98-104525 9 $ 16tisa�
CITY OF FEDERAL WAY PERMIT NG. 8LD98-0813
33530 First Way South :;;;�' ...,#:' �',.,... .�!::,,��.f.: "'� o°a ,„.,u,t::: ',.,, ,.I�: ..,�...�M ,. ISSUED: 01/07/99
Federal Way, WA 98003 Building Inspection Requests 253-661-4140 BY: FC
253-661-4000 EXPIRES: 07/06/99
ADDRESS: 31166 3RD CT S
NO. : 084850-0050
PROJECT DESCRIPTION:NSF W/PLUMBING AND MECHANICAL
BLACKBERRY HILL, LOT #5
F= OWNER -. -_ ---------- ------=i= CONTRACTOR =_-- -.---•-- --- -. -----f- LENDER -- _ ____ ::___=_,
LANDMARK HOMES, INC. LANDMARK HOMES WASHINGTON MUTUAL
PO BOX 26116 PO BOX 26116
FEDERAL WAY WA 98093 FEDERAL WAY WA 98093 WA
141/1
3.988.8816 253/927-6116 I
LANDMHI033DG _
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.6% ;x;
BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN •SFHD ( FEES:
TYPE OF WORK:NEW USE:RES 1ST.: 0: 664:sf STORIES • 2 I REQUIRED PARKING..: 2 SPRINKLERS' •N PLAN CHECK FEE $ 483.93
CENSUS CATEGORY •101 2ND.: 0: 975:sf HEIGHT. • 23.00 ft HAZARD CLASS...:LIT BUILDING PERMIT....* $ 16.07
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 935 gpm BUILDING PERMIT....* $ 728.43
:R3 :U1 :? :? OTHR: 0: O:sf EXIST..$: 0 FRONT • 20.00 ft 3 PUB WKS PLCK(SF)..93 $ 80.00
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 129759 SIDE • 5.00 ft WATER SERVICE.. LAK MECH PLAN CHECK FEE $ 15.75
:5N :5N :? :? DECK: 0: 92:sf ( REAR • 5.O0:ft SEWER SERVICE..:LAK MECH PERMIT FEE $ 63.00
OCCUPANT LOAD GAR.: 0: 400:sf RECEIVED.:11/25/98 a r PLUMBING FIXT....93* $ 105.00
: 0: 0: 0: 0: TOIL: 0: 2131:sf IMPERV SURFACE: 1530 sf SENSITIVE AREAS?.:N #LPLUMBING PLAN CHECK $ 68.25___.- _---__--__.._ __ x , ,._ ,,_- .,.__;._.__.-.....___._-_-_._____- Additional fees not shown here...
FUEL TYPES.:GAS ELE FANS • 4 BOILERS/COMPRESSORS WATER CLOSETS • 3 URINALS • 0 TOTAL FEES $ 4446.93
ilkPIPING.: 60 ft HOOD • 1 0-3 TON • 0 ; BATH TUBS • 2 DRINKING FOUNT.: 0
N<100K..: 1 DUCT WORK • 1 3-15 TON • 0 { SHOWERS • 2 SUMPS • 0
GAS HWT • 1 WOOD STOVES...: 0 15-30 TON...: 0 ' LAVATORIES • 5 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 TON...: 0 s SINKS • 1 DRAINS • 0
BBQ • 0 MISC • 0 50+ TON • 0 DISH WASHERS • 1 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...: 1
GAS LOGS...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0
- 1 _ _ _.... -- _..__ I
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 , _____
_.._ DATE 4- -2- 7 r_.__.
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,� .cti_ 33530 Fust Way Soutk
T� Federal Way,WA 98003
�y �/ I (253)661-4000
t.
6)1/1)(1 Fax(253)661-4129
�GiviAp
PPLICATION FOR BUILDING PERMIT T
SE PRINT APPLICATION # !".?L I. L t.3
LO.CATION_....."""::::... Address 3 CO L./r-T— a
#T
Lot #.. Ass o ' a
tenant (if known) r ���,�— 0050
•
3 ilding Owper's Name A.•ress
c .."^ jr e_ 1 • -
:i F_ • _ G k. State , Z. / $O - 3 Phone Z —6•/
Jature of Work 4/e-UJ �.:, 9 Ye P G-►-.-r /y
UCANT :.:::;;>:> ;.
Jame (F,M,L) / //
L 4 ., N n-i 4 ei< /"7/_.,I s L"'1 L'
\ddress
y. Rcr� Z1,7L/G
;ity Fe_:c/G ' / 4-(--).=1/4-y State £.•!_)a. Zp 9 c�0 9 3
:ontact Person / Day Phone Other Phone Fax
4cz-.,.. k', - 2 - 88— 7.. 8 , Cc// Z7-c./ . z5 927-4/6,.sz--
7
_D1NG CONTRACTOR FEDERAL WAY BUSINESS LICENSE #v'
;ompany Name
„ - 1 11 rig rri().Y
\ddress
;itV State Zp
;ontact Person Phone Fax
;ontractor's # (card must be presented)4/9/YDMiii,Lo 33 D 4 3 p fd y Date Verified 0 Yes 0 No
.HITECT
Jame //),ri4wes-r— / c__-- Der/ pi
4ddress
`► Z B /O 'L ST. C.l' .
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ontact Person1/ C/`� / Phon3-2e �3Q Zs-3 SC38-AO 7
Faxv
.L DESCRIPTION Zn T s / R/ t._ ai< /E',-r ,X ( I, //
Please Complete Reverse Side
TRUE:T1UHHE' Exis " se sed Use Sr'-
Permit includes: r, : n in.
"ler-Plumbin; 521-Mechanical 0 Other
-_t
Type of Work: —"Residential —New 0 Remodel 0 Number of Units 0 Deck
0 Commercial 0 Addition 0 Garage 0 Shed 0 Other
Enter 1st Floor �(o sqft 2nd Floor
Area Basement 97� sq ft 3rd Floor sq ft Existing Floor Area sq ft
sq ft Decks 5' sq ft Garage Sie>O sq ft _Proposed Total Area �, /3 / so ft
Water Availability 4_ Sewer Availability .f3C_ On-Site Septic System Availability 0 Project Valuation $
Zonis. Lot Size 3 7 / 2_ •• Existin. Bld. Valuation~$
I
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ENDER ;:«;:>><> :<:>::<::::>:::< ..: :::>::>::a
Name
Address
J V
City
State (/Q._ • ,Zip
ECHANICAL:CONSiTRACTOR
Contractor Name ' Address
�- -r / /74- `--7.- i-I Z Z 1/ i<a-,ee--•-<A-1J, E,
City 0i^ 7- i 0-7"/c� 3�oo
State G(JC�" ZD � -
Contact Phone Fax
TC,.. v 360 X397-BzG 3(-,__ 997-8373_
License # .--,.52-.5- z ,,_,Lp-e.-:, S
c-D Expiration Date 3/76 M.'Verified 0 Yes 0 No
..............
UMBING CONTRACTO :;<' ><i
Contractor Name ,y/, 1 / Address
p /, i
;e70.1.
/w� S ��vrYJ V//1 y Co / L Si.,E 1
City a_Cc_.a-7 Ci / State 14...)c.. . Zip '07'i_S-- _i
Contact Phone Fax
I-re—<-( Z5 ZS-3 537- gjoL4(
License # K'/A/ S'F'Lc)3 2 �/ �
11S,.,.� Expiration Date Verified 0 Yes 0 No
iMBtNG FIXTURE COUNT
Water Closets 3 Sinks / Urinals Lawn Sprinklers
Bathtubs Dish Washers / Drinking Fountains Other
Showers 2___ _Electric Water Heaters Sumps
Lavatories 5 1 Washing Machine / Drains ,Total•Fixture Count
CHAIVICAL lNI�'C.OU�j'l': MECHANICAL EVALUATION ONLY $ �'
Fuel Type (electric/other! 9.'a...,5 Gas Dryer .. . Air Handling < = 10,000 CFM 15-30 Tons
•
Length of Gas Pipino
to O Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log X Unit Heater 50+ Tons
Furn >100 BTUs y� O Oo Fans y Miscellaneous Fuel Tanks
Sas Hwt 4/0o e)0 Hood
Boilers _ Above Ground
l'onv Burner Duct Work V 0-3 Tons Underground
3BQ's Wood Stoves _ 3-15 Tons Total Unit Count
RIMER: 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 premises to perform the work for which permit application is made.I fut thcr agree to save harmless the City of Federal Way as to any claim(including costs,expenses,and
ys'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
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
'' ZG Cr/Agent: Date: /
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