PUB NKS PLCK Sr 93
YAC BREAKERS...:
40.00
VATIf9N - -
ii#i1�ED SFT
SINKS ..............:
FINAL PLAN CHECK ...
DRAINS.........:
0.00
ix 21i3i,l9
FRONT..........
r,. ft
;� , eq ��, '� �u��r �� � r
LAVN SPRINKLERS:
8li11D[NG PERMIT .... t
;
117.00
,R Y50II
yi11...R.m ..:
*.wt
WWI E. :FE "'
'' 9 'A k SURCHARGE....._
!
4.50
0
wItEAR..........:
5.00:ft
SEVER SERVICE..:FED
UNDERGROUND.: 0
1 11 1 IMPERV SURFACE: 5$80 sf SENSITIVE AREAS?.:N
80ILERS/COMPRESSORS
WATER CLOSETS......:
0
URINALS........:
0
TOTAL FEES = 237.55
0-3 HP......: 0
BATH TUBS..........:
0
DRINKING FOUNT.:
0
3-15 NP.....: 0
SHONERS............:
0
SUMPS..........:
0
15-30 HP....: 0
LAVATORIES.........:
0
YAC BREAKERS...:
0
30-50 HP....: 0
SINKS ..............:
0
DRAINS.........:
0
5t HP.......: 0
DISH VASHIRS.......:
0
LAVN SPRINKLERS:
0
FUEL TANKS---------
ELEC ITR HEATERS...:
0
OTHER FIXTURES.:
0
ABOVE GROUND: 0
LAUN ISHR OUTLTS...:
0
UNDERGROUND.: 0
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DAIS OF ISSUANCE.
I CERTIFY THAT THE IMFORNATI FURNISED BY HIE IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. AND THE APPLICABLE CITY Of FIRERAL WAY REQUIREMENTS VILL 8E NET.
OWNER OR AGENT 5�_'.` "'v" `-"'_ _� DATE
_ �. _� _-- ---------------_
FIELD COPY
Ask Ask 140,
6 FOOTINGS
By
FOUNDATION WALLS
Date By
PLUMBING GROUNDWORKl2u)/
<-�-zmx0lq p
Date By
UNDERFLOOR FUMING
Date By
SHEAR WALLS
Date By
PLUMBING ROUGH -IN
Date By
GAS PIPING
Date By
MECHANICAL ROUGH -IN
Date By
MECHANICAL (OTHER)
Date By
FRAMING
Date By
INSULATION
Date By
GWB - 1 ST LAYER
Date By
GWB - 2ND LAYER
Date By
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL
Date By
BUILDING FINAL
Date By
OTHER
Date By
OTHER
Date By
CDO193
CITY OF FEDERAL WAY BUILDING PERMIT COPYERMIT NO.: ELD93®0954
33530 First WaySouth BUILDING
INSPECTION - 661-4140 ISSUED: 09/29/93
Federal Way, WA 98003 BY: F'LF
661-4000
SITF ADDRESS: 134 S 300Th PL
PARCEL NO.: 8914200400
PROJECT DESCRIPTION: RESIDENTIAL ADDITION a POOL CONSTRUCTION (APPROX 18,000 GALLONS)
OWNER
ROB WALKER
134 S 300TH PL
FEDERAL WAY WA 98003
9 3706
CONTRACTOR
KRISCO CORPORATION
6302 NE BOTHELL WAY
SEATTLE WA 98155
487-6400
KRISCC*182DN
LENDER
BLD?:X MEC?:
PLM?:
FLR--EXIST--PROP---
DWELLING UNITS: 0
COMP PLAN ......... :SR
FEES:
TYPE OF WORKA EW
USE:RES
1ST.: 0:
O:Sf
STORIES......,.: 0
REQUIRED PARKING..:
2
SPRINKLERS?......:?
PLAN CHECK DEPOSIT.*
S
76,05
CENSUS CATEGORY ..... :570
2ND.: 0:
O:Sf
HEIGHT.....: 0.00 ft
HAZARD CLASS..,:?
PUB WKS PLCK(SF)..93
$
40,00
OCCUPANCY GROUP----------
3RD.: 0:
O:Sf
VALUATION----------
REQUIRED SETBACKS-------
FIRE FLOW....:
0 gpm
FINAL PLAN CHECK...*
$
0.00
:M2 :? :?
:? :
OTHR: 0:
O:Sf
EXIST..$: 216619
FRONT.,.......:
20.00 ft
BUILDING PERMIT....*
S
117.00
TYPE OF CONSTRUCTION-----
BSMT: 0:
O:Sf
PROP ... $: 9500
SIDE..........:
5.00 ft
WATER SERVICE..:FED
SBCC SURCHARGE,...,*
$
4,50
:5N :? :?
:?
DECK: 0:
O:Sf
REAR...........
5.00:ft
SEWER SERVICE..:FED
OCCUPANT LOAD------------
GAR.: 0:
O:Sf
RECEIVED.:08/27/93
. 0: 0:
0: 0:
TOTL: 0:
O:Sf
IMPERV SURFACE:
5880 sf
SENSITIVE AREAS?.:N
TOTAL FEES
S
237.55
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...:
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
GE......: 0
<=10,000 CFM:
0
ABOVE GROUND: 0
LAUN WSHR OUTLTS...:
0
W_OGS...: 0
i
> 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_prmt 10/23/92
DATE
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
BUILDING PERMIT
Building Inspection Requests 661-4140
ADDRESS:134 S 300TH PL
NO.: 891420-0400
PROJECT DESCRIPTION: RESIDENTIAL ADDITION - POOL CONSTRUCTION (APPROX 18,000 GALLONS)
REVISIONS RECD 10/6/93 TO INCLUDE PLUMB/MECH WORK.
OWNER CONTRACTOR
ROB WALKER KRISCO CORPORATION
134 S 300TH PL 6302 HE BOTHELL NAY
4M FEDERAL NAY NA 98003 SEATTLE NA 98155
941-3706
487-6400
KRISCCS182DN
LENDER
PERMIT NO: BLD93-0954
ISSUED: 09/29/93
BY: FLF
EXPIRES: 03/28/94
** REVISED PERMIT **
BLD?:X NEC?:
ALM?:X
FLR--EXIST--PROP---
DWELLING UNITS: 0
COMP PLAN ......... :SR
FEES:
TYPE OF NORKAEN
USE:RES
1ST.: 0:
O:sf
STORIES........: 0
REQUIRED PARKING..:
2
SPRINKLERS?......:?
PLAN CHECK DEPOSIT.*
$
76.05
CENSUS CATEGORY ..... :570
2ND.: 0:
O:sf
HEIGHT.....: 0.00 ft
HAZARD CLASS...:?
PUB WKS PLCK(SF)..93
$
40.00
OCCUPANCY GROUP----------
3RD.: 0:
Oaf
VALUATION----------
REQUIRED SETBACKS-------
FIRE FLON....:
0 gpo
FINAL PLAN CHECK...*
$
0.00
:M2 :? :?
:?
OTHR: 0:
O:sf
EXIST..$: 216619
FRONT.........:
20.00 ft
BUILDING PERMIT....*
$
117.00
TYPE OF CONSTRUCTION-----
BSMT: 0:
O:sf
PROP ... $: 9500
SIDE..........:
5.00 ft
WATER SERVICE..:FED
SBCC SURCHARGE.....*
$
4.50
:5N :? :?
:?
DECK: 0:
O:Sf
REAR..........:
5.00:ft
SEWER SERVICE..:FED
NEC APPLIANCE FEES.*
$
9.50
OCCUPANT LOAD------------
GAR.: 0:
O:sf
RECEIVED.:08/27/93
PLUMBING FIXT.... 93*
$
21.00
0: 0:
0: 0:
TOIL: 0:
O:sf
IMPERV SURFACE:
5880 sf
SENSITIVE AREAS?.:N
TOTAL FEES
$
268.05
FUEL TYPES.:GAS FANS..........: 0 BOILERS/COMPRESSORS
WATER CLOSETS......: 0 URINALS........: 0
GAS PIPING.: 30
ft
HOOD..........:
0
0-3 HP......: 0
BATH TUBS..........: 0
DRINKING FOUNT.:
0
FURN<100K..: 0
DUCT WORK.....:
0
3-15 HP.....: 0
SHOWERS ............: 1
SUMPS..........:
0
GAS HMT....: 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.........:
2
BBQ........: 0
MISC..........:
1
5+ HP.......: 0
DISH WASHERS.......: 0
LAWN SPRINKLERS:
0
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS---------
ELEC NTR HEATERS...: 0
OTHER FIXTURES.:
0
RANGE......: 0
<:10,000 CFM:
0
ABOVE GROUND: 0
LAUN NSHR OUTLTS... : 0
GAS LOGS...: 0
> 10,000 CFM:
0
UNDERGROUND.: 0
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 INFORMATIOOONN FURNISED BY HE IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS WILL BE MET.
OWNER OR AGENTDATE
' !!`��1C__'----------------------------------- -��` ---
FILE COPY
r
CITY OF FEDERAL WAY
Pef it # BUM -0 q`5-
4 1p-4evr 5 (Dej,-3e-
BUILDING PERMIT APPLICATION
— Please Print —
Uvvilth
OWNER'S ADDRESS
DESCRIBE JOB
THE PROPERTY IS OWNED BY
sibNTRACTOR'S NAME .S c 4/I ? ill Z
*�lf 1 CONTRACTOR'S REG. # #41f A, 2�( �5�
Card MUST be presented
CONTRACTOR'S ADDRESS 070 . ces%dek! V451 CITY 1_rl_ ice_ PHONE 7z�
EXPIRATION DATE O `:
wilm
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 6 PROPERTY TAX ACCOUNT NUMBER fl' `�/ G _0 y0C>
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BO BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
D FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 (,4 SINGLE FAMILY (EW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) (/� NEW
STRUCTURE
�( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
IMBING FIXTURES (including rough -ins)
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 �Ci '
$
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/
$
ZOTHER `
0
$
$
$
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 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.
11111 111112 1 111111 Ilk k�illl;p�,A�-rl&&,E-Adpdlaml�g@gi,,�lilim2m
ANP -006 7190
w35
Y OF FEDERAL WAY
30 First Way South
Federal Way, WA 98003
661-4000
0
BUILDING PERMIT
Building Inspection Requests 661-4140
ADDRESS:134 S 300TH PL
NO.: 891420-0400
PROJECT DESCRIPTION: RESIDENTIAL ADDITION - POOL CONSTRUCTION (APPROX 18,000 GALLONS)
OWNER CONTRACTOR
ROB WALKER KRISCD CORPORATION
134 S 300TH PL 6302 NE BOTHELL NAY
FEDERAL NAY NA 98003 SEATTLE NA 98155
941-3706
487-6400
KRISCCt182DH
LENDER
PERMIT NO: BLD93-0954
ISSUED: 09/29/93
BY: FC
EXPIRES: 03/28/94
BLD?:X NEC?: PLM?:
FLR--EXIST--PROP---
DWELLING UNITS: 0
COMP PLAN ......... :SR
FEES:
TYPE OF NORK:NEV USE:RES
1ST.: 0:
O:sf
STORIES........: 0
REQUIRED PARKING..: 2
SPRINKLERS?......:?
PLAN CHECK DEPOSIT.t
$
76.05
CENSUS CATEGORY ..... :570
2ND.: 0:
O:Sf
HEIGHT.....: 0.00 ft
HAZARD CLASS...:?
PUB WKS PLCK(SF)..93
$
40.00
OCCUPANCY GROUP----------
3RD.: 0:
O:sf
VALUATION----------
REQUIRED SETBACKS-------
FIRE FLOW....:
0 9Ps
FINAL PLAN CHECK ... t
S
0.00
:112 :? :? :?
OTHR: 0:
0:sf
EXIST..$: 216619
FRONT.........:
20.00 ft
BUILDING PERMIT .... t
$
117.00
TYPE OF CONSTRUCTION-----
BSMT: 0:
O:Sf
PROP ... $: 9500
SIDE..........:
5.00 ft
WATER SERVICE..:FED
SBCC SURCHARGE ..... x
$
4.50
:514 :? :? :? :
DECK: 0:
O:Sf
REAR..........:
S.00:ft
SEWER SERVICE..:FED
OCCUPANT LOAD------------
GAR.: 0:
O:Sf
RECEIVED.:08/21/93
0: 0: 0: 0:
TOIL: 0:
O:sf
IMPERV SURFACE:
5880 sf
SENSITIVE AREAS?.:N
TOTAL FEES
$
237.55
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 HMT....: 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
BBA........: 0
MISC..........:
0
5+ HP.......: 0
DISH WASHERS.......: 0
LAWN SPRINKLERS:
0
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS---------
ELEC VTR HEATERS...: 0
OTHER FIXTURES.:
0
RANGE.......: 0
<:10,000 CFM:
0
ABOVE GROUND: 0
LAUN NSHR OUTLTS...: 0
GAS LOGS...: 0
> 10,000 CFM:
0
UNDERGROUND.: 0
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO NOK IS STARTED.
I CERTIFY THAT THE INFORMATION FURNISEDBY IS TRUE AND COR
OWNER OR AGENT
[QENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
'0 THE BEST OF MY KNOWLEDGE AND THE APPLIC7'L
CITY D FERERAL NAY REQUIREMENTS WILL BE MET.
> c�DATE 1 I
FILE COPY
0 City of Federal Way 0
449RECHIVED APPLICATION FOR BUILDING PERMIT
PLEASE
AN 2 71993
OF FEDERAL WAY
Y
APPLICATION #. O L 01 5 ~ 0�
_...__ _ ..
..........................................................................................
APPLICANT.:.:'
Name (F,M,L)
Address
City
State
Zip
Contact Person
Day Phone
Other Phone
Fax
__..... ................__..._..... ...... .. _...
..........................................................................................
........................................................................................
BUIIDING CONTRACTOR
Compa Name
s
Address
City
Address/ ? '
U
Zip
Contact Person
City
State /—?
Zip
Contact Person ' S
Phone
, G/e�
wj
Fax,/ /
, c C
Contractor's # (card must b7resented)
"g
Expiration Date
Verified ❑ Yes ❑ No
ARCHITECT
Al1.4
Name
Address
City
State
Zip
Contact Person
Phone
Fax
LEGAL DE�CFI ION
t4f
Please Complete Reverse Side
C00492 (Rev 4/93)
LENDER
Name
Address
ting Use
State Zip
oposed Use
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
Drains Total Fixt6re'Count
Furn > 100 BTUs
Fans
es:
r�ype.f
Fuel Tanks
$ Building
Plumbing
7] Mechanical
❑
Other
k: 0 Residential
❑ New
❑ Remodel
❑ Number of Units
❑
Deck
❑ Commercial
❑ Addition
❑ Garage
_
❑ Shed
Other {' ,
Enter 1st Floor
sq ft
2nd Floor
sq ft 3rd Floor sq ft
Existing Floor Area
sq ft
Area Basement
sq ft
Decks
sq ft Garage sq ft
Proposed Total Area
sq ft
Water Availability
❑ Sewer Availability ❑ On -Site Septic System Availability ❑
Project Valuation
$
00
Zoning
Lot Size
L.
Existing Bldg Valuation.14.
LENDER
Name
Address
City
State Zip
MECRAMCAL''CONTRA OR
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
PLUMBING CONTRA R
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax F
License #
Expiration Date
Verified ❑ Yes ❑ No
' PLUMBING FIXTURE COUNT
j-) 1 '1 f pew
Water Closets
Sinks
Urinals Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains Other
Showers
Electric Water Heaters
Sumps a
Lavatories
Washing Machine
Drains Total Fixt6re'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 > 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 1 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 oWrn 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. /�' /
,4—Owner/Agent:
Date: <k �y� / 93