95-103528CITY OF FEDERAL WAY PERMIT NO: BLD95-1058
03530 First; Way sough �: A . L I N PERMIT' ISSUED: 1.2/26,/95
Federal Way, WA 98008 Building Inspection Requests 661-4140 EXPIRES: KLC
6%23/96
661-4000
ADDRESS:81509 PACIFIC HWY S
NO.: 082104-9181
PROJECT DESCRIPTION -PLUMBING ONLY.
- OWNER
j BELLA CLEANERS
31509 PACIFIC HWY S
FEDERAL WAY WA 9B003
I
CONTRACTOR == =-----
COURTESY PLUMBING CO
1402 AUBURN WY N, STE
AUBURN WA 98002
939-3799
COURTPCO55QG
214
LENDER
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 NO REPORTING SALES TAX FOR PROJECTS HITRIN THE CITY OF FEDERAL W
BLD?: MEC?: PLM?:X
FLR--EXIST--PROP---
DWELLING UNITS: 0
COMP PLAN ......... :B
TYPE OF WORK:? USE:COM
1ST.:
0:
O:sf
STORIES........: 0
REQUIRED PARKING..: 0
SPRINKLERS?......:?
CENSUS CATEGORY :800
2ND.:
0:
O:sf
HEIGHT.....: 0.00 ft
HAZARD CLASS...:?
.....
OCCUPANCY GROUP----------
3RD.:
0:
O:sf
VALUATION----------
REQUIRED SETBACKS-------
FIRE FLOW....: 0 901
•? •? •? •?
OTHR:
0:
O:sf
EXIST..$: 0
FRONT.........:
20.00 ft
TYPE OF CONSTRUCTION-----
BSMT:
0:
O:sf
PROP ... $: 0
SIDE..........:
0.00 ft
WATER SERVICE..:FED
•? :? :? :?
DECK:
0:
O:sf
REAR..........:
O.00:ft
SEWER SERVIC€..:FED
OCCUPANT LOAD------------
GAR.:
0:
O:sf
RECEIVED.:12126/95
: 0: 0: 0: 0:
TOTL:
0:
O:sf
IMPERV SURFACE:
0 sf
SENSITIVE AREAS?.:N
TAX RATE : 8.2% ***
FEES:
PLM PRMT ISSUANCE.. $ 20.00
PLUMBING FIXT.... 93* $ 21.00
FUEL TYPES.:? ? FANS...........: 0 BOILERS/COMPRESSORS r WATER CLOSETS......; 0 URINALS........: 0 TOTAL FEES
} GAS PIPING.: 0 ft HOOD.....,....: 0 0-3 HP......: 0 BATH TUBS..........: 0 DRINKING FOUNT.: 0
-URN<100K..: 0 DUCT WORK.....: 0 3-15 HP.....: 0 f SHOWERS ............: 1 SUMPS..........: 0
GAS HWT....: 0 WOOD STOVES...: 0 15-30 HP....: 0 LAVATORIES.........: 0 VAC BREAKERS...: 0
CONY BURNER: 0 FURN>100K..... : 0 30-50 HP....: 0 i SINKS ..............: 2 DRAINS.........: 0 i
BBQ........ : 0 MISC..........: 0 5+ HP.......: 0 DISH WASHERS.......: 0 LAWN SPRINKLERS: 0 j
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS--------- ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE......: 0 <:10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0
j GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
l�Y=—=W-.--__.�_..____.._..._____�.__��� �_�_..__ --_- ------�==�_�.--.ram=���_ �_-�-=�e�..�__-=- =�= _---�.---==•�--__---______
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 NAY REQUIREMENTS WILL BE NET.
OWNER OR AGENT _... _ --i` - -- -- _--- - --- ..... --- DATE --
$ 41.00 '
FILE COPY
City of Federal Way
L APPLICATION FOR BUILDING PERMIT
�l(S (�
APPLICATION #: -13� ID
PLEASE PRINT
I
SITE, LOCATION
Address 3 ; o 9 se)
Tenant (if known) t Lot #
Assessor's Tax #
Building Owner Name
Address
City
State Zip
Phone
Nature of Work
VVIA
APPLICANT
Name (F,M,L)
IJ
bt,.
,fie
Address
'0 2
A�;ays� W I
P She Z
City 1
� /�
0 d 2—
State ZIP
Contact Person {
Day Phone
Other Phone Fax
BUILDING CONTRACTOR
Company Name
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
ARCHITECT
Name
Address
City
Contact Person
LEGAL DESCRIPTION
State
Phone
T0J Id i I dY�
Zip
Fax
Please Complete Reverse Side
CD0492 (Rev 4/93)
STRUCI URE :fisting Use
Permit includes: ❑ Building Plumbing
Type of Work: ❑ Residential ❑ New ❑ Remodel
Commercial ❑ Addition ❑ Garage
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft
Area Basement Decks sq ft Garage sq ft
Water Availabili�Sewer
Availability ElOn-SiteSeptic System Availability ❑
Zoning Lot Size
LENDER
Name
roposed Use
❑ Mechanical
❑
Other
❑ Number of Units
❑
Deck
❑ Shed
❑
Other
Existing Floor Area _
sq ft
Proposed Total Area
sq ft
Project Valuation
$
Existing Bldg Valuation
$
Address
City
State Zip
MECHANICAL CONTRACTOR
Contractor Name
Address
City
State Zip
Contact
Phone Fax
License N
Expiration Date Verified ❑ Yes ❑ No
U1IMBING CONTRACTOR
Contractor Name
Address
City
Contact
State Zip
Phone Fax
License #
Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURI; COUNT
Water Closets
Sinks
Urinals
Bathtubs
Lawn Sprinklers
Dish Washers
Drinking Fountains Other rtae
Showers
Electric Water Heaters
Sumps
Lavatories
Washing Machine
Drains
Total Fixture Count
MECHANICAL
UNIT COUNT
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
Furn > 100 BTUs
50+ Tons
Fans
Miscellaneous Fuel Tanks
Gas Hwt
Hood Boilers
Conv Burner
Above Ground
Duct Work
0-3 Tons Underground
BBO s
Wood Stoves 3-15 Tons Total 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 applrr:ation 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 su laim arises out of t 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: h + 2 L r
Date:
to5-
C11 Y OF F I:Ijs;,".RAL. WFIY f'l:.I• M.l 1' NO: t_1'i95-105Ej
,-3.530 Fx rst Way Sot,th BU I L ICI NG PERMIT I:'_,SUED: 12/26/95
Federal Way. W(i 9f 00O i ROildinq Inspection Requests 661-4140 BY: K,l_C
661-4000 EXv1IRL13,j _06/2�/C�(.
AD'DR SS:3150`a PACIFIC HWY S
NO.: 082104--9181
PROJECT' DESCRIPTION.", PLUMBING ONLY.
fI OWNER = : •..,.- .snn..:CONTRACTOR LENDER ... ......i!::. . • x��.�;,:x:=
BELLA CLEANERS COURTESY PLUMBING CO
31509 PACIFIC NY S 1402 AUBURN NY N, STE. 214
FEDERAL WAY WA 98003 AUBURN NA 98002
- 939-3799 f
COURTPC0554G
Fr,�rnrr•�+^�-�ra�y r.�:�r:c.�cz��cwrc.•= - :Iracs F»r--:•. _ �- .r-1 ::. ._:-'. ..ism ..... c __.. :'_`a. Kl'/:=--�.-fir �.;!!C>:Y'KrT_^LC�^-^l'J'Rf.!::- _. -.. - ..-. .. _;r•7��:...P'+hnL rt.�nwF�
u: CONTRACTORS, PI EASE USE LBCATION COPE 1132 MIF,ti IZEl41RIIIN SALES TAX FOR PROJECTS MI11111 TIN: CITY OF F€1ENAL BAY. TAX RATE : 8.2% m
_ L .. .. _ a ��. • .. .':-_ .-_-_ = c---r c:'.'.'--y=:-= '.'i-nan. L_• •_---1'.... - +_- .+.. x.i _ "_-_ .•:r r!��1•n.an_ x:a�c:[x. •' - .. .. .: -' .-" ::CK�#F:" = :=-i:: CVCF:Ii�
j BLr-. NEC?: PLM?:X FLR- XIST--MOP--- DVfLtIIf; UNITS: !� � COMP PLAN ,......... 8 FEES:
j TYPE Of WORK:? USE:COM 1ST.: 0: O:sf STORIES........: 0 REQUIRED PARKING..: 0 SPRINKLERS?......:? PLM PRh7 ISSUANCE.. S 20.00
1 CENSUS CATEGORY.....:BW 2ND.: 0: O:sf NE1&NI.....: 0.00 ft HAIARD CLASS...:? PLIMMBIK FIXT.... 93t $ 21.00
1 OCCUPANCY GROUP--- -----: 3RD.: 0: 0: st VA01A f ION - - - - - - - RLICUTALD `E I DAM - - - - - - Ilk[ I Log..... 0 qiu
1 .? :? .? .? �1 Nk 0: 0:5 f EXiSI A.- t' FRONT.. 20 L-v r t
TYPE OF CONSTRUCTION---- 95017 0- O:sf PR3i!_$: tt SIDE........ .: R,Ob ft VAI(P SERVPE..:f1t
:? :? .? :? Kcr, n: Q.-St- R0......... . 0.40-9 'SEVER SMIC'E_ JED =
OCCUPANT LOAD------------ GAR.: 1): 9:sf RE,:E1 0.:12126195 I
s 0: 0: 0: 0: 101t: 0: 0:0 16P kV SURFACE: 0 sf SENSITIVE AREAS?.:N
f-- -- ._,:::-------- ----� --r.- -..�rrr --•rxn ae.� .. -ar.x w".: �fir:- ... -- • a. =-- -...ram+: - -:r-a: cav- cam-r r=
I FUEL TYPES.:? ? FAW�.,..r....: it BOILERSjCOMPRESSOK^ WATER CLOSETS......: 0 URINALS........: 0 TOTAL FEES 41.00_
GAS PIPING.: 0 ft MOOD...........:0 0-3 HP....... 0 BATH TUBS........... 0 DRINKING FOUNT.: 0
-..,w IO0K..: 0 DUCT 0 3-15 HP.....: 0 SHOWERS ............: 1 SUMPS..........: 0
"WT....: 0 WOOD STOVES...: 0 15-30 HP....: 0 LAVATORIES.........: 0 VAC BREAKERS...: 0
COHV BURNER: 0 FURN>100K..... : 0 30-50 HP....: 0 SINKS ..............: 2 DRAINS.........: 0
880......... 0 MISC..........: 0 54 NP....... : 0 DISK WASHERS.......: 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS--------- ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE......: 0 <:10,000 CFM: 0 ABOVE GROUND: 0 LAUN MMSHR OUTLTS... : 0
GAS L05S...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
--s: _ - ..._ .- -=:mac--�r.c�-.r _,5rr�v�nrr..cx.zs:� sxc�cs-sr.7cc«ara-s=»«c.-+r:«.�.--�xe-�.f:snc. i=.a -n�eas:r ..-.ss*ar =-- .. .- - .._- .. .. -. -..-. - ... _. Ysasu�es.cr. rra--�w.•.-.-�. -. .r. _....-.r... ....-...
PWITS EXPIRE IOU DAYS AFTER ISSUMC> IF 10 VORK IS STARTED. RESIKKTIAL AND GRADING KY"ITS EXPIRE ONE YfM AFTER 0911 OF I551 KF.
I CERTIFY 1wil TIE ILiF%m1IOK FURNISIkD IN ME IS TRUE Ak8 CORRECT TO TWE REST IF MY 9#00LEN1 AND THE AMICABLE CITY * F O(gri. WAY REQUIREAERIS WILL. BE NET.
i
OWNER OR AGENT DATE
C(J)f'
SETBACKS & FOOTINGS
Date By
FOUNDATION WALLS
Date By
PLUMBING GROUNDWORK
Date 13
7
UNDERFLOOR FRAMING
Date By
7SHEAR
WALLS
Date By
7
PLUMBING ROUGH -IN
Date By
GAS PIPING
Date By
7MECHANICAL
ROUGH -IN
Date By
MECHANICAL JOTHERI
Date By
7FRAMING
Date By
7INSULATION
Date By
7
GWB - 1 ST LAYER
Date By
GWB - 2ND LAYER
Date By
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
7FIRE
FINAL
Date By
BUILDING FINAL
Date By
-------------
OTHER
Date By
OTHER
Date By
CDO143