95-102730 9 f;, '104) 730
,, P . ,,,. „ , PERMIT NO: BLD95-0835
33.5300 First Way WAYth .,11;3,„.3 .I. ,,..:�I,') I. N�;.,,i;
” °"�� '� .,,„. ISSUED: 10/24/95
Federal Way, WA 98003 Building Inspection Requests 661--4140 BY: FC2
661-4000 EXPIRES: 04/21/96
ADDRESS: 33020 10TH AVE SW Unit: 7
NO. : 182104-9063
PROJECT DESCRIPTION:PLUMBING - DOUBLE CHECK (FEBCO 805Y, 1.5")
F- OWNER - -- .- -- --..-�a CONTRACTOR - ---- ----=-r-- LENDER
BARCLAY RIDGE/FEDERAL WAY APTS 1 PUGET SOUND LANDSCAPING INC --- V_-
1 33020 10TH AVE SW BLDG #73147 46TH AVE NE
1 FEDERAL WAY WA 98003 f OLYMPIA WA 98506
!i . _.
I 360-943-9201
PUGETSL1500S
3x* CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.2% ***
BLD?: MEC?: PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN •1 FEES:
TYPE OF WORK:? USE:RES 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 •' PLUMBING FIXT....93* $ 7.00
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.:10/13/95 ! d
: 0: 0: 0: 0: TOIL: 0: 0:sfIMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
_
FUEL TYPES.:? ? FANS • 0 BOILERS COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 27.00
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
URN<100K..: 0 DUCT WORK 0 3 15 HP 0 SHOWERS 0 SUMPS 0
S HWT 0 WOOD STOVES...: 0 15-30 HP 0 LAVATORIES • 0 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 WASHERS • 0 LAWN SPRINKLERS: 1
1 GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
1 RANGE • 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0
1 GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
I
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.
/4--/ ;OWNER � ��OR AGENT _ � �e • __r DATE 22/.)-5/:?C-
FILE
2/ `1C
FILE COPY
RECEIVED BY
�^� G City of Federal W COMMUNITY DEVELOPMENT DEPARTMENT
a
Fr5' APPLICATION FOR BUILDING PERMIT ► 31995
PLEASE PRINT y
APPLICATION #: l4� G� —(.) .5 05
SITE LOCATION Address ( Zo /0 :- f ,
Tenant(if known) lies ' " `� LT
(XCLC Lekl
Lot # Assessor's Tax #
Building Owner Name
Address
City I State
fp (Phone
Nature of Work b&2 p Z)
IAPPLICANT I
Name (F,M,L)
Address
City
State I Zip
Contact Person I Day Phone
Other Phone Fax
I BUILDING CONTRACTOR I
Company Name
Address
City
State Zip
Contact Person
Phone Fax
Contractor's #(card must be presented)
Expiration Date Verified ❑ Yes ❑ No
IARCHITECT I
Name
Address
City
State Zip
Contact Person
Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492(Rev 4/93)
Si'RUCTURE lilting Use fit posed Use
I
Permit includes: ❑ Building ❑ Plumbing ❑ Mechanical ❑ Other
4 Type of Work: ❑ Residential ❑ New
❑ 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 El Sewer Availability ❑ On-Site Septic System Availability Cl Project Valuation $
Zoning Lot Size Existing Bldg Valuation $
LENDER
Name Address
City _/ State Zip
MECHANICAL CONTRACTOR
Contractor Name Address
City
State Zip
Contact
Phone Fax
Licen Expiratio I.te Verified El Yes El No
PLUMBING CONTRACTOR
Contractor Nam ess
— �, / Add )i I/.'
.' -7 We.,
/- '/ iv, -
City
City D JZ i )0 State W y(' Zip Q Z(s'0 6
Contact ,'/`�
IS N Szz� Phone Fax
Y �` S . �lvo q,739a0/ 4L/39.2-S
License # �'
[��7 J L /Sc7'CD S Expiration Date 7--q4, Verified ❑ Yes ❑ No
PLUMBING FIXTURE COUNT
Water Closets Sinks Urinals Lawn Sprinklers I
Bathtubs Dish Washers Drinking Fountains Other /
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fixture Count
1�� G(31 0u-Bf.N Gif c,r Viti—
MECHANICAL UNIT COUNT FDS Y
Fuel Type le is/other) Gas Dryer Air Handling < = 10,000 CFki --. ons
Length of Gas Piping Range Air - . ' . > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log Unit Heater 50+ Tons
Furn >100 BTUs F -- Miscellaneous Fuel Tanks
Gas Hwt ood Boilers Above Ground
Cony Burner /-! Duct Work 0-3 Tons
Underground
BBO's Wood Stoves 3-15 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 furthe •.t 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 '- uding 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 ' of Federal Way,
but only where such cla' ' es out f th 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: 0,4t...t-o-- ef("Z". Date: / // 3 /Q�