99-101096CITY OF FEDERAL WAY
3353r) -
Fc?der-al Way, WA 980033
253-661--4000
NO. -. 513720 --- 0130
PROJECT DE'l.'
CLARE BRUCE
16664 11TH AVE S
SEATAC WA 98148
��6-655-0815 206-431-3326
- BUILDING NEW
we
Bui' din(
.1 g 1 0
31. -1 ol o 9,,-
PERMIT NO: BLD99-0168
1, 1' S J L' 1) - 06/`251 ./9 9
BY -, F(-
FOUNDATION AND FIRST FLOOR WITH ADDITIONAL GARAGE AND SECOND FLOOR. MAR CHERI DIV3 LOT 13
CONTRACTOR
OWNER IS CONTRACTOR OWNER
NIA
....... .... -----
*tt CONTRACTORS, PLEASE USE LOCATION COK IM VKN'RIEPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE :: 9.6% Us
t
BI,D?:X ME"? : X P L M?: X
FILR --EXlcjT --PROP---
DWELLING UNITS: 1
COMP PLAN .........
:S'PID,
FEES:
TYPE OF WORK:NEW USE:RES
JST 0: 1357:sf
STORIES ....... 2
REQUIRED PARKING..:
2
SPRINKLERS". .....
A
SBCC SURCHARGE...,. t
$
4,50
,ENSUS CATEIGORY ... -:101
2ND.: 1484: 482:sf,
HEICRT.'—.: 0.00 ft
HAZARD CLASS...:ORD
BUILDING PERMIT—,*
$
1357.715
OCCUPANCY GROUP---- - - - - --
"RD.: 0: O:sf
VALLIATTOH- - --- -- --
REWIRED SETBACKS- - --- --
FIRE FLOW....: 1552 gp#1
M�ECH P[011TT Fl
EE
$
38.75
:R3 :UIL :? :?
OT4R: 0: 0,,sl
EXIST .$: 75000
FRONT.,
&.0 ft
PLUMBING FIXT.... 93*
$
56 00
TYPE OF CCNw^7 ,RUCTTON -----
BSIMT
PROP.A: 164574
SIDE,,..
5,00,ftl,
WATER StRVICE..*LAK
FINAL PLAN CHECK...
$
282 54
IN :?
DECK: 0: O:sf
REAR---.:
5,00:ft
SEWER SERVICE.. :!AK
PLAN CHECK FEE
$
600.00
CCCUPANT LOAD - --- --- -----
GAR.-. 0: 1463:sf
RECEIVED.:03/17/99
PLUMBING PLAN CHECK
$
36.4 0
n:
0: 0: 0:
TOTL: 1484: 3302:sf
IMPERV SURFACE:
3129 sf
SENSITIVE
L i IVE AREAS?,
A
SIR IMPACT (SFR) 98
$
2882.00
Add,;tlonal fees not
shu^wn
here. . .
FUEL TYPES.:Q'.qS GAS
FANS..........: 0
BOILERS/COMPRESSORS
WATER CLOSETS......:
2
URINALS........:
0
TOTAL FEES
4113.63
GAS PIPING.: 50 ft
HOOD........... 'u
0-3 IT ON. . 0
BATH TUBS.. .....
2
DRINKING FOUNT.:
0
<100K,.: 0
DUCT WORK...... 50
3-15 TON.... 0
SHOWERS .......
0
SUMPS...........
0
HWT .... : 0
WOOD STOVES.... 0
15-80 TON.... 0
LAVATORIES..........
4
VAC BR;AKERS..,:
0
CONV BURNER: 0
FURN>100K .... .: 0
30-50 TON.... 0 +
SINKS ... ......
0
DRAINS
0
BBQ ........ : 0
MISC .......... 0
50+ TON......
DISH WASHERS........
0
LAWN SPRI NKLERS:
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS--- -- ----
ELEC WTR HEATERS...:
0
OTHER FIXTURES.:
0
RANGE......: 0
<:10,000 rFM: 0
ABOVE GROUND-. 0
LAUN WSHR OUTLTS ...
0
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 HE IS TRUE AND CORRECT TO THE BEST Of MY KNOWLEDGE AND THE APPLICABLE CITY Of FEDERAL NAY REQUIREMENTS WILL BE NET.
(1) 7
OWNER OR AGENT - — ------------------------------ DATE ,
FILE COPY
�3OtFOF FEDEROM, WAY
3% r-- I
, si, Way South
j( er-all Way, WA 98003
tAl-Y DRESS . 29630 2ND PL SW
r40.: 51-:1720-0130
f)ROJECI- DESCRIP47 TON:KSF - BUILDINt, WLW
OWNER
CLARE BP11cr
� I J:
Bul-ldit-,
16664 11 f H AVE S
SFATAC WA 98148
655-0815 206-4011-3326 \ ri
A
PERMIT H(J:
M T T 06/25,
113Y FC
[,X,P1RLf,.',: 1212121�4'14
ADDITIONAL GARAGE AND SECOND FLOOR. MAR CHERJ DIV3 LOT 13
...... 11..-' .. LLR11tK
IS CONTRACTOR I OWNER
"S cogTTTlI C to(ATIP"
r1
D?: X nfi":x .:X -bflu Pkv 4E hi IS
TYPE Of Y:H E:P ST.:
,,-1357: sf
CENSUS (A 2ND.: 482:sf - !!'EA(J!f 0 013
OCCUPANCY UP 3RD-: O-sf ALK" ON- — ------
75
:R3 :1J1
TYPE OF CONSTRUCT ION -- --- BWi, 0. k f RO"' 14
:511 :5m :? DECK: ;J:
OCCOPANT LOAD--- - -- - -- - MP. 0: 1463:sf RW�ivf JJ11/17
0: 0: 0: 0: COTE: 1404: 3102: f
FUEL TYPES.:GAS GAS FANS........ f ORP CIORS
GAS PIPIR;<: 50 ft HOOD ....... 0
0 RIC T W SO TON—.: 0
HWT.... : 0 WOOD SIO 0 -30 TON—: 0
(0111V BURNER: 0 FURN100f.. .: 0 30-50 TON... 0
869........, 0 MIS(........ 50+ TON..... 0
GAS DRYER—: 0 AIR HANDLING U FULL TANK
- --
RANGE......: 0 <:10,000 (Fm: 0 ABOVE GROUND:
GAS LOGS—: 0 ) 10,000 CF": 0 UNDERGROUND.: 0
I IN G SALES TAX FOR m1wis V)
(OMP p
(JO: f t
INPIRV SURFACE:
3129 St
WAT[fjkC S '
BATH BS .. .... 2
1 SHER ....... 0
[C IR HEATEPS...: 0
L WSHR OUILTS... : 0
IN THE CITY OF FLIMAIL, VAY. TAX RATE :: 8.6%
SPRINKLERS"' SBCC SUR(HARGE. 1.50
HAIARD (L:1' BUILDING PERMIT ....x 1351.75
FR F P!kv. ,. ti. ML(H PERMIT FEE 18.15
PLUMBING IF I XT .... 93* 56.0X'
VICE— : 0 PLAN CHECK FEE MOO
PLUMBING PLAN (NICE, -- $ 36.40
cy
EE T I VE ARFAc,'.:N S,H IMPACT (SFR) it 2392.00
=— .... Additional fees oot shown here—
URINALS........: 0 TOTAL FEES $ 5413.63
R,I"rl"G FOUNT.: 0
SUMPS..........: 0
VAC BREAKERS...: 0
DRAINS.......... 0
LAWN SPRINKLERS: 0
OTHER FIXTURES.: 0
P*JS txplkf Igo mys AFTER 1swal if No m is STARTED. RESID1.111AI. ARP 9MIK PtHIIS EXPIRE ONE YEAR AFTER NIF Of ISSUANCE.
I CF1TIFYffi 11014TIC INFO WTION fURNISKO Irf K IS TRUE W CORRECT 10 lilt IO:Sf ff NY I(RiAILLI)CF, AND 1K APPLICAKE CITY Of FEDERAL NAY REIIERMIS Vitt K NEI.
,oww""R T?%E111 DATE
FIELD COPY
Uw193 (MOV 487)
r
arrOF �
Es1EJZf�L
BUILDING DEFT.
APPLICATION FOR BUILDING PERMIT
PLEASE PRINT
•.
BUILDING DIVISION
33530 First Way South
Federal Way, WA 98003
(253) 661 -4000
Fax (253) 661 -4129
l 't•S. \y' \ Y
#
City
State
PkA,-C-
APPLICATION
Day Phone
-����
Tenant (if known)
Fax
*L war f�
Lot #
ICLAc
(Jiv
Assessor's Tax #
Q -0�
Building Owner's Name
l 't•S. \y' \ Y
Address
City
State
PkA,-C-
Contact Person —
Day Phone
-����
Tenant (if known)
Fax
*L war f�
Lot #
ICLAc
(Jiv
Assessor's Tax #
Q -0�
Building Owner's Name
/� r� `
(�LA-)Jv
`
Address /
icy
(
City c
State
zip
e �
Phone
Nature of Work
A
i
I ,
Name (F,M,L) n 1-� T U G G
Address `,
b / J6 6 `r t Ly �
City
State
�j
zip S/ 8
Contact Person —
Day Phone
-����
Other Phone 7 �-t._�
z� 3 �
Fax
*L war f�
FEDERAL WAY BUSINESS LICENSE #
Company Name
Cf. !
Address 6(8 z W try 2-
city , ,f A- f' (-L %F state zip6 %a
Contact Person /� r/ Phone �� `i0L Fax 2O 6 / O
Contractor's # (card must be presented) Expiration Date 1 Verified ❑ Yes ❑ No
a
0
.1
Name
Address
City
State
zip
Contact Person
Phone
Fax
LEGAL DESCRIPTION
Please Complete Revenv2— ide
L....
::'t iii {:;: :'n ...{ .. {♦:'..i.:::tjii }:;:::•iii: i:•: +ii:•i:•i: ii: ii:•
��' w;•i'•'u <`{i!•isgr:{r: :i:"' +i { {: S;f:.rYJl,.i:�t { :n
ist:n Use
City
1 Use
Zip
^:
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9
Fax
. reposed
Expiration Date
Permit includes:
Building
❑ Plumbing
❑ Mechanical
❑ Other
Type of Work: Residential
New
1% Remodel
❑ Number of Units
❑ Deck
❑ Commercial
34 Addition
!al Garage
,
❑ Shed
❑ Other
Enter 1st Floor sq ft
2nd Floor sq ft
3rd Floor sq ft
Existing Floor Area
sq ft
Area Basement scl ft
Decks sq ft
Garage sq ft
Proposed Total Area
sq ft
Water Availability ❑ Sewer Availabilit
❑ On -Site Septic System
Availability ❑
Project Valuation
Is
Zonin
Lot Size
TZ;ng Bldg Valuation
S
•���%%#�•':�:r:[+:i ? j��;:11`;tit:'�dky:yiyii:: >:> :;:?.:.<;:�•,,}t<• r,.} ri:::•}:{: :�'ai,'� ^:,i.:Y >.5;::�::t:':::r i::i;:v::::i�r._::'t
�if:�:i��i:F���::i1i :. "Wh�1[�k:: }iriir;:SLiv� +�::
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
• w:::. •:.i:•::i:•i::i;: is t.,;: i i ..,:... .
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
Water Closets
I Bathtubs %j 1 Dish Washers I Drinking Fountains I Other
PdTIMIT
At llCAL- #l1tt ' C '1` <> ' ' ' < < ?? MECHANICAL EVALUATION ONLY $
Fuel Type (electric /other) S Gas Dr er 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
Gas Hwt I Hood I Boilers I Above Ground I
Conv Burner I Duct Work 0 -3 Tons Underground
BBQ's Wood Stoves
3 -5 To..
DISCLAIMER: I certify under penalty of pa jury 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
attomeys' 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 ofthe 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.
F
Owner /Agent: Date: 3 • /
BUILDIw.Am
REmE0 8128/97