96-103114 9 . !off! f
CITY OF FEDERAL WAY PERMIT NO: BLD96-0381
.
33530 First Way South n ,,N.1:. L...I,I I '' M``. �t�C I ''r, : .,,1,. „I,,.. ISSUED: 09/06/96
Federal Way, WA 98003 Building Inspection Requests 661--4140 BY: FC2
661-4000 EXPIRES: 03/05/97
ADDRESS: 28511 10TH AVE S
NO . : 515296-0710
PROJECT DESCRIPTION:PLUMBING - GAS PIPING 60"
- OWNER -- :: ._.:_.._..___—___.
::. •• :.:__. .__..._.-_{_ CONTRACTOR ____.. -- -.___......----_._..____ .. •----3- LENDER ___
JOHNSON/LEVY ! 0 NEILL PLUMBING INC
28511 10TH AVE S ( 6056 CALIF AVE SW
] FEDERAL WAY WA 98023 • SEATTLE WA 98136-1613 I
411/
s ONEILP*253DP 1
*** CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.2% ***
-_-_._.-.__-_.-_-- .- - ::_----:•r:--=---_-___.--____.- _____
BLD?: MEC?: PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN •' ( FEES:
TYPE OF WORK:NEW USE:RES 1ST.: 0: 0:sf STORIES • 0 REQUIRED PARKING..: 0 SPRINKLERS' .' ( PLUMBING FIXT....93* $ 24.00
CENSUS CATEGORY •800 2ND.: 0: 0:sf HEIGHT • 0.00 ft HAZARD CLASS •' ( PLM PRMT ISSUANCE.. $ 20.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW....: 0 gpm I
:? :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 0.00 ft I
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 0 SIDE • 0,00 ft WATER SERVICE..:? I
:? :? :? :? DECK: 0: 0:sf REAR • 0.00:ft SEWER SERVICE..:? I
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:09/06/96
: 0: 0: 0: 0: TOTE: 0: 0:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:? 1
FUEL TYPES.:? ? FANS 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 I TOTAL FEES $ 44.00
Aiii 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 1
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 0 VAC BREAKERS...: 0 r
CONV BURNER:00 FURN>100K 0 30-50 HP • •
0 SINKS • 0 DRAINS • 0 1
BBQ • 0 MISC • 0 5+ HP • 0 DISH WASHERS 0 LAWN SPRINKLERS: 0 i
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 1 1
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 # LAUN WSHR OUTLTS...: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 1
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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 1S STRIA AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABL C TY OF FEDERAL MAY REQUIREMENTS WILL BE MEI.
OWNER OR AGENTc// 92.4! 7( aait- N -- ----- DATE ._ ___.
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SETBACKS & FOOTINGS
Date By
FOUNDATION WALLS
Date By
PLUMBING GROUNDWORK
Date By
UNDERFLOOR FRAMING
Date By
SHEAR WALLS
Date By
PLUMBING ROUGH-IN
Date By
...........................
GAS PIPING
Date els)Z-cfL By 4AI.
MECHANICAL ROUGH-IN
Date By
MECHANICAL (OTHER)
Date By
FRAMING
Date By
INSULATION
Date By
GWB - 1ST LAYER
Date By
GWB - 2ND LAYER
Date By
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL
Date By
BUILDING FINAL
Date 4'" rr By c �—
OTHER
Date By
OTHER
Date By
C D0193
• �� BUILDING DIVISION
�"°F EC Eft E® 33530 First Way Sojth
�EIZA'L_ Federal Way, WA 98003.
SCD Q 6 1996 (206) 661-4009
Fax (206) 661-4129
CITY OF FEDERAL WAY
BUM.DING DEPT.
APPLICATION FOR BUILDING PERMIT
PLEASE PRINT • APPLICATION#:B L-1)7E E�OS 1"
siteibeAtiONogoommomega Address es
l
Tenant (if known) Lot# Assessor's Tax#
31) Building Owner's Name �Jb A �J r 0� �/ Address ��
� � �J 2�' S�� /0 �ig.f0��
City �_�1Z"4'Z C, c
, ,/ State L /7 - Zip I Phone
i! y
Nature of Work 4<j,49---S /I)
1,14.1.1111111111111111111111111111111111
Name (F,M,L) /,I//6- // p 2///€ 71,
„e,
Address / / ( l rk "9`) J -
City -76 State Zip
Contact Person /�j Day Phone c-/32 3 Other Phone Fax
Z5
AstramiNattiNtikkeToZmaidign
Company Name
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified 0 Yes 0 No
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Qeveree Side
ing Use •posed Use
r
• Permit includes: ❑ Building Plumbing El Mechanical El Other
Type of Work: 6. Residential Cl New ❑ Remodel El Number of Units El Deck
❑ Commercial ❑ Addition ❑ Garage El Shed El 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 El On-Site Septic System Availability El Project Valuation $
Zoning I Lot Size Existing Bldg Valuation $
: :::>:::;z
LENDERMOM
... .............................................
Name Address
City State Zip
C A CAS> >< >> :::>::'::>':' ?<'>»> `:`' ''`n
ANLL ..L.Cf) '�'RAC'�'OR ..............
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes 0 No
TLUMBIN
O.COISi'i`RACTOR... ..................,
Contractor Name/��/ / // �/G2� ,q ?� Address t��/ /7A7?/-
. Z�l�/ �� � ,�,
i City Se'Vel-
/%hl z ` /L State liT� C L.CiZi if/7Gg
Contact /------, L�
nP? Phone;32 _ Z E. Fax / 37 f/,--t 3
License # 6 tri Z P 2 5 3 Z 7' Expiration Date Verified ❑ Yes El No
............................................................................................
........... ......... ........ ......... .......................................
....................... ..................... .......................................
........... ......... ........ ......... .......................................
....................... ..................... .......................................
:......... .....:... ........ ......... :.....................................
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fixture';Count
MECHANICALONLY ANI
C Y
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
/ '
Length of Gas Piping G-CI 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
2 2 C' tI O 6 j?-1‘f 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 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,,uon the accuracy of e in o .•:than supplied to the City as a part of this application. ,
r
�j
Owner/Agent: \./LZ/E / /• -' Date: /
BUILaNG.Avr
BEv6ED 0/21/96