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97-101378 , a .� q7.�o �3�S CITY OF FEDERAL. WAY PERMIT N0: BLD97-0243 33530 Fi rst Way Snuth �+1„�.,��,...�;."�.,� II��.�' ��:��..�'� �� ISSUED. Q4/22/97 Federal Way, WA 98003 Building Inspection Requests 661-4�.40 BY: FC2 661-40QQ EXPIRCS: 10/19/97 ADDRESS.3329 5W 327TH PL N�. : �51090-0260 PROJECT DESCRIPTION;PLUMBIN6 FIXTURES FOR TNE REMODEL p= OWNER =_______________��_=___��;�a��===__________==_-= CONTRACTOR ==a��===__==_=��:�5=====____________===__=_=-= LEHDER =_=____��-��____=====as=�a�a=====_______=_====_� � STEVE SIMMONE MR ROOTER � 3329 SM 327TN PL 1120 SN 16TN STE lA � EDERAL MAY NA 98023 REHTON MA 98055 � � 815-9550 763-4010 J � MROOx�077DJ 6xxa�saa�oeas_==�a�a�e=nna�e===_:soacxcvse�v�moec:sasm�=me=_m^x�:aoe�aa===ma=c�v�a=asasx=ae=__:a�=�ecaa=xsx�xsxxaa�ae�.�amac_axsasoeaxa��s=xxmaa:_x==xeaaa�aa=a=xse=caac=a�vaa� ;� CONTRACTORS, PLEASE USE L�ATION CODE 1732 MHEM REPORTIM6 SALES TAX FOR PROJECTS MITNIN TNE CITY OF FEDERAL iYIY. TAX RATE = 8.2; i� F=a==c��ca�-=========ax��axx=x=mc=====�==_=_==�====mms�====___________________"'----^====amao�s=======_===_=_=______=____==__=====s'=========5==�==xsx��xso:saaam=_==^=caco=� 7----- BLD?:? MEC?:? PLM?:X FLR--EXIST--PROP--- DNELLING UNITS: D COMP PLAN....,....:? FEES: TYPE OF WORK:ALT USE:RES 1ST.; 0: O:sf STORIES........: 0 REQUIRED PRRKING..: 0 SPRIMKLERS?......:? PLUMBING FIXT....93� S 42.00 ( CENSUS CATEGORY.....:434 2ND.: 0; O:sf NfIGHT.....: 0.00 ft HAIARD CLASS...:? PLM PRMT ISSUANCE.. s 20.00 i OCCUPAHCY GROUP---------- 3RD.: 0: O:sf VALUATION---------- REpUIRED SETBACKS------- FIRE fLOM....: 0 gpm SBCC SURCHAR6E.....# S 4.50 � • •' •' •� • OTHR: 0: O:sf EXIST..S: 0 FRONT.........: 0.00 ft � TYPE Of CONSTRUCTION----- BSMT: 0: O:sf PROP...$: 0 SIDE..........: 0.00 ft YIATER SERVICE..:? :? �' •' •� � DECK: 0: O:sf REAR.........,: O.00:ft SEYER SERVICE..:? OCCUPANT LOAD------------ 6AR.: 0: O:sf RECEIYED.:04/22/97 � : 0: 0: 0: 0: TOTL: 0: O:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:? �aaaa�xam==s=axsamx�omaxsxaea�ma:escsa_s=ss�sa=mxsseaa�a�_sxesaeaoosa��ssaa se==_eoaxao=a�xsaaa�xxx��seasaea_=oce=co�.=e-aeso�s�� L TYPES.:? ? fANS..........: 0 BOILERS/COMPRESSORS NATER CLOSETS......: 2 URINALS........: 0 TOTAL FEES S 66.50 � GAS PIPING.: 0 ft NOOD..........: 0 0-3 HP......: 0 BATN TUBS..........: 1 DRINKING FOUHT.: Q FURN<100K... 0 WCT WORK...... 0 3-15 HP...... 0 SNOWERS............. 0 SUMPS........... 0 6AS HNT....: 0 NOOD SiOVES...: 0 15-30 HP....; 0 LAVATORIES.........: 1 VAC BREAKERS...: 0 COHV BURNER: 0 FURH>100K...... 0 30-50 HP..... 0 SIHKS............... 0 DRAINS.......... 1 BBQ........: 0 MISC..........: 0 5+ HP.......: 0 DISH ItASHERS.....,.: 0 IAWH SPRINKLERS: 0 GAS DRYER..: 0 AIR HANDLIH6 UNITS FUEL TANKS--------- ELEC MTR HEATERS...: 1 OTHER fIXTURES.: 0 I � � RANGE......: 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN NSHR OUTLTS...: 0 = � GAS L06S...: 0 > 10,000 CfM: 0 UHDER6AOUND.: 0 =mx�xes=�aeos=_aaccasa�exsx�s�»so=��=aaa=ccexocvsxxs===axa=_sacccce=mcocvx=;_a==s-ma�sr=xc=s=xco==xesease=e=c==c=ce==vxc:a:xaaasco msao�aeaxmaaaaaaamee¢sa==csecc=c^==c=^v===a� PERMITS EXPIftE 180 DAYS AfTER ISSUANCE IF I10 I�tK IS STARTED. RESIDEMTIAL AND 6RADI116 PERMITS EXPIRE ONE YfAR AFTER DATE OF ISSUANCE. I CERTIFY THAT TNE INFORMATI011 FUR S ED BY ME IS U ND CORRECT TO TNE BEST Of MY CIIONLED6E AND TRE APPLICA�E CITY OF FEDERAL YAY REWIRElIENTS YILL BE MET. ONNER OR AGENT -c__ __ DATE � oC�C[ �,� ------------ - -- -- - ----------------------------.--_____--- � -- -- FILE COPY y ti��a�3�a BUII,DING DIVISION � G v"-""""`' 33530 First Way South E��— °�/��r Federal Way,WA 98003 uV F-iY (206)661-4000 �;;R 2 ?D �;= Fax(206)661-4129c APPLICATION FOR BUILDING PERMIT b'� ��`� � — OZ `7 � PLEASE PR/NT APpLICATION # ��l��.��`r/��" :>`. Address � ^ 7' �J , ! ,n -r Tenant (if known) �-, �'� Lot# Assessor's Tax # ' -��v� �� sy. Building Owner's Name Address 2 � �, lw / �� p� ,-. tf,., U c�( v:/ Ci �P G �• State � �i Z �Y'!��'/�j Phone� � � ' � Nature of Work �� `:A�'.;..'._._<;:'.'»>:::�.:>�<:s::::<::>::>z'�;<>:::;::'::;'�:»?::;'>:.'.."?:'::;:<:[::[::`"?:>:>::><::[�>;::::: �..�'i.��`......::. :.:�,..:.:::::::::::::.:::;.;:.;:.;�.;;,..;::.;�:.;:.: Name (F,M,L) Address Ci State Zi Contact Person Day Phone Other Phone Fax ��t!'i/ /� �, f:: B�CtX{tiITRPi�TC�R Company Name /��, r / � 4�� Address �!( �-/ � �d Q � C� �� T / Ci State �.� Zj �'La,�`� Contact Person . � P on ..; Fax 4 c ; ✓' �� S - fD/ v Contractor's #(card must be presented) ' Expiration Date Verified ❑ Yes ❑ No ,� ,� C� / 7 �t"/ '�t'::<:::<:::;>::>:<:;::>::: >:::'::<':'>''>:::::::>'':;»'::;;:[�:�:?';:::>:::::�: �':'::>:':�:':':;s>::>:::>��<:::<::: RC}�fi;�CT` ...::........::::::::.;:,;:.:::«.;::;.::::.:::::::<::<:::>::»:.: Name Address Cit State Zi Contact Person Phone Fax LEGAL DESCRIPTION ' � P/ease Coma/ete Reverse Side se Use :�:�> Existin U Pro osed :��.��':;?:;:;::�::��»::»:::�:>::::::#>:::::::::::::.:<?:;<:�:::;::':::>;::ry'>::>::»�::.;:.: 9 P Permit inciudes: ❑ Buildin ❑ Plumbin ❑ Mechanical ❑ Other Type of Work: O Residential ❑ New ❑ Remodel � Number of Units_ O Deck ❑ Commercial ❑ Addition ❑ Gara e ❑ Shed ❑ Other Enter 1 st Fioor sq ft 2nd Floor 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 Availabilit ❑ On-Site Se tic S stem Availabili ❑ Pro'ect Valuation S Zoni� Lot Size Existin Bld Valuation 5 :�ENUE�:.>:<:::;:«:::::>:'�:«:<>'::<:>:::'>:::«:::>:::<:;:«::<:::::::<::::<:;:;<:::;:::::::>:;>:`::>:>'>::>:<::<': 1�;::.:::::::.::::::::::::::::::::::::::::::::::;.:::::::.:::::::::::::. Name Address Cit State Zi ................................................................................ ........................................................................................ .......................................................................................... ........................................................................................... ........................................................................................... �€��r��::��v�r��cs�>:::::::::::::::�::;;:>:: Contractor Name Address Cit State Zi Contact Phone Fax License # Ex iration Date Verified ❑ Yes ❑ No ........................................................................................... ............................................................................................ .......................................................................................... ........................................................................................... ........................................................................................... >�`��:�AiI�El�fa:::�fl�S�'E#�1;�!EI�3::«:>�;:::'::z::::::«::>:<::<:�<:'::<': ....:............................ Contractor Name �� A�� b u� �nI-� �� J LS / Cit „+� O.� State � Zi � � Contact % Phone � Fax �� ,�c.I c;— ,� �G J b License # � �� 7� � Ex iration Date Verified ❑ Yes ❑ No ........................................................................................... ........................................................................................... ............................................................................................ ........................................................................................... .................................................................................. :��:.��:��::'��:�:��>::<:`:>;;:<:':::<::�::>:>::::::::: ... . . .... ... Water Closets Sinks Urinals Lawn S rinklers Bathtubs � Dish Washers Drinkin Fountains Other Showers Electric Water Heaters Sum s /e-r r�a • Lavatories Washin Machine Drains 7nta1>:FiatYure>Ct�u�Y::_::: . ;»»:z<:>:<:>: ....................................................................................... .......................................................................................... ........................................................................................... ........................................................................................... .......................................................................................... :��#V1�A�::�l��'>��lT:::::::::`:>:::::::::::::>::::::>::::::« MECHANICAL EVALUATION ONLY 5 Fuel T 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 Boilers Above Ground Conv Burner Duct Work 0-3 Tons Under round BBQ's Wood Stoves 3-15 Tons Total Unit Count DIS CLAIM ER:I certify under penalty of perjury that the informaYion fumished by me is true and cocrect to the best of my knowledge,and further,thai I am authorized by the owner of the above premises to perfomi the work for which pertnit application is made.I further agree to save hacmless the City of Federal Way as to any claim(including costs,expenses,and attomeys'fees incurted in investigation and defense of such claim),which may be made by any pecson,including the undersigned,and filed against the City of Federal Way,but only where such claim arises out of the reliance ofthe city,including its officers and employees,upon the accuracy of the information supplied to the city as a put of this application. Owner/Agent: Date: (.� � � Bunon+c.Aw �\ REvsco 12I11188