99-102641 it
CITY OF FEDERAL WAY PERMIT NO: BLD99-0431
33530 First Way South . ;;"0,... I L. )1 el PG' Ir""'ff.f'V I'1.,I,. "I". ISSUED: 07/U8/99
Federal Way , WA 98003 Building Inspection Requests 253-661 -4140 BY: TN
253-661-4000 EXPIRES: 01/04/00
ADDRESS: 507 S 321ST ST Unit: 4B
NO. : 132150-0140
PROJECT DESC_RIPTION:WHT CHANGE OUT
CAMPUS GREEN CONDOS, BLDG 4 #B
F. OWNER -7- CONTRACTOR ----------------- =__,.__:...-. ------- LENDER ----- ------- ___-_-
___
1 ART PUHRMANN ACTION WATER HEATERS ONLY INC
I 507 S 321ST ST #4B € 12704 NE 124TH ST, SUITE 43
AlliOERAL WAY WA 98003 KIRKLAND WA 98034
253-838-7732 425-820-8848
ACTIOWH055DP
**Z CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.6% *"
BLD?:? MEC?:? PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 0 ' COMP PLAN '? FEES:
TYPE OF WORK:REP USE:RES 1ST.: 0: 0:sf STOW.:` 0 REQUIRED PARKING..: 0 SPRINKLERS?. ..:? ? PLUMBING FIXT....93* $ 7.00
. CENSUS CATEGORY •800 2ND.: 0: 0:sf HEI HT 0.00 ft ° HAZARD CLASS. ..:? ' t' PLUMB PRMT ISSUANCE $ 20.00
OCCUPANCY GROUP 3RD.: 0: C:sf VALUATION REQUIRED SETBACKS FIRE FLOW....: 0 gpm
:? :? :? :? OTHR: 0: 0: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..:? 1
OCCUPANT LOAD GAR.: 0: O:sf RECEIVED.:07/08/99 4
: 0: 0: 0: 0: TOTL: 0: O:sf ► IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
i
•L TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS I WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 27.00
PIPING.: 0 ft HOOD 0 0-3 TON • 0 BATH TUBS : 0 DRINKING FOUNT.: 0 1
URN<100K..: 0 DUCT WORK • 0 3-15 TON • 0 SHOWERS • 0 SUMPS • 0
GAS HWT • 0 WOOD STOVES...: 0 15-30 TON...: 0 E LAVATORIES • 0 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 TON...: 0 SINKS • 0 DRAINS • 0
BBQ - 0 MISC • 0 50+ TON • 0 DISH WASHERS • 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS r ELEC WTR HEATERS...: 1 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
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 BYY/�MME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL MAY REQUIREMENTS MILL BE MET.
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OWNER OR AGENT `� tw 1'Gv01 A-:pe1 DATE .-
FILE COPY
BUILDING DIVISION
cgr G 33530 First Way South
t ��L Federal Way,WA 98003
�, !Pr) (253)661-4000
^v Fax(253)6614129
APPLICATION FOR BUILDING PERMIT
PLEASE PRINT APPLICATION # Lb5C)
4 66i `` • :• ll Address U 7 _S '3 a / _23 Yes,:L 0 3
Tenant(if known) ,ir-.) _7 7/L)R //// 672/)A/A.1 Lot>I Assessor's Tax I
Building Owner's Name W/�,6s iziorAddress7 Dom .2 n UJBS , gob_2 s•
City �1 IA,',,9 � 9Y2$ State il/I Zip �j�"e,,9 3 'Phone 3 �' 23 2�
Nature of Work �'
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Name(F,M,L) _/-/v/✓ l i97 f�/�"% �5 of y /.2,L..
Address /2 7c,K , -
City '76(i 2 --�.vz State Ar bp--97d y�
Contact Person/3,f,G,vm f ,. Day Phone($2<") 520 ._g 1XEV Other Phone Fax i� _ scx„
Company Name
Address
City State Zip
Contact Person Phone Fax
Contractor's it (card must be presented) Expiration Date Verified 0 Yes 0 No
ARCHITECT
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
X1W: cY:::i , i:r iWi •i;i.i}iiri Mi iiii: :i
S}�R' � . : • �:> . .: ,> ;
ExistingUse Proposed Use
Permit eludes: 0 Building 0 Plumbing
ElMechanical 0 Other
Typ!t of Work: 0 Residential ❑ New 0 Remodel ❑ Number of Units_ 0 Deck
. 0 Commercial 0 Addition 0 Garage 0 Shod 0 Other
Enter let Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage aq ft Proposed Total Area sq ft
Water Availability 0 Sewer Availability 0 On-Site Septic System Availability 0 Project Valuation 9
Zoning Lot Size Existing Bldg Valuation $
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Name Address
City State Zip
glitiiiiaitaiiiiiiiiiegilabli
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes 0 No
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PLUM;#J( Giit EZI #• :�. 1
Contractor Name 4 / � Address/ 1 ✓ / /L
/ 1��/U N (A.) �"ls. / �J/ d`vey/iYc. /5, 47/c— /2 C' v3
City r /��/7/, WO / State ((J.? Zip /.Vi&i 3 V
Co ttect Phone 2 / Fax �h
A�'��-/' 7)'7)-, ,,o,•-• 749 k ' -- c/k F `71`;‘,,
License # / -(I T/O lit � n O . , ./9 7" Expiration Date 3`6 a° Verified 0 Yes 0 No
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Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Vr Sumps
Lavatories Washing Machine Drains Total Fixture Count
IEECM�►NICA , 1Nl�'CQlit1C!' MECHANICAL EVALUATION ONLY $
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 owner of
the above premises to perforin 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.
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Owner/Agent: z _.,. Dat !/
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