94-102301 '(--- ---------
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CITY
335300FirsttF EWay South RAL WAY BUILDING. PERMIT PER ISSUED:MIT NO: 12/28 /9442
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 06/26/95
ADDRESS:34801 PACIFIC HW S (ALSO
NO. : 202104-9042
PROJECT DESCRIPTION:TI OF EXISTING SPACE
OWNER CONTRACTOR LENDER
--PAIff-ke-BEIterN-Hte•i Dfa1 ` Vehorx,� C�, V
1501 WESTERN AVE SUITE 500
SEATTLE NA 90101
467-6306
BLD?:X MEC?:X PLM?:? FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN •? FEES:
TYPE OF NORK:NEN USE:COM 1ST.: 4640: 0:sf STORIES • 0 REQUIRED PARKING..: 0 SPRINKLERS' •9 PLAN CHECK DEPOSIT.* $ 643.18
CENSUS CATEGORY •437 2ND.: 0: 0:sf HEIGHT - 0.00 ft HAZARD CLASS •9 BUILDING PERMIT....* $ 989.50
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS------- FIRE FLOW • 0 gp* SBCC SURCHARGE * $ 4.50
:B2 :? :? :? : OTHR: 0: 0:st EXIST..$: 0 FRONT - 0.00 ft FINAL PLAN CHECK...* $ 0.00
TYPE OF CONSTRUCTION RSMT: 0: 0:sf PROP...$: 200000SIDE • 0.00 ft WATER SERVICE..:? PLCK-FIR cool only* $ 49.48
:5N :? :? :? DECK: 0: 0:sf 1 REAR • 0.00:ft SEWER SERVICE..:? MEC APPLIANCE FEES.* $ 6.50
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:12/01/94 PLUMBING FIXT....93* $ 112.00
46: 0: 0: 0: TOIL: 4640: 0:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 3 URINALS - 1 TOTAL FEES $ 1805.16
aGAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 1
FURN<100K..: 0 DUCT WORK • 1 3-15 HP • 0 SHOWERS • 1 SUMPS - 0
GAS HNT....: 0 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 3 VAC BREAKERS...: 0
CONY BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 6 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...: 0 OTHER FIXTURES.: 0
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 LAUN NSHR OUTITS...: 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 INFORIVTION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS WILL BE MET.
'OWNER OR AGENT -_-- __---slr‘ 2 - {- � 7
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Permit includes:
Building 0Plumbing n; tvieohsr Gal Other
L _ --- -�— i J —
Remodel 0 Number et Unita _ i7 Deck
Type of Work' 51 Residential C7 New CI Shod � Ouse:
t^ommerctel 0 Addition ^7 Garage
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Enter 1st Floorifolyq ft 2nd Floor sq ft 3rd Floor eq ft Existing Floor Aree . eq ft
Area Basement sq ft Decks act ft Garage eq ft Proposed Total Ares 0 _sq ft
Water Availability 0 Sewer Availability 0 On-Site Septic System Availability 0 , t'I . PrAtast V 194l3i aA
Il t 0 * \\sit for r'.
Zoning Lot Size I";_` _____1_____1 .�..CC-�':,.t. :,,:w'�;:R<:
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Address
Name
CityStets • I rp
j
Contraotor Name Address
--
City
Stets 1 Zip-
Phone , Fax
Contact
Expiration Date Verified ❑ Yee inNo
License A
.... ,..c-.c- F-F-ch:.::..a._--::.5�--:......,..-•-,����.-1F
Contractor Name I Address
City __ Steto 1 up _
'Phone lzek
Contact
1_Licen¢e
!Expiration Date }Verified r' Yes 0 N.:
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Watt:Closets Sinks Urinals Lewr. Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Eleotrio Water Heater. Sump.
Lavatories Washing Machine Drains ,LTp`:Fii; ikti1.0 Ate, Y
Fuel Type teiaotrlcirother) Gas Dryer Air Handling < .. 10,000 CFM 1 5-30 Torts
`Length of Gas Piping Range Air Handling > •e 10,000 CFM . 30-50 Tons T
Furn <100K BTUs Gas Log Unit Heater ei S0+ Tons
Furn >100 BTUs Fans Miscellaneous _Fuel Tanks
Gas Hwt Hood Boiler. Above Ground
Cony Burner Duct Work 0-3 Tons Underground
BB0•s Wood Stove, 3.15 Tons TsstaEUtktCOi it
DISCLAIMER: I certify under penalty of perjury that tho information furnished by me ie tr.e and correct tv the bast of my knowledge and further that l am sutrtornZed oy the.
of the above eremites to perform the work for which permit appiicstion ie mad•.I further sore.to save herrnresc the City of Fedora:Way as to any claim(Inoivd,ne coca,eta•
and attorrteys'fees incurred in Investigation and defense of such cialm),Which may be ne.ae by any person.Inorueing the undersigned and flied ayaine:the Ctty ct Fade••
but only where even elm arises out of the reliance of-the City. including its office,:enc emoloyeas.evon the eceu.eey cf tr,•Information euoped to the City•s• ov:t
applic stior /
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