95-101389 qb- lol 389
CITY OF FEDERAL WAY PERMIT NO: BLD95-0483
33530 First Way South DUI L I NG 'E l T 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: 6
NO. : 182104-9063
PROJECT DESCRIPTION:PLUMBING FOR BLDG 16
OWNER =__ = ====y= CONTRACTOR = _______________ =========_= LENDER =_______ _ _ _______�
I BARCLAY RIDGE/FEDERAL WAY APTS PUGET SOUND MECHANICAL INC
33020 10TH AVE SW BLDG 16 1818 - 99TH ST E
el
FEDERAL WAY WA 98003 TACOMA WA 98445-5446
537-8900
PUGETI*217LQ
x_xxx ===__ __=_======= ____ _---s===ss= x xsxxxxxxsx=xssssxx
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE = 8.2% ***
..xx _ ______=_===== a.= = = =--=
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 0 PLUMBING FIXT....93x $ 756.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gp4
:? :? :? :? 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: TOTL: 0: 0:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
__=___ __=======a====
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 20 URINALS • 0 TOTAL FEES $ 176.00
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 12 DRINKING FOUNT.: 0
111 FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 8 SUMPS • 0
GAS HWT • 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
__ _____=x===_=====x= _--_- == _== s=_ss = = =
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-- C--c .6 _a w DATE ��—2.1----
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City of Federal Way
'F RECAWL7aTION FOR BUILDING PERMIT
JUN 221995
PLEASE PRINT Y OF FEDERAL WAY
APPLICATION #: -10L-P3
SITE LOCATION Address ,,..3,3c„,761 /C
Tenant (if known) Lot # Assessor's Tax #
Building Owner Name Address
/62,9i2, //4-2/ 0
City State Zip Phone
Nature of Work
car
APPLICANT •
Name (F,M,L)
774 cr;
Address
City State Zip
Contact Person Day Phone Other Phone Fax
)11011)11W;doSii.iikerW. 1
Company Name
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified El Yes ❑ No
...................................
ARCHITECT
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492(Rev 4/93)
STRUCTURE ..ting Use • oposed Use
Permit includes: 0 Building 0 Plumbing 0 Mechanical ❑ Other
Type of Work: ❑ Residential 0 New 0 Remodel ❑ Number of Units _ 0 Deck
0 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 ❑ 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
PLUMING COtACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE''C OUNT
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fixture:Count
MEGHA+1TCAL UNIT CGUNT
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 Totat 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:
1 I RUCFURE I L-xistinq Use
Proposed Use
r
Pemit includes: Plumbing
I� •U Building Cl Pl1 • ❑ Mechanical ❑ Other
Type of Work: 0 Residential LI New L] Remodel
❑ 0 Shed
of Units_ ❑ Deck
❑ Addition S
❑ Garage ❑ Shed ��
Commercial
❑ Other
Enter 1st Floor sq ft 2nd Floor _sq ft 3rd Floor sq ft Existing Floor Area
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
sq ft '
Water Availability 0 Sewer Availability ❑ On-Site Septic System Availability LI Project Valuation $
Zoning I Lot Size
Existing Bldg Valuation $
ILENDER I
Name
AddressCity —
State Zip
'MECHANICAL CONTRACTOR I
Contractor Name
Address
City State
Zip
Contact Phone Fax
License #
Expiration Date Verified 0 Yes 0 No
PLUMBING CONI`RAC'I'OR
Contractor Name Address
/-7ti}.2.=% ..5:9,JAJc✓ /17 ---r/2,,,pf/i rw L /1/d9 .e 99%4/ ‘sr.
City 77j2iC 0,77,,¢ State 445 4
ZipSSP ysis
Contact Phone Fax
137 cf? oo c, - G l‘4‘.‘.
License # 120 rr E 7-- / _ o7/2 , Expiration Date ,2-
/ .3/-93- Verified 0 Yes 0 No
[PLUMBING FIXTURE COUNT
Water Closets �O Sinks /c:2 Urinals Lawn Sprinklers
BathtubsDish Washers
A=.2 �oZ Drinking Fountains Other
Showers cf, Electric Water Ileaters / Sumps
Lavatories c:767 Washing DrainsMachine
/oZ Total Fixture Count
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 end 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.------ C. 7L///C �� -
C�—
Date: