94-1017479V'1017 Y7
CITY IT NO: BLD94—
335300First Way South BUILDING PERMIT F FEERAL WAYPE�ISSUED: 09/09/9403
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 03/08/95
ADDRESS:31805 6TH AVE S
NO.: 794160-0290
PROJ ECT DESCR I PT I ON : add back
_ nrure
V A 1. L I.
GEORGE HOLLAND
31805 6TH AVE SO.
FEDERAL WAY WA 91023
OLD?: NEC?: PLN?:X
TYPE OF 'AORK:ADD USEAES
CENSUS CATEGORY ..... :434
OCCUPANCY
TYPE OF CONSTRUCTION—
OCCUPANT LOAD ------------
. 0: 0: 0: 0:
FUEL TYPES.:? ?
GAS PIPING.: 0 ft
FURNOOOK..: 0
GAS HIT....: 0
CONV BURNER: 0
BIG......... 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
flow (double check valve Assobly)
FLR--EXIST--PROP---
1ST.:
0:
0:Sf
2ND.:
0:
O:af
M.:
0:
O:af
OTNM:
0:
O:sf
Bskq:
0:
O:af
DECK:
0:
O:sf
GAR.:
0:
I:sf
TOTL:
0:
O:sf
FANS........... 0
HOOD........... 0
DUCT WORK.....: 0
WOOD STOVES...: 0
FURN>10UK.....: 0
MISC..........: 0
AIR HANDLING UNITS
<=10,000 CFO: 0
> 10,000 CFN: 0
COITRACTOR
IRRIGATION SERVICES
PO BOX 1775
AUBURN WA 98071
939-7725
IRRIGI$099ic
DWELLING UNITS: 0
STORIES........: 0
HEIGNT..... : 0.00 ft
VALUATION ----------
EXIST.* 0
PROP ... 8: 0
NWIVED.:09/09l94
BOILERSAOMPRESSORS
0-3 HP......: 0
3-15 HP.....: 0
15-30 NP.... : 0
30-50 HP....: 0
5+ NP....... : 0
FUEL TANKS --------
ABOVE GROUND: 0
UNDERGROUND.: 0
COMP PLAN.........:?
REQUIRED PARKING..: 0
REWIRED SETBACKS-------
Fm......... : 9.01 ft
SIDE........... 0.00 ft
REAM..........: O.00:ft
LENDER
SPRINKLERS?......:?
HAZARD CLASS-1
FIRE FLOW....: 0 9ps
VATER SERVICE..:?
SEVER SERVICE..:?
IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
WATER CLOSETS......:
BATH TUBS..........:
SHOWERS ............:
LAVATORIES.........:
SINKS ..............:
DISH VASNERS....... :
ELEC VTR HEATERS...:
LAUN WSHR OUTLTS... :
0 URINALS........: 0
0 DRINKING FOUNT.: 0
0 SUMPS..........: 0
0 VAC BREAKERS...: 0
0 DRAINS.........: 0
0 LAIR SPRINKLERS: 0
0 OTHER FIXTURES.: i
0
FEES:
PLM PRNT ISSUANCE.. 1
PLUMBING FIXT.... 93s
TOTAL FEES
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF 10 VORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATIO FURNISED BY I TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS VILL BE MET.
c-
OWNER OR AGENT ------- DATE
20.00
7.00
27.00
DYE:
I CEM LA iHYi IRE IN oMiION UNWED BA ME 12 18GE VID COHHECI 10 IRE DE21 Of MA KNOIXr m VND IRE VbbriCVBfE Clip OL LEHENYI MYA BcOnIN€REM Air, BE MEi'
b BNIl2 MINE 1e0 DVA2 YEif6 I220VNCE IL NO MOBK 12 UVRIED' BEZIDEN1IVf YND CBYDINC bEHNI12 MINE ONE AEVB VUEB DVIE OE i220VNCE'
M f002"'
0
> 10'000 CEN:
0
WEMHOOND':
0
<=10'000 CEN:
0
V80AE MUD:
0
M WEN":
0
YIB MUM nNIl2
LOU IVNK2----------
Roll........
0
NI2C .........
0
2+ Hb.........
0
COMA 81HNEH:
0
Lo8N>joW ' — :
0
30-20 Hb " " :
0
CY2 di"":
0
400D 910AE2...
0
12-30 Hb"":
0
Ep!ff<100K":
0
DPcl MONK..... ;
0
3-12 Hb" "' :
9
E62 bib(He':
0 if
HOOD...'......:
0
0-3 Hb " " " :
0
Lur 1ASE2':S
S
LYN2. ........
0
90II-EHACOME22092
OCCnbve rovo ------------
:s :s :5 :
IAb€ OL CON216nC110N- --
:S :y :S :s
OCCAMCA BHOnb----------
CENZnZ C HOUA — - :V3t
IAbE OE MONK:VDD HUM
BEDS: NEW brNS:X
1Dif•
0'
9'zi
CYN':
4:
0:2i
DECK:
0•
0: at
BZNI:
0:
O:iI
URN:
O:
D:21
30D'
0:
012E
SHO'
LfB--EXIZi--boob---
NECEIAED':0MA H
boob" 1: 0
EXI21"3: 0
AYroyneN----------
HEleNI ... ': 0'00 i!
210H1EZ"""' • n
DMEffIKO nNI12: 0
lsole2+Oaa1G
M-11s2
rvoN MZHN Oillrl2"':
El[C MIN REVIEW .':
012H MV2HEH2 .......
fVAVi0HIE2 " .... ..
OP ME02
BVIN
MV1EH cro2E12 " .... :
0
0
0
0
0
0
0
0
OIHEH LIX1nHE2':
FUN ZbbiNKfEN?:
4HY I N2 " ....
AVC 9HEYKEH2 " ':
2nNb2......
DN HU0113 0ANI':
nNINYf2........
0
0
0
0
0
0
10� f LEE2
p s1'00
IMbENA MLYCE: 0 2i 2EX2I11AE VHEV S — j
BEYN ...... " " O'OO:ii 2EME8 2EHAICE - :S
FIDE...'... 0'00 it MEN 2ENAICE":
ENON1....... • 0'00 4
HEOOIHI^ 2EIBVCKZ------- LINE MA.... 0 aft
HYSYND CfV22"':S bromine LIX1"'-a3s 8 1'00
HEOn1BED bVBK1NC " : 0 2bHINKFEEFS ......:S brA bNMi I22nYPCE " $ 50'00
COMb brYN ... " " :S LEEZ:
1
LEDEW IVA AV a80s? VnenHN MY 8e011
31902 81H VAE 20' bO BOX 1112
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VDDbE22:3J 802 e1F1 VAE 2
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BaD31-OA03
MIT NO:
`y33530First
South BUILDING PERMIT RAL WAYPERISSUED: 09/09/9403
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 03/08/95
ADDRESS:31805 6TH AVE S
NO.: 794160-0290
PROJECT DESCRIPTION:add back flow (double check valve assembly)
OWNER CONTRACTOR —
GEORGE HOLLAND IRRIGATION SERVICES
31805 61H AVE SO. PO BOX 1775
FEDERAL WAY WA 98023 AUBURN WA 98071
939-7725
I19il3l 994,
LENDER
BLD?: NEC?: PLN?:X ILR--Uia: -PROP--- !'k'€:L:IIC 'lN T.S: 0.. COMP PLAN.........:? FEES:
TYPE OF VORK:ADD USE:RES 1ST.: 0: 0:3f MITES... 4' REQUIRED PARKING..: 0 SPRINKLERS?......:? PLM PRMT ISSUANCE.. 1 20.00
CENSUS CATEGORY ..... :434 24D.: 9: 1l:sf NEi811T.....• 0.00 ft 1+41me CEA5S...I PLUMBING FIXT.... 934 1 7.00
OCCUPANCY GROUP---------- W. 0. O:s# VALUATIOw--- ----.. RLQUjok 5EiUM---- FIN T.IOW....: 0:10
:? :? :? :? O fiN ....,....: 4VA ft
TYPE OF CONSTRUCTICR----- KW: 0. PR:P...S: SLDE..........: 0.00 ft WATER SERVICE_:?
:? :? :? :? MCA: :�: 4:s RIAR........... 0.00:ft SEWER SERVICE..:?
OCCUPANT LOAD------------ GAR.: D O:S'1 awvf'D.:I11 9j
0: 0: 0: 0: mi : 0: IMPERV SURFACE: 0 Sf SENSITIVE AREAS?.:?
FUEL TYPES.:? ? FANS.......... 0 BOILERS/COMPRESSORS WATER CLOSETS......: 0 URINALS........: 0 TOTAL FEES 0 27.00
GAS PIPING.: 0 ft HOOD........... 0 0-3 HP......: 0 BATH TUBS..........: 0 DRINKING FOUNT.: 0
FURNO OOK..: 0 DUCT WORK.....: 0 3-15 HP.....: 0 SEERS ............: 0 SUMPS..........: 0
GAS HIT....: 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: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS--------- ELEC VTR HEATERS...: 0 OTHFR FIXTURES.: i
RANGE......: 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN VSHR OUTLIS...: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
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 INFORMATIOi FORNISED BY IS TRUE AND CORRECT TO THE BEST OF MY KNOLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
,�WNER OP AGENT t` r9` .. ._ r --- - - - DATE
RECEIVED
iN,
M� � �
; I
PLEASE PRINT
City of Federal Way
APPLICATION FOR BUILDING PERMIT
APPLICATION #:
CEP 0 91994
CITBUIWAY
LDING DEPT.
T �O q L --0703
''
Address
Tenant (if known)
Lot #
Assessor's lax #
Building OwneAlr Name j �/ /
Address
City e -e k /4 Zp,Q Ls
State �L �/�
Zip
Phone
Nature of Work
APPLICANT
Name (F,M,L) �y
Address J a _ s _ z
/ j
City I�
State 41�4
Zip
Cori t Per on Day Phone �.
C v r�-5 �� 7"�-C-t r --
Other Phone
Fax
Company Name
Address
City .4 el /y
State /J G-
Zip
Contact P s n
Pho c
Fax
Contractor's # (card must be presented)
)_
J�
Expiration
Expiration Date
Verified ❑ Yes ❑ No
Maw.,
.i-a
Name
Address
City
State
Zip
Contact Person
Phone
Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492 (Rev 41931
i(UCTURE
'ting Use
-)posed Use
Permit includes:
❑ Building
Plumbing
❑ Mechanical
❑
Other
Type of Work: ❑
Residential
❑ New
❑ Remodel
❑ Number of Units
❑
Deck
❑
Commercial
❑ Addition
❑ Garage
❑ Shed
❑
Other
Enter 1 at 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 Vuitiation
$
Zoning
Lot Size
Existing 21dg Vraluntinn
S.
:NDER
Name
Address
City
State
Zip
9CHANXCAL:; SON i AT.UR71
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
UMX3IN''CQTTL]R
.................
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
Water Closets
Sinks
Urinals
Lawn Sprinklarsx e—lic4eCw
Bathtubs
Dish Washers
Drinking Fountains
Other )( P.
Showers
Electric Water Heaters
Sumps
Lavatories
WashingMachineDrains
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 Hester
50+ Tons
Furn > 100 BTUs
Fans
Miscellaneous
Fuel Tanks
Gas Hwt
Hood
Boilers
Above Ground
Conv Burner
Duct Work
0-3 Tons
Underground
BBQ's
Wood Stoves
3-15 Tons
:,.....:.::::.:..,... .
0ISCLAIMER: I certify under penalty of perjury that the information fumished by me Is true and correct to the bast of my knowledge and further that I am authorized by the Owner
Of the above promises to perform the work for which permit appticatio n is made. I Further agree to save harmleaa the City of Federal Way as to any cIaIm (including costs, expanses,
and attomays' leas Incurred In Investigation and defense of such claim), which may he made by any person, Including the undenignad, and filed against the City of Fed a rat Way,
but anty where such claim ass Out of iho.roli c;ty, including its Officers and amptoyaaa, upon the accuracy of the information supplied to the City as a part of this
application. �y
OwnarlAgant: �1 ' �j 17L—
date: