97-102691 CITY OF FEDERAL WAY PERMIT NO: BLD97-0448
33530 First Way South 11T1W',A jr IL,., ufOt 110014c. irh if"""ilr 4 .;iNi:' "Or ISSUED: 07/22/97
Federal Way, WA 98003 3u, _ tdirvi Inspection Requests 661 -.4140 BY: FC2
661-4000 EXPIRES: 01/18/98
ADDRESS: 1208 SW 312TH St
NO. : 072104-9188
PROJECT DESCRIPTION :BATHROOM REMODEL. REPLACING PLUMBING FIXTURES, WINDOW, SKYLIGHT AND BATHROOM FAN.
F= OWNER -. - - x•- CONTRACTOR -- - ; LENDER ----- ------1
ROGER HERSHEY t PUGET SOUND DESIGN/BUILD 't
( 1208 SW 312TH ST. ) P.O. BOX 24311
( FEDERAL WAY WA 98023 J 1717 S 341ST PL SUITE #101 ' )
I FEDERAL WAY WA 98093-1311 '1
(206)941-2715 1 874-5160
( ) PUGETSDO55PR 'f I
s_; CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.2% _S_
( BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 0 ' COMP PLAN •' FEES:
( TYPE OF WORK:ALT USE:RES 1ST.: 0: O:sf STORIES • 0 REQUIRED PARKING..: 0 SPRINKLERS' •' 1 BUILDING PERMIT....* $ 72.00
CENSUS CATEGORY •434 2ND.: 0: O:sf HEIGHT • 0.00 ft HAZARD CLASS 0 i Mechanical Permit* $ 22.00
OCCUPANCY GROUP 3RD.: 0: O:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm ) PLUMBING FIXT....93* $ 21.00
:R3 :? :? :? OTHR: 0: O:sf EXIST..$: 0 ) FRONT • 0.00 ft 1 SBCC SURCHARGE * $ 4.50
TYPE OF CONSTRUCTION BSMT: 0: O:sf PROP..,$: 5000 S SIDE • 0.00 ft WATER SERVICE..:?
:5N :? :? :? DECK: 0: O:sf ; REAR • 0.0O:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: O:sf RECEIVED.:O7/22/97 '
( : 0: 0: 0: 0: TOTL: 0: 0:sf I IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:? '
_... ,
FUEL TYPES,:? ? FANS • 1 BOILERS/COMPRESSORS i WATER CLOSETS • 1 URINALS • 0 ) TOTAL FEES $ 119.50
( GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 j BATH TUBS • 1 DRINKING FOUNT.: 0 ;
( FURN<1O0K..: 0 DUCT WORK • 0 3-15 HP • 0 1 SHOWERS • 0 SUMPS • 0 1
( GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0 _) LAVATORIES • 1 VAC BREAKERS...: 0 (
CONV BURNER: 0 FURN>10OK • 0 30-50 HP • 0 SINKS • 0 DRAINS • 0
( BBQ • 0 MISC • 0 5+ HP • 0 DISH WASHERS • 0 LAWN SPRINKLERS: 0 1
( GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0 1
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
-- -- - -__ - - . - - _ _. ---------------------- - -_: -• ___ _ --.1 d
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 IS TRUE AND CORRECT TO THE BEST 0 ' -NOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT _ __ ____ _ — DATE _ X2=Z- _1 7
FILE COPY
RECEIVED 33 BUILDING
o uINt DIVISIay ON
li
" '� G Federal Way,WA 98003
uv AY�=AL JUL 2 2 1997 (206)661-4000.
Fax(206)661-4129c
CITY OF FEDERAL WAY
BUILDING DEPT.
APPLICATION FOR BUILDING PERMIT i- -tYl
PLEASE PRINT
,'.: A� . •_ _ _;11 ,�,"
APPLICATION # m . .16.i,y..i''�I45/447 7
.. :;:.:::.... Address
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Tenant(if known) Lot # Asse�sors,„.Tex/'#, `r �
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r Building Owner's Name / � Address
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CityT i,".w(�iw I State / , / Zip ?f-�Q 3 'Phon )G-i1 L — ��-i'
Nature of Work r q /,_ jm �.�y� j/
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Name (F,M,L)
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Address
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City - .LT�l��/ 0�lg l � � /_- "�
State q/// - Zip 9� 7(73
Contact Person ` Day Phone Other Phone �� Fax E
_s /It:- /4/0444 ;' 1 P3 74-(-6760 G - ,�� '- e 4-/-54(08
Company Names—_ / ./
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Address l/
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' City State Zip
Contact Person Phone Fax
Contractor's #(card must be presented) Expiration Date Verified 0 Yes 0 No
A 0000>::;:<::«<::::::< :<» >ioNi `'<>`>»``ni :> >';«>:<
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
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R R�'�i��''�'�»;<'.»> :::: _:>:>s:�::>'::<<'.>'.» >�� >... n Use
r� �� ..��� 8 Proposed Use
Permit includes: 0-Building 0 Plumbing p Mechanical 0 Other
• Type of Work: 0 Residential ❑ New 0 Remodel 0 Number of Units 0 Deck
❑ Commercial 0 Addition 0 Garage ❑ Shed 0 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 0 Sewer Availability 0 On-Site Septic System Availability 0 Project Valuation S'1 �C,�LJ
Zoning I Lot Size Existing Bldg Valuation S
1:ENDS>:: >: : >< 'ai::i:i M
Name
Address
City State Zip
Contractor Name Address
City
State + Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes 0 No
MUM BINMCONTRAMOREM=MaiM
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes 0 No
Water Closets t Sinks '`' Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fixture Count
MEGliANICA :U Ct UN '. ........ MECHANICAL EVALUATION ONLY $
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
BBO's Wood Stoves 3-15 Tons Ttftai:UN irnirnt. F
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.
1
Owner/Agent: _' 1/___ - tet/ / W Date:
1
, . , _ ,i7- ,Aft,
REVISED 12/11/98