96-102699 .CITY OF FEDERAL WAY PERMIT NO: BLD96-0340
33530 F i rs t Way South I "°.,fol!.,.,P , IL,DrlrA4t9' P,EI!`. if N.,. '" ISSUED: 08/14/96
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 02/10/97
ADDRESS: 34525 16TH AVE S 9b-1602695
NO. : 889700-0060
PROJECT DESCRIPTION:PLUMBING - (1) IAV, (2) SINKS, (1) DISHWASHER, (3) DRAINS,
& 50' GAS PIPING
r='OWNER — __ -_--•----_ _------------ 020202 T- CONTRACTOR ==__=---------- -• LENDER
• .. '{
TIMEOUT TAVERN INN i J & K PLUMBING INC 1
34525 16TH AVE S 1710 S 341S1 PL 10-20
FEDERAL WAY WA 98003 , FEDERAL WAY WA 98003 (
ff
Alli38-0086 I 838-1865 (
JKPLUI*159RD 1
u: CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE = 8.2% ***
BLD?: MEC?: PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN 'BC 1 FEES:
TYPE OF WORK:ALT USE:COM 1ST.: 0: O:sf STORIES • 0 REQUIRED PARKING..: 0 SPRINKLERS' •' 1 PLM PRMT ISSUANCE.. $ 20.00
CENSUS CATEGORY •800 2ND.: 0: O:sf HEIGHT • 0.00 ft HAZARD CLASS •' PLUMBING FIXT....93 $ 56.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm 1
:? :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 0.00 ft 1
TYPE OF CONSTRUCTION BSMT: 0: O:sf PROP...$: 0 SIDE • 0.00 ft WATER SERVICE..:? 1
:? :? :? :? DECK: 0: O:sf REAR • 0.O0:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:08/14/96 1
: 0: 0: 0: 0: TOIL: 0: O:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
_.. -_..____.____.___.._________-.____•- a ____._.._.__.. ______. • .-4
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 1 TOTAL FEES $ 76.00
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 0 1
ElN<100K..: 0 DUCT WORK 0 3-15 HP • 0 SHOWERS • 0 SUMPS • 0 I
He • 0 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 1 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 2 DRAINS • 3 1
BBQ • 0 MISC • 0 5+ HP • 0 DISH WASHERS • 1 LAWN SPRINKLERS: 0 6
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 1
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0 1
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 d
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAI THE INFORMATION FURNISHED BY NEE IS TR AND CORRECTsTO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS MILL BE NET.
OWNER OR AGENT � l - uL.� �� DAfE '/ 4/- :1
FILE COPY
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SETBACKS& FOOTINGS
Date By
.... . . ...................... ..
FOUNDATION WALLS
Date By
PLUMBING GROUNDWORK
Date yii(f srtt, Byj
UNDERFLOOR FRAMING
Date By
SHEAR WALLS
Date By
PLUMBING ROUGH-IN
Datej0 (� By��
fr
GAS (PING
Date By
MECHANICAL ROUGH-IN
Date By
MECHANICAL (OTHER).
Date By
FRAMING
Date By
INSULATION
Date By
GWB - 1ST LAYER
Date By
GWB - 2ND LAYER
Date By
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL
Date By
BUILDING FINAL
Date/f 7/1'6,o By
OTHER
Date By
OTHER
Date By
CD0193
• City of Federal Way RECE�uED
:\rWet 4v ' APPLICATION FOR BUILDING PERMIT
G►Y
auoF toFeG DEPT.AY
PLEASE PRINT APPLICATION #: (16 ()34/0
SITE LOCATION Address 3 s- ;c,
Tenant (if known) Lot # Assessor's Tax #
C,1 T r./
Building Owner Name Address
City( J p/ L-64)/�� State U..) 'V Zip Phone jc --C"��
Nature of Work
APPLICANT
Name (F,M L)
I'L4 (17? f Alb . L N
Address
( 7/c � - /S— KL, - aC
City ( 4(.
^�J/ j State 0J 1�.1 .. Zip ��Q'�
ta
Conct Person Da Phone
(--e
6 - JQ C Other Phone Fax
LSG�.�4 C---l� �L1�G�'C t ( cam cc ��-40
BUILDING CONTRACTOR
Company Name
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified O Yes ❑ No
ARCHITECT
Name
Address
City State
Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492(Rev 4/93)
STRUCTURE Opting Use recd-- -.1.. r>, posed Use r,
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 S
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
Contra for Nam Address
1 ) K Kt O. vvn3r iv --1- 1\1Q_ /7 (o Sc, .- .54-/- -./2. • a."-- 0
City /- C-2--/ .. a--047c. f _ State (�43 , Zip G(3°•
Contact Cl hone Fax
License #jr, Pc 6, fJ' % 4.----c) �'j Expiration Date '/(9,7 Verified ❑ Yes ❑ No
PLUMBING FIXTURE COUNT
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers / Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories l Washing Machine Drains .5 Total Fixture Count
MECHANICAL UNIT COUNT MECHANICAL VALUATION 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 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 Cit ,including its officers and employees,upon the accuracy of the information supplied to the City as a part of this
application.
Owner/Agent:/AZIC{,( c 2ZZ4,� - Date: g ~l —2 g"