94-101895 9 "01 sg'
CITY
3353O0FirstF EWay South RAL WAY BUILDING P ERIVI I T PER ISSUED:MIT NO: 110/17/9460
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 04/15/95
ADDRESS:2132 SW 336TH ST
NO. : 132103-9097
PROJECT DESCRIPTION:TI - INTERIOR PARTITION WALL CONSTRUCTION AND WASHER, DRYER UNIT INSTALLATION
OWNER4
-- CONTRACTOR -- LENDER
EVERGREEN PHYSICAL THERAPY KREHBIEL CONSTRUCTION CO. INC.
2132 SW 336TH ST. 12403 132ND AVE E.
FEDERAL WAY WA 98023 PUYALLUP NA 98374
927-1798 770-0458
KREHBCCI42CS
BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN ./ FEES:
TYPE OF WORK:NEW USE:COM 1ST.: 0: 1000:sf STORIES - 0 REQUIRED PARKING..: 0 SPRINKLERS/ .1 PLAN CHECK DEPOSIT.* $ 70.20
CENSUS CATEGORY •437 2ND.: 0: 0:sf HEIGHT • 0.00 ft HAZARD CLASS 0 BUILDING PERMIT....* $ 216.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gps PLCK-FIR coal only* $ 5.40
:B2 :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT . 0.00 ft SBCC SURCHARGE * $ 4.50
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 8822 SIDE . 0.00 ft WATER SERVICE..:? PLUMBING FIXT....93* $ 7.00
:5N :? :? :? DECK: 0: 0:sf REAR • 0.00:ft SEWER SERVICE..:? MEC APPLIANCE FEES.* $ 15.50
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:09/29/94
20: 0: 0: 0: TOTL: 0: 1000:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.:? ? FANS • 2 BOILERS/COMPRESSORS WATER CLOSETS - 0 URINALS - 0 TOTAL FEES $ 318.60
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..: 1 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 1
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 INFORM TION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OFGGFERERAL WAY REQUIREMENTS WILL BE MET.
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City of Federal Way •
cr._
irFit RE POLE TION FOR BUILDING PERMIT
SEP 2 91994
PLEASE PRINT CITY OF FEDERAL WAY E -011 0 760
J[ WEPT
APPLICATION#.
SITE LOCATION Address
Tenant (ifknown) Lot # Assessor's Tax #
Sze, L)A,.itrcc/ Eve/?reetv%y. FA-°‘4,44.7
Building Owner Name Address
gum S 'be/1Z_
City State (,,Ue( Zip
?PO 3 Phone 66 -.7z7_ r'7 ,.
Nature of Work il=} (�, pr,J i Par4.`)et 6J5' T2' D ,,, ,' j / Or' -er. d
................................
APPLICANT
Name (F,M,L)
S'e Q 1-3-- _ (0
Address —
X City
State Zip
Contact Person Day Phone Other Phone Fax
alt0ING CONTRACTOR
Company jJame,
Address
,. .y03 - 1 '32 AJ -e L
City /Pt qi /(� State L{ Zip
� 5F326/
Contact Person `
/1 e--e 6 /� Phone Fax
(�� C1 r y l tom{ c.‘.c 77Q e�is l'CIS-05(lt(,,
Con ractor's # (card must be presented) Expiration Date Verified .Yes ❑ No
ec i1L3cc 'tie c5 7—/3._ r5
ARCHITECT .::::
Name
Address
City
State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
ECEIVED
3FP 2 Q 1994
CRY OF FEDERAL WAY
Please Complete Reverse Side BUILDING DEPT.
C00492(Rev 4/93)
SI UCTU� , Ex* Use P1sed Use
Permit includes: � wilding Plumbing 13] Mechanical ❑ Other
Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck
\ ❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Enter 1st Floor(CCO 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 $ ? 4 X
Zoning Lot Size •Exiatlig Bldg•Yefustion $
....................................................................... ............
................ .....................................................................
.........................................
Name Address
City State Zip
—
MECHANICAL O ACTO .
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR O::;. .
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE•COUNT
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine !j Drains Total Fixture Count
MECHANJCAL UNIT COUNT :
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 TotalNo•
.
Cour+.t
•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 City,including its officers and employees,upon the accuracy of the information supplied to the City as a part of this
application.
Owner/Agent: d 44A Date: 7' f
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