93-101938 1 ?3 )61938
CIT" OF FEDERAL WAY BUILDING PER MIT PERMIT NO.: BLD93-0858
33630 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 08/03/93
Federal Way, WA 98003 BY: FC
661-4000
SITE ADDRESS: 30014 23RD AVE SW
PARCEL NO.: 012103®9142
PROJECT DESCRIPTION: PLUMBING
OWNER -- - CONTRACTOR — LENDER
4 STEPHEN PRICE & VICKIE ALDRICH CONSTRUCTION
30014 23RD AVE SW 8831 S THOMPSON
FEDERAL WAY WA 98023 TACOMA WA 98444
977-6187
j ALDRIC*099KF —^A —J i
BLD?: MEC?: PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN ., FEES:
TYPE OF WORK:? USE:? 1ST.: 0: 0:sf STORIES • 0 REQUIRED PARKING,.: 0 SPRINKLERS?......:? PLM PRMT ISSUANCE.. $ 20.00
CENSUS CATEGORY •600 2ND.: 0: O:sf HEIGHT • 0.00 ft HAZARD CLASS...:? PLUMBING FIXT....93* $ 28.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm
:? :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT.......... 0.00 ft
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 0 SIDE • 0.00 ft WATER SERVICE..:?
:? :? :? •? DECK: 0: 0:sf REAR • O.00:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: O:sf RECEIVED.:08/03/93
: 0: 0: 0: 0: TOTL: 0: 0:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 1 URINALS • 0 TOTAL FEES $ 48.00
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 . 1 SUMPS..........: 0
GAS HWT . 0 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 2 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K.....: 0 30-50 HP • 0 SINKS • 0 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 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0
G LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
40
ALL 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 OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
);7tOWNER OR AGENT �-c__.z.�t�-t S DATE g— ;3
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bld_prmt 10/23/92
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City of Federal Way
,) APPLICATION FOR BUILDING PERMIT
PLEASE PRINT APPLICATION #:
SITE LOCATION Address nO j L . ✓e L�
Tenant (ii known 111 J/ L 4,0 Lot # Assessor's Tax #
Building Owner Name Address
S-141
City F�-0 /. L, State 24 Zip 7-) Phone �.?_7
Nature of Work I �f
........ .... .... .. ..... . ... .
APPLICANT
Name (F,M,L)
Address
City State Zip
Contact Person Day Phone Other Phone Fax
BUILDING CONTRACTOR
Company Name
Address
City State Zip
Contact Person Phone Fax
Contractor's #(card must be presented) Expiration Date Verified 0 Yes ❑ No
ARCHITECT
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492(Rev 4/931
• •
STRUCTURE Existing Use • Proposed Use
Permit includes: ❑ Building ❑ Plumbing ❑ Mechanical ❑ Other
Type of Work: ❑ Residential ❑ New ❑ 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 $
Zoning Lot Size Existing Bldg Valuation S
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
1
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
'PLUMBING FIXTURE COUNT •
Water Closets I Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers ) Electric Water Heaters Sumps
Lavatories 1— Washing Machine Drains Total Fixture Count
MECHANICAL UNIT COUNT
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
I
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 I
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: �•C- A-- tJ2- - ,.-C�L� �� .-�j 9 �-�
Date: �/