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93-100720 9 -/bd 7 a CITY OF FEDERAL WAY BUILDING PERMIT PERMIT NO.: BLD93-0328 33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 03/24/93 Federal Way, WA 98003 BY: FC 661-4000 SITE ADDRESS: 29862 10TH AVE SW PARCEL NO.: 195460-0191 PROJECT DESCRIPTION: PLUMBING — INSTALL DOUBLE—CHECK VALVE BACKFLOW PREVENTION ASSEMBLY OWNER — CONTRACTOR -- LENDER FRED HOFFMAN *OWNER IS CONTRACTOR* 29862 10TH AVE SW FEDERAL WAY WA 98023 8.9315 *OWNER* BLD?: MEC?: PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN .7 FEES: TYPE OF WORK:? USE:? 1ST.: 0: 0: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* $ 5.00 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 • 0.O0:ft SEWER SERVICE..:? OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:03/24/93 0: 0: 0: 0: TOIL: 0: 0:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:? FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 25.00 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 • 0 SUMPS • 0 GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 0 VAC BREAKERS...: 1 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 GGOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 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. OWNER OR AGENT �'� / DATE 2 -(-2>L"'9 0 bld_prmt 10/23/92 V1\\ • • SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK DATE__..- —..... BY DATE -....__ DATE BY ..... PLUMBING ROUGH IN WATER LINE O.K. _ MECHANICAL INSPECTION DATE . —_.BY GAS PIPING O.K._-- DATE BY O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL DATE BY -_. —_ DATE BY ..._ DATE __........_.....__ ---BY FINAL O.K. TO OCCUPY g ..j,,,,-0, PSD FD DATE_...._.. ..__ ` /. BY L.........�.........—........ , 1 (11L242117�2 ( ,6% i If i ,e0141 / / ,'e%— %'c#--/S'/(o i; i. APPLIC TION FOR DEVELOPMEN!PERMIT PLEASE PRINT APPLICATION #: 3,-- 093 - 6-328 • SITE LOCATION Address d'rfiD� /0-7-'4 ,4 5. 1.3 Tenant Lot # l Ass ssor's Tax# obi cv L a A c 5 P 6 If(sty).') t 9 .1 (4 On-- e:i i-o© Building Owner Name Phone 13 City State Zip F RAL �Ay (,)f '130 3 APPLICANT Name (F,M,L) Address Qcq La \Otb AuE . i. 1.,J , City State Zip K)-E- �A t- wAY w�l. q g0'; 3 Day Phone Other Phone Fax ..- (:':IC's)J> n - 5 © 1 1)6:/..)- y 4 a ' BUILDING CONTRACTOR Company Name /V Address City State Zip Contact Person Phone Fax Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No "XRCHTTECT ----- Name Name / Address /"V /4— City State Zip Contact Person Phone Fax STRUCTURE Existing Use Proposed Use Permit includes: ❑ Building Plumbing ❑ Mechanical ❑ Other Type of Work: ❑ Residential ❑ New LJ Remo el ❑ 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 Approval ❑ Project Valuation $ Please Complete Reverse Side CD0492(Rev 2/931 LENDER • - Name Address A.),-771/ City State Zip Contact Phone Fax MECHANICAL CONTRACTOR Contractor Name Address %y/041-1' City State Zip Contact Phone Fax License # Expiration Date Verified ❑ Yes ❑ No PLUMBING CONTRACTOR Contractor Name C, A../65-10- Address ✓E570Address City State Zip Contact Phone Fax License # Expiration Date Verified ❑ Yes D No !PLUMBING FIXTURE COUNT �I Zk i�5 - mO D£L 9,5() SSC_ SER. C)7 3 8`f Water Closets Sinks Urinals Lawn Sprinklers/ 1/2-- Bathtubs Dish Washers Drinking Fountains rr , Showers Electric Water Heaters 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 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 Qom. "�^�-�� Date: • 3