94-102458 91.l0LtiS8
CITY OF
33530FirsDtEWay South BUILDING 1 PERMIT
24
ISSUED: 12/28/94
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 06/26/95
ADDRESS:33623 9TH AVE S Unit: B
NO. : 926480-0190
PROJECT DESCRIPTION:PLUMBING ONLY - REPLACE 1 ELE WATER HEATER.
OWNER4
-- CONTRACTOR -- LENDER
DELI SMITH & CHOCOLATE JONES G V PLUMBING INC
33623 9TH AVE S, IB 141 VALENTINE CT
FEDERAL WAY WA 98003 PACIFIC NA 98047
735-1344
GVPLUI;06108
BLD?: NEC?: PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN ? FEES:
TYPE OF WORK:? USE:COM 1ST.: 0: 0:sf STORIES........: 0 REQUIRED PARKING..: 0 SPRINKLERS? .? PLM PRNT ISSUANCE.. $ 20.00
CENSUS CATEGORY 100 2ND.: 0: 0:sf HEIGHT • 0.00 ft HAZARD CLASS...:? PLUMBING FIXT....93* $ 7.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpi
:? :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT 0.00 ft
TYPE OF CONSTRUCTION EMT: 0: 0:sf PROP...$: 0 SIDE • 0.00 ft WATER SERVICE..:?
:? :? :? : DECK: 0: 0:sf REAR..........: 0.00:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:12/28/94
. 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 $ 21.00
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
filFURN<100K..: 0 DUCT WORK • 0 3-15 HP - 0 SHOWERS . 0 SUMPS - 0
GAS NWT • 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 RISC • 0 5+ HP . 0 DISH WASHERS • 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS 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 FURNISED BY ME IS TRUE ANDD CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT __ _- DATE q_4_,-13. _
FILE COPY
CITY OF FEDERAL WAY BUILDING PERMIT
PERMIT24
33530 Firt Way South ISSUED: 12/28/94
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 06/26/95
ADDRESS:33623 9TH AVE S Unit: B
NO. : 926480-0190
PROJECT DESCRIPTION:PLUMBING ONLY - REPLACE 1 EU WATER HEATER.
OWNER __._...._.. - .._ CONTRACTOR .�•_. ----,---._.A _�.__-_. �-._ _ _ — LENDER —_ _------===---=--.,----,
DELI SMITH S CHOCOLATE JONES G V PLUMBING INC
33623 9TH AVE S, IB 141 VALENTINE CT
FEDcRAI. NAY 95003 PACIFIC NA 98047
I 735-1344
GVPLUI IDB
-,.--....]
.. .�� -
BLD?: MEC?. PLM?:X FIR•-EXIST--4OP -- DNFIIINC UNIT'''. . COMP PLAN •'' FEES:
TYPE OF WORK:? USE:COM IST.: 0: 0:sf STORIES_. 0 i RIOUIRED PARKING..: 0 SPRINKi.ER3'' •? PLM PRAT ISSUANCE.. $ 20.00
CENSUS CATEGORY •800 :HD.- 0. 0:sf (IFi6111.....: 0.60 ft I NA/ARD CLASS.*.t? PLUMBING FIXT....938 $ 7.00
OCCUPANCY GROUP 1RD.` 4* 0:sf VALUATIu$- ! Pi 14111 0 S#: b l..-- tiff' ?'i q4....: 6 q
:? :? :? _? OMR: 0 r.:sf 'U0
TYPE aCONSTRUCTION---• OMT: 0: f,:'s# ;,POP $. Q ,IDE • 0.00 a WATER SERVICE..:?
:? :? :? :? DECK. 0: 0.sf REAR - 0.00:ft SEWER SERVICE..:?
OCCUPANT LOAD t,AR.: 0 0:4sf RTI' `"128/04
0: 0: 0: 0: TOIL- 0::. 4:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.:? ? FANS.V ` 0 BOILERS/COMPRESSORS WATER CLOSETS - 0 URINALS .: 0 TOTAL FEES $ 27.00
GAS PIPING.: 0 ft HOOD - 0 0-1 HP - 0 BATH TUBS - 0 DRINKING FOUNT.: 0
FURN(100K..: 0 DUCT WORK • 0 3-15 NP • 0 SHOWERS • 0 SUMPS..........: 0
GAS HNT • 0 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES - 0 VAC BREAKERS...: 0
CONY BURNER: 0 FURN)100K - 0 30-50 HP • 0 SINKS • 0 DRAINS • 0
884 • 0 MISC..........• 0 5+ HP • 0 DISH WASHERS - 0 LANA SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS 1UEL TANKS ELEC NIR HEATERS...: 1 OTHER FIXTURES.; 0
RANGE • 0 4:10,000 CFM: 0 ABOVE GROUND: 0 LAUN NSHR OUTLTS...: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
PERMITS EXPIRE 130 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
1.CERTIFY THAT THE INFORMATION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF NY KNONLEDGE AND THE APPLICABLE CITY OF FERERAL NAY RI4UIRENENTS WILL BE MET.
OWNER OP AGENT "C DATE Ct \i/
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.,� • City of Federal Wal
mom iECEJAY'FLritATION FOR BUILDING PERMIT
DEC 2 81994
PLEASE PRINTcITY OF FEOERAE WAY APPLICATION #: 81 / t/ /02 L/
SITE LOCATION, Bt3iLt3igiG Address ����� STN J � ' n -� (3,
Tenant (if known) Lot # Assessor's Tax #
6_1 _\ t)-‘ A
Building Owner Name Address
City t E cd 4 L \d,j ''4 State w Zip Phone
Nature of Work
APPLICANT
Name (F,M,L)
Address
City State Zip
Contact Person Day Phone Other Phone Fax
BUILDING CON TRACTOR
................
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
•
at li- �0 V!
Please Complete Reverse Side f
CD0492(Rev 4/93)
STRUCTURE Exist Use Pro ed Use
A
—i Permit includes: ❑ Ming ❑ Plumbing ❑ chanical ❑ Other
Type of Work: ❑ Residential ❑ New L] Remodel El Number of Units ❑ Deck
It El Commercial ❑ Addition [7 Garage ❑ Shed ❑ 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 ❑ 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
NUMBING CONTRACTOR _®
Contractor NameAddress
City y , C \f . State kir 1 Zip q 8—(2!....08—(2!....0Contact Phoin __ F
ax
Ll
License # P` 01 "—Ji cL I ‘) Expiration Date Verified ❑ Yes ❑ No
........ ...............................................................................
PLUMBING FU TUBE.COUNT
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters i/ Sumps
Lavatories Washing Machine Drains
Total tti>e' ffrit': a_< »
:.::: :: ::::::::
:
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 U
Cony Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Totaltlrut.Cgvnt
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 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. a ` 1��(( �^
Owner/Agent: ii A 06„,(..//t; __1 Date: j V 1 tTdJ 1 CH