99-104246 s.q. /ova(' cP
CITY OF FEDERAL WAY „,.. PERMIT NO: ,6L ' 9-v613
33530 First WaySouth 1"31.....11It NL...1,.) P I.:9,ill.....
Federal Way, WA 98003 Building Inspection Requests 253-661-4140 BY: FC
2.53-661.-4000 EXPIRES: 04/29/00
ADDRESS:803 S 336TH ST
NO. : 926480-0190
PROJECT DESCRIPTION:PLUMBING ONLY - NEW DRAINS AND BACK FLOW PREVENTOR
F. OWNER CONTRACTOR --- - , LENDER :_.._. _ __-- _i
AT&T LOCAL SERVICES LAKERIDGE PLUMBING & MECH INC
1 803 S 336TH ST 4 13508 NE 124TH ST
1
FEDERAL WAY WA 98003 KIRKLAND WA 98034
425-827-9262
LAKERPM099RK
---- -
**t CONTRACTORS,,,,PTEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.6% *X*
r--------
--�__._ PLM?:X7 7°x_.!. .0.1 T /` IIW TTC !1 COMP •�
BLD?: MEC?: FLR--EXIS, PROP--- . I PLAN , FEES:
TYPE OF WORK:TEN USE:COM 1ST.: O^: 0:sf, STORIES: . .. 0 REQUIRED PARKT' . : 0 SPRINKLERS' PLUMBING FIXT $ 21.00
CENSUS CATEGORY •800 2ND.: 0:'' 0:sfHET' 0.00 ft WARD.CLASS •' PLUMBING PLAN CHECK $ 13.65
OCCUPANCY GROUP 3RD.: O. 0:-.-,f VA'_'';'TION 'E 'ED .ETE FIR,;: FLOW . ., :11
:? :? :? :? "Tu°. n. FYTT , , .. ... - :r
TYPE OF CONSTRUCTION ”:,,,. 0:r4 PR?-') " ° SIN ' 0.00 ft WATER SERVICE..:?
:? :? :? :? DECK: 0: 0:sf REAR • 1.00:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: O:sf RECEIVED.:11/01/99
:• 0: 0: 0: 0: TOIL: 0: O:sf P IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:? I
-__ .. _ _.._.:,__.: ____..-.__-.._._ ______________1______ ._ ---- ------------ -
---- _
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 34.65
E S PIPING.: 0 ft HOOD • 0 0-3 TON • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
iN<100K..: 0 DUCT WORK • 0 3-15 TON • 0 { SHOWERS • 0 SUMPS • 0 1
GAS HWT . 0 WOOD STOVES...: 0 15-30 TON...: 0 LAVATORIES • 0 VAC BREAKERS...: 0 ( `
CONV BURNER: 0 FURN>100K • 0 30-50 TON...: 0 SINKS 0 DRAINS • 2
BBQ • 0 MISC 0 50+ TON • 0 , DISH WASHERS • 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 1
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR 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 IOR ATION FURNISH D B ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
If
OWNER OR AGENT - ,�__ r� �� ��� DATE _11. -1_l-q_
FILE COPY
C'„:f City of Federal Way
�
I�z _ APPLICATION FO ..ILDING PERMIT
-0 'FLUILV5i47
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a, c l
tASE U �1 `� APPLICAT/ON #: fJ._
PRINT !0� 4JP 1�— , 3
SITE LOCATION Address 3 `5 oostptt-
Tenant (if powoy►r - �t� Lot # Assessor's Tax t!
A ' - ► }zc,p4gC --vt°LO
Building Owner Name Address
City State Zip Phone
Nature of Work
[APPLICANT o
F,M,LI •_�Y't"v�'li'��be �u.0 ,1 q1-4,17,4$4&)alC-
d5S �'�/��
X50 i�`z lay"` -
ICity V \ State �vA�—' Zip c '''034----
Conta t Pers n Day P one Other Phone Fax
)ING CONTRACTOR
npany Name
?ss
State Zip
L ntact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes 0 No
ARCHITECT
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
III
Please Complete Reverse Side
• • CD0492(Rev 4/93)
S'I'RUC7 URE Existing Use Proposed Use
Permit includes: ❑ Building ❑ Plumbing ❑ Mechanical 0 Other
Type of Work: ❑ Residential ❑ New 0 Remodel 0 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
IIIArea Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
Water Availability ❑ Sewer Availability 0 On-Site Septic System Availability ❑ Project Valuation $
Zoning Lot Size Existing Bldg Valuation $
LENDER
Name Address
City State Zip
MECHANICAL CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes 0 No
'PLUMBING CONTRACTOR
Contractor Name Address
City \<-‘RK_L,Q-N� State t,)A— Zip 01 w34—
Contact J 0.;_ 1 te _-.1i.__j Phone 4---L, --i-2-1-1,2.(e.2_
r c
tt1\1 ` ---L, - i2 -1,z..(e 2_ Fax
b 'I
License # L -K TH,O CICI( Expiration Date 9510c, Verified ❑ Yes
PLUMBING FIXTURE COUNT
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other t +1,,,I
Showers Electric Water Heaters Sumps I ' Ac-(Tuet, 1 ?�/ZI 3 Z,1(Z,%''
Lavatories Washing Machine Drains 1-103 «trCtV➢ET4SXN'E Totaf.FlktUte Count "''3
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
Cony 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 o
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,expen.
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 cl.• arises out of the rel. nce of the City,including its officers and employees,upon the accuracy of the information supplied to the City as a part of this
application.
1 ,
Owner/Agent: 40„„e// 'I `�( • DatelI ['CI G�
a� I
I
' CITY OF FEDERAL. WAY PERMIT MO: M1)99-0673
374530 First Way South BUILDING PERMIT ISSUED: 11/01/99
Federal. Way, WA 913003 Building Inspection Requests 253 ,661 -4140 BY: FC
253-661-4000 EXPIRES: 04/29/00
ADDRESS:803 S 3A6I11 SI
NO. : 926480-0190
PROJECT DESCR IFFI ION:PLUMBING ONLY - NEW DRAINS AND BACK FLOW PREVENTOR
AT&T LOCAL SERVICES LAKERIDGE PLUMBING & MICH INC
803 S 336TH St 13508 NE 124TH ST
FEDERAL WAY WA 98003 KIRKLAND WA 98034
425-827-9262
LAKERPM0/911
*** colinciositpkWE UR,EICATIOQI(011041,40101)0MIVIING SALES TAX FOR PROJECTS MINIM TIE CITY Of FEDERAL WAY. TAX RATE : 8.61 **I
re- -16-j
ELD?: NEC?: PLN?:X FIR--EXI .-PROP--- \-\ ,: , : U COOP PLAN ./ FEES:
TYPE OF WORK:TEN USE:CON 151.: „ ,i 0:sfb :1/4-4'' ss.1,1t.!:t1‘\'1410IRED PARKING..: 0 SPRINKLERS/ .1 PLUMBING FIX' $ 21.00 1
CENSUS CATEGORY 800 2ND.: 1/4* , 0:str IGH 0, 3,, ,t ,. 0,4,, ,, qNt ,,,,,, 0,, ,4,- , „1- .4- .›...,04. „, ,,„ PLUMBING PLAN CHECK $ 13.65 1
OCCUPANCY GROUPI 31... 1-4tItitm5-45, f VALVA 4 ' .,, ,-- - P: REQUIR ' ' , ... ,-- s V4IRk-itf
- ,k.b, oo - -
:? :? :? :? : -4 114 'tsf M ;,
r.. , ,,,4 ' 00, $ ...:
TYPE OF CONSTRUCTION-- ; ' 0: thst PROP... : Et qDt .., _.: 0.'i6” WATER SER' 2,4:?
:? :? :1 :? : lift: 0: 0:sI i REAP 0.00:ft SEWER SERVICE..:?
OCCUPANT LOAD GAL: 0: O:sf RTAIVED.:11/01/99
0: 0: 0: 0: TOIL: 0: 0:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS WATER CLOSETS .: 0 URINALS........: 0 TOTAL FEES E 34.65
GAS PIPING.: 0 ft HOOD • 0 0-3 TON 0 BATH TUBS 0 DRINKING FOUNT.: 0
FURNdOOK..: 0 DUCT WORK 0 3-15 TON • 0 SHOWERS • 0 SUMPS • 0
GAS FINT....: 0 WOOD STOVES...: 0 15-30 TON...: 0 LAVATORIES • 0 VAC. BREAKERS...: 0
CONV BURNER: 0 FORM,100K 0 30-50 TON. • 0 SINKS . 0 DRAINS • 2
BBO 0 MISC. • 0 50+ TON • 0 DISH WASHERS 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS---...... EtEC WTR HEATERS...: 0 OTHER FIXTURES.: 1
RANGE • 0 <=10.000 CCM: 0 ABOVE GROUND: 0 INN WSHR OUTLTS...: 0
GAS LOGS...: 0 10,000 CFN: 0 UNDERGROUND.: 0
\
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORE IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE OWE YEAR AFTER DATE Of ISSUANCE.
I UNITY THAT THE I OR TION TURNS 9 Mt IS TRUE AIR CORRECT DE TIE BEST Of NY KNOWLEDGE AID ENE APPLICAILE orf OF FEDERAL WAY REQUIREMENTS VIII PF MI!
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OWNER OR AGENT _ j000 - I 44 _
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CD0193(Rev 4/97)