95-102114 95-I0111 y
CITY ?QF FEDERAL WAY . PERMIT NO: BLD95-0674
33530 First Way South , ;:U .I L• D.I. N �a P E .I IISSUED: 08/28/95
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 02/24/96
ADDRESS:2101 S 324TH ST Unit: 260
NO. : 162104-9037
PROJECT DESCRIPTION:PLUMBING - HOSE BIB
i= OWNER =======_==--•• = _ = T CONTRACTOR = = = LENDER === ______
DAVIS I M & M PLUMBING & REMODELING
2101 S 324TH &260 I 14512 SE 262ND ST
FEDERAL WAY WA 98023 KENT WA 98042-8120
661-1175 I 630-3031
Ill MMPLUR*088CA -
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*** 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 COMP PLAN •/ FEES:
TYPE OF WORK:? USE:RES 1ST.: 0: O: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* $ 7.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gps
:? :? :? :? OTHR: 0: O:sf EXIST..$: 0 FRONT 0.00 ft
TYPE OF CONSTRUCTION BSMT: 0: O:sf PROP...$: 0 I SIDE • 0.00 ft WATER SERVICE..:?
:? :? :? :? DECK: 0: 0:sf I REAR • 0.00:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:08/28/95
. 0: 0: 0: 0: TOIL: 0: O:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
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FUEL TYPES.:? ? FANS 0 BOILERS/COMPRESSORS WATER CLOSETS 0 URINALS 0 TOTAL FEES $ 27.00
11/
GAS PIPING.: 0 ft HOOD 0 0-3 HP 0 BATH TUBS 0 DRINKING FOUNT.: 0
FURN<100K..: O DUCT WORK 0 3-15 HP • 0 SHOWERS 0 SUMPS 0 ,� J
S HWT • 0 WOOD STOVES...: 0 15 30 HP 0 LAVATORIES 0 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K 0 30 50 HP 0 SINKS 0 DRAINS • 0
BBQ • O 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.: 1
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 I LAUN WSHR OUTLTS...: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 I I
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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 INFORMATI FURNISHEDBY M IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT /Xl/teDATE __ 5 --
FILE COPY
• Cityof Federal • RECEIVED
. G Way
r-4. AUG 2 91995
APPLICATION FOR BUILDING PERMIT
CITBUILDING DEPF T. AY
PLEASE PRINT APPLICATION #: .31_1)645 -----04-N
Rc'
SITE LOCATION Address pV / S' ✓,ZV4.01
SP 426%'
Tenant ( known),. Lot # Assessor's Tax #
r /ice./ Sfi• 4(42- 0
Building 0 er Name Add `�y�,��
City �/ /107 State �, Zip e 3 Phone aA-//75-
Nature of Work 4 �/f e �� /% i jP /,ll,�
y �
APPLICANT
Name (F,M,L)
Address
City State Zip
Contact Person Day Phone Other Phone Fax
BUILDING CONTRACTOR
Company IVameym 4
Address
City f State A Zipgipa /6O
Contact G� Phone Fax
Y 63c'- 3v3/ 63(- 7387
Contractor's rd1u4be presen Expiration f�at7. Verified ❑ Yes ❑ No
/7 //i 11/1 //
ARCHITECT
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492(Rev 4/93)
STRUCTURE •ing Use *posed Use
Permit includes: ❑ Building ❑ Plumbing ❑ Mechanical ❑ Other
Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck
❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Fnter 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 Li Project Valuation $
Zoning Lot Size Existing Bldg Valuation $
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 Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fixture Count
MECHANICAL UNIT',COU T::iiiiil:::::.
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
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 ses 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: s
7