95-101446 .� 9 c- IQl yY6
CITY OF FEDERAL WAY ^• PERMIT NO: BLD95-0498
33530 First Way South U i L.DI G PERMIT ISSUED: 06/27/95
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 06/27/96
ADDRESS:33919 9TH AVE S
NO. : 926480-0165
PROJECT DESCRIPTION:PLUMBING ONLY - MOVING AND DELETING FIXTURES.
1 OWNER ===_ ==_==__=__ CONTRACTOR =_ . = LENDER
___CHRIS HASHAGEN DELSTAR PLUMBING
{ 319 219TH PL NE P 0 BOX 2440
REDMOND WA 98053illt
WOODIHVILLE WA 98072
68-9487 486-2268
DELSTPx131JH
==_......_. =x==a = =ai==a=s=ax=sss= _ .-s = __ = =
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.2% ***
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BLD?: MEC?: PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 0 j COMP PLAN •I/OP FEES:
TYPE OF WORK:? USE:RES 1ST.: 0: O:sf STORIES • 0 REQUIRED PARKING..: 0 SPRINKLERS/ 0 PLM PRMT ISSUANCE.. $ 20.00
CENSUS CATEGORY •800 2ND.: 0: O:sf HEIGHT • 0.00 ft HAZARD CLASS 0 PLUMBING FIXT....93* $ 63.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gm
:? :?: ? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 0.00 ft
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 0 SIDE • 0.00 ft WATER SERVICE..:?
:? :? :? :? DECK: 0: O:sf REAR • 0.00:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:06/21/95
: 0: 0: 0: 0: TOIL: 0: 0:sf
===a
1114
IMPERV SURFACE: 0 sf SENSITIVE
ALS AREAS?.:?
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FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 3 0 TOTAL FEES $ 83.00
GAS 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 ▪ 1 SUMPS • 0
GAS HMT • 0 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 3 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 1 DRAINS • 0
BBQ • 0 MISC • 0 5+ HP • 0 DISH WASHERS • O LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 1 OTHER FIXTURES.: 0
IRANGE • 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 ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FIR2NISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT _IIML . ii �► 1.11 ! - . _ _--I. . DATE -2_ 1 - (---i_
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City of Federal Way •
V
�� APPLICATION FOR BUILDING PERMIT
c,Dau- 0gg9
PLEASE PRINT APPLICATION #: /:q 5 0-R5
SITE LOCATION Address J ( q
Tenant (if known) Lot# v Assessor's Tax #
Building Owner Name
AC-TEM Address
City State ,q Zip Phone
Nature of Work M DJ I KV', °F' BELE T I k(r+ VLec— , F i J �_
APPLICANT
Name (F,M,L)
Address
City
State Zip
Contact Person Day Phone Other Phone Fax
BUILDING CONTRACTOR
Company Name
Address p Go� 244o
1/ City 14 D11.1 q I LL. State W Zip 9&72
J` t � //�� _ �Phpone/ ����111 Fax
Contractors must i )' 4O(0 Z26S
(carde presented) Exp' ation Date Verified CI Yes CI No
Dt�SI P Is, Ki A-2.3 - 96.
ARCHITECT
Name
Address
City
State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492(Rev 4/93)
SETBACKS & FOOTINGS``
Date By
FOUNDATION::WALLS
Date By
PLUMBING GROUNDWORK
Date By
UNDERFLOOR FRAMING
Date By
SHEAR WALLS ;;
Date By LL-
PLUMBING ROUGH-IN t-3'T$ r )(,€C TL ettyl/5/"✓1, ok- 6- 5CGL f-'% ��Lk,7/'
Date By I GT i� �' %U i3c7' f ) , !up X/47-2,-- (1i4�. v�
GAS PIPING S /9-/t)V f-AlE-? 4/A) W(7Ff //cv P
By /lr; i4 -'.
Date Vvi itJG: CO L D r U �� %/=�vt P ��c S
MECHANICAL ROUGH-IN ��-�` L (-22-,== it r L U j , �1iC/VI
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
41r
r FIRE FINAL
Date By
BUILDING FINAL
Date By
OTHER
Date By
OTHER
Date By
CD0193
1-STRUCTURE 40Existing Use 0 Proposed Use
Permit includes: ❑ Building Z. Plumbing ❑ Mechanical ❑ Other
Type of Work: Li Residential ❑ New /Remodel ❑ Number of Units ❑ Deck
N' Commercial ❑ 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 Septic System Availability ❑ Project Valuation S
Zoning Lot Size Existing Bldg Valuation S
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
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE COUNT
Water Closets 3 Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers ( Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fixttwe Count 9
MECHANICAL UNIT COUNT
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 1 5-30 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 Tota(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 ( Date: