96-102784�g96-1a d7V
CITY�y OF FEDEIRAL WAS;' PSI NO_% &i i-0m
33530 First Way south J%J_T L.D1 N15 r empf x r I EKED: 0e/21/96
Federal Way, WA 9e003 Building Inspection Requests 661-4140 BY: KLC
661-4000 0 at%: gonl%*'f
A DDRIRR r 22425 BIRD PL SW
NO.: 95I42e0-0290
PROJECT
ANTHONY PIRKINI ONNIR 11 CONTRACTOA
83425 IIRD PL IN
FEDERAL NAY NA 98023
FEDERAL NAY NA 98023
3 661-9947
to CONTRACTORS, PLEASE USE LOCATION CODE 1732 NMI RF-PORTING SALES TAX FOR PR03ECTS BITNIN TIE CITY OF FEDERAL MAY. TAX RATE : 42% ns
BLD?:X NEC?:X PLM?:
FLR--EXIST--PROP---
DWELLING UNITS: 0
i TYPE OF WORK:ADD USE:RES
1ST.:
0:
O:sf
STORIES........: 0
( CENSUS CATEGORY ..... :434
2ND.:
0:
O:sf
HEIGHT.....: 0.00 ft
OCCUPANCY GROUP----------
3RD.:
0:
O:sf
VALUATION----------
:R3 :? :? :?
OTHR:
0:
O:sf
EXIST..$: 0
TYPE OF CONSTRUCTION-----
BSMT:
0:
O:sf
PROP ... $: 1400
f :5N :? :? :?
DECK:
0:
O:sf
OCCUPANT LOAD------------
GAR.:
0:
O:sf
RECEIVED.:08/21/96
0: 0: 0: 0:
TOTL:
0:
O:sf
FUEL TYPES.:?
?
FANS...........
0
GAS PIPING.:
0 ft
HOOD..........:
0
! FURN<100K..:
0
DUCT WORK.....:
0
)S HWT.... :
0
WOOD STOVES...:
1
j CONV BURNER:
0
FURN>100K.....:
0
BBQ........ :
0
MISC..........:
0
GAS DRYER..:
0
AIR HANDLING UNITS
[-RANGE......:
0
<:10,000 CFM:
0
GAS LOGS...:
0
> 10,000 CFM:
0
BOILERS/COMPRESSORS
0-3 HP....... 0
3-15 HP...... 0
15-30 HP....: 0
30m% HP....: 0
5+ HP........ 0
FUEL TANKS ---------
ABOVEGROUND: 0
UNDERGROUND.: 0
COMP PLAN.........:?
REQUIRED PARKING..:
0 SPRINKLERS?......:? 1
HAZARD CLASS...:?
REQUIRED SETBACKS------- FIRE FLOW....: 0 9P
FRONT.........: 20.00 ft
SIDE..........: 5.00 ft WATER SERVICE..:FED
REAR..........: 5.00:ft SEWER SERVICE..:FED
IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
--- -------
WATER CLOSETS......:
BATH TUBS...........
SHOWERS .............
LAVATORIES..........
SINKS ...............
DISH WASHERS.......:
ELEC WTR HEATERS...:
LAUN WSHR OUTLTS...:
URINALS......... 0
DRINKING FOUNT.: 0
SUMPS........... 0
VAC BREAKERS...: 0
DRAINS.......... 0
LAWN SPRINKLERS: 0
OTHER FIXTURES.: 0
FEES:
PLAN CHE(
BUILDING
Mechanics
SBCC SUR(
TOTAL FEES
FEE
ERNII.... *
Permit*
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO MORK IS STARTED. RESIDENTIAL AND GRADING PEAMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY TNAT TIE INFORMATION FTIINIS "pis AND CORRECT TO TIE BEST OF NY KNOMLEDGE AID THE APPLICABLE CITY OF FEDERAL NAY REQUIREMENTS M L BE NET.
OWNER OR AGENT - __________
= DATE
j
war.-----=t
fi
$ 26.00
$ 40.00
$ 22.00
$ 4.50
S 92.50 C
FILE COPY
4QfRMV*F - 0 City of Federal Way
flrl-�11
APPLICATION FOR BUILDING PERMIT
PLEASE PRINT ASS, APPLICATION #:
fOCAT m
0 'Ey"dress
Ad
To nt (if known) C
IA)+ -IA 10 AJQ;j'k 1 /1)
Lot #
sessor's Tax #
Building owner Name
Addres
city /r--,-,dc,a:k
state
zip
Phone
Nature of Work L4-)
Name (F,M,Ll
Address
City State Zip
Contact Person Day Phone Other Phone Fax
Company Name
r)
Address
City
Contact Person
Contractor's # (card must be presented)
State Zip
Phone Fax
Expiration Date Verified 0 Yes 0 No
Name
Address
City
State
Zip
Contact Person
Phone
Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492 (Rev 4/93)
MUCTURE
E ' '�ng Use
',osed Use I/U/
--V
Permit includes:
R building
❑ Plumbing
❑ Mechanical
❑ Other
Type of Work:
Rnsidontial
❑ New
lit Remodel
❑ Number of Units
❑ Deck
❑ Commercial
❑ Addition
❑ Garage
❑ Shed
❑ Other
Enter 1 st Floor
q ft f
2nd Floor
sq ft 3rd Floor sq ft
Existing Floor Area
sq ft
Area Basemen
sq F t)of
Decks
sq ft Garage sq ft
Proposed Total Area
sq ft
Water Availability ❑ Sewer Availability On -Site Septic System Availability ❑
Zoning
Lot Size
t;'i ?•n k h3 '''
F;
.> :M
ZER . .
Name
City
Contractor Name
City
Contact
License #
Contractor Name
City
Contact
License #
Water Closets Sinks
Bathtubs Dish Washers
Showers Electric Wate eaters
Lavatories Washing ,chine
'.11!I1E;rA;�<17ltili`fi"C<S:�UNT
Fuel Type (electric/other) U jeD p (,1
Gas Dryer
Length of 'Gas Piping
Range
Furn <100K BTUs
Gas Log
Furn > 100 BTUs
Fans
Gas Hwt
Hood
Conv Burner
Duct Work
BBQ's /
Wood Stoves
Address
State
Address
State
Phone
Expiration
ress
State
Phone
Expiration Date
Urinals
Drinking Fountains
Sumps
Drains
Air Handling < = 10,000 CFM
Air Handling > = 10,000 CFM
Unit Heater
Miscellaneous
Boilers
0-3 Tons
3-15 Tons
Zip
Fax
Verified ❑ Yes ❑ No
Zip
Fax
Verified ❑ Yes ❑ No
Lawn Sprinklers
Other
15-30 Tons
30-50 Tons
50+ Tons
Fuel Tanks
Above Ground
Underground
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 (including costs, expenses,
and attorneys' fees incurred in Investigation and def se 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 ralian of the Ci cluding Its officer& and employees, upon the accuracy of the Information supplied to the City as a part of this
eppfioatic�
knwnerlAgant: p�=�
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1100"P. ........... 1 0 DRIM116 FMIRL: U
sf)M .......... : fj SRUWERS ............ :
LAVAIMIS ........ . : Q
Ir lip.... fi IjINK� ................ u Ple. A I .......... 0
DISH HASHERS....... 0
(tu. WrR Olwgs...: o Y100 TIXIURES.: Q
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FIELD COPY
SETBACKS & FOOTINGS
Date By
FOUNDATION WALLS
Date By
7PLUMBING
GROUNDWORK
Date By
UNDERFLOOR FRAMING
Date By
7
SHEAR WALLS
Date 10 - L ( B
7
PLUMBING ROUGH -IN
Date By
GAS PIPING
Date By
7MECHANICAL
ROUGH4N
Date P-IpBy
7
MECHANICAL (OTHER).
Date By
PKAMING
Date By
.INSULATION
Date By
7GWB
- 1ST LAYER
Date By
7
GWB • 2ND LAYER
Date By
SUSPENDED CEILING
Date By
77LANNING
FINAL
Date By
ENGINEERING FINAL
Date By
7FIRE
FINAL
Date By
BUILDING FINAL
Date By
OTHER
Date By
7
OTHER
Date By
CDO193