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95-102654 9b��0�6 sy CiTY OF FEDERAL WAY F�ERMt7 N0: BLD95-0810 33530 F i rs t W a y 5 o u t h .,�N�,„,� ,�. �_,,..�'�. �"'��',�I„'i �'�.�,� .,�� I SSU E D: 10/04/95 Fec{eral Way, WA 980q3 Building Inspection Ftequests 66�.-4140 BY: FC 661-4QOp EXPIRES: 04/06/96 ADDRES5:31307 PACIFTC HWY S NO. : 082104-9017 PR0,7EC7 DE5CRIPTION:PLUMBIHG (LOT B} - ADDIN6 (2) NATER CLOSETS, (2) LAVS, (1) NATER HEATER = OMNER ra.=_a��==�m��aa�s�_�=z_�=�samax�mrm=sa�==s�__�_„�-� CONTRACTOR ==_=_,�==�a__=�=_a=a�m���aa�==:�__�.__��_= a IENDER ====a===�aS=��_�m���a�_=�mm�_��assaa_a=��r_�==_� HALLMARK SkOMCASE LAKERIDGE PLUMBING & MECH IHC ! 31307 PACIFIC NNY S 13508 NE 124TN ST � � FEDERAL i1AY YIA 98003 KIRKLAND MA 98034 � � 827-42b2 - � LAKERPM099RK � �a�s=�-�=�cna�-omnaovssxmmesxs_amx_ac=m_ec==_sea_vx:eenecamx_oc_�xaacc�oas�meaa=gaaas�msx�xxemeama=ma�sa_aa�aaaamamame aamamaa�ma��se�amassmama��masnn�=�aaaa�amsa=_�exaxsasmaa� � CONTRACTORS, PLEASE USE LOCATIOM CODE 1732 YHEN REPORTIM6 SALES TAX FOR PROJECTS MITNIN TNE CITY Of FEIERAI MAY. TAX RATE = 8.2� � maa�msaaxae_axsas�er.ss_ssvesmms=acmaxWocacneaese==�_x=e=e_ee=___sac_am_s==_s.-'=eca_rama�aoxeaasasax=ene______cma_a_a_xae�eaa=asme ame�=�a=sa�maax�maameasa:aaammaaasaesss�aj BLD?: MEC?: PLM?:X fLR--EXIST--PROP--- DkELLIN6 UNITS: 0 COMP PLAH.........:? fEES: � TYPE OF NORK:? USE:COM 1ST.: 0: O:sf STORIES........: 0 REQUIRED PARKING..: 0 SPRINKLERS?......:? PLM PRMT ISSUANCE.. S 20.00 � CENSUS CATEGORY.....:800 2ND.: 0: O:sf HEIGHT.....: 0.00 ft NAIARD CLASS...:? PLUMBING FIXT....93� S 35.00 � OCCUPANCY 6ROUP---------- 3RD.: 0: O:sf VAIUATION---------- REQUIRED SETBACKS------- FIRE fl0ii....; Q gpe � :? :? :? :? . OTNR: 0: O:sf EXIST..s: 0 FRONT.......... 0.00 ft � � � TYPE OF CONSTRUCTI4N----- BSMT: 0: O:sf P�OP...S: 0 SIDE..........: 0.00 ft ViATER SERVICE..:? � I �� •� •� �� • DECK: 0: O:sf REAR..........: O.00:ft SEMEfl SERVICE..: .. .. .. .. . ? � OCCUPANT LOAD------------ 6AR.: 0: O:sf RECEIVED.:10/09/95 � : 0: 0: 0: 0: TQTL: 0: O:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:? ( amsemaacamsz=mcvaa�av-e�eoc=s==c�xas�_�a_=a�o�ecax,acxa^�ao_�s�anasea.-e=s_a =__seac=_c_��zr.asm�sxm=a�zs�msaszxsaxeassasxxa�saem=� � , FUEL TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS IIATER CIOSETS......: 2 URINALS........: 0 � TOTAI FEES $ 55.00 ( GAS PIPING.: 0 ft HOOD........... 0 0-3 HP....... 0 BATN TUBS........... 0 DRINKIN6 FOUHT.: 0 � � � FUAN<100K... 0 DUCT NORK...... 0 3-15 HP...... 0 SHOHERS............. 0 SUMPS........... 0 � 6AS NYT....: 0 Ii00D STOVES...: 0 15-30 HP....: 0 LAYATORIES.........: 2 VAC BREAKERS...: 0 � � � CONV BURNER: 0 fURN>100K...... 0 30-50 HP..... 0 SIHKS............... 0 DRAIHS.........: 0 � BBQ......... 0 MISC........... 0 5+ HP........ 0 DISH NASNERS........ 0 LAWN SPRINKLERS: 0 � ( 6AS DRYER..: 0 AIR NANDLIN6 UNITS fUEI TANKS--------- ELEC WTR HEATERS..,: 1 OTHER FIXTURES.: 0 ( � RANGE......: 0 <=10,000 CFM: 0 RBOVE GROUND: 0 LAUN WSHR OUTLTS...: 0 � GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 Esc�=_savesev_as=o�cc=ccaca��esnsmm�s�aas�onaaa�_s�.:ssssmma�a�ac=x=_aaxs__c_ccs_cc=�,nsw�wW._�seeaxs�ssaw�ms���av�e_smaa_am__me_exa__aar_�v_noxeo�¢cc�as��ass�¢unaa�a��maar.o=aseo� PERMITS EX�IRE 180 DAYS AFTER ISSUANCE IF NO YOR[ IS STf�tTED. RESIDEMTIAL AND 6RADIM6 PERMITS EX�IRE OIIE rEAR AFTER BATE OF ISSUANfE. I CERTIFY TIYIT TNE INFOItMATION FUkNISkED BY Mf IS TRUE AND C�tRECT TO TI� �ST OF MY (MOYlED6E AND THE APPLICABLE CITY OF FE�RAL NAY REQUIREMEMTS MIII BE MET. � • OMNER OR AGENT __ _ ___ _c;`���� DATE _1�=�- ��� FILE COPY �1d0�a131� �2 �� � S N � ,� /l�y �� _ 7l;'�i C c-�.i : i �'i_I:' ..V� G3;;flt+ � �.. {; ; �,�`� :�, �,,, /I�� � ' ;, . � , l�i AIIJ 3��}llAid 3N1 @!!tt 39Q31AqN� AN 3� 153� �tll i�l l33��� fNN �l SI 71! 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' _. � .._ .�. _.. ,_ .. _ __._ a�bbOWd'�3��1 � � ;97,b-tl8 • � � � yFo�� b� a�d�x�t� � !S N14Zt 3N 80S£t � AP�ti �i�t �{a ���'t ir. , �NI H73W � 9Nf9Nllld 39UI�3�H1 � 35H,►M4NS MrlHidllHN � �. .:. ... :. _ . _. ,.__ :v�:: :,.. .. :�. _ ..:, :.-.::_- �30N31 ,�:.� .,,.,,s.; �.:..:.::�..t,�:.-:��tt.m�s�:��-������,��a:�,:z� �61 Jtl�1H0) : .a-... �: �. ._._�._:. .. , ._ .. ,:Y�.,.���.:�.�.�,.�,�:��„.;�:x::,.��,= d3NM4 a. H31�13H H31bh I,[) 'SAH1 (Zi `:�135ti1J 113Ltlil (�) 9NIQtltl - (A lUl) `�NI�{�il1d�hJOI,I ri 1 }-Jw���,�CI 1 :_)�.:�1,`C)�tvt l. 'Lfl�,-��/(.)Ti;t3C) = 'l)hJ :> ,�r�d� .���� i�����r�i t t����c����>.�����r..+ `-?f��`-�Il�°7t1 ��,�3tf'i�l�.`1 C�Of)"j__�[.`�ri' �>>� =J�,�� [)�,.f-'r._ �;<;�C� �,�}:;��r�r,:.���r{ �.�r�i{:a��:��,:���1 �_��.a����f:��"►fi i.f1��f3F� tlt�l `r',t�� ���.�a;�a � _ . _ . _ V _r �, .�5. '�"!�n�� �..�A`7 „1., �� �! ..A.. A A� ;�� � � �bff,U/�l [: :��r :Ir�:�_,I �., �a�3 nc., ��,t M '��-a! t .� [..i�"��=f�: tl"L::�i�:l _r,f,�"['1!1 �O!�d l l�l�li:l"It1 :,liM ��1��?�i��1�:) ��U 1,.1.1.-� SE7BACKS & FOOTINGS Date By FOUNDATION WALLS Date By PLUMBING GROUNDWORK Date (� By UNDERFLOOR FRAMENG Date By SHEAR WAtLS Date By PLUMBING ROUGH-IN Date By GAS PIPING Date By MECHANICAL RQUGH-IN Date By MECHANICAL;(OTHER► Date By FRAMING Date By INSULA710N Date By GWB - 1 ST LAYER Date By GWB - 2ND LAYER Date By SUSPENDED CEtLING Date By PLANNING FINQL Date By ENGINEERING FINAL Date By FIRE FINAL Date By BUILD)N INA Date By OTHER Date By OTHER Date By CD0193 ���.��lV�LI, a,.� G City of Federal Way � �Frt`�' ;kp:'T 0 9199� APPLICATION FOR BUILDING PERMIT ' , �`.' C�F FEDERAL;rVAI� �i�!lL.DlNG DEPT, PLEASE PR/NT APPL/CAT/ON #: �' SITE LOCATION Address 3�3U� �C'��'�C ���,�✓ 5 G ��L� � Tenant(if known) Lot # Assessor's Tax tf /y�LL/�?�� �; i�G'::v'�/,'��r Buildin Owner Name Address � �% l.�/Y _' ;Y//�/� �3�_3�7 �i9C��Fic /��%� S��'., Ciry��.�G�/�� G�//� Y State �i�.- Zi p � _. P / �c.lc./3 Phone Nature of Work AFPLICANT Name (F,M,L) Address City State ZiP Contact Person Day Phone Other Phone Fax BUILDING CONTRACTOR Company Name G�% �r�iw�'G/-� /��U/�13/�l/G //r�� _ Addr ss r���. �o.�' /�f �l City �l�%� G-l�G�j/� �/��- State ����/7�. Z�P ��� 7� Contact Person Phone Fax 3 �l—lic� / Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No 'ARCHITECT Name Address City State Z�P Contact Person Phone Fax LEGAL DESCRIPTION P/ease Comp/ete Reverse Side CD0492(Rev 4/93) S`l�R�JCTURL Existing Use Proposed Use Permit includes: ❑ Building 0 Plumbing ❑ Mechanical ❑ Other �Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck ❑ Commerciai ❑ 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 S Zoning Lot Size Existing Bldg Valuation $ L�ND�R Name Address City State Zip NIECHANICAL CONTRACTOR Contractor Name Address City State Zip Contact Phone Fax License # Expiration Date Verified ❑ Yes ❑ No PLUMBING CONTRACTOR' Contractor Name p Address {���j/ � �� G d�j��/✓C/ �L�i�%'�,C>/�G ���_. 7�Z� �U, (j�� �`]`D l City ('/y�G r(J� State 7 �/.,il S h� z�P y�3 ; � Contact Phone Fax p ��—��� � License # G/��T� / l ����/ Expiration Date Verified ❑ Yes ❑ No PLUMBING FIXTURE COUNT Water Closets 7 Sinks Urinals Lawn Sprinklers Bathtubs Dish Washers Drinking Fountains Other Showers Electric Water Heaters � Sumps Lavatories � Washing Machine Drains Total Fixture Count MECHANICAL LTNIT COUNT Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons Le�gth of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons Furn <100K BTUs Gas Log Unit Heater 50+ Tons Furn >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 Tota('Unit Count DISCLAIMER: 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.I further agree to save harmless the City of Federal Way as to any claim(inciuding 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 empioyees,upon the accuracy of the information supplied to the City as a part of this application. � �/ ' �_ �� a Owner/Agent: �jG"���� � Date: �� � r �