94-101638CITY F FEDERAL WAY
0Firstt
BUILDING PERMIT
MIT NO:
PERISSUED:
33530Way South
08/25/9467
Federal Way, WA 98003
Building Inspection Requests 661-4140
BY:
FC
661-4000
EXPIRES:
02/21/95
ADDRESS:1111 SW 347TH PL
NO.: 132173-0360
PROJECT DESCRIPTION:PLUMBING ONLY
uanLn
REGINALD GROOMS
1111 SN 347TH ST
FEDERAL NAY NA 98023
I 661-3162
' BLD?: NEC?: PLM?:X
TYPE OF NORK:? USE:RES
CENSUS CATEGORY. .... :800
OCCUPANCY GROUP----------
TYPE OF 1111TRUCTI11-----
OCCUPANT LOAD ------------
: 0: 0: 0: 0:
INSTALLING LANK SPRINKLER SYSTEM.
CONTRACTOR
SU ONNER IS CONTRACTOR
FL --EXIST--PRO `
--
1ST
SRO.
0
s'
nT"u-
6-
r:S-
wl---
0:
C:Sf
0.Sf
6A ...
0:
4:sf
'01L:
]:
J:S`
xxx
DNELIIHG UNITS: 0
COMP PLAN ......... ;?
-C-��----•---
.
icOP...t:
0
3I0E.... .....:
0.00 ft
RE{in..........
O.00:ft
RECE:�EE�.:O$�25�96
FUEL TYPES.:?
?
FANS..........:
0
BOILERS/COMPRESSORS
GAS PIPING.:
0 ft
HOOD..........:
0
0-3 HP......:
0
FURN<100K..:
0
DUCT NORK.....:
0
3-15 HP.....:
0
GAS HNT....:
0
NOOD STOVES...:
0
15-30 HP...-
0
COKV BURNER:
0
FURN>100K.....:
0
30-50 HP....
0
T BBQ........ :
0
RISC..........:
0
5+ HP- ......
0
GAS DRYER..:
0
AIR HANDLING UNITS
FUEL TANKS ---------
RANGE ......
0
<:10,000 CFM:
0
ABOVE GROUND:
0
GAS LOGS...:
0
> 10,000 CFM:
0
UNDERGROUND.:
0
IMPERV SURFACE:
NATER CLOSETS....,.-
BATH TUBS..........:
SHOVERS............
LAVATORIES.........:
SINKS ..............
DISH NASHERS.......:
ELEC NTR HEATERS...-
LAUN NSHR OUTLTS...:
LENDER -
NATER SERVICE..:?
SENER SERVICE..:?
0 sf SENSITIVE AREAS?.:?
0 URINALS........: 0
0 DRINKING FOUNT.: 0
0 SUMPS........... 0
0 VAC BREAKERS...: 0
0 DRAINS.........: 0
0 LANK SPRINKLERS: I
0 OTHER FIXTURES.: 0
0
FEES:
PLM PRMT ISSUANCE..
PLUMBING FIXT.... 93x
TOTAL FEES
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO NORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFO ATION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNONLEDGE AND THE APPL CP, LE CITY OF FERERRALL NAY REQUIREMENTS KILL BE MET.
OWNER OR AGEN- -- -- - �- ------ -- —�`-- J -- --- ----- DATE
= 20.00
= 7.00
27.00
FILE COPY
g7#7733a
CITY OF FEDERAL. WAY
33530 First Way South
Federal Way, WA 98003
661-4000
ADDRESS:1111 SW 347TH PL
NO.: 132173-0360
PROJECT DESCRIPTION: PLUMBING ONLY
DINER
REGINALD GROOMS
1111 SO 34710 ST
r FEDERAL NAY NA 98023
661-3162
BUILDING PERMIT
Building Inspection Requests 661-4140
INSTALLING LAN# SPRINKLER SYSTEM.
CONTRACTOR -=
eti ONNER IS CONTRACTOR
LENDER
9y-/a)(03g
PERMIT NO: BLD94-0667
ISSUED: 08/25/94
BY: FC
EXPIRES: 02/21/95
RLO?: MFC): PLO?:X FLR-' -PROP 0l WITS: 0tONP PLAN,........ ? SEES:
TYPE Of NOPK:? USE:RE5 1ST.: : 0 .......... e a ED g of ?. PI-N PRNT ISSUANCE.. = 20.00
CENSUS CATEGORY ..... ,800 s �� ,� 0� "9qr [GOT 0 f APLUMBING FIXL....93; 1 7.00
OCCUPANCY GROUP------- OW+f V: LUATI "R y DIRE D $I?#IT" » »' f
?, .' I It I-
is
TYPE OF CONSTRUCTION T. P(� ..1:„ � t T .........: 0.00 ft NATFR SERVICE..:?
w 7 ? ' 0. #REAR........... O.00:ft SEVER SERVICE..: .. .. ..
OCCUPANT LOAD------------ IYFD. 08
0: 0: 0: 0: 1 0 IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
k
FUEL TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS NATER CLOSETS......: 0 URINALS........: 0 TOTAL FEES s 27.00
SAS PIPING_: 0 ft HOOD..........: 0 0-3 HP......: 0 BATH TUBS...........: 0 DRINKING FOUNT.: 0
FURNt100K... 0 OKI OORK..... . 0 3-15 HP...... 0 SOMERS............. 0 SUMPS........... 0
GAS NOT....: 0 NOD STOVES...: 0 15-30 HP....: 0 LAVATORIES.........: 0 VAC BREAKERS...: 0
CONY BURNER: 0 FORN>1009...... 0 30-50 HP..... 0 SINKS ............... 0 ORAINS.......... 0
880........ : 0 RISC..........: 0 5+ HP.......: U DISH NASNERS'.......: 0 LAN# SPRINKLERS: I
GAS DRYER .: 0 AIR HANDLING UNITS FUEL TANKS-------- FLEC NTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE......: +1 <:10,000 CFN: 0 ABOVE GROUND: 0 LAUN VSHR OUTLTS...: 0
GAS TOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
PERMITS EXPIRE 180 DAYS AFTER 15f�UANCE If NO NORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EMPIRE ONE YEAR AFTER DATE Of ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISED BY NE IS TRUE AND CORRECT TO THE BEST OF NY KNONLEDGE AND INE APPLICABLE CITY OF FEREML NAY REQUIREMENTS 111.1 8f MET.
OMti R OR AGL N'
FIELD COPY
mdlk
SETBACKS & FOOTINGS
Date By
7
FOUNDATION WALLS
Date By
PLUMBING GROUNDWORK
Date By
7
UNDERFLOOR FRAMING
Date By
............................................... .......
SHEAR WALLS
Date By
PLUMBING ROUGH -IN
'C: fLDJ '�2�-�/��� 2 5.'C��1c= 1� %G v ��/✓ ;`%G /�/TACp�_
Q-� - By -i/`,l
����y` �i�c �'v�/�%� ��v.i /C �4L ✓cam r�'T z-vc�� 5 r-
7Date
CiA$.:PIPING
Grnl�f J l�G
Date By
71
MECHANICAL ROUGH -IN
Date By
MECHANICAL (OTHER),,
Date By
7
FRAMING
.11.11
Date By
INSULATION
Date By
GWB - 1ST LAYER
Date By
GWB - 2ND LAYER
Date By
7
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
7
ENGINEERING FINAL
Date By
FIRE FINAL
Date By
7
BUILDING FINAL
Date By
OTHER ..................
Date !� -C' c ' By
OTHER
Date By
CDO193
CITY F FEDERAL WAY
0Firstt
BUILDING PERMIT
MIT NO:
PERISSUED:
33530Way South
08/25/9467
Federal Way, WA 98003
Building Inspection Requests 661-4140
BY:
FC
661-4000
EXPIRES:
02/21/95
ADDRESS:1111 SW 347TH PL
NO.: 132173-0360
PROJECT DESCRIPTION:PLUMBING ONLY
uanLn
REGINALD GROOMS
1111 SN 347TH ST
FEDERAL NAY NA 98023
I 661-3162
' BLD?: NEC?: PLM?:X
TYPE OF NORK:? USE:RES
CENSUS CATEGORY. .... :800
OCCUPANCY GROUP----------
TYPE OF 1111TRUCTI11-----
OCCUPANT LOAD ------------
: 0: 0: 0: 0:
INSTALLING LANK SPRINKLER SYSTEM.
CONTRACTOR
SU ONNER IS CONTRACTOR
FL --EXIST--PRO `
--
1ST
SRO.
0
s'
nT"u-
6-
r:S-
wl---
0:
C:Sf
0.Sf
6A ...
0:
4:sf
'01L:
]:
J:S`
xxx
DNELIIHG UNITS: 0
COMP PLAN ......... ;?
-C-��----•---
.
icOP...t:
0
3I0E.... .....:
0.00 ft
RE{in..........
O.00:ft
RECE:�EE�.:O$�25�96
FUEL TYPES.:?
?
FANS..........:
0
BOILERS/COMPRESSORS
GAS PIPING.:
0 ft
HOOD..........:
0
0-3 HP......:
0
FURN<100K..:
0
DUCT NORK.....:
0
3-15 HP.....:
0
GAS HNT....:
0
NOOD STOVES...:
0
15-30 HP...-
0
COKV BURNER:
0
FURN>100K.....:
0
30-50 HP....
0
T BBQ........ :
0
RISC..........:
0
5+ HP- ......
0
GAS DRYER..:
0
AIR HANDLING UNITS
FUEL TANKS ---------
RANGE ......
0
<:10,000 CFM:
0
ABOVE GROUND:
0
GAS LOGS...:
0
> 10,000 CFM:
0
UNDERGROUND.:
0
IMPERV SURFACE:
NATER CLOSETS....,.-
BATH TUBS..........:
SHOVERS............
LAVATORIES.........:
SINKS ..............
DISH NASHERS.......:
ELEC NTR HEATERS...-
LAUN NSHR OUTLTS...:
LENDER -
NATER SERVICE..:?
SENER SERVICE..:?
0 sf SENSITIVE AREAS?.:?
0 URINALS........: 0
0 DRINKING FOUNT.: 0
0 SUMPS........... 0
0 VAC BREAKERS...: 0
0 DRAINS.........: 0
0 LANK SPRINKLERS: I
0 OTHER FIXTURES.: 0
0
FEES:
PLM PRMT ISSUANCE..
PLUMBING FIXT.... 93x
TOTAL FEES
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO NORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFO ATION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNONLEDGE AND THE APPL CP, LE CITY OF FERERRALL NAY REQUIREMENTS KILL BE MET.
OWNER OR AGEN- -- -- - �- ------ -- —�`-- J -- --- ----- DATE
= 20.00
= 7.00
27.00
FILE COPY
g7#7733a
PLEASE PRINT
SI
City of Federal Way
APPLICATION FOR BUILDING PERMIT
APPLICATION #: C -
TE L[}CATION
Address
t
S
Lot # Ass_e so 's I #
Building Owner N me'r'
Address
�� 71 /
City Q
State f
Zip d
Phone 1p �
Nature of Work y.- a b - f o, - ()-
/1
APPLICANT
Name (F,M,L)
Address
City
State
Zip
Contact Person
Day Phone
Other Phone
Fax
k=ING CONTRACTOR:: .:
X
Company Name
Address
City
State
Zip
Contact Person ,1
Phone
Fax
Contractor's # (card must be presented)
Expiration Date
Verified ❑ Yes ❑ No
RCII%T'ECT
Name
Address
City
State
Zip
Contact Person
Phone
Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0402 (Rev 4/931
STRUCTURE
fisting Use
'roposed Use
Permit includes:
❑ Building
Plumbing ❑ Mechanical ❑ Other
Type of Work: {A Residential
❑ New
❑ Remodel ❑ Number of Units ❑ Deck
❑ Commercial
❑ Addition
_
❑ Garage ❑ Shed ❑ Other
�( Enter 1 st Floor sq ft
! 1 Area Basement sq ft
2nd Floor sq ft
Decks
3rd Floor sq ft Existing Floor Area sq ft
sq ft
Garage sq ft Proposed Total Area q ft
Water Availability `' Sewer Availability . On -Site Septic System Availability ❑ Prssjeat.VeEUati.cn:.$
Zoning
Lot Size
1xistErig Bldg:VelueftoCs •. ::..
LEI, MR
Name
Address
City
State Zip
1NECHAMCAL C:ONTRACT(]R
Contractor Name
Address
City
State Zip
Contact
Phone Fax
License #
Expiration Date Verified ❑ Yes ❑ No
AIL'TNG CONTRACTOR
ontractor Name
l
Address
ty
State Zip
Contact
Phone Fax
License #
Expiration Date Verified ❑ Yes ❑ No
P�iJ,MRaVG `FIIL`I`.�TA�' C�T1:; >.
Water Closets
Sinks
Urinals Lawn Sprinklers /
Bathtubs
Dish Washers
Drinking Fountains Other
Showers
Electric Water Heaters
Sumps
Lavatories
Washing Machine
Drains ;eta[`i3tturs=Ca6nt:.
MECH NICAII xJ TI'Z' 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
Conv Burner
Duct Work
., T___
BBQ's
Wood Stoves
VIM underground
3-15 Tons ;'Total Unit Count
DISCLAIMER: I certify under penalty of pedury 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 th 'pformation supplied to the City as a part of this
application. f 1
/Owner/Agent: -�
�) Data: