94-102463 ,
2y- /ad V63
CITY OF
FEDERAL
33530FirsttWay South BUILDINGPERIVIIT PERMIT
30
ISSUED: 12/29/9d
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: KLC
661-4000 EXPIRES: 06/27/95
ADDRESS: 1720 S 324TH PL
NO. : 250120-0080
PROJECT DESCRIPTION:PLUMBING ONLY - INSTALL 2 SINKS.
OWNER - CONTRACTOR - LENDER
NORTHWEST DENTISTRY LONGS PLUMBING
1717 S 324TH ST 28920 3RD AVE HE
FEDERAL WAY WA 98003 STANWOOD NA 98292
206-629-4004
LONGSP4233DW
BLD?: NEC?: PLN?:X FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN •9 FEES:
TYPE OF WORK:? USE:COM 1ST.: 0: 0:sf STORIES........: 0 REQUIRED PARKING..: 0 SPRINKLERS?......:? PLM PRMT ISSUANCE.. $ 20.00
CENSUS CATEGORY •800 2ND.: 0: 0:sf HEIGHT - 0.00 ft HAZARD CLASS -'? PLUMBING FIXT....93* $ 14.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS------- FIRE FLOK 0 gpm
:? :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 0.00 ft
TYPE OF CONSTRUCTION BSNT: 0: 0:sf PROP...$: 0 SIDE • 0.00 ft WATER SERVICE..:?
:? :? :? :? : DECK: 0: 0:sf REAR • 0.00:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: 0:sf RECETVED.:12/29/94 •
0: 0: 0: 0: TOTI: 0: 0:sf INPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.:? ? FANS - 0 BOILERS/COMPRESSORS WATER CLOSETS - 0 URINALS • 0 TOTAL FEES $ 34.00
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 - 0 SUMPS - 0
GAS HNT . 0 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 0 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 2 DRAINS - 0
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 CEM: 0 ABOVE GROUND: 0 LAUN NSHR 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 INFFgMATION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT Ar_ L DA-E 11-14 -9i
FILE COPY -- -7/17'7 9.73
CITY
F
RAL WAY
MIT
335300FirsDtEWay South BUILDING P PER ISSUED: 112/29/9430
Federal Way, WA 98003 Building Inspection Requests 661-41.40 BY: KLC
661-4000 EXPIRES: 06/27/95
17 /7
ADDRESS: 1720 S 324TH PL
NO. : 2.50120-0080
PROJECT DESCRIPTION:PLUMBING ONLY - INSTALL 2 SINKS.
01 E_R _ -_ __— .___. -.__ CONTRACTOR --- - LENDER
NOPTH$EST DENTISTRY LONGS PLUMBING
1711 S 324TH ST 28920 3RD AVE NE
FEDERAL RAY WA 98003 STANNOOD NA 98292
206-629-4004
t UNGSPx2.:.1IIN
.uveae..w+....._..-ur.........+..... a-- _ ..�.,..._..�u...s.....w.us....... ......:a...�..�.......+.».-...�1....--
.......:....—x—._..- ...... ..-. �__..�..r. _.._T.. ..._...._. :�e.,..:u.,m::....: .m.........»,.,.-.. ----rte-rr �...._ 'a._...,aw.,,uw.l.-._....C..,.......�rW-n;r__.._. _. ........_., .....-:—�...u_.._.._.._..-..... --- .....�.�n,............._
BLG?: NEC?: PLM?:X fLP--EXIST�---PkUP--- DWELLING UNITS: 0CNP PLAN... ......:? FEES:
TYPE OF YORK:? USE:CONI 1ST.: f: ,;:$4 STORIES........; 0 1401)1R#1) W604,111o..: 0 _ S?.,,,, , ,y is PLM PRMT ISSUANCE.. $ 20.00
CENSUS CATEGORY -800 2111).: O. 031 H£MOT... 0.00 f 1 MINN CLA .,. 1-sVoy PLUMBING FIXT....93$ $ 14.00
OCCUPANCY GROUP_----_-_--, ;TRO 0. 0:s! %ALUATTON- ---- -- s'FOUIRaD SfT t.Y" - i [PE FLOW ..f :
•1 :? :? :? - • DIM0: 0:-sf EXIST..$; 0 FRONT.........: 4:00 ft , .;: ` �
TYPE OF CONSTRUCTION---- $T 0: 0::>f PRUP...$ 0 ME - 0.00 ft WATER SERVICE..:?
:? •• •• :? DECK: 0: 4:sf REAR• • 0.00:ft SEVER SERVICE..:?
OCCUPANT LOAD ----- GAR.s 4, 0:01 RIO IViD.:12129194
: 0: 0: 0: 0: TOIL, u- 5f !SPEW/ SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.:? ? FANS 0 BOILERS/COI+PRESSORS WATER CLOSETS 0 URINALS 0 TOTAL FEES $ 34.00
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.- 0
FURNt100K..: 0 DUCT WORK • 0 3-15 HP • 0 SHOVERS • 0 SUMPS - 0
GAS UNIT • 0 ROOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 0 VAC BREAKERS...: 0
CONY BURNER: 0 FURN>1001 • 0 30-50 HP....: 0 SINKS • 2 DRAINS.........: 0
81;0 - 0 RISC - 0 5+ HP 0 DISH WASHERS - 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS FLEC VTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE - 0 (-10,000 CFM: 0 ABOVE GROUND: 0 TAUS VSHR OUTLTS...: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADIR!G PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAI THE INF TION EURNISED BY NE IS TRUE AND CORRECT TO THE BEST OF NY 1NO01LE0CE AND THE APPIICABLE CITY OF FERERAL WAY REQUIREMENTS RILL BE MET.
1
OWNER OR AGEhi A _ . . _..___.._ DATE 1 1"1° 9f
FIELD COPY
•
SETBACKS & FOOTINGS
Date By
FOUNDATION WALLS
Date By
PLUMBING GROUNDWORK
Date By
UNDERFLOOR FRAMING
Date By
7777WALLS
Date By
PLUMBING ROUGH-IN
DateA7(),CC'S' By e
GAS PIPING
Date By
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 By
OTHER
Date By
OTHER
Date By
CD0193
•
City of Federal Way • •
vv APPLICATION FOR BUIL T •
f EC 3 01994
PLEASE PRINT APPLICATION #: 1)1(-1- /D,3
SITE LOCATION Addressr 1W" I ' ` `''' `PT.7''
�7/ ") ✓ �s'✓-� LDING DE
Tenant (if known) Lot #
�. Assessor's Tax #
Jrs��if lte4'i A)(,l) fr1 � Z ) IzC .C. 3()
Building Owner Name Address
Jim GtG"
44,4:(477)-1
City ✓�' State LI/A ZipT8ve..fi Phone//
Nature of Work ,isCtiTqL
APPLICANT
Name (F,M,L)
Address
City State Zip
Contact Person Day Phone Other Phone Fax
........................................................................... .............
WILDING CONTRACTOR
................................................................................. . . ..
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
Please Complete Reverse Side
CD0492(Rev 4/93(
LTRUCTURE Ll E�9 Use lased Use
LEA
Permit includes: ❑ Building ❑ Plumbing ❑ Mechanical ❑ Other
f Type of Work: ❑ Residential ❑ New CIRemodel ❑ Number of Units ❑ Deck
❑ Commercial ❑ Addition ❑ Garage O 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
........................................................ .................................
MECEANICAL-CONTRA.CTOR
Contractor Name Address
City State Zip
Contact Phone Fax
• License # Expiration Date Verified ❑ Yes ❑ No
•
PLUMBING.CONTRACTOR
Contractor.Name , Address
/ d "l6S PL, vnit hjil6 JP, 0tdo?( /(17.6
City //4-n/oi4 s c State LA,///.4- Zip 9F .7_-
Contact Phone Fax
(20-6) 4/0 a y
License # 2-6 N/ .s' 4- a Z .6 141 Expiration Date'y/q5 Verified ❑ Yes El No
Ey / f 7
......... ....... .......... . .............. ...................K... ...
........................................................................................
. ............................ ......... ........... ...... ......................
........... ..... ....................................................................
............................................................. ......................
PLUMBING FIXTiURE COMP
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fixture COtint t
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 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 oft City,including its officers and employees,upon the accuracy of the information supplied to the City as a part of this
application.
Owner/Agent: ' .f • C�-L+--C Date:���� _ 2 ��