93-102831 9546D8,. /
CITY
335300Firstt Way South F FEDERAL WAY BUILDING P PER ISSUED:MIT NO: 162/28/9381
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 12/28/94
ADDRESS:3628 SW 309TH ST
NO. : 058755-0420
PROJECT DESCRIPTION:NSF - NI PLUMBING & MECHANICAL
BAYVIEW COUNTRY ESTATES, LOT $42
i= OWNER - CONTRACTOR - LENDER
ED SUN TRIMBERGER HOMES
P.D. BOX 23310
1110 DERAL NAY NA FEDERAL NAY NA 98093
838-8626 838-1288
TRIMBH*082K6
BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN •LDR FEES:
TYPE OF WORK:NEW USE:RES 1ST.: 0: 1906:sf STORIES • 0 REQUIRED PARKING..: 2 SPRINKLERS9 0 PLAN CHECK DEPOSIT.* $ 806.98
CENSUS CATEGORY •101 2ND.: 0: 1334:sf HEIGHT - 0.00 ft HAZARD CLASS •9 FINAL PLAN CHECK...* $ 0.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW 0 gps BUILDING PERMIT....* $ 1241.50
:R3 : OTHR: 0: 0:sf EXIST..$: 0 FRONT • 20.00 ft SBCC SURCHARGE * $ 4.50
TYPE OF CONSTRUCTION BSMT: 0: 622:sf PROP...$: 211053 SIDE • 5.00 ft WATER SERVICE..:FED MEC APPLIANCE FEES.* $ 84.50
:5N DECK: 0: 660:sf REAR • 5.00:ft SEWER SERVICE..:FED PLUMBING FIXT....93* $ 133.00
OCCUPANT LOAD GAR.: 0: 840:sf RECEIVED.:11/03/93 RADON KIT 93 $ 20.00
0: 0: 0: 0: TOIL: 0: 5362:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N PUB WKS PLCK(SF) 93 $ 40.00
DIEL TYPES.:GAS FANS • 7 BOILERS/COMPRESSORS WATER CLOSETS • 4 URINALS • 0 TOTAL FEES $ 2330.48
PIPING.: 99 ft HOOD • 0 0-3 HP - 0 BATH TUBS • 2 DRINKING FOUNT.: 0
FURN<100K..: 0 DUCT WORK • 1 3-15 HP • 0 SHOWERS • 2 SUMPS • 1
GAS HNT • 1 WOOD STOVES...: 0 15-30 HP - 0 LAVATORIES • 6 VAC BREAKERS...: 0
CONY BURNER: 0 FURN>1OOK - 1 30-50 HP • 0 SINKS • 2 DRAINS • 0
BBQ 0 MISC - 0 5+ HP • 0 DISH WASHERS • 1 LAWN SPRINKLERS: 0
GAS DRYER..: 1 AIR HANDLING UNITS FUEL TANKS ELEC NTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE • 1 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN NSHR OUTLTS...: 1
GAS LOGS...: 2 > 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 INFORMATION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT i?..I . DATE Z
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Of
� F� City of Federal Way •
F CEIV
u`, APPLICATION FOR BUILDING PERMIT
NOV 31993
CITY OF FEDERAL WAY - (�Bl''` ` '^"' `�F"T APPLICATION #: ` Cf ) - / I//
cr
PLEASE PRINT
UE TI N. Address ,` j f�
Tenant (if known) Lot # °13f(1&
Assessor's Tax #
Building Owner Name Address
E , ..
City R DE[;[,L_ State s1ivA Zip Phone 0,3n -
Fc;,Z.lo
Nature of Work 6ir✓NN 51NC, f-4/ NOMI
APPLICANT
Name (F,M,L)
TR 1L-LC`
Address
19.0. 73310
City f-D -- \N1N State Zip ' j3 --o3!
Contact Person Day Phone Other Phone Fax
c)4 ( 71S1M ; 336 f7 f
BOLDING CONTRACTOR
Company Name
t MI6 L i Ho
Address
P . 30N 2.331p
City F E L_ WAY State __ Zip l E?n93-C) /t)
Contact Person Phone Fax
P4T re/kt13 , 035-12
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
TR I/_3i-1 _o _,Z.K fo S-LZ i4
ARCHITECT
NamekiF EC'L
Address
Z Z0Z.
City Kit* State V./1-N Zip 'iCSoci
Contact Person Phone Fax
l t�� -THE.S.IviTZ. Zix,- Gar— 6"3
LEGAL DESCRIPTION
trc i Z 66Nt v l__w Cod,tirtrK`F tsrE
Please Complete Reverse Side
CD0492(Rev 4/93(
L ...cTu ^ fisting Use Proposed Use ,J Niv 4.,,11.4f Pi
Permit includes: Building ''scePlumbing R Mechanical .❑ Other
Type of Work: Q Residential Q New ❑ Remodel ❑ Number of Units ❑ Deck
❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Enter 1st Floor sq ft 2nd Floor C.)yt sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks (-4.e.s. sq ft Garage sq ft Proposed Total Area sq ft
Water Availability O Sewer Availability 8 On-Site Septic System Availability ❑ Pra,(eo#Valuation S ''
Zoning Lot Size Y"1 A 7j !....uttgInglB.dg':'1:Xe(uation $
...........................................................................................
............................................................................................
............................................................... ........................
............................................................................................
Y ENDER ...
Name Address
City State Zip
14 CHANICAL CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
.........................................................................................
PLUMBING:CONTRACTOR:_ > :iM
.. ...... ...............................................................................
..................... .............................................................
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
.... ... ..... .....................................................................
. ...... ....... ...................................................................... ...
PLUMBING'FIXTURE COUNT.
Water Closets 4 Sinks Urinals Lawn Sprinklers
Bathtubs L Dish Washers Drinking Fountains Other
Showers 'Z Electric Water Heaters Sumps
.................................................................
Lavatories Washing Machine Drains Total.FixturoCaunf.
MECHANICAL UNIT COUNT
Fuel Type (electric/other) %Gig 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: -TR',f, 13tat �S y,.q
)Y e �F�1._._. 1,3_ Date:
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