95-1029689,S'10d- 96 &
CITY OF FEDERAL WAY PERMIT NO: BLD95-0890
33530 First Way South BIJILDING PERMIT ISSUED: 11/02/95
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 04/30/96
ADDRESS:31501 PACIFIC HWY S
NO.: 082104-9181
PROJECT DESCRIPTION: PLUMBING ONLY.
F= OWNER
PAVILIONS CENTER
31501 PACIFIC HWY S
j FEDERAL WAY WA 9803
I
CONTRACTOR =- --=
LAKERIDG E PLUMBING 6 MECH INC
13508 WE 124TH ST
KIRKLAND WA 98034
LENDER
! LAKERPM099RK
*n CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS MITHII THE CITY OF FEDERAL MAY.
BLD?: NEC?: PLM?:X
TYPE OF WORK:? USE:COM
CENSUS CATEGORY ..... :800
OCCUPANCY GROUP----------
:?
TYPE OF CONSTRUCTION-----
:?
OCCUPANT LOAD ------------
0: 0: 0: 0:
FUEL TYPES.:? ?
)S PIPING.: 0 ft
FURN<100K..: 0
GAS HWT....: 0
CONV BURNER: 0
BBQ........ . 0
GAS DRYER..: 0
RANGE....... 0
GAS LOGS...: 0
FLR--EXIST--PROP---
1ST.:
0:
O:Sf
2ND.:
0:
O:Sf
3RD.:
0:
O:Sf
OTHR:
0:
0:Sf
BSlT:
0:
O:Sf
DECK:
0:
O:Sf
GAR.:
0:
0:Sf
TOTI:
0:
O:Sf
FANS........... 0
HOOD........... 0
DUCT WORK.....: 0
WOOD STOVES...: 0
FURN>100K.....: 0
MISC........... 0
AIR HANDLING UNITS
<:10,000 CFM: 0
> 10,000 CFM:, 0
DWELLING UNITS: 0
STORIES......... 0
HEIGHT.....: 0.00 ft
VALUATION----------
EXISTA: 0
PROP ... $: 0
RECEIVED.:11/02/95
BOILERS/COMPRESSORS
0-3 HP....... 0
3-15 HP...... 0
15-30 HP....: 0
30-50 HP....: 0
5+ HP........ 0
FUEL TANKS ---------
ABOVEGROUND: 0
UNDERGROUND.: 0
COMP PLAN.........:?
REQUIRED PARKING..: 0
REQUIRED SETBACKS -------
FRONT ......... . 0.00 ft
SIDE..........: 0.00 ft
REAR.- .......: O.00:ft
SPRINKLERS?......:?
HAZARD CLASS—:?
FIRE FLOW....: 0 9P1
WATER SERVICE..:?
SEWER SERVICE..:?
IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
WATER CLOSETS......:
BATH TUBS...........
SHOWERS .............
LAVATORIES..........
SINKS ...............
DISH WASHERS.......:
ELEC WTR HEATERS...:
LAUN WSHR OUTLTS...:
9 URINALS......... 0
0 DRINKING FOUNT.: 0
0 SUMPS........... 0
9 VAC BREAKERS...: 0
1 DRAINS.......... 0
0 LAWN SPRINKLERS: 0
6 OTHER FIXTURES.: 0
0
TAX RATE : 8.21 ##
FEES:
PLM PRMT ISSUANCE.. $ 20.00
PLUMBING FIXT.... 93x $ 175.00
TOTAL FEES $ 195.00
.�------_� _ ____— ____ ---------__-_--mow_---_== __--_------
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 TIE INFORMATION FURNISHED BY HE IS TRUE AND CORRECT TO THE BEST OF NY KNOMLEDGE AND TIE APPLICABLECITYOF FEDERAL VAY REQUIREMENTS MILL BE NET.
OWNER OR AGENT _ �_-_-----.._.------ ----- _ _ _ __ _ DATE ��' �Lj __..
FILE COPY
� or G City of Federal Way
Dv
NISD APPLICATION FOR BUILDING PERMIT
PLEASE PRINT Yj AY APPLICATION #:
$ITE LQCATIfl jt}lfilr pgP Address l 1- ri
Tenant (if known) �� Lot # Ass;
, A '� F ' E I
Building Owner Name Address
City _ ECAL- WAS State Zip Phone
Nature of Work --Pi +�i.jv. ,.I;_.
APPLICANT
Tax #
41-_
Name (F,M,L)
Address
L L �1
City �1 State` Zip
_ l
Contact Person Day Phon _ Other Phone Fax
[ILDING CONTRACTOR
C�
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 State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492 (Rev 4/93)
jTRUCTURE
sting Use
Permit includes:
❑ Building
Car Plumbing
Type of Work:
❑ Residential
12' New
❑ Remodel
❑ Commercial
❑ Addition
❑ Garage
Enter 1st Floor
sq ft
2nd Floor
sq ft 3rd Floor sq ft
Area Basement
sq ft
Decks
sq ft Garage sq ft
Water Availability
❑ Sewer Availability ❑ On -Site Septic System Availability ❑
Zoning
I Lot Size
LENDER
Name
City
MECHANICAL CONTRACTOR
Contractor Name
City
Contact
License #
PLvm iNG CONTRACTOR
Contractor Name
City
Contact \,4 l ��OH
License # �I VA �/ i-- V7 n W f -% r ,
PLUMBING FIXTURE COUNT
Water Closets Sinks
Bathtubs Dish Washers
Showers Electric Water Heaters
Lavatories Washing Machine
MECHANICAL UNIT COUNT
Fuel Type (electric/other)
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
iposed Use
F3" Mechanical ❑ Other
❑ Number of Units ❑ Deck
❑ Shed ❑ Other
Existing Floor Area sq ft
Proposed Total Area sq ft
Project Valuation $
Existing Bldg Valuation $
Address
State
Address
State
Phone
Expiration Date
Address
State
Phv
Expiration Date VZ— 1_(j
Zip
Zip
Fax
Verified ❑ Yes ❑ No
44
Zip
Fax
Verified ❑ Yes ❑ No
Urinals Lawn Sprinklers
Drinking Fountains Other
(.j Sumps
Drains 1.7otal Fixt-isre: Count
Air Handling < = 10,000 CFM
15-30 Tons
Air Handling > = 10,000 CFM
30-50 Tons
Unit Heater
50+ Tons
Miscellaneous
Fuel Tanks
Boilers
Above Ground
0-3 Tons
Underground
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 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 against the City of Federal Way,
but only where such claim arises out of the rcliawm., of the City, including its officers and employees, upon the accuracy of the information supplied to the City as a part of this
application. -3 Ownrrlflgeni' - ) " Date. ��