92-101686 5 a- /o/� g`6
CITY OF FEDERAL WAl' �� I ��I � � P E R� I T PERMIT NO.: �LDJ2�225A
:�5��:� First V`!ay South EL'!LDING lNSPECTION - 661-4140 ISSUED: YO/0�/92
�eoeral Way, WA 9E003 BY: FLF
661-4�00
SITE ADDRES�: 1842 � SE�'�'AC �I�L
PARCEL NO.: 763240m0010
�ROJECT DESCRIPTIOPJ: PLLJMBING
OWNER CONTRACTOR LENDER
APPLEBEE'S NEIGHBORHOOD G$�B PLUMBLINE PLUMBING & REMODELNG
1842 S. SEATAC MALL 17650 :'E 245TH ST
fEDERAL 41AY WA 98003 KENT UA 98042
839-6156 630-0709
PLUMBPR1C9MZ
6LD?: MEC?: PLM?eX FLR--EXIST--PftOP--- DWEI�ING Ji:ITS: 0 COMP PLAN.....e...:? FEES:
TYPE OF WORK:? USE:? 1ST.: 0: O:sf STORIES........: 0 RE�UIRED PARKING.e: 0 SPRYNKLERS?a..,,.:? PLM PRMT ISSUANCE., S 20.00
CENSUS CATEGORY.....:? 2ND.: 0: O:sf f{c?GHT.....: 0.00 �4 HA2ARD CLASS..,:? PLUMBING PERMIT/SPK�' S 185.00
OCCUPANCY GROUP--�___emo_ 3RD.: 0: O:sf t'ALL'ATION---------- REQUIRE� SET6ACKS------- FIRE FL041....: 0 gpors
:? :? :? :? . OTHR: 0: U:sf EXIST..S: 0 FR04To,........ 0.00 ft
TYPE OF CONSTRUCTION--�-- BSMT: 0: O:sfi PROP...$: 300000 SIDE..........: 0.00 ft WATER SERVICE..:?
:? :? :? :? . DECK: 0: O:sf REARa....a..e,. O.00eft SENER SERVICE..:?
OCCUPANT LOr1G------------ GAR.: 0: O:sf RECEIVED.:10/05/92
. 0: 0: 0: 0: T07L: 0: O:sfi IPiPERV SURFACE: 0 sf SENSITEVE AREAS?.:?
FUEL TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS NATER CLOSETS......: 5 URINALS....e...: 2 T0T61L FEES S 205.00
GAS PIPING.: G ft HOOD..........: 0 0-3 HP......: 0 BATH TUBS..........: 0 DRINKING FOUNT.: 2
FURN<100K... 0 DUCT NORK...... 0 3-15 HP...... 0 SHOLJERS............. 0 SUMPSa..,....... 0
GAS HWT....: 0 NOOD STOVES...: 0 15-30 HP....: 0 LAVATORIES.........: 6 VAC BREAKERS.o.: 0
CONV BURNER: 0 FURN>100K...... 0 30-50 HP..... 0 SINKS..........e.... 12 DRAINS......,... 10
BBQ......... 0 MISC........... 0 5¢ HP........ 0 DISH LIASHERS...e.... 1 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UN1TS FUEL TANKS------�-� ELEC 41TR HEATERS...: 1 OTHER FIXTURESe: 0
RANGE......: 0 <=10,000 CFM: 0 hBOVE GROUND: 0 LAUN WSHR OUTLTS.a.e 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
lr.LL PFR!U;TS CXPIZE 180 DAYS A��R ISSUAPJCE C�WO WORK IS SYARTED. RESIDEfV71AL AND GRADIid(�PEf21VIITS EXPiRE ONE YEAR AFTER DAYE OF ISSUANCL.
1'•CERTIFY l'HAT TF'.E INFORM64TION �4JRNISHED HY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND TFiE APPLICABLE CITV OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT �'�-�--1,�.t._..,-� �� ,lC�,,�,�- DATE r � - (= � `�-�
bld_prmt 07/31/92
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SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WAL�S ' PLUMBING GROUNDWORK
DATE ___ ___...—BY --.... _— �ATE ___ _____._BY __ _—__--.._ DATE ___.. ___ BY
PLUMBING ROUGH IN WATER LINE O.K. MECHANICAL INSPECTION
DATE ..__ __.—.._BY __ ---_. GAS PIPING O.K.---..._---... ..—....-- --_ __ DATE _ __ _ - __ _.BY
_
O.K. TO ENC�OSE FRAMING iNSULATION WALL BOARD AND FIRE WALL
DATE._ ___ ____BY _ _____ DATE _ ____ __BY ---.._ ___ _ DATE _. BY __
FINAL O.K. TO OCCUPY
DCD PSD FD
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CITY OF FEDERAL WAY �
BUILDING PERMIT APPLICATION
— Please Print—
)X 1 TENANT NAME:
OWNER � � o h � G� SITE LOCATION I�Y� S. Scz���.c /�,t�//
OWNER'S A RESS /5���� 5. r��F4� �.r4 !/ CITY__/�'�. �.v... PHONE_,s�39- 6 �S6
'� DESCRIBEJOB Rws-lay.r,c.�1 V/�,..�b�•�.q �r rZe��t�a,-.,,� ' -
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION _ 1�
OX 2 CONTRACTOR'S NAME �J � �--��. b L� ` l�I�.�,.-..�r �- �NTRACTOR'S REG. # 'n�-�����d t'2�c:;ki�
�r�.�.�-���u!, .,; Card MUST be presented
CONTRACTOR'S ADDRESS % 7ES�% S� :�.�I S ' � �-1 ��Ty ,��= ,� �
PHONE ��'E C� " C,-r:'ic`.�
EXPIRATION DATE 7 `E-�I3 �p � :�-
— OR — ��
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFI NITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND j
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. �
BOX 3 CONTACT PERSON TX n...,.f�.s /< �v lc�, - PHONE � <G -�; ��:��
BOX 4 SEWER DISTRICT WATER DISTRICT �
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER �� .�= . `t�� -�'C%,- �:
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.) -
K.C. Plat Recording # -
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST� FLOOR / 2ND FLOOR / -
3RD FLOOR / BASEMENT / DECK / GARAGE /
80X 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY(N0. OF UNITS = ) ( ) EXISTING STRUCTURE __. __ _ __.
( ) COMMERCIAVINDUSTRIAL TOTAL AREA OF PROPERTY SQ�'
BOX 9 PLUMBING FIXTURES (including rough-ins) �-- -�� - MECNANICAL APPLIANCES— BASIC FEE$�-----
N0. � - WATERCLOSETS GAS PIPING, FEET _. . �..._ . _
-_�_BATHTUBS N0. FURNACE, ELEC. GAS $
--�'`�SHOWERS - -._ _.___
� __�LAVATORIES GAS HOT WATER HEATER� - �� $"-- -" �"
_ . - - - CONVERS��ON BURNER - - -. _ ___ $._ _
:� SINKS BOILER, SIZE BTU $
_..�_DISHWASHERS - �-� " AIR HANQLING UNITS -- �"----- "-
__;�ELECTRIC HOT WATER HEATER - - - -- - - HEAT PUMPS,SIZE _ __ $.__ .. _
_ _ LAUNDRY WASHER OUTLET UNIT HEATERS $
�1�_URINALS -- AIR COOLING UNITS, SIZE � - � �
- � --- . - -
DRINKING FOUNTAINS -- - - - COMMERCIAL HOOD . $
SUMPS, SPRINKLER VACUUM BRE,�KERS OTHER $
/O DRAINS F/c�-, d:•'.....5 __ __ _-- - .
�LOTHER r`i��,� �� • r , _ __ � - - -- --
• ��,
31_TOTAL FIXTURES - � -- �
.._ _- �--------.
TOTAL MECHANICAL FEE $
! 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 AUTNORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
l�4ADE.I FURTHER AGREE TO SAVE HARM LESS THE CITY OF FEDERAL WAY AS TO ANY CLAI M(I NCLUDING COSTS,EXPENSES,AND ATTORNEYS'
=EES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CIAIM),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 SUPPUED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: _�-•,�-,�--�j DATE: �c: -a'-9 �
AHG-000 3/PO