93-100339 93, ���3 9
CITY OF FEDERAL WAY B U I L D I N C� P E R M I°T PE�M�� No.: �LD93-0137
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 02/OS/93
Federal Way, WA 98003 BY: FC
661-4000
SITE ADDRESS: 32724 PACIFIC HW S
PARCEL NO.: 162104-9054
PROJECT DESCRIPTION: PLUMBING — (2) WATERCLOSE'1'S �C (2j I�AVA°I'ORIES
OWNER � CONTRACTAR LENDER
THE KEG RESTAURANT LAKERIDGE PIUMBING & MECH INC
32724 PACIFIC HWY S 13508 NE 12kTH ST
FEDFRAL LJAY WA 98003 KIRKLAND 41A 98034
83s3-4100 827-9262
LAKERPM099RK
BLD?: MEC?: PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN.........:? FEES:
TYPE OF WORK:? USE:? 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 HAZARD CLASS...:? PIUMBING fIXT....93* 5 28.00
OCCUPANCY GROUP---------- 3R0.: 0: O:sf VALUATION---------- REDUIRED SETBACKS------- FIRE fL041....: 0 gpm
:� ;? :? :? : OTHR: 0: O:sf EXIST..$: 2800 FRONT.........: 0.00 ft
TYPE OF CONSTRUCTION----- BSMT: 0: O:sf PROP...S: 0 S1DE..........: 0.00 ft NATER SERVICE..:?
:� :� •� :� : DECK: 0: O:sf REAR..........: O.00:ft SEWER SERVICE..:�
OCCUPANT LOAD------------ GAR.: 0: O:sf RECEIVED.:02/05/93
. 0: 0: 0: 0: TOTL: 0: O:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS NATER CLOSETS......: 2 URINALS........: 0 TOTAL FEES S k8.00
GAS PIPING.: 0 ft HOOD..........: 0 0-3 HP......: 0 BATH TUBS..........: 0 DRINKING FWNT.: 0
FURN<100K..: 0 DUCT 410RK.....: 0 3-15 HP.....: 0 SHOWERS............: 0 SUMPS..........: 0
GAS HWT....: 0 WOOD STOVES...: 0 15-30 HP....: 0 LAVATORIES.........: 2 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K.....: 0 30-50 HP....: 0 SINKS..............: 0 DRAINS.........: 0 �
BBQ........: 0 MISC..........: 0 5+ HP.......: 0 DISH WASHERS.......: 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS--------- ELEC uTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE......: 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0
�"� LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT DATE r .
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bld_prmt 10/23/92
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SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE ....__ -__-BY --. ____- DATE .....-- .---_.___BY ___ ___--_ DATE __ _ __ __BY ____ _
PLUMBING ROUGH IN ^ WATER LINE O.K. MECHANICAL INSPECTION
DATE_�-Y�__BY�'/__ GAS PIPING O.K.__ ..___ _.__ DATE _BY ___
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE__- --- BY ____ DATE ..- _.-__-_._BY -- .- --- _ DATE _ _ __BY __ _ _
FINAL O.K. T O CUPY
Q DCD PSD FD
DAT __. t S BY��/ -
✓
__ -
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. Permit # �L1� % �` C�I3'7
. ,---
CITY OF FEDERAL WAY
�UILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME
OWNER _ SITE LOCATION
OWNER'S ADDRESS— __ CITY PHONE
DESCRIBE JOB • � �� �
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BbX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. #
- Card MUST be presented
CONTRACTOR'S ADDRESS � �J �> ;�,F�.: , CITY PHONE
EXPIRATION DATE
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX3 CONTACTPERSON PHONE
��SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXI
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
�BOX �UILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
N0. WATERCLOSETS GAS PIPING, FEET
BATNTUBS N0. FURNACE, ELEC. GAS $
SHOWERS GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER $
SINKS BOILER, SIZE BTU $
DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLIN ITS, SIZE $
DRINKING FOUNTAINS COMME L HOOD $
_ SUMPS, SPRINKLER VACUUM BREAKERS OT $
DRAINS $
_OTNER___ $
_TOTALFIXTURES $
TOTAL MECHANICAL FEE $
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 WH1CH 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 AG�,INST 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 SUPPLIEO TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: �: d�,- : DATE:
� ANP-008 3:90