95-101397 95-jDI397
CITY OF FEDERAL WAYPERMIT NO: BLD95-0482
33530 First Way SouthBUILDING PERMIT ISSUED: 06/22/95
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 12/19/95
ADDRESS:33020 10TH AVE SW Unit : 1
NO. : 182104-9063
PROJECT DESCRIPTION:PLUMBING FOR BLDG 111
[ OWNER — _ == ____ =r= CONTRACTOR = _ LENDER =___ _
BARCLAY RIDGE/FEDERAL WAY APTS PUGET SOUND MECHANICAL INC
33020 10TH AVE SW BLDG #1 1818 - 99TH ST E
FEDERAL WAY WA 98003 TACOMA WA 98445-5446
4111
537-8900
PUGETI*217LQ
_ ^______ _ _ _ 2
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE = 8.2% ::_
BLD?: NEC?: PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 0 1 COMP PLAN •' 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* $ 756.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gp.
:? :? :? :? 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.:06/22/95
. 0: 0: 0: 0: TOTI: 0: 0:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
= _______ _^-...___________
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 20 URINALS • 0 TOTAL FEES $ 776.00
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 12 DRINKING FOUNT.: 0
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 8 SUMPS • 0
GAS HNT • 0 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 20 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 12 DRAINS • 0
BBQ • 0 MISC • 0 5+ HP • 0 DISH WASHERS • 12 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 12 OTHER FIXTURES.: 0
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 12
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
_____= r_=_= ____ = == _ _
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 NY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT - '` E j DATE $St
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City of Federal Way
RECE
APPtf TION FOR BUILDING PERMIT
JUN 221995
CITY OF FED WAY
PLEASE PRINT BUILDING EPT APPLICATION #: ("PC? (.42--
SITE
1.SITE LOCATION Address 33 Dao /d T / 4 yr 5 ,
Tenant (if known) Lot # Assessor's Tax #
eZe=
Building Ow er Nae / Address O
City �State Zip Phone
Nature of Work c7� ti
APPLICANT
Name (F,M,L)
'��r"?4 c4(.17;7" 2
Address
City State Zip
Contact PersonDay Phone Other Phone Fax
l'
i' 9/2_)/ 7 ,Y6'
BUILDING CONTRACTOR
Company Name
cl
Address
City State Zip
Contact Person Phone Fax
Contractor's #(card must be presented) Expiration Date Verified ❑ Yes ❑ No
ARCHITECT
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492(Rev 4/93)
STRUCTURE 'fitting Use !posed Use
I._
Permit includes: 0 Building 0 Plumbing 0 Mechanical ❑ Other
Type of Work: 0 Residential 0 New ❑ Remodel 0 Number of Units 0 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 ❑ 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
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes El 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 COU T;
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 1 5-30 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 this
application.
Owner/Agent: Date:
STRUCTURE fisting Use •roposed Use
'Perm includes: ❑ Building 9(Plumbing LI Mechanical ❑ Other
Type of Work: LJ Residential ❑ New ❑ Remodel ❑ Number of Units _ ❑ Deck t
❑ 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'0 Sewer Availability On-Site Septic System Availability ❑ Project Valuation $
Zoning Lot Size Existing Bldg Valuation $
LENDER
Nance Address
City
State Zip
MECIIANICAL CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License ry Expiration Date Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name Address
/- r s�ci�� /WI-ff.-67/144V,'c, L /P/f //� /:-/-/y _ i-----
City �G0/77r)- State 4/95/ Zip fr-'6F,V7S
Contact Phone Fax
License # /4-7U --i-77— * ,7/7,4 Q Expiration Date 41 3/-93—Verified ❑ Yes 0 No
LP1 UMBING FIXTURE COUNT
Water Closets 0 Sinks /_2 Urinals Lawn Sprinklers
Bathtubs /,,,,2 Dish Washers jr,2 Drinking Fountains Other
Showers rp Electric Water Heaters /c72 Sumps
Lavatories w Washing Machine /„2_ Drains Total Fixture Cotittt
MECHANICALUNIT 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 this
application.
Owner/Agent. / ��1: �� Date: ,'—� o2o7 —2,f
4110
City of Federal IVa •
) APPLICATION FOR BUILDING PERMIT
PLEASE PRINT APPLICATION #:
a
SITE LOCATION` Address
Tenant (if known) Lot It Assessor's Tax #
Building Owner Name Address
City State Zip Phone
Nature of Work
IAPPLICANT
Name (F,M,L)
Address
City State Zip
Contact Person Day Phone Other Phone Fax
BUILDING-CONTRACTOR
Company Name
Address
City State Zip
Contact Person Phone Fax
Contractor's if (card must be presented) Expiration Date Verified ❑ Yes ❑ No
ARCIIITECT
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492(Rev 4/93)