97-102476 .. . 97-1�o d y��
CITY OF F�UE.ftAL W�aY PERMIT N0: BLD97-0406
33530 F i rs t W a y �a u t h .,I��,,.,,M.� �,.,..,�',�. �""�N�,�; ���.I�I�"�..� �� T S S U E D: 07 f 09/9 7
�eaerai Way, WA 98003 l3uilcling Inspection Requests 661-4140 BY: KLC
561-4QOQ EXPTRE5; 01/05/98
ADDRESS:288��1 MILITflRY RD S
NO. : 042104-9037
PROJECT DESCRIPTION:PLUMBING ONLY
F= ONNER ==�W=wa�r==__________________________________________ CONTRACTOR =____=====z=====_____=________�__=___=_=____-= LENDER - ----= -------------- - -=------------- -- ��
-------------------------
------------------
� AMY"S PLACE � OWNER IS CONTRACTOR
( 28841 MILITARY RD S �
j FEDERAL WAY WA 48003
�
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............
_.....__••••_••••••�•••___-______c=^e==ce=:••••.-.•___-_-_�__-�_scs=:sccW'=====c=accao___________ ____ea=as=eaeaa�_�==a :ar���ss�e==o=eea==m=r==oax===e=c=cc=o=e=c=cmccocecom==�
xca�aassxc_�._____________________ .�_____�_^____ _____�_..�_�a=____
x** CONTRACTORS, PLEASE USE LOCATIOR CODE 1732 YHEII REPORTIM6 SALES TAX FOR PROdECTS YITHIM TNE CITY OF FEDERRL NRY. TAX RATE = 8.2� sii
Q====�=a�====�=e��os______________________�_===__==_==_==_==_=___=_______'-_______=__=___==_=_=____=====aae�o�=�==_=__==_'_________________=_�=_====_==__=_=__=__�
� BLD?: MEC?: PLM?:X FLR--EXIST--PROP--- DNELLIN6 UNITS: 0 � COMP PLAN.........:? FEES:
� TYPE OF WORK:? USE:COM 1ST.: 0: O:sf STORIES........: Q � RfQUIRED PARKING..: 0 SPRINKLERS?......:? PLM PRMT ISSUANCE.. S 20.00
� CENSUS CflTEGORY.....:800 2ND.: 0: O:sf HEIGHT.....: 0.00 ft HAZARD CLASS...:? PIUMBING FIXT....93� $ 35.00 �
OCCUPANCY 6ROUP---------- 3RD.: 0: O:sf 4ALUATIOH---------- REQUIRED SETBACKS------- FIRE fLOW....: 0 gp� �
� :? :? :? :? . OTNR: 0: O:sf EXIST..s: 0 fRONT........,. 0.00 ft i
( TYPE OF COHSTRUCTION----- BSMT: 0: O:sf PROP...S: 0 SIDE..........: O.OD ft WATER SERVICE..:?
�' •' •' •' • DECK; 0; O:sf REAR..........: O.00:ft SEIiER SERVICE..:?
.. .. .. .
OCCUPANT LOAD------------ GAR.: 0: O:sf RECEIVED.:O7/09/97 �
. 0: 0: 0: 0: TOTL: 0: O:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:? �
----------------- --------------------- ----------------- ---- ___—---------------------
------------------------------------ --------------------------_ �---------=--____----_ ---------_____=____
FUEI TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS iIATER CLOSETS......; 0 URINALS........: 0 TOTAL FEES $ 55.00
-�- PIPIN6.: 0 ft NOOD..........: 0 0-3 HP......: 0 BATH TUBS..........: 0 DRINKING FOUNT.: 0
N<100K... 0 DUCT NORK...... 0 3-15 NP...... 0 SHOiIERS............. 0 SUMPS........... 0
GAS HWT....: 0 WOOD STOVES...: 0 15-30 HP....: 0 LAVATORIES.........: 0 VAC BREAKERS...: 0
CONV BURNER: D FURN>100K...... 0 30-50 HP..... 0 SINKS............... 3 DRAINS.........: 0
BBQ......... Q MISC........... 0 5+ HP........ 0 DISN NASHERS........ 0 LANH SPRINKLERS: 0
I 6AS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS--------- ELEC WTR HEATERS...: 1 OTHER fIXTURES.: 0
RANGE......: 0 <=10,000 CFM: 0 ABOVE GROUHD: 0 LAUN MSHA OUTLTS...: 1
GA5 L06S...: 0 > 10,000 CFM: 0 UNDEA6ROUND.: 0
--------------------------------===��_��_===___________==_=_�----_a-_----__=�__���===k>>=m��a======_=___==_=====________=_==_====___-==�-�c=======_____=____=____________=_____�
PERMITS EXPIRE 180 DAYS AFTfR ISSUAMCE IF MO MORI( IS STARTED. RESIDEMTIAL AND 6RADIM6 PERNITS EXPIRf ONE YfAR AFTER DATE Of ISSUAI�E.
I CERTIFY TNAT TNE IMfORM�ITIOM FURNISHED BY ME IS TRUE AND CatAECT TO TNE BEST OF MY Kf�ILED6E AND THE APPLICABLE CITY OF FEDERAL NAIf REQIIIREMEMTS YILL � MET.
ONNER OR AGENT ls.�-- -�--�----'-'`�� ,--------------- ----------------------------- DATE �___�L�_l_�_
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FILE COPY
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BUII.DING DIVISTON
__�r EO�� 33530 First Way South
�� � Federal Way,WA 98Q03
��� Fax(20�661-4129c
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A�'PLICATION FOR BUILDING PERMIT
PLEASE PR/NT APPUCATION# �^�`C�
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Building Owner's Name
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Nature of Work � � � 1�i,�
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Company Name
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Contractor's #(card must be presented) Expiration Date Verified ❑ Yes ❑ No
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, Permit includes: ❑ Buildin ❑ Plumbin ❑ Mechanical ❑ Other
Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ Number of Units_ ❑ Deck
� Commercial ❑ Addition ❑ Gara e ❑ Shed ❑ Other
Enter 1st Floor sq ft 2nd Fioor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement s ft Decks s ft Gara e s ft Pro osed Total Area s ft
Water Availabili ❑ Sewer Availabili ❑ On-Site Se tic S stem Availabili ❑ Pro'ect Valuation S
Zonin Lot Size Existin Bld Valuation S
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Name Address
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Contractor Name Address
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Contact Phone Fax
License # Ex iration Date Verified ❑ Yes ❑ No
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License # Ex iration Date Verified ❑ Yes ❑ No
�`� �'l:I.��VI��I�(*a �I�'�'i�l�;£`.C�UI�`�`:
Water Closets Sinks Urinals Lawn S rinklers
Bathtubs Dish Washers Drinkin Fountains Other
Showers Electric Water Heaters � Sum s
Lavatories Washin Machine Drains 7ota1 Fixt�re Cou�Y
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_......................................._.._..._.................
_............................................ ................................
;It/E�HJ�:N1�1��..:t�N�T.�:t31��11T:: MECHANICAL EVALUATION ONLY $
Fuel i• e (electric/other) Gas D er Air Handlin < = 10,000 CFM 15-30 Tons
Len th of Gas Pi in Ran e Air Handlin > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Lo Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilere Above Ground
Conv Burner Duct Work 0-3 Tons Under round
BBQ's Wood Stoves 3-15 Tons 'i'aYaf;Utllt Coirtit .
DIS CLAIM ER:I certify under penalty of perjury that the informafion fumished by me is true and co�rect to the best of my knowledge,and further,that I am authorized by the owner of
the above premises to perfom�the work for which pemut application is made.I further agree to save hamiless the City of Federal Way as to any claim(including costs,eacpenses,and
attomeys'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 ofthe reliance ofthe city,including its officeis and employees,upon the accuracy ofthe information supplied to the city as a part ofthis application.
Owner/Age�t: �� �L � � 1 Y � Date: � � ����
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REv6Eo 12/11/B8