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92-102173�';I -;5 6;/ CITY OF FEDERAL WAY BUILDING PERMIT PERMIT NO.: - /B D92-2 529 33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 12/08/92 Federal Way, WA 98003 BY: FLF 661-4000 SITE ADDRESS: 33600 6TH AVE S Unit: PARCEL NO.: 9264800205 PROJECT DESCRIPTION: PLUMBING ONLY — OWNER PHOENIX MUTUAL C/O AXIOM REAL ESTATE 1605 116TH AVE NE #215 BELLEVUE WA &4180 201 INSTALL (1) SINK & (1) LAVATORY CONTRACTOR LENDER WILLIAMS MECHANICAL INC 3223 164TH ST SW SPACE M LYNNWOOD WA 98037 742-6270 WILLIMI088PA BLD?: MEC?: PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN.........:? FEES: TYPE OF WORK:? USE:? 1ST.: 0: O:Sf STORIES........: 0 REQUIRED PARKING..: 0 SPRINKLERS?......:? PLM PRMT ISSUANCE.. $ 20.00 CENSUS CATEGORY ..... :800 2ND.: 0: O:Sf HEIGHT.....: 0.00 ft HAZARD CLASS...:? PLUMBING PERMIT/SPK" $ 10.00 OCCUPANCY GROUP---------- 3RD.: 0: O:Sf VALUATION---------- REQUIRED SETBACKS------- FIRE FLOW....: 0 gpm :? :? :? :? OTHR: 0: O:Sf EXIST..$: 0 FRONT.......... 0.00 ft TYPE OF CONSTRUCTION----- BSMT: 0: O:Sf PROP ... $: 40000 SIDE..........: 0.00 ft WATER SERVICE..:? :? :? :? :? DECK: 0: O:sf REAR........... O.00:ft SEWER SERVICE..:? OCCUPANT LOAD------------ GAR.: 0: O:sf RECEIVED.:12/08/92 0: 0: 0: 0: TOTL: 0: O:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:? TOTAL FEES $ 30.00 FUEL TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS WATER CLOSETS......: 0 URINALS........: 0 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.........: 1 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 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 G LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ViLAWISSUANCE. I CERTIFY THAT THE INFORMATION FURNI ED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITQL'Y OF FEDERAL WAY REQUIREMENTS WILL BE MET. i;zk­70V ,I OWNER OR AGENT DATE q bld_prmt 10/23/92 r 8`� SET BACKS AND FOOTINGS OX TO POUR FOUNDATION WALLS DATE BY _...._....__._.__ DATE ..... _... ... - __...BY PLUMBING GROUNDWORK DATE E PLUMBING ROUGH IN WATERLINE O.K. _ MECHANICAL INSPECTION /' _BY .__ _ GAS PIPING O.K. -- -. _ _ DATE BY DATE(. v� 1 / � (..._f� O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL DATE - --- .._-._ BY - DATE BY DATE _ - -_ BY FINAL O.K. TO OCCUPY DCD PSD FD DATE ..... ----..... .... -BY 0 0 • Pom'G,��' ✓ ' Z it # CITY OF FEDERAL WAY NOV 8 1992 BUILDING PERMIT APPLICATION WYOF�' — Please Print — r 1!I"T"4 frl; BOX 1 TENANT NAME: HoP>G 0,LtN C_ OWNER i tXLPM Mme- 6ST&TG SITE LOCATION 33(oo V% IkyE 5o , 2p1 OWNER'S ADDRESS CITY PHONE DESCRIBE JOB THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME WILLIMS CONTRACTOR'S REG. # WILLt M I O$6 PA � Card MUST be presented CONTRACTOR'S ADDRESS 32-23 �6� ' ST�vJ 5'P' AA CITY �-4Nj nom PHONE_ 7.12 X21 a EXPIRATION DATE 1• 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. BOX 3 CONTACT PERSON FDPAt, W lL-t—k A*A_S PHONE 't Z'1 ' l'223 BOX__4 SEWER DISTRICT WATER DISTRICT BOAC 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER 2_(. _ zp a e' T_— LEGAL 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 / 2ND FLOOR / 3RD FLOOR_____J_ BASEMENT / DECK / GARAGE / BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) (?<1 EXISTING STRUCTURE ( COMM ERC IAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT •1 • PLUMBING FIXTURES (including rough -ins) N0. WATERCLOSETS BATHTUBS SHOWERS LAVATORIES SINKS DISHWASHERS ELECTRIC HOT WATER HEATER LAUNDRY WASHER OUTLET URINALS DRINKING FOUNTAINS SUMPS, SPRINKLER VACUUM BREAKERS ----DRAINS OTHER TOTAL FIXTURES MECHANICAL APPLIANCES — BASIC FEE $ GAS PIPING, FEET $ N0. FURNACE, ELEC. GAS $ GAS HOT WATER HEATER $ CONVERSION BURNER $ BOILER, SIZE BTU $ AIR HANDLING UNITS $ HEAT PUMPS, SIZE $ UNIT HEATERS $ AIR COOLING UNITS, SIZE $ COMMERCIAL HOOD $ OTHER $ TOTAL MECHANICAL FEE $ 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 EMPLOOY_EF.q, UPON ;OE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. 1012-0 Y' ANER/AGENT- 7,4, R -Man, ANP0083/90