95-101090 9c., /010Q45
CITY OF FEDERAL WAY PERMIT NO: BLD95-0396
33530 First Way South . °:3ILI .I L.DI G PERMIT ISSUED: 05/26/95 +
,
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 11/22/95
ADDRESS:33516 9TH AVE S Unit: 3
NO. : 926925-0030
PROJECT DESCRIPTION:INSTALL PLUMBING FIXTURES AND MEDICAL GAS SUPPLY
= OWNER == ______________ _ - CONTRACTOR = _______ _____ _ LENDER =_______
DR. TODD YOSHINO MERIDIAN PLUMBING
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33516 9TH AVE S. UNIT iia 9723 160TH AVE E.
FEDERAL WAY WA 98003 PUYALLUP WA 98314
841-0296
MERIDP$211KS
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*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.2% stt
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BLD?:? MEC?:? PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN •' FEES:
TYPE OF WORK:NEW USE:COM 1ST.: 0: 0:sf STORIES • 0 REQUIRED PARKING..: 0 SPRINKLERS' •' PLM PRMT ISSUANCE.. $ 20.00
CENSUS CATEGORY •000 2ND.: 0: 0:sf HEIGHT • 0.00 ft HAZARD CLASS 0 PLUMBING FIXT....93* $ 96.00
OCCUPANCY GROUP 3RD.: 0: O:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gin
:? :? :? :? OTHR: 0: O:sf EXIST..$: 0 FRONT • 0.00 ft
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 1000 SIDE • 0.00 ft WATER SERVICE..:?
:? :? :? :? DECK: 0: 0:sf REAR • 0.O0:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: O:sf RECEIVED.:05/26/95
. 0: 0: 0: 0: TOTL: 0: O:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
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FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 3 URINALS • 0 TOTAL FEES $ 116.00
AS PIPING.: 0 ft HOOD 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
N<100K..: 0 DUCT WORK 0 3-15 HP 0 SHOWERS • 0 SUMPS • 0
S HWT • 0 WOOD STOVES...: 0 15-30 HP 0 LAVATORIES • 3 VAC BREAKERS...: 1
CONV BURNER: 0 FURN>100K • 0 30 50 HP 0 SINKS • 3 DRAINS • 2
BBQ • 0 MISC • 0 5+ HP • 0 DISH WASHERS 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 1 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
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PERMITS EXPIRE 180 DAYS AFTER ISS Na IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INF,'/ION F All/ ED BY NE IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABL CITY F FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT -_ . ''
4if -._-__-- DATE 137 Zg. '1-------
FILE COPY
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CITY OF FEDERAL WAY PERMIT NO: BLD95-0396
33530 First Way South BUILDINGPERMIT ISSUED: 05/26/95
Federal Way, WA 90003 Building Inspection Requests 661.-4140 BY: FC
661.--4000 EXPIRES: 11/22/95
ADDRESS:33516 9TH AVE S Unit: 3
NO. : 926925-0030
PROJECT DESCRIPTION:INSTALL PLUMBING FIXTURES AND MEDICAL GAS SUPPLY
OWNERaannasaaann==cmbmmsxatamanmmaa -aCmE aaCmtaaaaxamaS CONTRACTOR b�cixiaomaaaa.am�-mmx tacxaamacsammowaat amammama x LENDER bY'l dSC�mmmm mem aGima 991AS#pS mZCCm la SPL CCa3lmlmm�G
DR. TODD YOSHINO MERIDIAN PLUMBING
33516 9TH AVE S. UNIT 13 9723 160TH AVE E.
FEDERAL WAY WA 98003 PUYALLUP WA 98374
841-0296
MERID1=211KS
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*** CONTRACTORS, PLEASE USE LOCATION (ODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN TRE CITY OF FEDERAL NAY. TAX RATE = 8.2% *t*
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BLD?:? NEC?:? PLN?:X FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN •' FEES:
TYPE OF WORK:NEW USE:COM 1ST.: 0: 0:sf STORIES.... .. : 0REQUIRED PARKING..: 0 SPRINKLERS' ? PLM PRAT ISSUANCE.. $ 20.00
CENSUS CATEGORY •000 2ND.: 0: O:sf HEIGHT 0.00 ft HAZARD CLASS...:? PLUMBING FIXT....93* $ 96.00
OCCUPANCY GROUP 3RD.: Ii: 0:sf VALUATION REQUIRED SETEACKS FIRE FLM....: 0 pi
TYPE OF�CONSTRUCTION BS1R: U 0::f... PROPT..$ 1000 4 SIDET 0.111C WATER SERVICE:.:?
:? :? :? :? DECK: C: 0:5f KEAR • 0.00:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: 0.sf RECEIVED.:4/26/15
0: 0: 0: 0: TOIL: 0 11:Sf IMPERV SURFACE:ilih 0 sf SENSITIVE AREAS?.:?
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UEL TYPES.:? ? FANS..; . BOILERS/COMPRESSORS WATER CLOSETS •• 3 URINALS • 0 TOTAL FEES $ 116.00
S 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 NWT • 0 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 3 VAC BREAKERS...: 1
CONY BURNER: 0 FURH>100K • 0 30-50 HP • 0 SINKS • 3 DRAINS • 2
BBQ • 0 MISC • 0 5+ HP • 0 DISH WASHERS • 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS EIEC MIR HEATERS...: 1 OTHER FIXTURES.: 1
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0
lGAS !OGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
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PERMITS EXPIRE 180 DAYS AFTER IS E IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INF ION ISNED BY NE IS TRUE All CORRECT TO THE BEST OF NY KNOWLEDGE AND THE APPLICAM. CITY FEDERAL WAY REQUIREMENTS WILL 1EE NET.
,// �OWNER OR AGENT __�z.Y.�`� "'� '�------'""'" DATE � ?G �
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crCity of Federal Way
FLY APPLICATION FOR BUILDING PERMIT
PLEASE PRINT APPLICATION #: c p ✓ v 3 -
SITE LOCATION Address
Tenant (if known) YS
Lot # Assessor's Tax #
51106
Building Owner Name Address
City State Zip Phone
Nature of Work
..................
.................
APPLICANT
. ....................... .
Name (F,M,L)
Address
City State Zip
Contact Person Day Phone Other Phone Fax
BUILDING CONTRACTOR
Company Name
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
ARCHITECT
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
13EDEIVED
MAY 261995
CITY 0 BUILDING• DEPT PEDERAL AY
Please Complete Reverse Side
ir
CD0492(Rev 4/93)
STRUCTURE Existing Use Proposed Use
Permit includes: ❑ Building ❑ Plumbing IL Mechanical [] Other
Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck
❑ Commercial ❑ Addition ❑ Garage LI Shed H 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 Cl 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 ❑ Yes ❑ No
PLUMBING CONTRACTOR
Contrar Name / Address
/�/l K(✓� l� H.6 5'1- 23 leo A
City � / State /3— Zip 9 8 3 77y
ContactPho e Fax
.� �� / K- L syr -- 02.9
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE COUNT
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other L
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fixture 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
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 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 investiga ion 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 f he liance of the City,including its officers and employees,upon the accuracy of the information suppli to the City as a part of this
application. cn'
Owner/Agent: --.. D 2e. L