99-104651 99—to 9 6,)
CITY OF FEDERAL WAY 'A PERMIT NO: BLD99-0729
33530 First Way South ::°; N,...,N: : N,.,, 1",;,r," , ht!�;:::;I P .:.:H,,M:I.. ,.�.. ISSUED: 12/07/99
Federal Way, WA 98003 Building Inspection Requests 250-661-4140 BY: FC
258-661-4000 EXPIRES: 06/04/00
ADDRESS: 34525 16TH AVE S
NO. : 889700-0060
PROJECT DESCRIPTION:PLUMBING ONLY - INSTALLING 2 FLOOR SINKS AND 1 DJW IN BAR AREA
— OWNER ----•--- .. ---_,-= CONTRACTOR _ _ ----- -- F LENDER --- ==
I TIMEOUT TAVERN INN - 3 & K PLUMBING INC
34525 16TH AVE S - 1710 S 341ST PL #B-20
FEDERAL WAY WA 98003 FEDERAL WAY WA 96003
11118-0086 i 838-1865
eI JKPLUI*159RD
*** CONTRACTORS, PLEASE USE LOCATIONSAEIMVEMPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.6% ***
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BLD?: MEC?: PLM?:X FLR=°EXIST--PRITP--- UELLIAG ,.. ;„COMP PLAN •BC ' FEES:
TYPE OF WORK:? USE:COM 1ST. ,� f, v :- _: HEQUIRED PARKING..: 0 SPRINKLERS' •' { PLUMB PRMT ISSUANCE $ 20.00
CENSUS CATEGORY •800 2ND.- 0.:‘,. 0 sf,,s IGHT.: , . " -' i HAZARD CLASS...:? ? PLUMBING FIXT $ 21.00
OCCUPANCY GROUP 3RD.: 0.
tI .UATUON- ------- REOIIIRD BACKS -- : 'w
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TYPE OF CONSTRUCTION BSIIT
C. C.,: OP .3, C .�E ... ,., ' WATER •?
DECK. 0: u._,' REAR • 0.00:4SEWER SERVICE..:'
OCCUPANT LOAD GAR.: 0: 0:5T RECEIVED.:12/07/99
0: 0: 0: 0: TOIL: 0: O:sf IMPERV SURFACE: ,0 sf SENSITIVE AREAS?.:? -
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 41.00
S PIPING.: 0 ft HOOD • 0 0-3 TON • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
RN<100K..: 0 DUCT WORK • 0 3-15 TON • 0 SHOWERS • 0 SUMPS • 0
GAS HWT • 0 WOOD STOVES...: 0 15-30 TON...: 0 LAVATORIES • 0 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 TON...: 0 SINKS • 2 DRAINS • 0
BBQ • 0 MISC • 0 50+ TON • 0 DISH WASHERS • 1 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
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
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 TRU AND CORREC TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
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2
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3 Pl:U1ING GROUNDWORK
Date/2_ 6- `7 S BY,
4
Date By •
5 FOO /D.Q111FNt IJ'F iRMNS
Date By
6 •UNDEHI=LiOR TRAINING
Date By
7 SHEAR WALLS
Date By
8 PIUMg1NG ROUGH-IN
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Date By
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9
Date By
10
Date By
11
Date By
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Date By
13
Date By
14
Date By
15 &USPFNDED CEILINfai
Date By
16 PLANNING
Date By
17 PUBLIC WQFIKS RINNFL > ...
Date By
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Date By
19 BUILDING SINAL:::
Date /2-/5----71 BY
Date JZ / 3- 4'lJ- By /'1,/f a::
CD0193(Rev 4/97)
BUILDING DIVISION
c7rYOr r-
\)\) 'D 33530 First Way South
Federal Way,WA 98003
(253)661-4000
UEC 0 71999 Fax(253)661-4129
C:Cf BAOF FEDERAL Y
UILDINGS DEPT
APPLICATION FOR BUILDING PERMIT
PLEASE PR/NT.... ' V 2(
APPLICATION # ftDCc4
:. .
....: 'lbtAtiON::,:; > » : : > eg
aSite address
Tenant name Lot # Assessor's Tax #
T'!!'�« ( 3c. , fl u`-�'
wilding Owner's Nava Address, _
4-
/G 7-4- ve-
City L rz L C --'9 State
LG ti Zip Phone S �C)C73 4
Description of Work 42y4 < �N 75 /I — WTI COO_
_
Name (F,M,L)
Address
City
State Zip
Contact Person Day Phone Other Phone Fax
guituiqatoNTRAT.CIR.,,. Federal Way Business License #
Company Name .
k rL Q Y? -• /AJ L )Lrc
Address T
_ 1 7r'n •/• � � 5 (L. ,
City State fgJ A Zip C CL
111 Contact Person one ax
extractor's # (card must be resent / Expiration Date Verified ❑ Yes ❑ No
;al�cH�I�cT
Name
Address
City
State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
(11(1,1°
C
;STRUGTUR xisting Use //Proposed Use
Permit includes: ❑ Building ❑ Plumbing ❑ Mechanical ❑ Other
Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ # of bedrooms ❑ Deck I
❑ Commercial ❑ Addition ❑ Repair ❑ Garage ❑ Shed
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 11 On-Site Septic System Availability ❑ Project Valuation S J
Zoning I Lot Size Existing Bldg Valuation S
.:>zs::
LE
... ... • .... .. .................. For new residential only - Proposed selling cost: $
Name Address
City State Zip
M:<LCl::>>4`>::C�_:: z.::::."::iNIO .::``::;>:>�4::
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes 0 No
ADM [IVIG..Ct)NTMCTt}R:... .. .... ...........
Contractor Name Address
i�C ty State Zip
IContact Phone Fax
m
License # Expiration Date Verified ❑ Yes ❑ No ,
PLUMBING FIXTURE.COUNT r\-
Water Closets Sinks .. Urinals Lawn Sprinklers
i Bathtubs Dish Washers / Drinking Fountains '2' Other
�
/1 Showers Electric Water Heaters Sumps \ ..
Lavatories Washing Machine Drains Total Fixture Count r4 ,
ECFEANIC#ft"a3.NtT:> LINE> >«E :::<<s:> MECHANICAL EVALUATION ONLY $
Fuel Type (gas/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 Totel:Unrt:Coaint .. ..
DISCLAIMER: I certify under penalty of perjury that the information famished 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: �u �V /' ,_.4.1�� Date: /02 ��
nuum.a.n�
RE,SCO 5110190