95-102911 C
9s- Jaac3//
CITY �..,,,. PERMIT NO: BLD95-0876
33530 0 First Way South 11;;;:;�,,,•., I. 1...1)I. 1("^ 1,:,,,r P !I;; 11",,x, 1 .,II». ISSUED: 10/27/95
Federal Way, WA 98003 Building Inspection Requests 661--42.40 BY: FC2
661-4000 EXPIRES: 04/24/96
ADDRESS:296O4 22ND AVE S
NO. : 879800-0065
PROJECT DESCRIPTION:PLUMBING - RELOCATE ELECTRIC WATER HEATER
V. OWNER ___ _..____ _.---T- CONTRACTOR =_--.- ......... _:::_ -- _- LENDER -----
MORGAN HEWLLY
1 CAHILL PLUMBING & HEATING � �
29604 22ND AVE S 1 23313 208TH AVE SE
FEDERAL WAY WA 98023 1 MAPLE VALLEY WA 98038
432-1977
CAHILPH150RK
... - --
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.2% ***
------ ----- . -----• q-'--'--" _.__=.. -- - - __T .. ..._•______ --
BLD?: MEC?: PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 0 1 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: O:sf HEIGHT • 000 ft HAZARD CLASS •' PLUMBING FIXT...,93* $ 7.00
OCCUPANCY GROUP 3RD.: 0: O:sf VALUATION j REQUIRED SETBACKS FIRE FLOW • 0 gpm
•? :? :? :? OTHR: 0: O:sf EXIST..$: 0 # FRONT • 0.00 ft J
TYPE OF CONSTRUCTION BSMT: 0: O:sf PROP...$: 0 i SIDE..........: 0.00 ft WATER SERVICE..:?
:? :? :? :? DECK: 0: O:sf I REAR • 0.00:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: O:sf RECEIVED.:10/27/95
0: 0: 0: 0: TOTL: 0: O:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
1 ^FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 27.00
1 GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
URN<100K..: 0 DUCT WORK 0 3 15 HP • 0 SHOWERS • 0 SUMPS • 0
S HWT • 0 11
WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES 0 VAC BREAKERS...: 0
CONV BURNER: 0 FURH>100K 0 30-50 HP • 0 SINKS • 0 DRAINS • 0
I BBQ • 0 MISC • 0 5+ HP • 0 1 DISH WASHERS • 0 LAWN SPRINKLERS: 0 I
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 1 OTHER FIXTURES.: 0
4 RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 I LAUN WSHR OUTLTS...: 0
4 GAS LOGS,..: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 1I
_. .__.._..__...._----------_____.tel______._._-__ ...-_
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF HO 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.
.OWNER OR AGENT906) 4:4,),„ DATE l..(%— Qructq
FILE COPY 3-711 -7 73.)a
RECEIVED
City of Federal Way
OCT 2 71995
F' APPLICATION FOR BUILDING PERMIT
CITY OF FEDERAL WAY
BUILDING DEPT.
PLEASE PRINT APPLICATION #: C1) Jn
ct
I SITE LOCATION 'Address �' �O �n }w L
—11
�C ('eciPruL �JU�
Tenant (if known) Lot #
Assess is Tax #
/ Building Owner Na a Address
°r` �" �
CityU �
� Ll�y
IS tate Zip I Phone
Nature of Work Die, I i Com}- Ont Lua�e o -rah K
APPLICANT f
Name (F,M,L)
Address
City State
Zip
Contact Person I 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 41111
CD0492(Rev 4/93)
STRUCTURE Existing Use Proposed Use 0, /(q
Permit includes: ❑ Building l -Plumbing ❑ Mechanical 6--- ther
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 $
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 r i Address ` ����
/. c.0&NI) , l_I_ PLuIO )hlr C f ��C ( kky�, ��:�3 ( J �� ��.
pi 1 e aka\ l . , � J
City , State (()� Zip Cil ���J(f
Contact Phone . / Fax 1
License # V1 i L Nl I J� i r Expiration Datei1_i (1 — Verified ❑ Yes ❑ No
PLUMBING FIXTURE COUNT
• Water Closets Sinks Urinals Lawn Sprinklers
/ Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters f Sumps
Lavatories 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
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 W.y,
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. , G
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caner/Agent: . `,1 i ', Dat C rz ,
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� ?9604 21ND �1'C S � �3313 70�1N AVE 5E
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, _..RM�.lt)(lA..: (1 DU(T WG�K....,: � 3-15 Hp.....: �1 SHUkfP,S............: �! "UMPS........... 0
C4S Hl,T....' 0 WpOD STUVfS..,: 0 15-3C� HD....: 0 L.t�VA1QRSE�,........: 0 VAr; EckEAKERS...: Q
� NV �lktifk: � F!lkk�lUOK...... U 30-5(1 HP..... 0 � Slbk'�............... b t►FAINS.......... 0
( BBO......,.. Q MtSC......,.... 0 5+ HN........ Q � DtSH Ni�SNEftS........ U LAiiN SPkiNKIER�: (1
� �A� URYER..: U AIR NAHDLING UHITS fUEI TANKS--------- ELEf a1R NEAIERS...: 1 !1iHEk fXYTURES.: Q
RAMGE......: 0 �'10,400 CEN: fi RbU4E +aNfilfMD: 7 � LAUN NSHR OUitiS...: U
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PEHMIlS flfllRE li�l �DAYS Af IE� ISf'!�#ICE Ii' NO M�K 1S Srr`t�TCD. RESi�EN(IIN. AM@ GRIVDiI[� PEN�fliS EXPl�E ttME 1ffAR tl�l�it 6ATE Uf I5SUAllCE.
I CERTIFY 11Y11 TNF 11�t�1MA1lOk �1l�N1SNkB �Y 1'� IS T�. A!!� CORRECT Tb TfIE HCST Of biY KIl�iIE�GE t�A TNt AwP1ICA�tE tItY Oi fEb[Npt iNiY ��.i�llktMEKiS N�ll BE I�:T.
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