95-102376 �
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CITY OF �EDERAL WAY f��RMIT N0: �LD9S--074��
33530 F'a. rst Way South ��� �.»..�'� �"'�� � ����.� ISSUED: •10/05/95 �
Federal Way, WA 98qp� Building Inspection Requests 6d1-4140 BY: FC2
661-4000 EXPIRES. 04/02/96
ADDRE�S:1704 SW 354TH PL
NO. : 2521Q3-9064
PROJECT DESCRIP7TON:NSF - M/PLUMBIN6 AND MECHANICAL.
LOT 2 of fWSP tSPl92-0001.
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f MAYNARD SANDEAS NORTNNEST CLASIC HOMES INC SAHDERS �
� 1704 SW 354TH STREET 15127 NE 24TN t323 1104 SW 354TH PL j
1 FEDERAL WAY WA 98023 REDMOND iiA 98052 FEDERAI NAY YA 48023 �
(
y 881-1383 �
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�� CONTRACT�tS, PLEASE IISE LOCATION CODE 1132 MNEM REPORTII� SALES TAX FOR PRQJECTS NITNIN TNE CITY OF FEDERAL YAY. TAX RATE = 8.2� s�
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� BLD?:X MEC?:X PLM?:X fLR--EXIST--PROP--- DNELLIN6 UNITS: 1 COMP PLAH.........:SR FEES: '
� TYPE OF N4RK:NEiI USE:RES 1ST.: 0: 1934:sf STOAIES........: 1 REQUIkED PARKIN6..: 2 SPAIHKLEAS?......:N PLAN CHECK FEE S 515.78 �
� CENSUS CATE60RY.....:101 2ND.: 0: O:sf HEI6HT.....: 0.00 ft NAIARD CLASS...:LIT PUB WKS PLCK(SF)..93 = 40.00 �
� OCCUPANCY GROUP---------- 3RD.: 0: O:sf VAIUATIOH---------- REQUIRED SETBACKS------- FIRE FLON..,.: 1024 gpM FINAL PLAN CHECK...x E 0.00
� R3 :Ul :? :? : OTHR: 0: O:sf EXIST..$: 0 - FRONT.........: 20.00 ft BUILDIN6 PERMIT....� S 793.50
TYPE Of COHSTRUCTION----- BSMT: 0: O:sf PAOP...f: 143340 SIDE..........: 10.00 ft WATER SERwICE,.:FED SBCC SURCNAA6E.....� 3 4.50
� :5N :5H :? :? : DECK: 0: O:sf REAR..........: S.00:ft SENER SERVItE..:FED MEC APPLIANCE FEES.� S 46.00 f
� OCCUPANT LOAD------------ 6AA.: 0: 624:sf RECEIVED.:09/13/95 ' PLUMBING FIXT....93# S 77.00 �
: 0: 0: 0: 0: TOTI: 0: 2558:sf IMPERV SURFACE: 4666 sf SEHSITIVE AREAS?.:N
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��EL TYPES.:GAS ELE fANS..........: 3 BOIIERS�COMPRESS0A5 WATER CLOSETS....... 2 URINALS......... 0 TOTAL FEES S 1476.18 (
S PIPIHG.: 50 ft HOOD..........: 1 0-3 NP......: 0 BATH TUBS..........: 2 DRIHKIN6 FOUNT.: 0 (
� FURH<100K..: 1 DUCT NORK.....: 0 3-15 NP.....: 0 SHONERS............: 1 SUMPS..........: 0 �
� 6AS HNT....: 1 NOOD STOVES...: 0 15-30 NP....: 0 IAVATORIES......,..: 3 VAC BREAKERS...: 0 �
� CQNV BURNER: 0 FURH>100K...... 0 30-50 HP..... 0 SINKS............... 1 DRAINS.......... 0 �
� BBQ......... 0 MISC........... 0 5+ NP........ 0 DISH NASHERS........ 1 LANN SPRINKLERS: Q
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS--------- ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
RAN6E......: 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN NSNR OUTLTS...: 1
GAS LOGS...: 1 > 10,000 CFM: 0 UNDER6ROUND.: 0 �
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PERMITS EX�IRE 180 BAYS AFTER ISSUANCE If NO MORK IS STI�tTED. RESI�NTIAI AN9 6RABIN6 PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUAMCE.
I CERTIFY THAT TN IOM ISNED ME IS TRUE AN9 CORNECT TO TNE HEST OF MY [NOYLED6E tNtD T1� APPLICABLE CITY OF fEDEaAI IIAr REQUIREMEMTS NILL �E I�T.
� �
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OMNER OR AGENT __�_ DATE �v_J___�____
FILE COPY
- p„� G City of Federal Way
uv �������PPLICATION FOR BUILDING PERMIT
��P 13 199� ,� �� � •:c��'
REV����� ����w�� � .�� i��t
PLEASE PR/NT �=��=�'A�'�';�- APPLICAT/ON #: ��-�
SITE LOCATION � Address �(„� �'�f � �L� � - ��,�(D�
Tenant (if known) Y/ L.ot # +
_____��_�_____ � � S X �
Building Owner Name Y Address
City State Zip Phone
Nature of Work N�� t-,
APPLICANT '
Name F„fv�„L)1,� l �
�� N � 3�
Addre s
��� 5�✓ 3�"`-� �� ��-
City �1( State �� Zi
p
Contact Person Day Phone Other Phone Fax
I3UILDING CONTRACTOR
Com y Name
� ��:, _� ��l� ��3 I i�/
Addr�� �� � � � � ��
City I�l�(�/(� State y� Z�P o Z
Contact Per � `^Y, �(�� P � ' Fax I _�Q
v� — 3� 3 6 �c�
Contra t r's (card mus ae eY e ed) E rat' n t Verified ❑ Yes ❑ No
I l� � �� �
ARCHIT�CT �
Name �� 11l�-� �� ��
.t-rC�
Addr c
� d� � -!'� c.� �
City T State
� ZiP �
Contact Person Pho .� � Fax
LEGAL DESCRIPTION
I�T � �i�VS'� RZ -(?C� 1 � x rrn-��� ��'�(UD3(� ����-
P/ease Comp/ete Reveise Side
CD0492(Rev 4/93)
STRUCTURC Existing Use � ,—` Proposed Use <.
i��'��-�/7L''� , !.' . �
Permit includes: �ilding C3—Piumbing �f�echanical ❑ Other
Type of Work: L9�esidential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck
❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Enter 1 st Floor sq ft 2nd Floor '� sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage�sq ft Proposed Total Area sq ft
Water Availability ❑ Sewer Availability ❑ On-Site Septic System Availability ❑ Project Valuation $ �Q
Zoning j_ J �' Lot Size _ ( ; ; a Existing Bldg Valuation S
L�NDER
Name � Address
'��l'� ' "�ti'f"ll.V
cty
State Z�p
MECHANICAL''CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name Address
City
State Zip
Contact Phone Fax
License !1 Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE COUNT
Water Closets Sinks 1 Urinals Lawn Sprinklers
Bathtubs � Dish Washers Drinking Fountains Other
Showers , Electric Water Heaters Sumps
Lavatories Washing Machine Drains Totaf Fixture Gount
MECHANICAL IJNIT''COUNT
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping �j� Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs t Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans � Miscellaneous Fuel Tanks
Gas Hwt 1 Hood � Boilers Above Ground
Conv Bumer Duct Work 0-3 Tons Underground
BBa�s Wood Stoves 3-15 Tons Totai Unit Count
OISCLAIMER: 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.1 further agree to save harmless the City of Federal Way as to any claim(including 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 r iance of the City,including its officers and employees,upon the accuracy of the information supplied to the City as a part of this
application. '
Owner/Agent: �� -----`_ Da� �/�� / �
. G9-15-95 12. 19PM FRO� FLYNN A�SOCIA?ES ' P02
- � STfL Pi.AN A�PROVAL
. �Q� hrmit Number._��� <�-�- `>-���.,._. REVlSI�N DATE
Approved By: _�
ate: '��`1 ��:p � 5 �
Comments: ,sr� ��/✓�����c�-
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