96-102659 n -11) T 9
C?TY OF FEDERAL. WAYPERMIT NO: BLD96-0333
3t530 First Way South nut" t.....Eti,r Hier phitu:109;pt .1 .,1 ISSUED: 08/09/96
Federal Way, WA 98003 Building inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 02/05/97
ADDRESS:31919 61H AVE S
NO. : 082104 -92: 3
PROJECT DESCRIPTION:DECK REBUILD 100 SQ. FT.
F. OWNER _._--_______...-___-_-__-- T CONTRACTOR -- _ ---- ------1,- LENDER -----
1 ETON TECHNICAL INSTITUTE 1 RUSHFORTH CONST CO INC 1 ** OWNER **
1 31919 - 6TH AVE S 1308 ALEXANDER AVE E
1 FEDERAL WAY WA 98003 TACOMA WA 98424 1
1 1
Illpf41-5800 922-1884 838-0756
1 RUSHFC*305R1
I__.__.__.__._ __ _--__ I _ _____________-______ _--- _____.-__--... -- _______.: -._ =---=a
us CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.2% *u
BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 0 1 COMP PLAN •' ( FEES:
TYPE OF WORK:REP USE:COM 1ST.: 0: O:sf STORIES • 0 REQUIRED PARKING..: 0 SPRINKLERS° •' I BUILDING PERMIT....* $ 30.00
CENSUS CATEGORY •437 2ND.: 0: O:sf HEIGHT • 0.00 ft HAZARD CLASS •' 1 SBCC SURCHARGE * $ 4.50
OCCUPANCY GROUP 3RD.: 0: O:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm 1
:? :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 0.00 ft 1
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 880 SIDE • 0.00 ft WATER SERVICE..:? 1
:? :? :? :? DECK: 0: O:sf REAR • O.00:ft SEWER SERVICE..:? 1
OCCUPANT LOAD GAR.: 0: O:sf RECEIVED.:08/09/96 1
. 0: 0: 0: 0: TOTL: 0: O:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:? 1
.._..____. _ •- ,'---`•_. `- ..-------- --_c ..n...._._........._...._._
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 1 TOTAL FEES $ 34.50
liOS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH RUBS • 0 DRINKING FOUNT.: 0 1
RN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 0 SUMPS • 0 1
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 0 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 0 DRAINS • 0 1
I
BBQ • 0 MISC • 0 5+ HP • 0 DISH WASHERS • 0 LAWN SPRINKLERS: 0 1
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0 1
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0 1
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
------------ .- --------------------- r..-_____= ._s -_-_-_ _____. 1- ___•-a=-====a________-.___..___.-1
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAI TH INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPL CARL CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT _ - , l=.)kala _____s_ -- DA FE c1 C ./(]----
FILE COPY
• City of Federal Way
W �' APPLICATION FOR BUILDING PERMIT r
PLEASE PRINT APPLICATION #:
SITE LOCATION Address ? 1 co y .c,,-f - C\m_k_ 5 \-=‘_1\11{q t c, r:.),k c1 scyb
Tenant (if known) Lot # Assess�r's Tax #
c Q i Qc\nv-,cf, `Zn k_--\--,fc - - O a t ok-k -c a 3 3
Building Owner Name ‘ Address
�1c�S\D 7-5Z C\A- - \ 1-1"/ S- A�/ e 3 is (O 00--)--eO� -e S. '.n c\ zle,
City k_ Ac State k Zip C\$b0()--43 Phone c\t1l_ ''-go0
Nature of Work .`\ Q 'i 0A\ d u c.,,1‘.1
APPLICANT
Name (F,M,L) -\-.
��
Address
3-l`V\�, Ck S-
City A c^ ` C, State
Contact Person ) DayPhone � Fax ��0��
Other Phone Fax
SuSCk ton Person()
LQ1 - 9J C)0 CI y(0- id 1 )
BUILDING CONTRACTOR
Company Name
Address
City --1- W'� zip any \
A��w�O, State
Contact Person Phone Fax
Contractor's # (card mus;_toe presented) ExpiriationIV ate Verified D. Yes ❑ No
ARCHITECT
Name ..--.
Address.3 t a 4-5 -' sU a
City To,c O vv\0. State '' IIf �
`T
�-R Zip Crb`' �
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492(Rev 4/93)
STRUCTURE • ting Use (��•vx vv\i-i c i t V posed Use v cx
Fermit includes: uilding ❑ Plumbing lir Mechanical ❑ Other
v Type of Work: IDResidential ❑ New CIRemodel IDNumber of Units Deck
Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
Water Availability ❑ Sewer Availability ❑ On-Site Septic System Availability ❑ Project Valuation $ V
Zoning Lot Size Existing Bldg Valuation $
LENDER
Name Address
City State Zip
,
MECHANICAL CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes 0 No
PLUMBING CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License it Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE COUNT
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fixture Count
MECHANICAL UNIT COUNT MECHANICAL VALUATION ONLY $
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 Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons 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. �r� �
Owner/Agent: \I `�]- .1 v Date:
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9 -/C:•.) a 5-9
C.1 i '‘' co r r.141. p,f ir 1,„,1, , , 1i1tM1 i
510 f i rst W.=';',,,.. !,.`,+,t1; I, rf 4,,ri 1 rt. FTI1AP ...:$ VI ff. rt/41 IL1,11 0
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I. retie ra1 Way., fejil , II 1(1 ; !ill I 11 11,` lir 1,.. t,, i 1 ,111 l', (If"' 4 ' .1 ', I At t,'1,':: 1 (..
661 -4000
I I TIM ' : ii"/11r
\. .
(.1 11 OVE ‘..
-110,. ; i”1'1104-92 3 t
114'1,1Et T DESCR I P 1 1 011•PECK REBUIE 0 109 SO. 11
I ETON TECHNICAL INSTIME RU9001110 CON5T CO INC I *4 (*RV **
I 3190 - 6111 AVE 5 1308 Alt rANDER AVE E
I FEDERAL WAY WA 9300IA(ONA NA 99424
t
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I 941-5500 ..-, 22-1884 038-07S6
1 P0SHP1305R1 - 1
wil,er,onnar,. -
- ' — ----- "2""""' -'' ' '' ' -
'''' I' 01 FIDIRAL WAY. IA X ) fl 8.3 ss*
all • - — - •- , try, 4`,'-'11'1 C MIKIS W111110 lift ,i*11
IV, C0/11RACTIgtillag TA,IPII' INSALES 1AX TOR, ' ' I 4 1,..,•',44::-.v, ..„, ,.., ,, _„,„,, .,. ,..,-._ .. - - -_- --- , - - , -- -- 0
. ...-:.,,.--,...,•-•-• • ,04I.4, ..is..4:1::pittottp!t2,-.40„,„ 0411.44...:,- -.,, , . ,1/4:11., .,44..,,*t..;;;;.0.1.,;H., ,- ,..-..,..,.,„..... =
BLD?:X NEC?: PIN?: TER--EX, ;_. , , , ./ 1 TEES:
TYPE Of WORE:REP USL:(ON 151.: J.':.,,,.: ,-- 0:s ,' .. ..., ', , , UIRED PAREING...: 0 SP.R111KLERS,/ •'' ) BUILDING PEPIIII....* t 30.110
$ 4 90
CENSUS CATEGORY •437 2ND.: '.I,•;':' 0:s.Z *Miss"-,;•„0",04,„ 4.149 qambdd ,..t ., '" -''',.--Ni-. . .; ,, . S. ..,,., 1" ' ,: SHr( SUR€NAi/GL''•••t '"
OCCUPANCY GROUP- 264,,,,, , ••,. --1; WI Mtn- - ,,,-, PLUM -;.,V• ,,.E, -4A- - *T. ' — will°
—...., -',,,,. ---------:- - -4- - , 44,4 4 4Kftt 4 t,st -t • , ,
, ,, 44t: 0.s— *142-Ta- '0 , , 1 IRA , .1.4', --„ -..- u
:1 :? :? :',* . • . • -2.-.• --, - ,..4 - ..,--,,, Ale* , - 41 ' , WATER SE
TYPE OF CONSTPLKITAR--- ..,,t, , . .. ,,, „Iv, , , ,,
..„ .,, . , . , . , T ... t;q"'40IA,„I '' ••••-'**: 0.00:11 SEWER
Still(t•*:? II
0(1(1.1PAN I I OAD i • • ' " -,,, - ' --,,„, - , ',',h,4. il(i-' :P',1 ;',...*"'
:1,.,; ,,z4, : lOPERV SURFACE: 0 st SENSIlIVE AREAL,?...? 1
0: 0: 0: 0: h • ,•! --., . e,_.,,,,,,.,,,, .
_,,,,_,,,,,..,,,.. ,..1
FII;i1-.'T7Pi;:•.-i----,'-'''''''';;115s. . " • 2 .' '-ettItERS/CONPRLsOPS wAite (LOSEiS • 0 URINALS. : 0 i 101Al FELS I 34..50
0 0
GAS PIPING.: ft HOOD. • 0 0-3 HP • BATH TUBS ' 0 DRINEDIG 101.11t 1.. 0
RN<1001%.: U
0W1 - 0
ITV BURNER: 0
DUCT WORK • 0
WOOD SlOVES. • 0
FURN5100K • 0 1-15 HP • 0 'MOWERS
.
15.30 HP • U I LAVATORIES 00 4V)UAt"PsopliAr:L'it,;:::.: 101
30-50 HP • 0 I SINES • 0 DRAINS • 0
I BB° • 0 MIS( . 0 5+ HP • 0 DISH WASHERS • 0 LAWN SPRINKLERS: 0 1 .
I'6AS DRYER..: 0 AIR HANDLING UNITS 10E1 TANKS ELI( NIP HEATERS...: 0 01HER IIX1URES.: 0 I I
I RANGE • 0 :10,000 CFM: 0 ABOVE GROUND: 0 I LAUN WSHR OUILIS...: 0 I I
I GAS LOGS...: 0 > 10,000 (FM: 0 UNDERGROUND.: 0 I
,..,,,,,„,,,,,,,„,,,,,,, ,,,,...r,„,,,,,,,,..,,,,,,,,,...rr,
!.. ''''. — ' '''''' ''''' ' ' 51M19. AISIDENIIK AND GRADING PERNIIS EXPIRE ONE YEAR af 1ER kilt OF ISSUAkt.
PIEICIIIIII1S11tY4PIIRAREI 1171. PIANrOPIINAIITEIROKISISI*UPOICE IDitrIttl°115f IISKULA110 tOKIIIII 10 1111 IIES1 Of Id rilifillEICI AND Ilk APPI (Akt (.11'i 01 ItOINAL WAY NEOUIRLNENIS VIII BE Nil.
....
• ,
AINER OP AGIN, tt-,)0.3, 10 (aPlitt,s.
FIELD COPY