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97-103132 CITY OF FEDERAL WAY PERMIT NO: BLD97-0497 WayJEN.)1.::il!° il!,,,.DI !!rtµ, l .a! ; `:;;:i ''��l,i� �.;.il!�: .�`f- ISSUED: 09/11/97 33530 Fi rst South Federal Way, WA 98003 Building Inspection Request 2-S--.3-6-&-.1-7-4-1-ii-e—• .BY: FC2 253-661•-4000 946 - 73%6 EXPIRES: 03/10/98 ADDRESS:1901 S SEATAC MALL BLVD - N 0. : 762240-0025 PROJECT DESCRIPTION:REMOVE 30 GAL TANK INSTALL 120 GAL TANK F= OWNER -. ...... ______ _.._..._ _ CONTRACTOR _-----_-.__-___:: - --- : LENDER --- BON MARCHE OWNER IS CONTRACTOR 1901 S SEATAC MALL s FEDERAL WAY WA 98003 i 1 11,06-575-2379 ill*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.2% *** BLD?:X MEC?:? PLM?:? FLR--EXIST--PROP--- DWELLING UNITS: 0 ti COMP PLAN •CCF t FEES: TYPE OF WORK:TEN USE:COM 1ST.: 0: 0:sf STORIES • 0 ! REQUIRED PARKING..: 0 SPRINKLERS' •' - PLAN CHECK FEE $ 14.30 CENSUS CATEGORY •999 2ND.: 0: O:sf HEIGHT • 000 ft , HAZARD CLASS •' BUILDING PERMIT....* $ 22.00 OCCUPANCY GROUP 3RD.: 0: O:sf VALUATION REQUIRED SETBACKS FIRE FLOW . • 0 gpm PLCK-FIR comml only* $ 1.10 :? :? :? :? OTHR: 0: 0:sf EXIST..$: 0 I FRONT • 0.00 ft SBCC SURCHARGE * $ 4.50 TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 500 I SIDE • 0.00 ft WATER SERVICE..:? :? :? :? :? DECK: 0: 0:sf1 REAR • 0.00:ft SEWER SERVICE..:? OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:08/19/97 : 0: 0: 0: 0: TOIL: 0: O:sf 1 IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?' -44 T WUEL TYPES.:? ? FANS 0 BOILERS/COMPRESSORS I WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 41.90 AS PIPING.: 0 ft HOOD • 0 0-3 TON 0 1BATH TUBS • 0 DRINKING FOUNT.: 0 FURN<100K..: 0 DUCT WORK 0 3-15 TON • 0 s SHOWERS 0 SUMPS • 0 • GAS HWT • 0 WOOD STOVES...: 0 15-30 TON...: 0 d LAVATORIES 0 VAC BREAKERS...: 0 CONV BURNER: 0 FURN>100K • 0 30-50 TON...: 0 ! SINKS • 0 DRAINS • 0 BBQ • 0 MISC • 0 50+ TON • 0 = DISH WASHERS • 0 LAWN SPRINKLERS: 0 GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS I ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0 I ' RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 I LAUN WSHR OUTLTS...: 0 GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 ! E--- ...__... --- .. _ _ __.- =s. - - -- ' PERMITS EXP :! ':YS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL • D GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY HAT THE INFr •TION FURNISHED B : IS RUE AND CORRECT TO THE : OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. OWNER OR AGENT � _.•_- __� _ __ _ ___ DATE S ? 7 4 1 FILE COPY 11mi I-EN WYIIE RM.1. I lq,/: lit 1)91 04'4! ( ') MI I 1. 1 ,2.t. J. `,...otit It DU IL D I. NG P I: Ft 11 I t 1 ,,,, fit I). tr,' . I 1. 4 i' I C'', tIC't a t Wt".i .,1 i i 1 d i nq I n-pec t in Iotas r:t5114-4"--61.- -t". (, _ 731-11-/— 1 1'11,1 4 : 0-1/A )/(•W nA 1 66000 i 1101 1 131 VI) lit), -, .', A'",'•;11 002'• PPO,11 l'. ! 14.';,, 1? IPC 1,(41:RENOVE 30 GAL TANK INSIALL 120 Ght LARK r' OWNER ,...... , „:.,..:„., -,.trl, I,N..A, . . . 41-`,".T'1.3,',...,:r1.a.V‘.2 1 amp . ... ... . -,.. A. . .A„ ,.. AA,. . A 0 BOW 11111RCRE i 91111(R IS CONIPAUOR 1 1901 S AMC MAIL "I' 1 FEDERAL WAY WA 98001 1 1 411/ 1.6-575 2379 ''''''''''''''-'"'-''''''''''''' ''" '" SAILS TAX ie* MIMS MINI* IRE CITY Of FEDERAE Y. lAX WAIL : 8.2% *** tat CINIDta"°Rk4+4"'"ittj*l*#"*""M°‘ --- „,-- .0, —..,1„„„..---....,.......-..,—...„i --- Sr- r-' --."-4'--------"""*"*4b" - - elf! fotip PLAN 1 BlD?:X NEC?:? PLN?:? 1111--EXISI4R0P- , . ;,,i- , . .(Ci FfES* *40 0*sf -1-. - ....;,..-.... PEAR CHECK ILE S 14.30 t 22.00 CENSUS (-A 1 Noy 9• q9 ?Wb.: *ip 0:.sf gj Hr.,,, arnA,*it ti•O‘0.8%.k.,4--6:, 1`,‘!_''...,: ,,, i It I.tow • 0 9ps PIJ t 11P- C PO 1 0111 it , 1.10 1YPE or wou:lio ustos 1ST,: i,, . ; ' 2.' 9,102&*ArA : !iioy$ooto PARKT;,;: m,C,1,4, ;116:EL;.s:::;;:2 „, Imam pimil....* 4 - : ".1REQUIRE10,4 1 .„ ,-, ---‘,s ' 0aupANcf GRK1P-•- - -- Aktkyto!,,arF,4111.4 ;;1;i V , 1,---,AAAAA',-- 00, f t.A.,,, A . ) A .1 • A*HltiA4A:.*Ae4,V A E '' I-c '-'-,-,,, - - '4 -''' ' - .''' ' ' tfAILP SERVICE.,r) ' .'' ' ,,„,,,,c,, ,*, ii.„44, 1‘,V p;, ,..,f,--=‘,..-,,;SOO- ,r Ittlt.t......... n AO f ., TYPE of LONSTRUCT191.-- - ..spiuflp„ "V!..°111, 1. ',.q:,, ,,,,,,,-iw'i* , pfiNk„, 9k( sugolact.....# $ 4.50 I *2 `1' -1 .1 . 'kW* -,4,4-- vtr-rvigh, ' '.•‘‘‘‘; •s-0•-4'-'434•?'"IVA' -: • 0.00:ft SEWER SENVICE..:'. t,-- ,e*, --tr -s --,s4.,stit ' 1*). ' A 'f,t-, , 7 "Si Alpe,- 1 ArcOPANE LOAD --------- uni4p: Iir M.1'.! .t2 4•-:, ' 4NPIRV SURFACE: 0 sf SENSITIVE AREAS?.:? I : 0: 0: 0: 0: 1°11‘ liA-1ullt" l41 '''''° mat,*gw.vm .. .,,, ,.... . . . . . 1 - • ."..,46,4.11***4 oac=mAgp=a.w.J40#1,4,0062.4771#i.w,t4m...se,,,maaraasmaloAtrolvwx. ......, j 1 1 FUEL TYPES.:? ? FAN(' ..%:4i * Ef,,,r BOILERS/COMPRESSORS WATER (LOUIS 0 ORIRA1A : $ 41.90 1 19E01 FE1', 1jaPIPIKG.: 0 ft WOO!) • 0 0-3 TOR. • 0 BATH TUBS • 0 DRINKING FOON1.. C 1111,100K-: 0 DUCT WORK.....: 0 3'15 19N 9 SOONERS • 0 SUNK • 0 1 1 GAS 11111 • 0 WOOD SIOVES. * 0 15-30 TON. • 0 LAVATORIES 0 VAC BREAKERS ..: 0 1 CONV BURNER: 0 FURN>100K • 0 30-50 ION. • 0 SINKS • 0 DRAINS.........: 0 1 BBQ • 0 NIS( . 0 50f ION • 0 DISH WASHERS 0 LAWN SPRINKLERS: 0 1 1 GAS DRYER..: 0 AIR HANDLING UNITS FUEL. TANKS RE( WIR HEAIERS...: 0 OTHER FIXTURES.: 0 , 1 1 RANEE • 0 .:10,000 (FM: 0 ABOVE GROUND: 0 LAUN WS* MILTS...* 0 1 1 1 GAS 1065...: 3 ; 10,000 (FM: 0 UNDERGROUND.: 0 1 f At PERMITS MK-MO-1W KIER ISSUANCE IF NO WORE IS STARIED_ P:SIPENII AND gRAPINC PERMITS EXPIRE 01(1 INK ATTER MIL OF ISSMAWCF. I CERTIFYJOAT THE INT 110N IURNISNED ,,:fiit IS/TRUE AND OPRTII 10 INE DESJ Of MY KNOWLEDGE AND IRE APPEICAILE EIIY OF IIITRAL WAY RLQIIIPLIRNIS VIET DE 111.1. ..............e/ .... )...) OWNER OR AGENT \\,_. _ I f- GATE ( 7 Li FIELD COPY 1 SETBAOKS &FOOTIN�a�S Date By 2 FOUNDA N--...............•••••••••••.............;;.. Date By 3 PLUMBING GROUNDWOR3 ::::::,:;. Date By .. ................................................................................ .. . .................................................................................. ... ........................................................................................... 4 SLAB'INBEtATt « <:«<>`:>>` Date By .......................................... . .... ..... 5 FOOTING/DOWNSPOUT DRAINS Date By ................................................................................................ ............................................................................................... 6 ................................................................................................ ................................................................................................. Date By ................................................................................................ ................................................................................................. ................................................................................................ ................................................................................................. 7 H . _ EAR.__ALCM......................................_... . . ..... ................................................................................................. . .............................................................................................. Date By ................................................................................................. ................................................................................................ ................................................................................................. ............................................................................................... 8 PLUAi161NGRi?tJQH=1N< >:` > »> >>>>>< ..........................................................................................:...... Date By ................................................................................................ ................................................................................................ 9 ................................................................................................. ................................................................................................. Date By ................................................................................................. ................................................................................................. ................................................................................................. ................................................................................................. 10 MECtiAN[CALEiOURf -1FI > > > >> > ................................................................................................. ................................................................................................. ................................................................................................. Date By ................................................................................................. ................................................................................................. 11 Date By ................................................................................................. ................................................................................................ ................................................................................................. ................................................................................................ 1 2 Date By 13 GWB - 1ST LAYER Date By 14 GWB -'3ND LAYER Date By ................................................................................................. ................................................................................................. ................................................................................................. ................................................................................................. 15 SUSPI:NDED CElIaNO > > > > <> » .. ...................... ..................................................................... .......................... ..................................................................... Date By 16 PLANNING FINAL Date By 17 PUBL:IC'WORKS'FINAL Date By ....................... ......... .................................. ......................... 18 FIRE FI .:::::.. :.::.: Date �(� By ,) 1 9 BUILDING ................................................................................................ ................................................................................................. ................................................................................................ Date By ................................................................................................. ................................................................................................. ................................................................................................. 20 ................................................................................................ ................................................................................................. Date By • 111 CD0193(Rev 4/97) • al 6 -2010-2-V s-1 BUILDING DIVISION G / 33530 Fust Way South �� —FEY' ` ' Federal Way,WA 98003 Rec e,v E D Fax(206)66(206) 1-4129c APPLICATION FOR- UILDING PERMIT ''t a euti.-%) y� C ,, PLEASE PR/NT APPLICATION# i1 q-7� o < 97_ ,„,:::::::::::::::::::,,,:,:„,::::::::::,:::::::::::::::::::,:,:,:,,,:,,,„„„,,,,,,,,,,,,,,,,,,,,,,,,,,,,.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,- 'A Tenant(if known) -T--1%SSP vim. `� kfc.Jae Lot# Assessor's Tax# Building Owner's Name Address k ki\--`e) 40 k&., VVA4(3L_VY,C1\16- 14 n ( H.-V. ‘ 6.,cL.4-ext_ IAA r-(( ( City G-e..„/, c v9t;& (�lJ.State f.v 64 Zip on 3 1Phone �j 7 x'3'79, Nature of Work a..2v� gy / p Get 7�- ,�k 1\,,g-tai I (,ao Cic&( -r-u k Name (F,M,L) - j q ( 7) i ' -� v„'") Address ppu- City k , . , , (G_ State (( ) - MP 9 l� I L1 g iContact Person I Day Phone _ Other Phone F Company Name Address City State Zip Contact Person Phone Fax Contractor's #(card must be presented) Expiration Date Verified 0 Yes 0 No A`::>:<::::t EC<::> ?<?> ":>[[[> >> > > >>< " [>> <?[[[[»> Name Address -- City Staaa Zip Contact Person Phone Fax Fax LEGAL DESCRIPTION Please Complete Reverse Side . lstin f Use U _ � 1 T �! i 'ro osed Use 9 ! Permit includes: ' Building 'X Plumbing it Mechanical 0 Other Type of Work: 0 Residential 0 New XI Remodel 0 Number of Units_ 0 Deck 13f Commercial 0 Addition 0 Garage 0 Shed 0 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 „lits ft Water Availability ❑ Sewer Availability 0 On-Site Septic System Availability 0 Project Valuation $ 6d' Zoning I Lot Size Existing Bldg Valuation $ Name Address City State Zip MEOHANICALAWNTRACTORNME Contractor Name Address City State Zip Contact Phone Fax License # Expiration Date Verified ❑ Yes 0 No Contractor Name A)d4ess t / City State Zip Contact Phone Fax License # Expiration Date Verified 0 Yes ❑ No PLOIVIBINGIIXTUREWUNTMEMEM Water Closets Sinks Urinals Lawn Sprinklers Bathtubs Dish Washers Drinking Fountains Other Showers Electric Water Heaters Sumps .............................................................. ............................................................... ............................................................... Lavatories Washing Machine Drains 7ntaEFixti3rii':Goiirit>a...,-,.,---.--.•-•••••••••,: : I N1CA.L.MIVIT.teU111'1'... ............... MECHANICAL EVALUATION ONLY $ 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 rittOmtxnt......:...zj;:;:::::::ia., 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. ri... t Ci Owner/Agent:_ _ — ,L Date: REV6EO 12/11/98