95-100366 .
'� j�-�o a3 �od
CITY OF FEDERAL WAY g U I L D I NG P E R M i T PERMSSUED: 02/14/9523
33530 First Way South
Federal Way, WA 98003 Building Inspection Requssts 681-4140 BY: FC
661-4000 EXPIRES: 08/13/95
ADDRESS: 7016 JOHNSON RD NE
NU. : 322104-9075
PROJ ECT DESCR I PT I ON:PLUM8IN6 - AEPLACE KIT SINK i INSTALL DISNMASNEA
O�NER COMTRACTOR LENDER
YAEI(0 NAKANO �_= OMNER IS CONTAACTOR �__
101fi JONNSON RD 1E
FE6ERAL MIIY MA 98422
92P-846T
::� I�NE �:e
8lD?: MEC?: PLM?:X FLR--EXIST--PROP--- DME1lIN6 UNITS: 0 COMP PLAN.....,...:? fEES:
TYPE OF MORK:REP USE:RES iST.: 0: d:sf STORIES........: 8 AEQUINED PARKIN&..: 0 S�IINKLERS2......:4 PLM PRMT ISSUANCE.. : 20.00
CENSUS CATE60R9.....:800 2ND.: 0: O:sf HEIfiHT.....: 0.00 ft NAIARD CUSS...:? PLUM8IN6 FI1(T....93s � 14.00
OCCUPANCY 6AOUP---------- 3RD.: 0: O:sf YALUATION---------- REWIAED SETBACKS------- FIRE FL�....: 0 gp�
:? :Z :? :? . OTHR: 0: O:sf EXIST..�: 0 fRONT.......... 0.00 ft
TYPE Of CONSTRUCTION----- BSIIT: 0: O:sf PNOP...=: 0 SIDE..........: 0.00 ft MATER SERYICE..:?
• •? :? :� : DECK: 0: O:sf REAR..........: O.00:ft SE�EA SERYIGE..:?
OCCUPANT LOAD------------ 6AA.: 0: 6:sf RECEIYED.:02J14/95
. 0: 0: 0: 0: TOTL: 0: O:sf IMPERV SURFACE: 0 sf SENSITIYE AREAS?.:?
FUEL T1PES.:? Z FAMS..........: 0 �ILENBJCOIIPRESSORS MATER CLQSETS......: 0 URINALS........: 0 TOTAL fEES � 34.00
6AS PIPIN6.: 0 ft HOOD..........: 0 0-3 HP......: 0 BATN TUBS..........: 0 DRIMKIN6 FOUNT.: 0
FURN<100K..: 0 DUCT rORK.....: 0 3-15 NP.....: A SHOMERB............: 0 SUMPS..........: 0
6AS lhT....: 0 MOOD STOYES...: 0 15-30 HP....: 0 LAYATOHIES.........: 0 YAC BREAI(ERS...: 0
CONY BURNER: 0 FUAN>t00K.....: 0 30-50 NP....: 0 S1NKS..............: t DAAINS.........: 0
BBQ........: 0 MISC..........: 0 5+ HP.......: 0 DISN NASHERS.......: t LAMN SPRINKLERS: 0
6NS DR�ER..: 0 AIR HANDLIN6 UNITS fUEL TANKS--------- ELEC MTR HEATEAS...: 0 OTNER fIJtTUAES.: 0
RAN6E......: 0 <=t0,000 CFq: 0 ABOYE 6ROUND: 0 UUN MSHR OUTLTS...: 6
6AS L06S...: 0 > 10,000 CiM: 0 UNdEA6R0UNA.: 0
PERNITS EXPIAE 180 UA1►S AFTER ISSUANCE IF NO MOflK IS STARTEO. RESIDEMTIAL AND 6RADIN6 PERMITS EXPIAE ONE YEAR AFTER QATE Of ISSUAMCE.
I CERTIfY THAT TNE INFQRMATION FURIISED BY ME IS TAUE AND CORRECT TO TNE BEST OF MY KNOMLED6E dND THE APPLICABLE CITY Of FEAERAL MAY AEQUIREMENTS Mlll BE MET.
OWNER dR A6ENT �--�— �'1�,� �.-��-------�_____��_�_____ �_� DATE -���-�- / '�1 j l�
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SETBACKS 8e FOOTINGS
Date By
FOUNDATION WALLS
Date By
PLUMBING GROUNDWdRK
Date By
UNDERFLOOR FRAMING
Date By
SHEAR WALLS
Date By
PLUMBING ROUGH-IN 3•�.-. S jZQu($�{ � '� � �
Date By
GAS'PIPING
Date By
MECHANICAL ROUGH-IN'
Date By
MECHANICAL (OTHER)
Date By
FFiAMING
Date By
INSULA710N
Date By
GWB - 1 ST LAYER
Date By
GWB - 2ND:IAYER
_ _ _ _. _
Date By
SUSPENDED CEtLING
Date By
PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FIIVAL
Date By
� /
BUILDING FINAL � ' ���� i-���'C `!>" � ;;,,r;��� -;�!l=f' ���� �f� � /��, �-�; ��_-
; �
Date By ,c.f y�i>i�%; /'7i,�� ��c= i�/�_ �' /�iJ.i� /7
OTHER
Date By
OTHER '
Date By
CD0193
���:-A����VE�
a„� G City of Federal Way
� —m-�'� APPLICATION FOR BUILDING PERMIT ���� � `�3 ���
�::ITY OF i=EE��{�,4L WYAY !
sur�.��n�c���,�,�
PLEASE PR/NT APPL/CAT/ON #: �Y L+-' I�`� Q � ��
x SITE LOCATION Address ` � d �
Tenant (if nown) Lot # Assessor's Tax #
� `� �o�.c� — �0 75
Bujl in Owner Name Address
� � � � ��
City / State
` ' Z�P � Phone �
Nature of Work `` c�+�s��� � �'S �/ �S �Q i y
� APPLICANT '
Name (F,M,L) ��
Address
City
State ZiP
Contact Person Day Phone Other Phone Fax
_ _ . __
\ BUILDiNG CONTRACT�R.
__ .
Company Nam
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
LEGAI DESCRIPTION
P/ease Comp/ete Reverse Side �
CD0492 1Rev 4/931
S`CRUCTURL+' Er-'ing Use P osed Use
Permit includes: L� _uilding Plumbing � _ ._lechanical ❑ Other
Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck
❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Er?!er 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 S
Zoning Lot Size Existing Bldg Valuation S
LEND�R
Name Address
City State Zip
MECHAMCAL CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License �J Expiration Date Verified ❑ Yes ❑ No
PLUMBING CON'I`RACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTUI2E COUNT
Water Closets Sinks 1 Uri�als Lawn Sprinklers
Bathtubs Dish Washers � Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Tota[Fixture.�ount
MECHANICAI,'UNIT COUN'T
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log Unit Heater 50+ Tons
F�rn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Conv Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Tofa(E3nit Courit
OISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to tha 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(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 reliance 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:
Date: ,�C � �� ( ��