95-100540 96 , �oa s�ra
CITY OF= F�-ED�fi�L W�?Y �a�f�hfl r NU: �LDy6-UCJ�,�
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'�3530 �i rst lna Snuth
FeCer�al Way, WA 9�30U:� Bui.l�inq Tnspection F?equests 661--4�.40 BY; FC2
661-4QQ0 EXf�IRE5: 10/QS/96
ADDRES5; �5211 6TH RV�: SW
Nc�. : 0662�1-U240
PROJECT DE�CRIPTIQN:NSF - W/ PLUhIBING & MECHANICAL. #�REVIEWED AS BASIC #95-1012-V94#$
BELLflCARINO WOODS, DIV. 2, LOT �24.
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p_ �_=�_�����===--- --- ------ --...,__.. ___ ____ F- CONTRACTOR =_==-___=__===-_______=--_____�;___ _______ __ LENDER ====___=__==_=_=____=_====_�_-_�..�--__- -----_�-�
J FRED LANG BUILDING C0. � FRED B LANG INC �
� 34815 PAC. HWY. S. #A206 ? 21704 116TH SE �
FEDERAL WAY WA 99003 � KENT WA 98031 �
� 661-6880 � 661-6880 �
� FREDBL�341N2 �
�_�::_�____________________�-__��_::�__:���:-.:�:.-���::._._������=..�_�_:._.-____....__..:,�==_===__���=�_�__-��_-=-M-��_���=��=___-_=__=_==-_=-�,-__- ���==____�����,�:��_���--===�:._-����====•�
Y=� COMTRACTORS, PLEASE USE LOCATI�R CODE 1132 NHEN RfPORTiM6 SALES TAX FOR PROJECTS NITNIM THE CITY Of FEDERAL MAY. TAX RATE = 8.2� j==
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� BLD?:X MEC?:X PlM?:X FLR--E1(IS1--PROP--- DWEILIMG UNITS: 1 COMP PLAN.,.....,,:SFND " FEES: �
; TYPE OF WORK:NEW USE:RES 1ST.: Q: 1416:Sf STORIES........: 2 REQUIRED PARKIN6..: 2 SPRINKLERS?.,....:? i PIAN CNECK FEE $ 100,00 �
� CENSUS CATEGORY.,,..:101 2ND.: 0: 1229:sf HEIGHT.....; D.OD ft HAlARD CLASS...:? � FUB NKS PLCK(SF)..93 $ 40.00 �
� OCCUPANCY GROUP---------- 3RD,: 0: D:sf VALUATION---------- ' REQ�IRED SETBACKS------- FIRE FLOW...,: 0 gpm Mechanical Permit� $ 72.00 �
:R3 :U1 ;? ;? : OTHR: 0: 231:sf EXIS?..$: 0 � fRONT...,.....� 20.OQ ft � BUILDING PERMIT..,.� $ 1021.00
TYPE Of CONSTRUCTION----- BSMT: 0: Q:sf PROP...$: 208432 � SIUE....,.....: 7.GG ft WATER SERVICE..:FED ` SBCC SURCHARGE.....� $ 4.50 �
:5N :5N :? :? : DECK: 0: O:sf � REAR........,.: 10.00:ft SEWER SERVICE..:fED � PLUMBING FIXT....93� $ 98.00 p
OCCUPANT LOAD------------ GAR.: 0: b54:sf RECEIVE�.:02J21i96 SCN IMPACT (SfR) $ 1707.00 (
. 0: 0: 0: 0: TOTL: 0: 3530:sf � IMPERV SURFACE: 3173 sf SENSITIYE AREAS. .N fINAI PLAN CHECK...� $ 0.00 °
. , .
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UEL TYPES.:GAS ELE FANS.......,..: 5 BOILERS/COMPRESSORS � WATER CLOSETS......: 3 URINALS........: 0 TOTAL fEES $ 3042.50
AS PIPING.: 48 ft HOOD..........: 1 0-3 HP......: 0 BATH TUBS..........: 2 DRINKING FOUNT.; 0 !
� fURN<100K... 1 DUCT WORK...... 0 3-15 HP..,... 0 � SHONERS............. 1 SUMPS........... 0 �
� GAS HWT,...: 1 WOOD STOVES...: 0 15-30 HP....: 0 � LAVATORIES.........: 3 VAC BREAKERS...: 0 �
� CONV BURNER: 0 FURN>100K...... 0 30-50 HP..... 0 � SINKS............... 3 DRAINS.........: 0
� BBQ......... 0 MISC........... 0 5+ NP........ 0 � DISH WASHERS........ 1 LAWN SPRINKLERS: 0 �
� GAS DRYER..: 0 AIR HANDLING UNITS fUEI TANKS--------- � ELEC WTR NEATERS...: 0 OTNER fIXTURfS.: 0 �
I RAHGE......: Q <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 1
� �AS L06S...: 1 > 10,000 CfM: 0 UNDERGROUND.: 0 (
____ __..._____.---------..-._____ _______________________--___ �___._____-----------_.._-------__.._----__..__..__.....____.____ .___.. __________-- --_-------
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PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF MO YORK IS STARTED. RESIDEMTIAL AND 6RADIN6 PERMITS EXPIRE ONE YERR AFTER DATE OF ISSUANCE.
I CERTIFY 1HAT TNE IMFORMATION FURft�SNED BY ME IS TRUf AMD ORRECT TO THE BEST OF MY KMOULED6E AND THE APPLICA&E CITY OF FEDERAL YAY REQiIIREMEMTS MILL Bf MET.
041NER OR AGENT �s-_.--..:_.._._._ ...._ )
. �/
.__. _ ..__ _ ___...__..___ _.._._._____ _.___----.-------__..__.______ DATE a.,.,,C _.----._..✓��----
FIIE COPY
� ,#q� - �oi.Z - --�r9'4
a,,,a � � � City of Federal Way
� �-�'�� � APPLICATION FOR BUILDING PERMIT
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CEASE PR/NT � � � � " APPL/CAT/ON !!: �
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iITE LOCATION ess ��G t��--1� /'�/��,���'�f/1.� ��j}�'S j�i!''. �?
Tenant (if known) Lot �1 �� Asses or's Tax �J] �/
" ' , / _ ,�Y"�
Building Owner Name Address
��e ������ 2 ���
City State � Zip Phone
Nature of Work �� �` 5 ` �
►PPLICANT
Name (F,M,L) �I �
�e.e, r��►� i!d i� �+� ��•�
Address
City State Zip
Contact Person Oay Phone Other Phone Fax
iUILDI.NG CONTRACTOR
Compapy N e �,/ �
�t �� ,G'I��--ti'�r �f'�C.��'d'�����N�
Addr ss ���Ar n
��S u.G� �,a ..ac . -
City � State w � Zip � �
Contact��� a r � ����� ��� �Q W Phone�^I�� A Fax j'�O ,` „
� /n �{�
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Contractor's N(�card �ust 4e �rAsented� Expj ation Date Verified ❑ Yes :�] No
_ - �2�1�t3�*3�/�v� ` - �---�fi� -
►,�c�cT' . � , �
Name �
C-�� 5-� 1I �S I h
Addre/� C �
d l'� ' W � .J. !N(.� . -
City �� - ' . State � Zip �Q
Contact Pes,on • I Phone �^�'/n��� Fax /_�O�
� �Cl/ lV
cCiAL DESCRIPTION c In� /,��!j � /'� ; . � �-� �
� i" W �/�/V�� � �f J , �
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P/er�se Comp/ete Reveise Side
I72UC'I'UItL Existiny Jse V�C �q.N� Prop Use s�y� (� ��„�/ n�� � � .
l�i� �.
Permit includes: Building Plumbing Mechanical O Other -
Type of Work: Residential �New O Remodel O Number of Units D Deck
❑ Commercial ❑ Addition ❑ Garage ❑ Shed O Other
Enter 1 st Floor;ri � �: sq ft �' 3 � 2nd Floor I_2 Z�t;q it 3rd Floor sq ft Existing Floor Area q ft
Area Basement sq ft Decks sq ft Garage _ ��— sq ft Proposed Total Area �- �" ��S sq ft
Water Availability Sewer Availability On-Site Septic System Availability O Project Valuation S �
Zoning �.S ' 9 C ,Sj<'a��j Lot Size � 7G Existing Bldy Valuation S
�NllLR
Name Address
City State Zip
iCCIIANICAL CONTItACTOR
Contractor Name �'W a, 5 �I�� Address
C��-f� I ���.v ��� 3i2-
City Q�',(Zt � � C�' State � , Zip Q`j
Contact �i� Phone Q'{ / _��q� Fax
��- < <�?3�-�74�
License �1 �(��j�-�/-� � . 3 Expiration Date 2-f-`j(� Verified O Yes ❑ No
'LUMBING'CONTRACTOR
Contractor Name . Address
�J ��u►��;� - 3�-�� A �+: s�.
City � `,t State ��. Zip ��'��
Contact ��� Phone��� �3 q D Fax �9 3�- ���
License 11 J f�(�(� j� � � �(�GG Expiration Date �-� Verified ❑ Yes O No
'LUMBING FIX�LTItE.COUNT :: .
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs � Dish Washers Drinking Fountains � Other
Showers Electric Water Heaters Sumps
, ; ;. _ ,::
Lavatories Washing Machine : Drains T�tal Fiktute,Count.; `
✓IECHAN�CAL iJNI� COUNT
_,.: _,:.,: ,: :. __ __.
Fuel Type (electric/other) �� Gas Oryer ir Handling < = 10,000 CFM � 15-30 Tons
Length of Gas Piping , �-t Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log Unit Heater /(,� 50+ Tons
Furn >100 BTUs � Fans � s Miscellaneous 1- Fuel Tanks /(/�
Gas Hwt Hood Boilers �/(/�/.� Above Ground
Conv Burner Duct Work �n C� 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Tot11 Urnt G.punt '
ISCLAIMER: I certify under penalty of perjury that the information furnished by me Is true and cotrect to the best of my knowledge end turther that I am authorized by the owner
f the above premises to perform the work for which permit application Is made.I further egree to save harmtess the City oi Federal Way es to any claim(Including costs,expenses,
nd attorneys'fees Incurred in fnvestigation and defense of such clatm),which may be made by any person,including the undersigned,end filed against the City of Federal Way,
ut only where such claim��iees out of the reliance of the City,including its o(ficers and employaes,upon the aecuracy of the information supplied to the City as a part oi this
pplication. /j ,
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wnedAgent: -"� - L _ _� Dete:
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