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CITY OF FEDERAL WAY V u ' I PERMIT NO.: `BL 920217 W
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33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 11/05/92
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 826 SW 298TH ST
PARCEL NO.: 062104-9128
PROJECT DESCRIPTION: NSF Mech & Plumbing (received revision to site plan 10/13/920db)
OWNER - — CONTRACTOR LENDER
JAMES BURMAN & LINDA *OWNER IS CONTRACTOR*
32630 4TH PL S
FEDERAL WAY WA 98003
4323
-//& *OWNER*
BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN •LDR FEES:
TYPE OF WORK:NEW USE:RES 1ST.: 0: 2561:sf STORIES • 2 REQUIRED PARKING..• 2 SPRINKLERS' ." PLAN CHECK DEPOSIT.* $ 806.98
CENSUS CATEGORY •101 2ND.: 0: 1416:sf HEIGHT • 0.00 ft HAZARD CLASS ." SBCC SURCHARGE * $ 4.50
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW....: 0 gpm MEC APPLIANCE FEES.* $ 18.50
:R3 .. :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 20.00 ft PLUMBING PERMIT/SPK* $ 80.00
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 271849 SIDE . 5.00 ft WATER SERVICE..:FED FINAL PLAN CHECK...* $ 435.02
:5N :? :? :? DECK: 0: 786:sf REAR • 5.00:ft SEWER SERVICE..:SEP BUILDING PERMIT....* $ 1241.50
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:09/15/92 PUB WORKS-PLAN CHECK $ 35.00
. 0: 0: 0: 0: TOTL: 0: 4763:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 3 URINALS • 0 TOTAL FEES $ 2621.50
GAS PIPING.: 2 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 2 DRINKING FOUNT.: 0
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 1 SUMPS • 0
GAS HWT • 1 WOOD STOVES...: 0 15-30 HP . 0 I LAVATORIES . 5 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP . 0 SINKS . 3 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
ROE • 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 1
1 OGS...: 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 ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT i DATE w v �( /992—
-
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SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE J,/�i2 4 BY ._._._ DATE /Y-(7" ....BY MAI DATE _.--. _......_ BY
PLUMBING ROUGH IN WATER LINE O.K.1!2.;3-5-
`,"`3Z....._ _... MECHANICAL INSPECTION
DATE/2- `(" cZ... BY .. __. ._ GAS PIPING O.K.../-5 .q 3 11141
_. __ DATE /-/2-,'3 BY 1(/..
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD LAND FIRE WALL
DATE 1' /3 �3 _...BY ._{_'1'I t).._......—.._. DATE f �S_S_.3 BY 01011DATE ' . G.... BY `22 a/
FINAL O.K. TO OCCUPY
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RECEIVED
SEP 15 1992
%OF AV
Permit #_L( l ��
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME: } - S G : -_ vl } )T I
OWNER NMS ef LINVA MV -M ITE LOCATION G - n�
OWNER'S ADDR7:�i
- 3 CIT Y_��� PHON �
DESCRIBE JOB �%Ir C'll7C��1C
THE PROPERTY IS OWNED BY: SINGLE/MARRIED, M NEl PARTNERSHIP_ CORPORATION
BOX 2 CONTRACTOR'S NAME - aL ti!'OZ- VJQiC-i . CONTRACTOR'S REG. #
Card MUST be presented
CONTRACTOR'S ADDRESS _ CITY- _ _ PHONE_
EXPIRATION DATE
OR -
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 vgmw PHONES 2 AL3
BOX 4 SEWER DISTRICT '0- SUP �'�� WATER DISTRICT 7 Lt
BOX 5 ESTIMATED PROJECT COST - � 5d,000 EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER LZr 3 C 305
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 FLOORS 2ND FLOOR 141 b
3RD FLOOR / BASEMENT 1 DECK___j_ GARAGE, •.9
BOX 8 (X-) SINGLE FAMILY
(X) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = )
( ) EXISTING STRUCTURE
iDy'�
( ) COMMERCIAL/INDUSTRIAL
TOTAL AREA OF PROPERTY
Q FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES - BASIC FEE $
NO. -�3 WATERCLOSETS
BATHTUBS
GAS PIP)NG, FEET
NO. I FURNACE, ELEC. GAS
$
$
I SHOWERS
GAS HOT WATER HEATER
$
5 LAVATORIES
CONVERSION BURNER
$
SINKS
BOILER, SIZE BTU
$
-'-
I DISHWASHERS
AIR HANDLING UNITS
$
ELECTRIC HOT WATER HEATER
-HEAT PUMPS, SIZE
$
I LAUNDRY WASHER OUTLET
UNIT HEATERS
$
URINALS
-AIR COOLING UNITS, SIZE
$
DRINKING FOUNTAINS
COMMERCIAL HOOD
$
SUMPS, SPRINKLER VACUUM BREAKERS
-OTHER.. _
$
DRAINS
-- --
$
OTHER 67Fl �, L)T
$
TOTAL FIXTURES
$
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 EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION,
OWNER/AGENT:
DATE:
I, I q 172 -
ANP -009 3/90