95-102629gs -10d4j-9
CITY OF FEDERAL WAY PERMIT NO: BLD95-0807
Federal Way, Way South
98003 Bu�dingLInDspeNn Requests ISSUED: �0205/95
661-4000
Y' EXPIRES: 04/02/96
ADDRESS:31401 PACIFIC HWY S
NO.: 082104-9216
PROJECT DESCRIPTION: PLUMBING - ADD WATER CLOSET,
= OWNER
BLOCKBUSTER VIDEO
31401 PACIFIC HWY SO
FEDERAL WAY WA 98003
LAV, 6 WATER HEATER
CONTRACTOR====-====
PROFESSIONAL PLUMBING INC
P.O. BOX 218
CARNATION WA 98014
333-4153
PROFEP*198PG
LENDER
sn CONTRACTORS, PLEASE USE LOCATION CODE IM WHEN REPORTING STILES TAX FOR NMt07ECTS NITNIR TIE CITY OF FEDERAL MAY. TAX RATE : 8.2%
BLD?: NEC?:
PLM?:X
FLR--EXIST--PROP---
TYPE OF WORK:?
USE:COM
1ST.:
0:
O:Sf
CENSUS CATEGORY .....
:800
2ND.:
0:
O:Sf
OCCUPANCY GROUP----------
3RD.:
0:
O:Sf
;? :? :?
:?
OTHR:
0:
O:Sf
TYPE OF CONSTRUCTION-----
BSMT:
0:
O:Sf
:? ;? :?
:?
DECK:
0:
O:Sf
OCCUPANT LOAD------------
GAR.:
0:
O:Sf
0: 0:
0: 0:
TOTL:
0:
O:Sf
DUELLING UNITS: 0
STORIES........: 0
HEIGHT.....: 0.00 ft
VALUATION ----------
EXIST..=: 0
PROP ... s: 0
RECEIVED.:10/05/95
COMP PLAN.........:?
REQUIRED PARKING..: 0 SPRINKLERS?......:?
HAZARD CLASS...:?
REQUIRED SETBACKS------- FIRE FLOW....: 0 9PS
FRONT.........: 0.00 ft
SIDE..........: 0.00 ft WATER SERVICE..:?
REAR..........: O.00:ft SEWER SERVICE..:?
IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
_ ?N H- FANS..........: 0 BOILERS/COMPRESSORS
WATER CLOSETS......:
1 URINALS........:
0
FUEL TYPES.:?
GAS PIPING.:
0 ft
HOOD..........:
0
0-3 HP......:
0
BATH TUBS..........:
0
DRINKING FOUNT.:
0
FURN<100K..
0
DUCT WORK......
0
3-15 HP......
0
SHOWERS .............
0
SUMPS...........
0
GAS HWT....:
0
WOOD STOVES...:
0
15-30 HP....:
0
LAVATORIES.........:
1
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 WTR HEATERS...:
1
OTHER FIXTURES.:
0
RANGE......:
0
<:10,000 CFM:
0
ABOVE GROUND:
0
LAUN WSHR OUTLTS... :
0
GAS LOGS...:
0
> 10,000 CFM:
0
UNDERGROUND.:
0
FEES:
PLM PRMT ISSUANCE.. S 20.00
PLUMBING FIXT.... 93* $ 21.00
TOTAL FEES $ 41.00
PERMITS EXPIRE IN BAYS AFTER ISSUAWCE IF NO WORE IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I -CERTIFY TNAT THE INFORMATION FURNI5WEN1 NE IS TRUE AND CORRECT TO TIE BEST OF NY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS MILL NN NET.
OWNER OR AGENT _______—_._.--- DATE
FILE COPY
rnrce �
Ff'Y F�—
PLEASE PRINT
SXTL LOCATION
Ten3 (if knpwn�l
8&ing Owner Name
I
City .fir
Nature of Work
City of Federal Way R EC E'' V E D
APPLICATION FOR BUILDING PERMITQCT 0 5 1995
CITY OF FEDERAL WAY
BuILDINO DEPT.
APPL/CAT/ON #: - Osb, `
_— Address J
State
APPLICANT
Name (F,M,L)
Address
q. <--� . C - 2-
city r 1t
Contact Person Dav Phone
BUILDING CONTRACTOR
Company Name
Address
City
Contact Person
Contractor's # (card must be presented)
ARCHITECT
Name
Address
City
Contact Person
LEGAL DESCRIPTION
Lot # JAssessorls Tax #
-1
Address
17.o Q-
Zip Phone
State Zip Q
Other Phone Fax
State Zip
Phone Fax
Expiration Date Verified ❑ Yes ❑ No
State
Phone
Zip
Fax
Please Cem lets Reverse Side
CD0492 (Rev 4193)
STRUCTURE
Existing Use
Permit includes:
❑ Building
❑ Plumbing
Type of Work:
❑ Residential
❑ New
❑ Remodel
❑ Commercial
❑ Addition
❑ Garage
Enter 1 st 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
Lot Size
LENDER
Name
City
1VMECIiANICAL CONTRACTOR
Contractor Name
City
Contact
License #
PLUMBING CONTRACTOR
Cor� •. - actor Name
!l
City
License #
UMBIN'G FIXTURE -COUNT
Water Closets l
Bathtubs
Showers
Lavatories /
MECIUNICAL UNIT COUNT
Fuel Type (electric/other)
Length of Gas Piping
Furn < 100K BTUs
Furn > 100 BTUs
Gas Hwt
Conv Burner
BBQ's
C
Sinks
Dish Washers
Electric Water Heaters
Washing Machine
Gas Dryer
Range
Gas Log
Fans
Hood
Duct Work
Wood Stoves
Proposed Use
❑ Mechanical
❑
Other
❑ Number of Units
❑
Deck
❑ Shed
❑
Other
Existing Floor Area
sq ft
Proposed Total Area
sq ft
Project Valuation
S
Existing Bldg Valuation
$
Address
State
Address
State
Phone
Expiration Date
Address {
State
Phone
_ + fIlk- �'
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
Zip
Fax
Verified ❑ Yes ❑ No
Zip `'�`+ZC� L'
Verified ❑ Yes ❑ No
Lawn Sprinklers
Other
15-30 Tons
30-50 Tons
50+ Tons
Fuel Tanks
Above Ground
� rider re-una
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 reli 77i' 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: _ Date: CS 15
rITY OF FE:DERAI_ WAY PERMIT T NO: BLD95-0£307
33530 First belay South BUILDING P ER11 I T ISSUE O: 1 0/05/913
Federal Way, WA 9800F 3 Building Inspection Requests 661.-4140 BY: F (-_2
661-4000 EXPIRES: 04/02/96
ADDRESS:31401 Po
NO.: 08 104-921. )
PROJECT DESCRI P f
OWNER
~ BLOCKBUSTER VIDEO
I 31401 PACIFIC HWY SO
I FEDERAL WAY WA 98003
IFIC WWY S
I ON :PLUMBING - ADD WATER CLOSE[, LAV, F WATER HEATER
CONTRACTOR - -.. - -- _ _ .,. f LENDER
PROFESSIONAL PLUMBING INC
P.O. BOX 218 i
I CARNATION WA 98014
333-4153
PROFEPSI"PG
-_ .-:..-.a. I -- - -,_ n:•.---•_ —xa:ssc , , �y_.— �. �[, a�,. c . a saaawt a+srx—sarisr.�raasxinuuzai.�wrra�rr.v�weinvx�sne-r.•�
sit C(H1IKK I LIKS, ['LI.ASE 1151 LOCAT [ON CON!` 173? WEN REPORI1% SALIS TAX I nt PROJECTS MITNIS TIE CITY OF FEINIRAL WAY. TAX RATE = 9.2% tit
T==mt.-.o=:_ : . -.:r- .: y.:---: W:. ::::n :: rxi-. s'c::-.=-...:e_tir sx: -.� -- - r -1..-,,- � ..na.a:=-�A _--
RD?: MR?: PLM?:X FLP.-+XIGI --PROP--- DwIllik VNTTS: 0
[YPE OF WORK:? USE:COM 1ST.: 0: O:sf STORIES........: 0
CENSUS CATEGORY.....:800 2ND.: 0: 0:5f HfiGSi.....; u.w IL
OCCUPANCY GROUP-------- 39D.: 0: O:sf VAMITIOY----------
:? :? :? :? OTI1R: 0. O:sf DE'i. J. L1
TYPE OF CONSTRUCTION----, Es"T: 0: O:sf PRDP. A: 9
:? :? :? :? @10 : 0: G:st
OCCUPANT LOAD------------ Wa .: 0: O:sf RECEIVED.;10/0519c,
0: 0: 0: 0: fOTL: 0: O:st
'7`=' `- --.---xxa•a sr�np.�:R:er'=--^a �.-v-::. :: �:_ aep'..-mpg-:n<ers:r:[csr:-:c --=x-: �ca .[:--:�*:-_-- .-
FUEL TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS
AS PIPING.: 0 ft HOOD........... G 0-3 HP....... 0
I FURN<1OOK..: 0 DUCT WK.....: 0 3-15 NP.....: 0
GAS HWT....: 0 WOOD STOVES...: 0 15-30 HP....: 0
CONY BURNER: 0 FURN>IOOK.....: 0 30-50 OP....: 0
BBQ........ : 0 MISC........... 0 5+ NP.......: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ---------
RANGE ...... : 0 <:10,000 CFO: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFO: 0 UNDERGROUND.: 0
.-- _-_-• -•.-. .__-.. ,_.. -�.._xr._••.�:,a.-_y-aza.s�re.e�-t-�sraxti�-rrr:�:r-..x::nut�cr._-»-:scs.r»x :.a..a x��--�t.�e><...=_-,i�
COMP PIAN........,:? FEES:
REOVIRR, PARKING..: 0 SPRINKLERS?......:? PER PANT ISSUANCE.. f 20.00
00 �� PLUMBING FIXT.... 93* $ 21.00
KIOU€RED Sf'1'IIACi<S•- - E €KI FLOW.... (I gpo
FRO)IT.........: 0-M ft
S1DF........ ... 0.00 ft WATER
RiAP.......... 0.00:ft SEWER SERVICE..:? I I
INPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
WATER CLOSETS......: 1
BATH IUBS.......... : 0
SINNERS ............: 0
LAVATORIES.......... 1
SINKS ............... 0
DISH WASHERS.......: 0
ELEC ON HEATERS...: 1
LAUN WSHR OUTLTS...: 0
URINALS......... 0
DRINKING FOUNT.: 0
SUMPS........... 0
VAC BREAKERS.... 0
DRAINS.........: 0
LAWN SPRINKLERS: 0
OTHER FIXTURES.: 0
FEES
41.00
f. ::[�^---'z_�:- -=-Ufa-Grz-'ko�•:�LL_r.:-.._-_=.[=Y-::=.�:�v..1a,�::-��ci it•.-.:---�=-:r.�;-....__..-,.. :. :•,-• •z - .u-„smsriSM iMF3a i�J[K��4F____... �u_`t`-'•r_;i-.-: �..C�.Gal'S^.0.�'...i�.;g=. �-a..2•r F-[, _:r'fx���ta
PERMITS EXPIRE IN BAYS AFItR ISOWICE IF 10 WORK IS STARTED. RESIWEII<IRL Mil 9PAPI" MRITS EXPIRE ONE YEAR AfIEA IKIE OF ISStfWE.
I CERTIFY INAT FURNISNEi •flip ME IS TRUE AND CMECT TO TNI $EST OF NY DICE W TK AMICNLE CITY OF FEIfRAI V4Y REQUIREMENTS WILL PIE [[ET.
OWNER OR AGENT DATE
rS"3^:._..__...._..__...__._....._........
�.
FIELD COPY
r.
SETBACKS &. FOOTINGS
Date By
7-
FOUNDATION WALLS
Date By
PLUMBING GROUNDWORK
.. a ti
tne±e
DERFI OOR FRAMING
Date By
SHEAR WALLS
Date By
7PLUMBING
ROUGH -IN
Date g By
SPIPINGA
Date By
7MECHANICAL
ROUGH -IN
Date By
MECHANICAL (OTHER)
Date By
FRAMING
Fr
Date By
INSULATION
Date By
7.GWB
- 1 ST LAYER
Date By
GWB - 2ND: LAYER
Date By
7SUSPENDED
CEILING
Date By
PLANNING: FINAL
Date By
ENGINEERING FINAL
Date By
7FIRE
FINAL
Date By
BUILDING FINAL
Date - �j- ' By /vim
OTHER
Date By
70THER
Date By
CDO193