94-10139899f- /a' 3 %g
CITY OF FEDERAL WAY MI1 NU: Firstt Way South BUILDING PERMIT PER
ISSUED: 07/26/9464
33530
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 01/22/95
ADDRESS:31424 7TH PL_ SW
NO_: SSS920-0145
PROJECT DESCRIPTION:NALL RELOCATION, EGRESS WINDOW, 314 BATH, BAR SINK, SEWAGE EJECTOR, EXHAUST FAN 6 VENTS.
OWNER CONTRACTOR LENDER
CHARLOTTE KIRKWOOD INTERMOUNTAIN CONSTRUCTORS
31424 7TH PL SW P 0 BOX 98211
FEDERAL WAY NA SEATTLE NA 98198
939-9427 995-4600 PAGE
INTERCOOOLS
BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN.........:? FEES:
TYPE OF NORK:ALT USE:RES 1ST.: 0: O:Sf STORIES........: 0 RUNIRED PAR,:°1fR.:` �' SP°iNKTf4 '..,..•'" BUILDING PERMIT.... S 90.00
CENSUS CATEGORY ..... :43f 2ND.: 0: Omf HEICMT...... 0.00 ft �IftiARD 20SS...:4 SBCC SURCHARGE ..... = S 4.50
OCCUPANCY.-
GROUP OTNR: 0: Oaf EXI�TTQN------C �` i TD'SET9AC[5- 0.00- t "'IMNG FIXT.... 93* $ 21.00
TYPE OF CONSTRUCTION----- BSMT: 0. O:sf PROP._.$: 7000 SIDE..........: 0.00 ft WATER SERVICE..:?
.? .? .? DECK: 0: O:Sf REAR..........: O.00:ft SEWER SERVICE..:?
OCCUPANT LOAD------------ GAR.: 0: O:Sf RECEIVED.:01126194
0: 0: 0: D: TOTL: 0: O:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.:? ? FANS..........: 1 BOILERSJCOMPRESSORS WATER CLOSETS......: 1 URINALS........: 0 TOTAL FEES S 115.50
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 ............: 1 SUMPS..........: 1
GAS ENT....: 0 WOOD STOVES...: 0 15-30 HP....: 0 LAVATORIES.........: 1 VAC BREAKERS...: 0
CONY BURNER: 0 FURN>100K.....: 0 30-50 HP....: 0 SINKS ..............: 1 DRAINS.........: 0
BBQ........ : 0 RISC..........: 0 5* HP.......: 0 DISH WASHERS.......: 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS--------- ELEC WTR HEATERS...: 0 OTHER FIXTURES.: I
RANGE....... 0 <:10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 4
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 1§FOPdiAT1 FURNISED IS CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERzRAL Y REQUIREMENTS WILL BE MET.
FILE COPY
enwM�M.�.�
PLEASE PRINT
City of Federal Way
APPLICATION FOR BUILDING PERMj�L 2 61994
CITY OF FEDERAL WAY
BUILDING DEPT.
APPLICATION #: ; LN Lf — n S�q L/
....:.-----------
CATION .. ..
Address S / ,� � Trs- : �� �"4--/
Tenant (if known)
Lot # Assessor's Tax #
Building Owner Name
Address
City
State
Zip
Phone
Nature of Work?!
APPGICA�7`:..
Name MMM �1 f
Address
City
State
Zip
Contact Person
Day Phone
Other Phone
Fax
9(IOJNC CONTRACTO
Company Name
Lr
Address
City 't _ —
State
Zip f �d�07
Contact Person r /'J
Ph��7''ee i
y
O f r/ / e"J`{/
Fax
Contractor's # (card must be presented)
Expiration Date
Verified ❑ Yes ❑ No
Name
Address
City
State
Zip
Contact Person
Phone
Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492 (Rev 4/93)
STRUCTURE TURF
_.
Existing Use
Proposed Use
Permit includes:
❑ Building
Plumbing
❑ Mechanical
Other
Type of Work:
❑ Residential
❑ New
Remodel
❑ Number of Units
❑
Deck
❑ Commercial
❑ Addition
❑ Garage
❑ Shed
❑
Other
Enter 1 st Floor
Area Basement
sq It
sq ft
2nd Floor
Decks
sq It 3rd Floor sq ft
Existing Floor Area
sq ft
sq ft Garage sq It
Proposed Total Area
sq ft
Water Availability
❑ Sewer Availability W-. On -Site Septic System Availability ❑
Project' Valuation
Zoning
Lot Size
.
Eicistina: Blue Vnfu..afion
: $;
Name
City
�l1ECRANCC�iL Ci
Contractor Name
City
Contact
License #
Contractor Name
City
Contact _;,
License #
PLUMBING .1 l
Water Closets
Bathtubs
Showers
Lavatories
Fuel Type (electric/other)
Length of Gas Piping
Furn < 100K BTUs
Furn > 100 BTUs
Gas Hwt
Conv Burner
BBQ's
Sinks
Dish Washers
Electric Water Heaters
Washing Machine
Gas Dryer
Range
Gas Log
Fans
Hood
Duct Work
Wood Stoves
Address
State
Address
State
Phone
Expiration Date
Address
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 Tana
3-15 Tons
Zip
SRI
Zip
Fax
Verified ❑ Yes ❑ No
Zip
Fax
Verified ❑ Yes ❑ No
Lawn Sprinklers
Other
OTFrit
15-30 Tons
30-50 Tons
50+ Tons
Fuel Tanks
Above Ground
iU
.. c.G.G un
TataI;.ElriiE'.Chunt '.. ..::
DISCLAIMER: I certify under penalty of perjury that the Information furnished by me Is true and correct to the best of my knowledge and furtharthof I am authorized by the owner
of the above promises to perform the work far which parmit applic ation is made. I furtheragreeto save harmfasit the City of Federal Way as to any claim {including casts, expenses,
and attomeya' foea incurred in investigation and do[anse of such claim), which Me be made by any person, including the underslaned, and filed agalnat the City of Foderai Way,
but anly where such claim arises out of the reliance of the City, including Its aIflea ra and amplayas s, upon the accuracy of the Information supplied to the City as a pert of this
application.
Owner/Agent: