94-100850CITY FEEDERAL WAY
PERMIT
MIT NO: BLD94-0349
PERISSUED:
33530❑First Way South
BUILDING
05/31/94
Federal Way, WA 93003
Building Inspection
Requests 661-4140
BY: KLC
661-4000
EXPIRES: 05/31/95
ADDRE55:30245 25TB AVE SW
ND.: 893760-0170
PROJECT DESCRIPTION: Residential re:odal and spa installation w/o per its (ALL WORK TS
�= ONMER —=--- CONTRACTOR - — --
PAULfMAXIE LEVY i OWNER IS CONTRACTOR tax
30245 - 25TH AVE SR
FEDERAL WAY WA 98023
874-6525 J
1 1
MORE m
BLD?:X AEC?:X PLM?:X FLR--EXIST--PROP
' TYPE OF NORK:ALT USE:RES
15Y.:
0:
O:sf
f CENSUS CATEGORY ..... :434
2NO.:
0:
O:sf
! OCCUPANCY GROUP-----------
3RD.:
0:
O:sf
{ :R3
OTHR.
0:
O:sf
TYPE OF CONSTRUCTION--.---
BSMT:
0:
O:Sf
:5N :
DECK:
0:
O:sf
OCCUPANT LOAD------------
GAR.:
0:
O:sf
0: 0: 0: 0:
TOTL:
0:
0:sf
FUEL TYPES.:ELE
CAS PIPING-: 0 ft
FURN[IOOX..: 0
t SAS RWT..._: 0
! CONY BURNER: 0
BBQ........ . 0
F GAS DRYER..: 0
RANGE....... 0
GAS LOGS...: 0
FANS.---....... 2
HO00...........
DUCT NORK.....: 0
WOOD STOVES...: 0
FURM)iOOK..... : 0
MISC:.......... 0
AIR HANDLING UNITS
4:10,000 CFM: 0
) 10,000 CFM: 0
ONELLING UNITS: 0
STORIES........: 0
HEIGHT.....: 0.00 ft
VALUATION -- -------
EXIST..$: 110200
PROP:..$: 14000
RECEIVED.:05f02/94
BOILERS/CDnPRESSORS
0-3 HP....... 0
3-15 HP._.: 0
15-30 RP.__-: 0
30-50 HP..... 0
5+ HP........ 0
FUEL TANKS ---------
ABOVEGROUND: 0
UNDERGROUND.: 0
INTERIOR)
COMP PLAN ....... _ :SR
REQUIRED PARKING..: 2
REQUIRED SETBACKS ----- =-
FRONT ............ 20.00 ft
SIDE__ _ ....: 5.00 ft
REAR:.......... 5.90:ft
LENDER — --- - -
SC FUNDING I
CALIFORNIA
-- FEES _ —
SPRINKLERS?........ I
HAZARD CLASS.._:?
FIRE FLOES....: 0
WATER SIAVICE_.:FED
SEWER SERVICE..:SEP
iMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
WATER CLOSETS......:
I OATH THPQ
until W............
! SHOVERS.__ ......
= LAVATORTES.....--.-:
I SINKS ...............
DISH WASHERS __--_._:
ELEC NTR HEATERS.•.:
t LAUN NSHR OUTLTS•..:
URINALS........:
nOT9V1Vt PRINT
SUMPS .. ....
VAC BREAKERS...:
DRAINS - - .------:
LAWN SPRINXLERS:
OTHER FIXTURES.:
0
0
0
0
0
0
PLAN CHECK DEPOSIT.3 $ 99.45
BUILDING PERMIT....* $ 153.00
9" SBCC SURCHARGE ..... t % 4.50
PLUMBING FIXT.... 931F, $ 28.00
"It APPLIANCE FEES.r $ 10.00
TOTAL FEES $ 294.95
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ORE YEAR AFTER DATE OF ISSUANCE.
I CERTIF- n ATIOR FURN SED BY ME IS TRUE AND CORRECT TO THE BEST OF NY KNONLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE NET
r OWNER OR A'::- -- _ _—_--------�___ _ ____ v� --- DATE
HER
��- _
FILE COPY
PLEASE PRINT
.S
:,
RECEID
b�
City of Federal Way
L,,MA'� APPLICATION FOR BUILDING PERMIT
Cl i Y 4F �FEDERALWAY 9q-foo�Sa
BUiLO NG DEPT. APPLICATION #.-/3-4 � `�/ 3[,1: 55'
ITS LDCAT
Address
APPLICANT
Name (F.M.L}
Address 1
City F,5 L c--
State vi �-
Zip TXQ Z
Contact Person
Day phone
other Phone
Fax
R -ILDING CONTRACTOR
Company Name
� r✓
Address '
City
State
Zap
Contact Person
Phone
Fax
Contractor's # (card must be presented)
Expiration pate
Verified ❑ Yes ❑ No
ARCHITECT
Name
r„
Address
City
State
Zip
Contact Person
/
1
Phone
Fax
111*H_14bl*-1910a1C•7t'I
Please Complete Reverse Side
C00492 IRev 01331
*E
RUCTURE
Permit includes:.
Er •g Use
7-stuilding
F )sed Use
Plumbing Mechanical
❑ Other _
Type of Work: `5Y- Residential
❑ Commercial
❑ New
❑ Addition
❑ Remodel
❑ Garage
❑ Number of Units
❑ Shed
❑ Deck
+Other
Enter 1st Floor
Area Basement
sq ft
sq ft
2nd Floor
Docks
act ft 3rd Floor sq ft
t Gara a sq ft
Existing Floor Area
Proposed Total Area
sq ft
sq ft
Water Availability
Sewer Availability ❑ On -Site Septic System Availabilit
Project Va3uption
s=`
Lot Size
Existing Bldg Valuation
4 UMER
Noma
5e FceN n a-)
Address
City
State
Zip
MECHANICAL CONTRACTOR
Contractor Name %I
Address
City '
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
PLUMBING'CONTRACTCR
Contractor Name
Address
City
State
Zip
Contact
f
Phone
Fax
License #
Expiration Date
Verified ❑ Yas �C]N,
PLUMBING FIXTURE COUNT z.
Water Closets t
Sinks
Urinals
Lawn Sprinklers
Bathtubs 1
Dish Washers
Drinking Fountains
Other
Showers
Electric Water Heaters
Sumps
Lavatories
Washing Machine
Drains
Total Fixture Count
:►C MECHANICAL UNIT COUNT
Fuel Type (electriclother)
Gas Dryer
Air Handling C = 10,000 CFM
15-30 Tons
Length of Gas Piping
Range
Air Handling ] = 10,000 CFM
30-50 Tons
Furn C 100K BTUs
Gas Log
Unit Heater
50 + Tons
Furn ] 100 BTUs
Fans
Miscellaneous
Fuel Tanks
Gas Hwt
Hood
Boilers
Above Ground
Conv Burner
Duct Work
0-3 Tons
Underground
BBO's
Wood Stoves
3-15 Tons
Total Unit Count
DISCLAIMER: I certify under penalty of perjury that the information fumi shad by me is true and correctto the best of my knowledge and furtherthat I am authorized by the owner
of the above premises to pertorm the work for which permit appiication is made. 1 further agree to aeve harmless the City of Fed"at Way as to any claim Iinc luding co ate, expanses•
and attomays' feap-lanuged in investigation and defense of such eta im1, which may be made by any person, including the undersigned, and filed against the City of Federal Way,
but only where mach claim ens t of the reliance of the City, j cluding its officers and amployees,•upon the accuracy of the information supplied to the City as a part of this
application. %~1 ,-,-% j
Owner/Agent: Oates _� %"
w3 C_..e C�g (-'jL) v-= r- yetcEr lr. r� lh -4z �' LiP eet�'74
tee
SL 'LE -KING COX" D P►RTMM OF P1ALIC L ri+
E7{V I ROtHEH7AL HEALTH SERV I C€ S
c
Total Fee: $7S•00 APPLICATION FOR HEALTH DEPART14ENT
APPROVAL OF BUILDING PE NIT
Submit application. route map, building permit plot plans, and other required documents in triplicate.
The following Faust be completed and the fee- must accompany this application:
Tote: If the property is located in unincorporated King County, make direct application to the King
County Buildingand Land Development olvision (B.A.L.D. . Properties in incorporated cities apply
to local building departments.
PROPERTY IHFOWATIOH
T�ouse/structure is served by an on -site sewage (septic) system
Distance to the nearest public sewer
Address of property__ 3 em s ? 3 -- r'�•� .S
Parcel Humber (Tax Lot Account )_ q 37 (a 0 ~ �_ ! 7,n 0 A
Applicant's name /51 u �e Low 4a,; Phone % 5�Lip c`
Applicant's mailing address S c
owner's name _ SN-rLf� ----- Day Phone
Age of house Humber of existing bedrooms— Existing square footage of house 3 a 0
Are additional bedrooms being constructed or created?_ /W 0-
Description of proposed changes/remodeling (attach plot plans, showing existing structure, remodeling
and septic system):
New square, footage after construction r'--, -zOrO
ENAGS *STFN
Approximate dates septic tank was pumped (attached receipts)
T
Additions or major landscape changes since house was constructed (examples: add famil room.- bed-
rooms, garage, patio, deck, pool, etc.; major fills or excavations done in landscapingi:
Additions or rep i s to sewage system (give date and describe briefly)/ ?,7 7 - .fie e2 1F.* �—
_I
Other Information which would be helpful in evaluating the sewage system (Ia. draiofield easements,
covenants, etc.):.
WATER SUPPLY INFOFMTTDN
[2�1 Public system (2 or more connections)
Name of Public Supply
USE ONLY
APPROVED �- 1 W By:
a e
[� DISAPPROVED BY:
Date
Comments/Conditions-
Private (Well, spring, etc.)
Attach copies of well log, well
covenants, chemical/bacteriological
sample reports
ec
MAY 1 3 1994
ALDER SQUARE
Any person aggrieved by any decision or final order of the health officer may make written application for
appeal to the King County Board of. Sewage Review if dono so within fit] days of the above decision.
!r� 1.'�r�xa[�r�/i vr:n ,IFvrrr?71(r 3-'31
0
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. CITY OF
' 33530 First Way South BUILDING PERMIT PERMIT 9
ISSUED: 05/31/94
Federal Way, WA 98003 Building inspection Requests 661-4140 BY: KLC
661-4000 EXPIRES: 05/31/95
ADDRESS:30245 25TH AVE SW
NO. : 893760-0170
PROJECT DE SCRIPTION:Residential remodel and spa installation w/o peraits (ALL WORK IS INTERIOR).
OWNER ----- _". _
PAUL/MAXIE LEVY "' OWNER IS CONTRACTOR *11 SC FUNDING
30245 - 25TH AVE SN
FEDERAL NAY NA 98023 CALIFORNIA
814-6525
s u:
- -- --- - - - - , --, -,-_,N,77:-, ,..
,,,,,1!„- ,,---w,,,,t,,,7---------- ------ -- ----------- -- - -
BLD?:X NEC?:X PLN?:X FLR--EXIST--PROP- - Anviii.4 MOM; 0 t .._ COMP PLAN :SR FEES:
TYPE Of WORK:ALT USE:RES 1ST., 40: O:sf STORIES.......,: 4 REQUIRED "1RKINf_ - ? SPRINKLERS , PLAN CHECK DEPOSIT.' $ 99.45
CENSUS CATEGORY •434 2ND. 4: O:5f .41E1+.,M., .... ,._•.,. f„ 1 SS BUILDING PERMIT....' 8 153.00
OCCUPANCY GROUP .: 0:1i 1i UAT._> - w 11+8�1+ 511::‘.l: --• - '' SBCC SURCHARGE ' S 4.50
:R3 : : : : U: or, O: f IST. T l''' •0 ,. r �$
0 f1 . 44"1 PLUNKING FIXT....93 $ 28.00
TYPE OF CONSTRUCTION----- T` 'p r ,5 . i' f l u•4 11+1.. . . 5.90 ft NATER -: ..:FFD '4'��� PUANCE FEES.' $ 10.00
:5N : CX 0: 0:s1 REAR • 5.00:ft SEWER SERVICE..:SEP
OCCUPANT LOADO F :sf N x/02144
0: 0: 0: 0: ITE wM '4T a - INPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.:ELE FANS.. ,;`/ BOILERS/COMPRESSORS NATER CLOSETS • 0 URINALS - 0 TOTAL FEES $ 294.95
GAS PIPING.: 0 ft HOOD • 0 0-3 HP - 0 BATH TUBS • 0 DRINKING FOUNT.: 0
FURN<l00K..: 0 DUCT WORK • 0 3-15 HP • 0 SIMMERS • 0 SUMPS • 0
GAS HMT • 0 0000 STOVES...: 0 15-30 HP • 0 LAVATORIES - 0 VAC BREAKERS...: 0
CONY BURNER: 0 FURN>100K • 0 30-50 HP - 0 SINKS • 0 DRAINS. • 0
880.,......: 0 NISC . 0 5+ HP - 0 DISH HASHERS - 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC NTR HEATERS...: 0 OTHER FIXTURES.: 0
1 RANGE - 0 (:10,000 CFH: 0 ABOVE GROUND: 0 LAUN 'PSBR OUTLTS...: 0
1.21
LOGS...: 0 ) 10,000 CFH: 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 CERTITTIR1T IRE INFORMrION FURN ED BY NE IS TRUE AND CORRECT TO THE BEST Of NY KNOWLEDGE AND THE APPLICABLE CITY Of FEHERAL TAY REQUIIREMENTS NILE BE MET.
NEP
FIELD COPY