92-102136 CITY OF FEDERAL WAY BUILDING9)- )6 �/3 4,
PERMIT PERMIT NO.. LD92 2501
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 12/18/92
Federal Way, WA 98003 BY: JJ
661-4000
SITE ADDRESS: 31226 2ND AVE SW
PARCEL NO.: 5557800270
PROJECT DESCRIPTION: SHED o PLACE PRE—MANUFACTURED SHED ON PROPERTY
OWNER — CONTRACTOR — LENDER
PAUL WERESCH HEARTLAND INDUSTRIES INC
312226 - 2ND AVE SW 14950 GREYHOUND CT
FEDERAL WAY WA 98023 CARMEL IN 46032
4072 931-8082
HEARTII101KJ
BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN •SR FEES:
TYPE OF WORK:ACC USE:RES 1ST.: 0: 0:sf STORIES • 0 REQUIRED PARKING..• 2 SPRINKLERS' •7 FINAL PLAN CHECK...* S 25.35
CENSUS CATEGORY -328 2ND.: 0: 0:sf HEIGHT • 0.00 ft HAZARD CLASS...:? BUILDING PERMIT....* $ 39.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm SBCC SURCHARGE * S 4.50
:? :? :? :? OTHR: 0: 192:sf EXIST..$: 0 FRONT • 20.00 ft PUB WORKS-PLAN CHECK $ 0.00
TYPE OF CONSTRUCTION BSMT: 0: O:sf PROP. .S: 1635 SIDE 5.00 ft WATER SERVICE..:FED PUB WORKS-PLAN CHECK S 35.00
:? :? :? :? DECK: 0: O:sf REAR • 5.00:ft SEWER SERVICE..:FED
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:12/02/92
. 0: 0: 0: 0: TOTL: 0: 192:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 103.85
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...: 0
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 :f,, , ,
RANGE • 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0 ° ' i
OGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
� .4 , �
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISS NCE.
I CERTIFY THAT THE INFORMATION D 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 - / �i--v- ? e DATE y/l
bld_prmt 10/23/92y-"� ^�v
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, 1992 CITY OF FEDERAL WAY
EC - BUILDING PERMIT APPLICATION
art OF FaERAL WA — Please Print—
BOX 1 TENANT NAME:
OWNER ''' ,,-.-.4-,--4 .. l-f.1f f --2-07, SITE LOCATION J/ 2 4 • ' - z' r '+1
OWNER'S ADDRESS 3/Z26 2—d,0✓_. . « CITY /;: ;c-,1(-----:;;?..:;c-,,'4 ‘--4z7 PHONE /6722-
DESCRIBE JOB C/Tice 7- �'i-"- Q2-' X/629
THE PROPERTY IS OWNED BY: SINGLE/MARRIED ,d,;e/f) PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME 7A '/ ' _') 4/,.2- 'S,-A". J /4/C . CONTRACTOR'S REG. # J22 7X
Card MUST be p sented
CONTRACTOR'S ADDRESS A: 2` -�/ /;f/.//o<t ,
.e ? .CITli.
c' Y �'.iz r,_.1
/11--'- PHONE 3/ - .S"4T
EXPIRATION DATE 67 O//�
- OR - -
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON ¢21(' t-cd-ress(-x PHONE 715--4)/2/Mi.(1072_
BOX 4 SEWER DISTRICT .>.',. .c-4o;,/ WATER DISTRICT /.1>,-:4-- "• Ze4,1../ •
BOX 5 ESTIMATED PROJECT COST , / 6?fi"--- `-' EXISTING BUILDING VALUATION /(6-,-(7i-
BOX
Vi /iBOX 6 PROPERTY TAX ACCOUNT NUMBER 5515- "- CI --- 02 /0
LEGAL DESCRIPTION 47rxi t' 4/1/--`f *t'fr4'iyr5 !-'f— 2 7
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # C'
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) / /42L 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE
BOX 8 (�) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9'.PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES - BASIC FEE $
NO,. WATERCLOSETS GAS PIPING, FEET _ $
N,NNBATHTUBS NO. FURNACE, ELEC. GAS $
SHOWERS \ GAS HOT WATER HEATER $
LAVATORIES l \CONVERSION BURNER fvl $
SINKS i BOILER, SIZE BTU $
DISHWASHERS _AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS _ AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLERVA UUM BREAKERS _OTHER .� $
DRAINS $
OTHER _ $
TOTAL FIXTURES \ $
TOTAL MECHANICAL FEE S
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 EMPLOYE , P THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: "fie' _ LGf � DATE: , C' 2 , / `L'
2-171
4,16
r SITOLAN APPROVAL
Permit Number. &J) '42- - -231)/
Approved By: -.....Z.4.,,,......____
Date: 1R/q-2_,
Comments:
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