93-100701 9 � - lob�al
CITY OF FEDERAL WAY B lJ I L D I N C� P E R M I T PERMIT NO.: BLD93-0323
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 03/24/93
Federai Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 1306 S 291ST PL
PARCEL NO.: 516210-0110
PROJECT DESCRIPTION: PLUMBYIJG
Ob1NER CONTRACTOR LENDER
PAUL EDWARDS THE PLUMBING JO1NT
1306 S 291ST PL 351 UNION AVE NE
fEDERAL NAY NA 98003 RENTON WA 98055
7222 228-3204
PLUMB**132C6
BLD?: MEC?: PLM?:X FLR--EXIST--PROP--- D41ELlING UNITS: 0 COMP PLAN.........:? FEES:
TYPE OF WORK:? USE:? iST.: 0: O:sf STORIES........: 0 REQUIRED PARKING..: 0 SPRINKLERS?......:? PLM PRMT ISSUANCE.. S 20.00
CENSUS CATEGORY.....:800 2ND.: 0: O:sf HEIGHT.....: 0.00 ft NAZARD CLASS...:? PLUMBING FIXT....93* $ 7.00
OCCUPANCY GRWP---------- 3RD.: 0: O:sf VALUATION---------- REQUIRED SETBACKS------- FIRE fLON....: 0 gpm
:? :? :� :� : OTHR: 0: O:sf EXIST..S: 0 FRONT.........: 0.00 ft
TYPE OF CONSTRUCTION----- BSMT: 0: O:sf PROP...S: 0 SIDE..........: 0.00 ft WATER SERVICE..:?
:? :? :? :? • DECK: 0: O:sf REAR..........: O.00:ft SEWER SERVICE..:?
OCCUPANT LOAD------------ GAR.: 0: O:sf RECEIVED.:03/24/93
. 0: 0: 0: 0: TOTL: 0: O:sf IMPERV SURfACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS WATER CLOSETS......: 0 URINALS........: 0 TOTAL FEES S 27s00
GAS PIPING.: 0 ft HOOD..........: 0 0-3 HP......: 0 BATH TUBS..........: 0 DRINKING FWNT.: 0
FURN<100K..: 0 DUCT WORK.....: 0 3-15 HP.....: 0 SHOHERS............: 1 SUMPS..........: 0
GAS HNT....: 0 NOOD STOVES...: 0 15-30 HP....: 0 LAVATORIES.........: 0 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K.....: 0 30-50 HP....: 0 SINKS..............: 0 DRAINS.........: 0
BBQ......... 0 MISC........... 0 5+ HP........ 0 DiSH NASHERS........ 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS--------- ELEC WTR MEATERS...: 0 OTHER FIXTURES.: 0
Reur_r���� �� 0 <=10�000 CFM: 0 ABOVE GRWND: 0 LAUN WSHR WTLTS...: 0
C )GS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
ALL PERMITS EXPIRE 180 DE►YS AFTER ISStDANCE 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.
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OWNER OR AGENT � DATE �" �/
bld_prmt 10/23/92
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� mit # �ti� Q3 — c� 32� -
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
—Please Print—
BOX 1 TENANT NAME:
OWNER � � r SITE LOCATION
OWNER'S ADDRESS C`i' E - � '` L CITY F v.�c_. PHONE �� � Z z-Z_
DESCRIBE JOB -+� � ��,' F�,� S-G, ,,,,�
THE PROPERTY IS OWNED BY: SINGLE/ ARRIED X PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME 7`�i� ��vn�I��`h c� ..�o,'� f � CONTRACTOR'S REG. # �/v�>>../� �¢� /3�c1�
Card MUST be presented
CONTRACTOR'S ADDRESS ��� v �i.n �, a z� /I/E CITY �����- PHONE �a � ��G �-
EXPIRATION DATE
— OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON l cr rr' 3 ` -p ��[� C Lt PHONE �.Z c`' 3 .�. �' %
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST ' EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER l � /(C7
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 /
BOX 8 (�f SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAVINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
N0. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS N0. FURNACE, ELEC. GAS $
�—SHOWERS GAS HOT WATER HEATER $
, . LAVATORIES CONVERSION BURNEF� $
SINKS BOILER, SIZE BTU $
DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AiR COOLING UNITS, SIZE $
DRINKING F,OUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
OTHER $
TOTAL FIXTURES c�
TOTAL MECHANICAL FEE $
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(INCLUOING 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,INCLUDIN�ITS
OFFICERS AND EMPLOYE , UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
�/ -- 2 �, j �
OWNER/AGENT: t'`��' t/� DATE: � � ` � �
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