93-103175 93 . 1031-75
CITY
335300Firstt Way South F FEDERAL WAY BUILDING PI� PER ISSUED: 112/MIT NO: 16/ 9325
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 06/14/94
ADDRESS:5134 SW 311TH PL
NO. : 321020-0165
PROJECT DESCRIPTION:PLUMBING & MECHANICAL WORK ONLY.
;11
OWNER -- CONTRACTOR -- LENDER
ANN CAUGHEY PRO SERV PLUMBING & HEATING
5134 SW 311TH PL 13737 LAKE CITY NAY NE
FEDERAL NAY NA 98023 SEATTLE NA 98125
61-2450 361-9696
PROSEPH133QW
BLD?: MEC?:X PLN?:X FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN .9 FEES:
TYPE OF WORK:? USE:? 1ST.: 0: 0:sf STORIES • 0 REQUIRED PARKING..: 0 SPRINKLERS') •/ MEC PRMT ISSUANCE... $ 20.00
CENSUS CATEGORY •800 2ND.: 0: 0:sf HEIGHT - 0.00 ft HAZARD CLASS ./ MEC APPLIANCE FEES.* $ 19.50
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gp. PLM PRMT ISSUANCE.. $ 20.00
:? :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 0.00 ft PLUMBING FIXT....93* $ 63.00
TYPE OF CONSTRUCTION BSMT: 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 RECEIVED.:12/16/93
0: 0: 0: 0: TOTL: 0: 0:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 2 URINALS • 0 TOTAL FEES $ 122.50
GAS PIPING.: 70 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 2 DRINKING FOUNT.: 0
.
RN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 2 SUMPS • 0
S NWT • 0 HOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 0 VAC BREAKERS...: 0
CONY BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS - 1 DRAINS - 1
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 • 1 <:10,000 CFM: 0 ABOVE GROUND: 0 LAUN NSHR OUTLTS...: 1
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 T INFOR ATION FURNISED BY ME ISS' E AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS MILL BE MET.
OWNER OR AGENT ��� / / 1-sicJ2 DATE 12-- 16) _ 3 3
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77'1-BA & FOOTINGS
Date By
FOUNDATION WALLS
Date By
PLUMBING GROUNDWORK
Date By
UNDERFLOOR FRAMING
Date By
SHEAR WALLS
Date By
.........................
PLUMBING ROUGH-IN
Date By
3
........................... .
........................... .
.............................. .
GAS PIPING'
Date By
MECHANICAL ROUGH-IN
Date By )
r MECHANICAL (OTHER) L i7 �
- /`r
Date .-/3 95- By� (J
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
C D0193
City of Federal Way
v ry APPLICATION FOR BUILDING PERMIT
PLEASE PRINT APPLICATION #:
$ITE I.00ATIQN Address
Tenant(if known) A Lot # Assessor's Tax#
A eJ CAU EY 321 02_00
Building Owner Name Address s 3 s w31(skf PL
City f) 2AL t,/ State W1 Zip �3 Phone 61 '2q SO
Nature of Work 12PwMS
............................................................................................
Name(10)
_Int44q A 644.11=3F12_. _s
Address
[ 3 737 LAt C
City ( � State /J4Zip 9S(7 -
Contact Person Day Phone Other Phone Fax
....... ......... ......... ............ _.___ _..... ___.._.
•
BUILDING CONTRACTOR
Company Name
Pio . PLS-
Address
I 31 3 7 Ll-l.,C1 r= Ct TY 1it)Ac N
City T7Ct StateWA Zip'9E3 (2_.,c
Contact PersonPhone Fax
et.toy 3(;7- 9 9
Contractor's #(card must be presented) Expiration Date Verified ❑ Yes 0 No
PR- PM t3 3 Otil
'ARCHITECT
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492(Rev 4/93)
r".."---"-"•7 »::>::::,:,>;>;, :;:;:>:::*::>::»>:::::>:»»»>;;:;.>.<:::* >:>:::1
ting Use Orposeci Use
L
R '
Permit includes: Building ,E Plumbing echanic_il ❑ Other
Type of Work: .11 Residential ❑ New El Remodel ❑ Number of Units_ ❑ Deck
❑ 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 $
...........................................................................................
................................................................................ .....
.......... .......... ..................................................................
LEND1R .
Name Address
City State Zip
......................................................................................
...........................................................................................
...........................................................................................
MEC ICAY CONTRACTOR
Contractor Name Address
1)Q0 - -:i ----1°'- ‘1' PLL-`4- i4 1-61,' _
City T' Lj State „: i',...
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
?TRA 'JCOR > :>
PLUMBINGCO >:'
................. .......................................................................
................. .........................................................................
Contractor Name CAddress '37 .., LK C T Y L( 1\j
C.
City — T-ri_e V>A Statert55'/1j Zip 9P/Z5
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
...............................................................................
.. ................................................................................ ..
. . ......................................................................................
PLUMINGFIXTURE COUNT ...
....................................................................::........
.......... ............................................ ..................
Water Closets Sinks ) Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
--
Lavatories _ Washing Machine '; :A;-- / Drains 1.LDO/7 / Total'Fixture Count:
MECHANICAL UNIT'COUNT
Fuel Type (electric/other) 6.--1N-,-S Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping 7Q.4 Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs i OU V. 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 Total UnitCount ::
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge end 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-n i estigation 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 arise 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.
aOwner/Agent 7 /�(�[/ Date: _.