94-102116 L. 4'
9y,IOa/If
CITY OF FEDERAL WAY BUILDING P PERMIT NO:
161/03/4450
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: JTH
661-4000 EXPIRES: 05/02/95
ADDRESS:3OO4 SW 342ND ST
NO_ : 294451-0010
PROJECT DESCRIPTION:PLUMBING
GROUSEPOINTE, DIV II, LOT II.
OWNER7
- CONTRACTOR - LENDER
CHAFFEY CORPORATION CHAFFEY CORPORATION
BOX 560 PO BOX 560
KIRKLAND WA 98034 KIRKLAND WA 98083
f
531-0906 206-822-5981
CHAFFC#150NG
I
BLD?: NEC?: PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN -SR FEES:
TYPE OF WORK:ALT USE:RES 1ST.: 0: 0:sf STORIES • 0 REQUIRED PARKING..: 0 SPRINKLERS" ., PLN PRMT ISSUANCE.. $ 20.00
CENSUS CATEGORY •800 2ND.: 0: 0:sf HEIGHT . 0.00 ft HAZARD CLASS -9 PLUMBING FIXT....93* $ 91.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW 0 gps
:? :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 0.00 ft
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 0 SIDE • 0.00 ft WATER SERVICE..:?
:? :? :? :? DECK: 0: 0:sf REAR • 0.00:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:11/03/94
0: 0: 0: 0: TOTL: 0: 0:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 2 URINALS - 0 TOTAL FEES $ 111.00
GAS PIPING.: 0 ft HOOD • 0 0-3 HP - 0 BATH TUBS • 3 DRINKING FOUNT.: 0
FURN<100K..: 0 DUCT WORK - 0 3-15 HP • 0 SHOWERS - 1 SUMPS • 0
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP . 0 LAVATORIES • 4 VAC BREAKERS...: 0
CONY BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 1 DRAINS • 0
BBQ • 0 MISC . 0 5+ HP • 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...: 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 TH FORMATION UR ED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT /
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• •
SETBACKS & FOOTINGS
Date By
FOUNDATION WALLS
Date By
PLUMBING:GROUNDWORK
Date By
UNDERFLOOR FRAMING
Date By
SHEAR WALLS
Date By
PLUMBING ROUGH-IN
-Date /-76)--5',5 By
GAS PIPING
Date By
MECHANICAL ROUGH-IN
Date By
MECHANICAL(OTHER)
......................................
.....................................
Date By
FRAMING
Date By
INSULATION
Date By
GWB- 1ST LAYER
Date By
GWB - 2ND LAYER
Date By
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
ENGINEERING;zFINAL
Date By
..................................... ......
FIRE FINAL
Date By
BUILDING FINAL
Date By
OTHER
Date By
OTHER
Date By
CD01 93
LiX9pkVED
• City of Federal Way NOV 0 31994
APPLICATION FOR BUILDING PERMIT
CITY OF D450
PLEASE PRINT ?IQ ,A )6, IIG{),. ?2/A37ZAPPLIcATION#:
SITI;LOCATIONAddress -z,C;014 >L13 (-l2 " `.>T /i'r a 1 I,_)41,/
Tenant (if known) Lot # / Assessor's 4ax * 1 D6/0
aey��1
Building Owner Name Address
City State Zip Phone
Nature of Work
APPLICANT
Name IF,M,L)
Address
City State Zip
Contact Person Day Phone Other Phone Fax
BUILDING CONTRACTOR
Company Name ^ �� '
--- ,- C "? :moic‘��
Address
_ City \4- \ ��—Y.,rC\�3� State u.DAT Zip '! C3( /
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified 0 Yes 0 No
ARCHI'T'ECT
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492(Rev 4/93)
•
S$UCTURE sting Use 'roposed Use
Permit includes: ❑ Building ❑ Plumbing ❑ Mechanical ❑ Other
,,Type of Work: ❑ Residential 0 New ❑ Remodel ❑ Number of Units_ ❑ Deck
0 Commercial ❑ Addition 0 Garage ❑ Shed ❑ Other
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 eq ft Proposed Total Area sq ft
Water Availability ❑ Sewer Availability ❑ On-Site Septic System Availability ❑ Project Valuation $
Zoning Lot Size Existing Bldg Valuation $
LENDER .:::::::::::::iii.
Name
Address
City State Zip
MECHANICAL CONTRACTOR
Contractor Name Address
City
State Zip
Contact Phone Fax
License if Expiration Date Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name ` C..c. Address
City 1 V---:\ -A rt State
Contact
y--�1 i\r,., )
n.�- \ Phone
c /_,(_„/4._0) .--,--z_ Fax:„. 37—E390(_,
License if Expiration Date Verified ❑ Yes ❑ No
PLUMBING FI,XTURE COUNT
Water Closets �j Sinks Urinals Lawn Sprinklers
Bathtubs 7- Dish Washers Drinking Fountains Other
Showers / Electric Water Heaters ,, Sumps
Lavatories LJ Washing Machine Drains Total Fixture Count I A
MECHANICAL 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 Total Unit Count
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 parson,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: (i0,1vi A� �Gvlr ' r`- C/'4t/"t 1.Y:1_pLIO ,Il/r'`—oats: ( '(l v( 1