97-101049 � � - w►�
9'7•!�o/o y �
CITY OF F'EDERAL WAY PERMIT N0: BLD97-0185
3�53Q Fi rst Way Sauth ��� �,,..�'�. �� ����.,,� � ISSUED: 03/28/97
Federal Way, WA 98C103 Builc�ing Inspection Requests 661-�+140 BY: FC
661-4000 EXpIRES: 09/24/97
ADDRE5S:32607 ��TN PL SW
NO. : 873195-0030
PROJECT DESCRIpTIqN:FINISN BASEMENT- PLUMBIN6 AND MECHAHICAL INCLUDED. AEPLACE 6LAVENIIED TO COPPER. AND MOYING fURHACE.
�= OiiNER se=sxmx�xes�ema�a�ae�vx�=_=aee=sr_==c=:=ea_aeoe=a�= s CONTRACTOR ____________________________________________ � LEHDER m_a==an::a=e:aaec=:==a=_=cn==:asexaaz:a=aae_n��j
- 'RANCE MCGOUERN QUALITY NORTHWEST CONSTRUCTION �
1 34TN PL SM 32102 5TH AVE SY �
RAL WAY YA 98023 FEDERAI YAY VIA 98023 �
206-874-9080 838-1108 S
�UALIi1C141DR �
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�s CONTRACTORS, PLEASE USE LOCATION CODE 1732 MNEN REP�tTI116 SALES TAX FOR PROJECTS YITNIN TNE CITY OF FEHERAL YAY. TAII RATE = 8.2� nY
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---- --------------------------- ------
BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN.........:? FEES: �
TYPE OF WORK:AIi USE:RES 1ST.: 0: O:sf STORIES........: 0 REQUIRED PARKING..: 0 SPRINKLERS?......:? PLAN CHECK FEE $ 157.95 -
CENSUS CATEGORY.....:434 2ND.: 0: O:sf HEI6HT.....: 0.00 ft NAIARD CLflSS...:? BUILDING PERMIT....# S 243.00 �
OCCUPAHCY 6ROUP---------- 3RD.: 0: O:sf VALUATION---------- REQUIRED SETBACKS------- FIRE FLOW....: 0 gp� SBCC SURCHARGE.....� S 4.50 �
:R3 :? :? :? , OTHR: 0: O:sf EXIST..$: 0 FRONT.......... 0.00 ft Mechanical Pereit� S 54.00
TYPE OF CONSTRUCTION----- BSMT: 1440: O:sf PROP...=: 2�000 SIDE..........: 0.00 ft NATER SERVICE..:? PLUMBING FIXT....93� = 28.00 ,
:5H :? ;? :? : DECK: 0: O:sf REAR..........: O.00:ft SENER SERYICE..:? � fINAI PLAN CHECK...# S 0.00 I
OCCUPANT LOAD------------ GAR.: 0: O:sf RECEIVED.:03/27/47
. 5: 0: 0: 0: TOTL: 1440: O:sf IMPERV SURiACE: 0 sf SENSITIVE AREAS?.:? �
===o=m=amsx_xmmm_asm=�c=c=cc==cc==am===a=�=x==a==c=====e=�cc¢=oao��ac==acs =a=o==o=ssa�xce_aceesa_x_=s=s:.�m=xae_onsm=_=xaaa=3mm
EL TYPES.:6AS ? FANS..........: 0 BOILERS/COMPRESSORS NATER CLOSETS......: 1 URINAIS....,...: 0 TOTAL FEES S 487.45
6AS PIPING.: 0 ft H40D..........: 0 0-3 NP......: 0 BATH TUBS..........: 0 DAINKING fOUNT.: 0
FURN<100K... 0 DUCT NORK...... 0 3-15 HP...... 0 SHOWERS............. 1 SUMPS........... 0
6AS HWT....: 1 NOOD STOVES...: 0 15-30 HP....: 0 LAVATORIES.........: 1 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K...... 0 30-50 HP..... 0 SIHKS............... 0 DRAINS.......... 0
BBQ........: 0 MISC..........: 0 5t NP.......: 0 DISH IiASNERS.......: 0 LAWN SPRINKLERS: 0 f
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS--------- ELEC MTR HEATERS...: 0 OTNER FIXTURES.: 0 �
RANGE......: 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUH IiSHR OUTLTS.,.: 1 �
GAS LOGS...; 0 > 10,000 CFM: 0 UNDERGROUND.: 0 (
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PERMITS EXPIRE 180 DAYS AFTER ISSUAMCE IF MO IIORK IS STARTED. RESIDEMTIAL AND qtADIM6 �ERMITS EXPIRE OIIE YEI�t AFTfR DATE OF I�IIANCE.
I CERTIFY T1MIT TNE TIOM FI�NI ME TRUE AND CORREfT TO TNE BEST OF MY [NONLED6E AMD TNE APPLICABLE CITY OF fEDERAI IiAY REQUIREMEMTS YILL BE MET.
OWHER OR AGENT _ a __�:_��__
---------------------- DATE ��
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CENSUS C£�TfGORY.....:�34 ""�""'�� ������'�� �� � ' � �.�� ENMIT....� $ ?43.00 �
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_������ � 33530 First Way Sout
" ; 3''� � ' Federal Way,WA �400
��'�"° �� (20�661-400�
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APPLICATION FOR BU�L�ff���G� PERMIT
PLEASE PR/NT APPLICATION# � ���� ����
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Tenant(if known) Lot# Ass sso 's Tax,#v �
Building Owner's Name Address
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Nature af Work J .-
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Address
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Company Name
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Address.
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Contact Person Fax
P �c�'— I!(� cF' �'3 ��!C�
Contractor's #(card must be presented) Expiration Date Verified ❑ Yes ❑ No
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Name
Address
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State Zi
ContactPerson Phone Fax
LEGAI DESCRIPTION
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P/ease Comn/-tP Rs±vRr_cP S;.�a
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.,+f,.•,.{i:i:�\�:tiii�:�:;t•'.��;~�tt\}$?$:;�'.•:44\�vi>.:Y,::LS:. ISLIn V$8 Pro �Sed USe .
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Permit includes: ❑ Buildin ❑ Plumbin ❑ Mechanical ❑ Othar
Type of Work: ❑ Residential ❑ New �Remodel ❑ Number of Units � Deck
� ❑ Commercial ❑ Addition ❑ Gara e ❑ Shed ❑ Other
Enter 1 st Floor(��sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement s ft Decks s ft Gara e s ft Pro osed Total Area s ft
Water Availabilit ❑ Sewer Availabili ❑ On-Site Se tic S stem Availabilit O Pro'ect Valuation S � (,1(j(/
Zonin Lot Size Existin Bld Valuation S
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Name Address
Cit State Zi
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Contractor Name Address
Cit State Zi
Contact Phone Fax
License # Ex iration Date Verified ❑ Yes 0 No
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Contract �Name � . Address
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Cit State Zi
Contact Phone Fax
License # Ex iration Date Verified ❑ Yes ❑ No
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. ....:.'�. .:...�::.:����`,:.::.:..:....:::.:...:.
Water Closets l Sinks Urinals Lawn S rinklers
Bathtubs Dish Washers Drinkin Fountains Other
Showers � Electric Water Heaters Sum s
, ,. :> ,
Lavatories Washin Machine Drains 7n3eI:Fi�tiura.�ount .
���J�[�CIC��::�Ai��:C�€��I'1`���:��:::::<:'':'>'::':>':':�<:>:�::::::::>::> MECHANICAL EVAL A I
....... . ............ .....:..:...,....,. U T ON ONLY S
Fuel T e (electric/other) Gas D er Air Handlin < = 10,000 CFM 15-30 Tons
Len th of Gas Pi in Ran e Air Handlin > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Lo Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt � Hood Boilers Above Ground
Conv Burner Duct Work 0-3 Tons Under round
BBQ's Wood Stoves 3-15 Tons T`aYsl;Urt�t Cotint
D IS CLAIM ER:I certify under penalty of perjury that the infocmation 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 perfomi the work for which peRnit application is made.I furfher agree to save harmless the City of Federal Way as to any claim(including cosfs,expenses,and
attomeys'fees incutred 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 kuch claim arises out of the reliance of the ci8y,including its officers and employees,upon the accuracy of the infotmation supplied to the city as a part ofthis applicatioa
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Owne�,lAgent: � �J/.,� /�C� Date:'-3 `� / ,
Bu�onq.Arr
REvbEO 12I1 l l86