94-102121 qy-16D-1 /
s
CITY
F FEDERAL WAY
MIT NO:
335300Firstt Way South BUILDING P PER ISSUED: 111/03/9448
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: JTH
661-4000 EXPIRES: 05/02/95
ADDRESS:3013 SW 342ND ST
NO. : 294451-0290
PROJECT DESCRIPTION:PLUMBING ONLY.
GROUSEPOINTE II, LOT 129.
OWNERil
-- CONTRACTOR -- LENDER
CHAFFEY CORPORATION CHAFFEY CORPORATION
P.O. BOX 560 PO BOX 560
KIRKLAND WA 98054 KIRKLAND NA 98083
464-0152 206-822-5981
CHAFFCx154NG
BLD?: NEC?: PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN •SR FEES:
TYPE OF WORK:? USE:? 1ST.: 0: 0:sf STORIES • 0 REQUIRED PARKING..: 0 SPRINKLERS/ •? PLM PRMT ISSUANCE.. $ 20.00
CENSUS CATEGORY •800 2ND.: 0: 0:sf HEIGHT • 0.00 ft HAZARD CLASS .q 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 SEVER 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 . 3 URINALS • 0 TOTAL FEES $ 111.00
•GAS PIPING.: 0 ft HOOD • 0 0-3 HP . 0 BATH TUBS • 2 DRINKING FOUNT.: 0
FURN<100K..: 0 DUCT WORK 0 3-15 HP . 0 SHOWERS • 1 SUMPS • 0
GAS HNT • 0 WOOD STOVES...: 0 15-30 HP . 0 LAVATORIES - 4 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 1 DRAINS • 0
BBQ • 0 MISC • 0 5+ HP • 0 DISH MASHERS . 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 NSHR 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 INFORMATION F NI BY NE IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT _ a _ _
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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 j—iv-' i$ 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 FINAL
Date By
FIRE FINAL
Date By
BUILDING FINAL
Date By
OTHER
Date By
OTHER
Date By
CD0193
NOV• 0 31094
City of Federal Way •
VI) r CITYOFF Ire
APPLICATION FOR BUILDING PERMIT ter.
PLEASE PRINTisA ki
APPLICATION #: /" p 4 C' MLfg
Address '2)01 (A.r )c4 7-"o cj iLotv
Tenant (if known) Lot # Assessor's Tex I
-62tj`17
Building Owner Name Address
City State Zip Phone
Nature of Work
APPLICANT
Name (F,M,L)
Address
City State Zip
Contact Person Day Phone Other Phone Fax
BUILDING CONTRACTOR
Company Name r J, \ _ (` L:
Address
7OO
City I State _ADA Zip
Contact Person
Phone , ,._ Fax ,
LCLA'Csl �—Cts :
Contractor's # (card must be presented) Expiration Date Verified 0 Yes 0 No
ARCHITECT
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Comp/ete Reverse Side
C00492 IRev 4/931
STR'LJCTURE "listingUse
Oroposed Use
Permit includes: Building 0 Plumbing ❑ Mechanical ❑ Other
`'Type of Work: ❑ Residential ❑ New 0 Remodel ❑ Number of Units_ ❑ Deck
❑ Commercial ❑ Addition ❑ 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 sq ft Proposed Total Area sq ft
Water Availability ❑ Sewer Availability ❑ On-Site Septic System Availability ❑ Project Valuation $
Zoning Lot Size Existing Bldg Valuation $
LENDER
Name
Address
City
State Zip
MIECIIANICAL CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name (-I kk' 1, C M Addr'7__X---N.
�� X1CCH 11C54 _�J lv I. J X -----10._L)
City ��\ t7--� �� ------ Stats
L�IJ
Zip G} 3L
Contact
(7:: -2- I 4 ) _/ C Al Phone
FaX
q�L1 b)"�, 33 7- L
6g
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 Drains Total Fixture Count
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
BBO'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 costa,expenses,
and attorneys'tees 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
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Date: