95-102728 b,Baa Ila
7
CITY OF FEDERAL WAY37
-RM1T NO: BLDS
33530 F i rs t Way South ,.,,. ., I. N �,,.� � �,..�1,�� q ISSUE,u E 10/26/95
Federal Way, WA 98003 Building inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 10/26/96
ADDRESS: 30041 10TH AVE SW 79q7
NO. : 515320-0411 j
PROJECT DESCRIPTION:REMODEL - ADD CANTILEVER WINDOW, DEMISE & ADD WALLS
- OWNER -• •-----• ---- T CONTRACTOR -- -...------ -• T LENDER --._ .- . q
I TOM RUNCIMAN 1 AFFORDABLE DREAM HOMES I
i 30041 10TH AVE SW 1 904 31ST ST NE, IC 1
1 FEDERAL WAY WA 98003 1 AUBURN WA 98002 1
1
S39-3414 735-3467 f
AFFORDH088DK
of CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.2% =x#
_
BLD?:X _ MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 0 1 COMP PLAN •' - FEES: -1
TYPE OF WORK:ADD USE:RES 1ST.: 0: O:sf STORIES 0 REQUIRED PARKING..: 0 SPRINKLERS' •' I PLAN CHECK FEE $ 105.30
CENSUS CATEGORY •434 2ND.: 0: O:sf HEIGHT • 0.00 ft HAZARD CLASS •' BUILDING PERMIT....* $ 162.00 1
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm SBCC SURCHARGE * $ 4.50
:? :? :? :? OTHR: 0: 0:sf EXIST..$: 0 1 FRONT • 0.00 ft MEC APPLIANCE FEES.* $ 24.50
l TYPE OF CONSTRUCTION BSMT: 0: O:sf PROP...$: 15000 1 SIDE • 0.00 ft WATER SERVICE..:? 1 PLUMBING FIXT....93x $ 35.00
:? :? :? :? DECK: 0: 0:sf I REAR • 0.00:ft SEWER SERVICE..:? FINAL PLAN CHECK...* $ 0.00
I OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:10/13/95
: 0: 0: 0: 0: TOIL: 0: O:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:? -^--
FUEL TYPES.:? ? FANS • 4 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 I TOTAL FEES $ 331.30
ARS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 1 DRINKING FOUNT.: 0
RN<100K..: 0 DUCT WORK • 1 3-15 HP . 0 SHOWERS • 0 SUMPS • 0
GAS NWT • 0 WOOD STOVES...: 0 15-30 HP • 0 I LAVATORIES • 2 VAC BREAKERS...: 0CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 0 DRAINS • 0
BBQ • 0 MISC • 0 5+ HP • 0 1 DISH WASHERS • 1 LAWN SPRINKLERS: 0 I
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS 1 ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0 I
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 1 LAUN WSHR OUTLTS...: 1 I 1
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
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 WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT ..„, `' DATE 1 vl(ALL <
Fri COPY 2�-7l/ 7797g
• • RECEIVED
�.� City of Federal Way OCT 1 6 1996
u Erz
APPLICATION FOR BUILDING PERMITITYOFFEDERALWAY
BUILDING DEPT.
PLEASE PRINT REVIEWED UNDER 1994 UBC
APPLICATION #: �L D S 0 g3 7
SITE LOCATION l Address 3 y j
Tenant (if known) Lot #
Assessor's Tax #
.sis3ze_2- oy//
Building Owner Name Address
/✓rt-? r-i ,s j/i iv :?6.9625// 7 2 C /Qv -- !Ce-c/
City ��� !StateZip}�
U� �g 'Phone j 9_ 35'/X
Nature of Work • L
APPLICANT
Name (F,M,L)
1r '-) P Oc.csf c EyT£_
Address
7/ S 2 A.-C— #1�
City 4-t4.3 r/,z%t/ State
Fip 7�j00e_
Contact Person I Day Phone PAI- 4-0c,- Other Phone
Fax
D)4 v i7j (zo c) 7JS-,79!7 G a7-?/ 519
I BUILDING CONTRACTOR I
Company Name
fii i vi2 /1 i5 7iZ E— /71. .
Address
3/ ST i✓� L
City /44-r_,< 0./
State t%(',4 Zip00
Contact Person
Phone Fax
Contractor's #(card must be presented)
Expiration Date Verified ❑ Yes ❑ No
AF27 Ne) cgs To,� 3// /fa
IARCHITECT I
Name
Address
City
State Zip
Contact Person Phone
Fax
('-GAL DESCRIPTION
Please Complete Reverse Side
CD0492(Rev 4/931
STRUCTURE lilting Use
4 A'E 5/ Df.c.,,_(:_ Posed Use R 0...5 , -;-,E--�...c e_
Permit includes: 4 Building i». Plumbing ❑ Mechanical ❑ Other
Type of Work: OF Residential ❑ New ' Remodel ❑ Number of Units_ ❑ Deck
❑ Commercial ❑ Addition ❑ Garage ❑ Shed 0 Other
Enter 1st Floor/y-rt-, sq ft 2nd Floor A.' `r sq ft 3rd Floor sq ft Existing Floor Area 5cs470a sq ft
Area Basement /ptst, sq ft Decks '2 sq ft Garage 5D.67 sq ft Proposed Total Area 3c f y sq ft
Water Availability ❑ Sewer Availability ❑ On-Site Septic System Availability ❑ C. Project Valuation $
/5;000
Zoning Lot Size X.Existing Bldg Valuation $_- /;142.9049—___
LENDER (fk- s`-55 a-c. .)
Name Address
City
State Zip
MECHANICAL CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name Address
3*_/t4At c".,,Z,/44S
City State G:./A- Zip
Contact Phone Fax
'Y7.4,-v Q4/.4/ ('z ")/,o—7B '''Z-
License
ZLicense # Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE COUNT
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs y Dish Washers Drinking Fountains Other
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 50+ Tons
Furn >100 BTUs Fans Z ' Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Cony Burner Duct Work / 0-3 Tons
y Underground
BBQ'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 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 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: .- '' .... /O//3f/J��
Date: