93-101915 q�,�o� 4��
CITY OF FEDERAL WAY �3 U I L D I N G P E R M I T PERMIT 1V0.: �LD93-0841
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 08/0�1/93
Federal Way, WA 980C�3 BY: FC
661-4000
SITE ADCRESS: 1101 S DASH POIIJT RD
PARCEL NO.: 052104-9024
PROJECT DESCRIPTION: IiVAC — INSTALLATION OF GAS PIPINGs
OWNER CONTRACTOR LENDER
SACJAWEA JR HIGH SCHOOL BIENER PLUMBING INC S�$�!/�j�
1101 S DASH POINT RD 2310-B f104TH ST CT S
FEDERAL WAY WA 98003 TACOMA WA 98444
588-1198
BIENEP*19069
BLD?: MEC?:X PLM?: FLR--EXIST--PROP--- DNELLING UNITS: 0 COMP PLAN.........:? FEES:
TYPE OF WORK:? USE:? 1ST.: 0: O:sf STORIES........: 0 RE�UIRED PARKING..e 0 SPRINKLERS?......:? MEC PRMT ISSUANCE.,. S 20.00
CENSUS CATEGORY.....:900 2ND.: 0: O:sf HEIGHT.....: 0.00 ft HAZARD CLASS...:? MEC APPLYANCE FEES.* $ 14.00
OCCUPANCY GROUP---------- 3RD.: 0: O:sf VALUATION---------- REQUIRED SETBACKS------- FIRE FLOW....: 0 gpm
:? :? :? :? . OTHR: 0: O:sf EXIST..S: 0 FRONT.......... 0.00 ft
TYPE OF CONSTRUCTION----- BSMT: 0: O:sf PROP...S: 1000 SIDE..........: 0.00 ft WATER SERVICE..:?
:? :? :? :? . DECK: 0: O:sf REAR........... O.00:ft SEWER SERVICE..:?
OCCUPANT LOAD--------�--- GAR.: 0: O:sf RECEIVED.:07/30/93
. 0: 0: 0: 0: TOTL: 0: O:sf YMPERV SURFACE: 0 sf SENSITYVE AREAS?.:?
fUEL TYPES.:GAS FANS..........: 0 BOILERS/COMPRESSORS WATER CLOSETS......: 0 URINALS........: 0 TOTAL FEES S 34,,00
GAS PIPING.: 700 ft HOOD,.........: 0 0-3 HP......: 0 BATH TUBS.....,....: 0 DRINKING FWNT.: 0
FURN<100K... 0 DUCT WORK...... 0 3-15 HP....,. 0 SHOWERS............. 0 SUMPS.,e........ 0
GAS HWT....: 0 WOOD STOVES...: 0 15-30 HP....: 0 LAVATORIES.........: 0 VAC BREAKERS...e 0
CONV BURNER: 0 FURN>100K...... 0 30-50 HP..... 0 SINKS............... 0 DRAYNS...o,..... 0
BBQ......... 0 MISC........e.. 0 5+ HP........ 0 DISH WASHERS........ 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UN%TS fUEL TANKS--------- ELEC WTR HEATERS...: 0 OTHER FIXTURES,: 0
RANGE......: 0 <=10,000 CfM: 0 ABOVE GROUND: 0 LAUN 41SHR OUTLTS...: 0
GAS LOGS...: 0 > 10,000 CfM: 0 UNDERGROUND.: 0
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUAIVCE IF IVO WORK IS STAFtTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
!CERTIFY THAT THE INFORMATI9RI Fl1 ISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPIICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
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O\4�IVER OR AGENT ���� ��7 DATE �I �� �
bldoprmt 10/23/92
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�a. G City of Federal Way
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�`� � APPLICATION FOR BUILDING PERMIT
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PLEASE PRINT ' APPUCAT/ON #: ��� ��'
SITE LOCATION := Address �� �`�, i' �-/��;�'-ti �'' �'� � �'
_'' . ',
Tenant (if known) f - Lot# Ass�essor's Tax #
�� ` l Jk l `. � � �G. ''�C� � G� c7fJL�/� .� (���� '
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BuildinB�"�ner Nam^e�' Address �,,�
I' '��+Zti�'T� �� �` ti J� I ����S �',�,..;_...+�-s+��
City State Zip Phone
Nature of Work �G'� �" � d'ir�iv3J�. �'�--'� ��i�;� '� --
APPLICANT
Name (F,M,L) "��'> . � -
�� �vJ � '� �`'"`�-����l ' j.-1 �...
Address Z� ,� - � ( �y �'-�--. �' -� �� .
City fi—�,J--..�:� State �/�- Zip , s y�
Contact Persor�}��/ Day Phone�v���� �� Other Phone Fax ��i��Z5'� �
I� n
BUII.DING CONTRACTOR>
Company Name
Address '
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
ARCHITECT '
Name
Address
City State Zip
Contact Person " Phone Fax
-� �.. � .....
�
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��EGAL DESCRIPTION
� g�,? yq !t�
J U 1. 3 � 1993
�IF6��-�e+,�p'��`�Y��sf'�<.rw,
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P/ease Comnlete Reverse Side
CD0492 IRev 4/831
� ---�
STRUCTURE- Existing Use Proposed Use
Permit includes: ❑ Building ❑ Plumbing ❑ Mechanical ❑ Other
Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck
❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Enter lst Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Dacks sq ft Garage sq ft Proposed Totai Area sq ft
Water Availability O Sewer Availability ❑ On-Site Septic System Availability ❑ ''Projact Valuation S
Zoning Lot Size F�cisting Bldg'Vatuation 5 '
LENDER
Name Address
City State Zip
MECHAI�IICAL'::CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified � Yes ❑ No
PLITMBING CONTRACTOR::
Contractor Name �
� � , e._1-� -��.�� � A�°� �� - �; �� S- � � �
City �c��.�,la— State G'v/�-. Zip �j' �
Contact � Phone Fax
" �'j'r� -/I S'� S,�1�'"ZS"�, �
License # "� � �^( {> J � p 5 Expiratio� Date / zi �S Verified Yes � No
PLUMBING FIXTURE:COUNT V �
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fixture Count
MECHANICAL'>ITNIT>COUNT
Fuel Type (electric/other) ,� Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping sCa ' ��oo Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous uel Tanks
Gas Hwt Hood Boilers � Above Ground
Conv Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Total Unit Count
DISCLAIMER: I certify under peneky of pery'ury that the information furnished by me ie true end correct to the beat of my knowledge end further that I am authorized by the owner
of the above premises to perf the work for which permit application ie made.1 further agree to save harmlesa the City of Federal Way as to any claim(includinp costs,expenses,
end attorneys'fees incurr i investigetion and defense Q,f such claim►,which may be made by any person,includinp the undersigned,and filed against the City oi Federal Way,
but only where such cla(m anses o �e reliance of the City, including its officers end emplayees,upon the nccuracy of the infarmatio supplied to the City as a part of this
application. � � �
�� �' �' � �- �' ��.�
Owna�lAyant: � Date: