92-102011 CITY CF FEDERAL WAY BUILDING PERMITPERMIT NO.:a BLD92o--I 431
23E30 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 12/14/9'11.
Federal Way, WA 98003 BY: JJ
661-4000
SITE ADDRESS: 29929 4TH AVE SW
PARCEL NO.: 720500-0060
PROJECT DESCRIPTION: INSTALL WINDOWS
- OWNER — CONTRACTOR LENDER
DON WEILAND PROFESSIONAL GLAZING
29929 4TH AVE SW 15407 - 264TH ST E
FEDERAL WAY WA 98023 GRAHAM WA
8807 846-1318 893-5595
PROFEG*110LK
BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN •? FEES:
TYPE OF WORK:ALT USE:RES 1ST.: 0: 0:sf STORIES • 0 REQUIRED PARKING..: 0 SPRINKLERS? •? FINAL PLAN CHECK...* $ 16.25
CENSUS CATEGORY -434 2ND.: 0: 0:sf HEIGHT • 0.00 ft HAZARD CLASS •? BUILDING PERMIT....* $ 25.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm SBCC SURCHARGE * $ 4.50
:R3 :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 0.00 ft
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 1000 SIDE • 0.00 ft WATER SERVICE..:?
:5N :? :? :? DECK: 0: 0:sf REAR • 0400:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:11/12/92
. 0: 0: 0: 0: TOTL: 0: 0:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 45.75
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
RANGE • 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0
OGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 . ILL
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE •-'IS •NCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL`BE MET.
, A IV* 1111161 i.aw
OWNER OR AGENT'.
,u DATE / ' i
bld_prmt 10/23/92 �+� i-s=1-7-3--
`�(,
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y
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. ....._ DATE _..... — BY
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE/2 J.2- 9----BY -. . DATE ... —..... BY DATE — BY .._
FINAL O.K. TO OCCUPY
DCD PSD FD
DATE_..... -_..__--._. BY
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Permit b 2` ZLf 3 )
,
NOV 12 1992 CITY OF FEDERAL WAY
Orly D�ia. ' ; BUILDING PERMIT APPLICATION
BUILDING DEPT: — Please Print—
BOX 1 TENANT NAME:
OWNER m(4 t HC'*t V1/E.IL-A SITE LOCATION -:)'P7&9 `7"." 4v4 S V•>
OWNER'S ADDRESS 02993'I Y1'4vz £,J CITY /Eq Oki PHONE 7 .r• 8847
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME Pg_01655►0Q4 I Glei-z't J CONTRACTOR'S REG. #
Card MUST be presented
CONTRACTOR'S ADDRESS /S"O7 aby''' STC CITY Gna+aram i IAJA PHONE $"Li c- l,3 IF
EXPIRATION DATE
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
30X 3 CONTACT PERSON -3064n0,vr►c't - PHONE S,`5- 43y3—
BOX 4 SEWER DISTRICT WATER DISTRICT BOX S ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
30X 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.) - - . ..
K.C. Plat Recording # -
BOX 7 BUILDING SQUARE FOOTAGE:. (Existing/Proposed) 1ST• FLOOR AJ j / 2ND FLOOR .A)/4 /. - -
3RD - FLOOR 4•f I BASEMENT .-1d- / - - DECK �J1i / GARAGE A)//r 7 -
BOX 8 ( SINGLE FAMILY ( ) NEW CONSTRUCTION
( MULTIFAMILY(NO. OF UNITS = ) ) EXISTING STRUCTURE __ _ _ __
( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES(including roug -ins) . - ..... .. . MECHANICAL APPLIANCES— BASIC FEE$------ -.
NO. - WATERCLOSETS GAS PIPING, FEET
BATHTUBS NO. FURNACE, ELEC. GAS ' $
SHOWERS - — GAS HOT WATER HEATER-.. / - •--- $—"--
LAVATORIES - - - . . - CONVERtON BURNER - --, -- __ $_— -
SINKS BOILER, SIZE BfU $
DISHWASH RS — AIR HANDLING UNI .---- $------ --
ELECTRIC HOT WATER HEATER —-- ---- -- . HEAT PUMPS,SIZE
LAUNDRY WASHER OUTLET _ _ UNIT HEATERS $
_ URINALS — — AIR COOLING UNITS, SIZE - - —
DRINKING FOUNTAINS $
- COMMERCIAL HOOD $
/ SUMPSSPRINKLER VACUUM BREAKERS OTHER
$
/ DRAINS ---_ -- ---- . .
-- - -/ OTHER - -- $ - -- -- --
TOTAL FIXTURES -- - $
J • TOTAL MECHANICAL FEE $
CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
;ND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
!,ADE.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
-EES 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
)FFICERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
)WNER/AGENT: c4ZL1 17 X4- 71-,--, DATE: ///Z-9
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