92-101204 `CITY OF FEDERAL WAY BUILDING PERMIT PERMIT NO.: BLD92—203.9
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 08/11/92
Federal Way, WA 98003 BY: AJ
661-4000
SITE ADDRESS: 32916 4TH AVE SW
PARCEL NO.: 926491-0510
PROJECT DESCRIPTION: MECHANICAL
— OWNER — CONTRACTOR - LENDER
KIM CHUNG ENVIRONMENTAL DESIGN, INC.
32916 4TH AVE. SW 25328 SE 200TH ST.
FEDERAL WAY WA 98023 MAPLE VALLEY WA 98038
661-1816 432-4247
ENVIRDI098K1
1
—11, MEC?:X PLM?: FLR--EXIST PROP DWELLING UNITS: 0 COMP PLAN .7 FEES:
TYPE OF WORK:? USE:? 1ST.: 0: O:sf STORIES • 0 REQUIRED PARKING..: 0 SPRINKLERS? •7 MEC PRMT ISSUANCE... $ 20.00
CENSUS CATEGORY •7 2ND.: 0: O:sf HEIGHT • 0.00 ft HAZARD CLASS .7 MEC APPLIANCE FEES.* $ 8.50
OCCUPANCY GROUP 3RD.: 0: O:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm
:? :? :? :? OTHR: 0: O:sf EXIST..$: 0 FRONT • 0.00 ft
TYPE OF CONSTRUCTION BSMT: 0: O:sf PROP...$: 0 SIDE • 0.00 ft WATER SERVICE..:?
:? :? :? :? DECK: 0: O:sf REAR • O.00:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:08/07/92
. 0: 0: 0: 0: TOTL: 0: O:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 28.50
GAS PIPING.: 99 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 • 1 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
RANGE • 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
ARMITS EXPIRE 1S DAYS AFTER ISSUANCE IF NO WORK IS START ►': RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
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I CERTIFY THAT THE FORMATION FURNISHED BY ME IS RUE ; D ••RECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
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OWNER OR AGENT f �� — _ ,
�G V DATE l'S------� /7 -
bld_prmt 07/31/92
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SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE............. —__._ BY __ DATE .... BY DATE ...__.....BY .....--
PLUMBING ROUGH IN WATER LINE O.K. MECHANICAL INSPECTION
DATE ._— —_BY ——_..... GAS PIPING O.K. S1'2 c/—RL A.,) DATE _,J'''i._ci_92- .....__BY .J�J
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE_._._ BY DATE BY __...._ DATE BY
FINAL O.K. TO OCCUPY
C5- 2 DCD PSD FD
DATE___ (5`-2`/-92- BY_ _... —
• AO 9
RECEIVED BY
�ermit # r � � �"��I
COMMUNITY DEVELOPMENT DEPARTMENT
• ;. , CITY OF FEDERAL WAY
1�Y a�6 - 6 1992-BUILDING PERMIT APPLICATION
A lacy 0 7 1992 - Please Print—WAY 1' '
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•
OWNER a // .. A SITE LOCATION L c1J1/
OWNER'S ADDRESS 3 2 / 44 t4-. ,31t)CITY 2 PHONE . .A. -
DESCRIBE JOB /iJ5 74/1 (-SM
THE PROPERTY IS OWNED BY: SINGLE/MARRIED ✓ PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME / /Iii/`/?/ AI A7y L_ 1;1,7-</l /i�&CONTRACTOR'S REG. #CM/Al in 9�. i
Card MUST be presented
CONTRACTOR'S ADDRESS �' 2 _ Z- CITY/29A .0 lf/-1[LC I HONE 48.E - 4124/7
EXPIRATION DATE '<-4 - / / - 3
— 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 C. PHONE '-L32 - 4-/2L/7
BOX 4 SEWER DISTRICT _ WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
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BOX 6 PROPERTY TAX ACCOUNT NUMBER Z(L'7- r) / - 05/0
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LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( .SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) (:-j 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 $
BATHTUBS NO. FURNACE, ELEC. GAS $
SHOWERS I GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER $
SINKS 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, SPRINKLER VACUUM BREAKERS OTHER_ $
DRAINS $
OTHER _ $
TOTAL FIXTURES $
TOTAL MECHANICAL FEE $
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 INV TIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
AND FILED AGAINS H.CITY OF FEDERAL WAY, :UT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND PLO ES, UPON THE A U' CY OF THE INFORMATION SUPPLIED TO THE CITY ASI,AA PART OF THIS APPLICATION.
OWNER/AGEN • %g'• Ls G �� DATE: 1 • %2
ANP-008 3,90
• • .
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS:
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY _ TYPE OF CONSTRUCTION STORES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION
BUILDING DEPARTMENT REMARKS: PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS:
. PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt#
BUILDING DEPARTMENT APPROVAL
RECEIVED BY DATE ACCEPTED FOR FILING