01-101116Community City of Federal Developmentservices Building - Single Family Permit #:01 - 101116 - 00 SF
33530 1st Way S
Federal Way, WA 98003 -6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: ALWAYS HOPE/LATTIMER
INSPECTION.
Project Address: 31218 2ND AVE SW Parcel Number: 555780 0280
Project Description: REM - Remodel existing attached Rainto hab ble space.
Owner
Applicant
Contractor
Lender
Hope Always
Hope Always
V ys
NONE
31218 2ND AVE SW
31218 2 SW
FEDERAL WAY WA
FEDERA W WA
31218 2ND AVE SW
98023 -4616
98023 -4
FEDERAL WAY WA
NONE
Includes:
Census category: 43 Res' #1
#2
#3
#4
Occupancy Gro : R -3
Constru n T Type V - N
Occ cy Load:
Fl rea (Sq. , : - - - - - = - - --
Census t I. ..... ..... 434
............................
Occuvan rouD #1 ....... ............................R -3
umbing ........ AM ....... IL— ...... . ..I, No
it PERMIT EXPIRES Se mb 8 , IF ORK IS STAR
Pe sued o ar 22, 2001
I hereby certify that the above information is corr n th e con ction on the above scri p p and
the occupancy a use willte in accor wit e law , es and regulations of t to of hington and
the City of F eral Y.
Owner or a nt: Date: 2 2— Z CU 2
Ile
'*CEIVED C".« CuNSTRU ON PERMIT APPLICATION
PPLICATION NUMBER: 01 - D i 1 1 - S F
410a
MAP 2 mm — — —
APPLICATION NUMBER: - -
QITY OF FEDERAL WAY PPLICATION NUMBER: - -
BUILDING DEPT. - - - - - - - - -
* The following is required information — Please print (in ink) or type **
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY
2 INFORMATION
;01 SITE ADDRESS: 6 Z W / U0 2 ✓ASSESSOR'S TAX /PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERT (ATTACH_ SEPARQT7 DESCRIPTI N IF LENGTHY):
■ PROIECT INFORMATION
TYPE OF PROJECT (This application): UILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT /DESCRIPTION (Provide detailed description)-
/ le
PROJECT
■ PEOPLE INFORMATION
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
CONTACT PERSON
NAME:
E:
MAILING ADDR (STREET DRESS; CITY, STATE
EVENING PHONE: 4
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBE
—
FAX NUMBER:
CONTRACTOR'S TION NUMBER:
( card required)
Co L` x a � C — — — —
EXPIRATION DATE:
5—T < lL�
NAME:
/�
DAYTIME PHONE:
( ZdG ) 9 y 7
MAILING AD RESS (STREET ADDRESS; CITY, STATE, ZIP):
c_L„-
EVENING PHONE:
RELATIONSHIP TO PROJECT:
❑ ARCHITECT ❑ TENANT RIOTHER ( DESCRIBE):
FAX NUMBER:
FOR THIS PROJECT: ROPERTY OWNER
❑ APPLICANT El CONTRACTOR
E -MAIL ADDRESS:
EXISTING USE: pt;;%%L,�,,� [ .g/ , EXISTING BUILDING ASSESSED /APPRAISED VALUATION $ O trcq
PROPOSED USE: >, �'I �/1 PROPOSED VALUATION FOR IMPROVEMENTS: $ C�--i
SPRINKLERED BUILDING? El // YES l( 0 FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: 11 YES Ly-Nv
WATER SERVICE PROVIDER: VLAKEHAVEN El HIGHLINE El TACOMA [I PRIVATE (WELL)
SEWER SERVICE PROVIDER: Wf: KEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
6 ^Awr 0
* *NEW RESIDENTIAL CONSTRUCTION ONLY **
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PR03ECT FLOOR AREAS`
FLOOR
EXISTING S . FT.
PROPOSED S . FT.
TOTAL
BASEMENT
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE
FIRST
L U
CHANGE OF USE? ❑ YES ❑ NO
! d
[�D
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
�p
O
TOTAL:
AIR HANDLING UNIT(S)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHERS)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S)
FAN(S)
FIREPLACEINSERT(S)
FURNACE(S)
GAS PIPE OUTLET(S)
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINK(S)
SUMP(S)
GAS LOG(S) REFRIG. SYSTEM(S)
HOOD(S) WOODSTOVE(S)
RANGE(S) MISC. ( )
HEAT SOURCE: ❑ ELECTRIC ❑ GAS
URINALS) WATER HEATER(S)
VACUUM BREAKER(S) El ELECTRIC ❑ GAS
WASH MACHINE OUTLET
WATER CLOSET(S) MISC. ( )
' ■ DISCLAIMER /SIGNATURE BLOCK
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 the permit application is made. I
further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the
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.
NAME /TITLE: // 4_2l
❑ PROPERTY OWNER PPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
DATE:'ZZ
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO
CHANGE OF USE? ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • P.O. BOX 9718 • FEDERAL WAY, WA 98063 -9718 • 253- 661 -4000 • FAX: 253 -661 -4129