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CITY OF FEDERAL WAY BUILDING PERMIT PERISSUED: 07/15/9478
3530 First Way South
`, Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: JTH
6a1-4000 rXPTR;--c . •-11 /I1 /9*-1
ADDRESS:32717 1ST AVE S \�
D l2UV1Soto q/B/qc( KLS
NO. : 697900-0050 V
PROJECT DESCRIPTION:Tenant isprovenent of 2137 soft./ 4ddiCl I W- .. I Lay . / sulk
OVNER CONTRACTOR .-...._.......=:.======----,---=--------------,,,--_. UNDER = . - w z . R. --..—. .-_�..
KEVIN DUFFY NICK CONSTRUCTORS/JV
634 N 35TH P.O. BOX 31509
SEATTLE NA 98103 SEATTLE NA 98103
634-1550 634-1550
BLD?:X NEC?: PLN?:)( ELR-11,10$1 Offttlinu 0+4.1.'44, 0 n COMP PLAN -B FEES:
TYPE Of WORK:TEN USE:COM LST.t, ,� : 2' sf Tfi'I...., : I DL°IRED PAP'IIG • 10 SPRINKLERS .....:? PLAN CHECK DEPOSIT.* $ 184.93
CENSUS CATEGORY 327 2ND.,. 0: , 0:11 I ss0T t'. if' 'A 51 BUILDING PERMIT....: $ 284.50
OCCUPANCY GROUP Ail.. V. 0,� f YA.UAT'IMN---.--° ARE0 T -. . r . SBCC SURCHARGE $ $ 4.50
:82 :? :? :? [Info .0: EX'ST„ ,' 900 F1 1,.. ' AN CHECK * f 0.00
TYPE OF CONSTRUCTION , T`� �r 'PR1 �pE . 0.00 ft MATER SERYICE..:FED PICK-FIR caul only' $ 14.23
:3N :? :? :? p1C1.. ' 0if ' EAR • 0.00:ft SERER SEPVICE..:FED MEC APPLIANCE FEES.* $ 4.50
OCCUPANT LOAD- - CA' 1 O ;,. 1 I. ' '0/94 �� . PLUMBING FIXT....93* $ 14.00
: 21: 0: 0: 0: IDI - .0) '" IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
FUEL TYPES.:? ? FANS • 1 BOILERS/COMPRESSORS WATER CLOSETS • )1"0., URINALS • 0 TOTAL FEES 1 506.66
IIII1GAS PIPING.: 0 ft 0000 - 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 HOT • 0 0000 STOVES...: 0 15-30 HP 0 LAVATORIES • /2- VAC BREAKERS...: 0
CONY BURNER: 0 FURN)100K.....: 0 30-50 HP • 0 SINKS ..: ,d l DRAINS • 0
BBB - 0 MISC..........• 0 5+ HP • 0 DISH WASHERS • 0 IMO SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS----------- ELEC VTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE • 0 (-10,000 CFN: 0 ABOVE GROUND: 0 LAM NSHR OUTLTS...: 0
GAS DIGS...: 0 ) 10,000 CFM: 0 UNDERGROUND.* 0
'ERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF 110 WORK IS SInRTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
-'I CERTIFY THAT THE INFORMATION FURNISED BY ML IS TRUE AND CORRECT TO THE BESI OF MY KNOWLEDGE AND IHE APPLICABLE CITY Of FERERAL NAY REQUIREMENTS MILL BE MEI_
*OWNER OR AGENT -.27--11---1.3g-
,
_- DATE - _
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FIELD COPY
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City of Federal Way
• RECEIVE
MN201994
v` , APPLICATION FOR BUILDING PERMIT
4.;ii Y u: r'EDERAL WAY
BUILDING DEPT.,
PLEASE PRINT APPLICATION #: 71, (LI — 0 LI 7 '
SITE LOCATION Address 3 Z 7/7 _ Z = 7' .S ce71-//4.
Tenant (if known) Lot # Assessor's Tax#
/LAf 2 t .z',4-, afrtvcF . 6- 7%-• &D-e,12J U
Building Owner Name Address
ea-%/514t .' 41/4 6 .z 7a2 - ?iF7`�:m//4 56'/7 07oc)
City ,J� 1z. State uj//f Zip 7.i/Q% Phone ga,/- e,z,5:1-/-
Nature of Work -794,,,,./A.t., t- . j,,,/,i/Z2IJ/i.. -u 7-
.............: ::............................ ....................................
................................................ ......................................
.............................................. .....................................
................................................ ......................................
APPLWANy; < » < > > > ><;> : > €€»>
Name (F,M,L)
/1Evi " OuFi-y
Address
31' — ..,95' -e,/a , ,
City s A/11. State r� Zip 9,/, ';
Contact Person i / Day Phone Other Phone Fax�/
//X-4/(,-(., ,a7 lam; - moo 050 -7,,---65
...........................................................................................
...........................................................................................
...........................................................................................
BUILDING CONTRACTOR
Company Namek
` _pAdly/ Z dogff,4e,e 7"- _i-
Address
dress
6 . - ,,---', �(�-fh{--
City S'i ,,1 f7, -. State �Q/� Zip "1O L_____Contact Person /, Phone -�v Fax
-t'' 0G1r-- i G30 -/s-S-.0 6.55 - (-e-6._;--
Contractor's #(card must be presented) Expiration Date Verified ❑ Yes ❑ No
ARCHITECT >::>::»::>::>::>::;:
Name
e'eff ," 4 v 424' "/6 .,tk
Address
tom&/ —eei/L 5-74 �'t .S�4iZ .
City , � /
�if� q y/ _ State (�,e� Zip ,e�D/
Contact Person ' �� l Phone Fax 7
,,i ui-c/ 2? FFy 3�' ` '.� (U35' A-O5
LEGAL DESCRIPTION ✓
Please Complete Reverse Side (0
CD0492(Rev 4/931
L' 'ng Use illiosed Use —
.. ..ii,uuudes: ❑ Building ❑ Plumbing ❑ Mechanical ❑ Other
Type of Work: ❑ Residential ❑ New ❑ Remodel LI Number of Units ❑ Deck
Commercial LI Addition ❑ 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 p}ic System Availability ❑ Project Valuation $ X( O e
Zoning Lot Size If ICCO
i )� Existing Bldg/afuetioi4L $ r
00 (AD V
Name Address
/1/4—
City State Zip
—
'1 1 TOA OONIRACTOYt: >:::>:>:::
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE UN
COT
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total reCFixtuount
..........................................................................................
MECHANICAI.;UNn COUN' -
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 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.
Owner/Agent: �: �-c.,� ,/� 47,,,..--11Date: "' 2) —77
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