96-100180 „, -
v 96 4'001D
CITY OF FEDERAL WAY f' PERMIT NU: 3L1 96--0012
33530 First Way South :.;;�� ,,J pp.,. N,,,.,..,N,,)..11,.. 'k'''11(::::,H Iii) ,.,, . ,� , p
II �w � ,� � .,�I,, il,” ISSUED: 01/17/96
Federal Way, WA 98003 Building Inspection Requests 661 .4140 BY: FC2
661--4000 EXPIRES : 07/15/96
ADDRESS:500 S 336TH ST
NO. : 926500-0370
PROJECT DESCRIPTION:TI - ADD/REMOVE WALLS (ADDING 80" FRESTANDING MODULAR FURNATURE PANELS
f. OWNER --- -.- - ---------- - CONTRACTOR T LENDER
d CITY OF FEDERAL WAY I :
BJ & SONS I
33530 1ST WAY S I PO BOX 23641
FEDERAL WAY WA 98003 I FEDERAL WAY WA 98003-0641
Iii. I
I
661-4102
I
1 BJSONO*0873P
CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL
*;� MAY. TAX RATE = 8.2% **i
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BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN •' FEES:
TYPE OF WORK:TEN USE:PUB 1ST.: 0: 0:sf STORIES • 0 REQUIRED PARKING..: 0 SPRINKLERS' •' PLAN CHECK FEE $ 0.00
CENSUS CATEGORY •437 2ND.: 0: O:sf HEIGHT • 0.00 ft ' HAZARD CLASS •' BUILDING PERMIT....* $ 0.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW ..• 0 gpm SBCC SURCHARGE * $ 0.00
:? :? :? :? : OTHR: 0: O:sf EXIST..$: 0 FRONT • 0.00 ft
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 10000 SIDE • 0.00 ft WATER SERVICE..:?
1 :? :? :? :? DECK: 0: O:sf REAR • 0.00:ft SEWER SERVICE..:? a I
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:01/17/96
: 0: 0: 0: 0: TOIL: 0: 0:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS f WATER CLOSETS • 0 URINALS • 0 ---4
TOTAL FEES $ 0.00
IIIIS PIPING.: 0 ft HOOD 0 0-3 HP • 0 i BATH TUBS • 0 DRINKING FOUNT.: 0 ( I
RN<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
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS.,.: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
.._1.__ _-._. _..____.-----.__..__ l._-._ _ ---• _.-_-_---_.I
PERMITS EXPIRE 180 DAYS AFTER SSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE 0' 71 ` F : ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLI BLE ITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT �� _,i_ DATE __ / t7 %
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City of Federal WayIllli RECEIVED
jAPPLICATION FOR BUILDING PERMIT JAN 1 7 1996 r
CITY OF FEDERAL WAY "
BUILDING DEPT.
PLEASE PRINT APPLICATION #: 131.—D‘16)— 60 (2-
SITE LOCATION Address .5-CO -33&T I V CI W A y W A 1 s vo
Tenant (if kno n) V_tiLot # Assessor's Tax #
Fc(e/c,( (k) 01
Build'n caner Name 1 \,.\!.� r/1 am ex,A 1 ‘ AddressS� 1 1 S4- i\ s-C`, s',„t zoS
l 5 ro�
City €vu2. State - Zip Wt0—!3 3`C Phone coy /OO
Nature of Work i �,�� M rovevw � �O as V C.k I�iCj
ec a✓G(W ,ilS
APPLICANT
61,1.1
Name (F,M,L) T., c4,(4. r
psi
, i
Address J / '____4-- W C
l ., 10,":711.1
City <\----- e. 4State Lk '\ Zip woos.
Con, ct Per on Day Pho e Other Phone Fax
BUILDING CONTRACTOR
Company Nam _.....__
4,.
sus
Address
�jCity e__rG., Wtn State wk-- Zip <s>093-06vt
Conta Person ` Phone Fax
Y\..e.i 1-1° cCi. (7,_{-y Z&
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes 0 No
Ltc„, 1g--\so N) *"O€S7---T`)
ARCHITECT
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492(Rev 4/93)
1,STRUCTURE Ilirting Use *posed Use
Permit includes: btirBuilding ❑ Plumbing ❑ Mechanical ❑ Other
"+ Type of Work: ❑ Residential ❑ New 1*- Remodel ❑ Number of Units_ ❑ Deck
4-Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Enter 1st Floor_119& sq ft 2nd Floor eciciisq 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 $ W-- 000
Zoning Lot Size Existing Bldg Valuation $
LENDER
Name kill\
Address
City State Zip
MECHANICAL CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE COUNT
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
........................................ .............
...................................... ... ... ......
Lavatories Washing Machine Drains Total'>sFlxtdre Count
MECHANICAL UNIT COUNT
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 1 5-30 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 owner
of the above premises to perfor 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 nvestigation 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 aim: :es 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. Ar 1 /
Date: f7 )96
Owner/Agent: I ,