94-101057 L
tt4io1efl'c-
CITY OF
33530 First Way South I3UILDING PETIT PERMIT
33
ISSUED: 06/01/94
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 11/28/94
ADDRESS:34661 PACIFIC HWY S ,
NO. : 202104-9133
PROJECT DESCRIPTION:REPLACE NC & LAY
PLUMBING ONLY. (SEE SEP93-0026)
OWNER CONTRACTOR — LENDER e
CHEVRON USA CASCADE PLUMBING
• 20500 RICHMOND BEACH DR MN 4150B PL NN 1106
SEATTLE NA 98177 AUBURN WA 98002
542-9163 939-6937
CASCAP=O15JP
BLD?: NEC?: PLN?:X FLR--EXIST--PROP--- 0NELLING IJWITS0 COMP PLAN :1 FEES:
TYPE OF NORK:? USE:COM 1ST.: 0: 0:sf STORIES.........: 0 REQUIRED PARKING..: 0 SPRINKLERS?„.... ,,-: PIM PRMT ISSUANCE.. $ 20.00
CENSUS CATEGORY -800 240.: 07 0:sf FIGHT.....: OA f> 4LARL "-'Su....? s : PLUMBING FIXT....93* $ 14.00
OCCUPANCY GROUP 'PD . :sf VA UAI OE- R"UIRED SETBACKS- ----- FIRE ftflp .. : 0 k
:? :? :? :? OTHR: ,:sa ER_S, t _t rRONT • 0,00 ft
TYPE OF CONSTRUCTION BUT: 0: 0:sf PROP...$: 0 SIDE - 0.00 ft NATER SERVICE..:?
:? :? :? :? DECK: `T: 0:sf REAR • 0.00:ft SENER SERVICE..:?
OCCUPANT LOAD OAR.: 0: 0:sf RECEIVED.:06/01!94:
— 0: 0: 0: 0: TOIL: 0: 0:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.:? ? FANS - 0 BOILERS/COMPRESSORS NATER CLOSETS • 1 URINALS • 0 TOTAL FEES $ 34.00
GAS PIPING.: 0 ft HOOD • 0 0-3 HP - 0 BATH TUBS - 0 DRINKING FOUNT.: 0
FURN<100K..: 0 DUCT NORK • 0 3-15 HP • 0 SHONERS • 0 SUMPS • 0
GAS HNT • 0 N000 STOVES...: 0 15-30 HP • 0 LAVATORIES • 1 VAC BREAKERS...: 0
CONY BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 0 DRAINS • 0
BBQ • 0 MISC • 0 5+ HP • 0 DISH MASHERS - 0 LANK SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC NTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 LAUN NSHR OUTLTS...: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO NORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FUR ME UE A D CORRECT TO THE BEST OF NY KNONLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS MILL BE NET.
s OWNER OR AGENT e�-� ".r. DATE G Py
1
FILECOPY ?v7/J ?7981)
S •
City of Federal Way
\)\) FP,' APPLICATION FOR BUILDING PERMIT
PLEASE PR/NT APPLICATION #: pa _v LI))
SITE LOCATION. Address 3 i/ / /:?'/c/,c�(' /74,- 5
•
Tenant (if known) /
Lot# Assessor's Tax #
C ( cv,7f // l)lt (-TZ4
Building Owner Name Address
C"( v 1<c' z //-jz�/e
City �C!{ /_) c i - State 4._. ,•/ Zip Phone
Nature of Work !//
....... . . .. .... . .. .. ........ .
APPLICANT
Name (F,M,L) •
//- (*ii- r A
Address
City 21T 8 (i/1 -/ State Zip r/rj r',/-
Contact Person ,�� Day Phone Other Phone Fax
--77/1 �'/ / �i"Yr g ._ ' g r - .
•
BuILD]NG CONTRACTOR
. .......... . _
Company Name
Address
City State Zip
Contact Person Phone Fax
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
RECEIVED
JUN 011994
GUY ILDING DF EPAL Y
T.
P/ease Complete Reverse Side
CD0492(Rev 4.93.
•
STRUCTURE • Existing Use • Proposed Use
Permit includes: 0 Building )4 Plumbing 0 Mechanical 0 Other
\' Type of Work: 0 Residential 0 New
YP0 Remodel 0 Number of Units 2 0 Deck
g Commercial 0 Addition 0 Garage 0 Shed 0 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 0 Sewer Availability 0 On-Site Septic System Availability 0 Project Valuation S ,
Zoning Lot Size Existing Bldg Valuation $
LENDER
Name Address
City State Zip
MECHANICAL CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes 0 No
PLUMBING CONTRACTOR
Contractor Name Address
<24! (r-i'ri_>( Pe .i-)7j/.1/(• -c//si:- ,8 ,tel, z. '41/c
City ,q- (/3Lc *. / e. ,9- State 4, 4 Zip 7 6C-'c7
Contact /Phone� c� Fax
/ ✓7 /AS / ,3�— e- 3 2
License # e/f-5 e",,,[,.1 E' 7�.7 /..f Expiration Date.,/-/-?s- Verified 0 Yes 0 No
PLUMBING FIXTURE COUNT.. •
Water Closets / Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other ,
Showers Electric Water Heaters Sumps I
Lavatories / Washing Machine Drains Total Fixture Count i
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 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 th s
application.
Owner/Agent: .;J/ -� � s7 Date: 6 /" 7/