99-103338CITY OF FEDERAL WAY PERMIT NO: BL_D99 -0541
83530 First Way South
"",N k..fi T I Pf M °;6 " C! M, P14 "T "T" ISSUED: 0 8/ 2 7/ 9 9
Federal Way, WA 98003 Building Inspection Requests 253 - 6614140 :BY: FC?
253 - 661 -4000 EXPIRES: 02/23/00
ADDRESS: 849 S 318TH ST 89.10333 $
NO.: 609400 -•0300
PROJECT DESCRIPTION -.RES REMOD- CARPORT ENCLOSER
r= OWNER =____________________ _______________ ______ __ ________ CONTRACTOR =_= = ______________= __ = =_= ______:__________;= LENDER
CAROL ROBERTS OWNER IS CONTRACTOR
j 849 S 318TH ST 1 {
I FEDERAL WAY WA 98003 I }
}
253-839 -8379 }
N/A i
- - -- - --------- - - - - -- ---- - - - - -- ---------------- - - - - -- - - - - -- ----- _ - - - -- - -- ------ - - - - -- ------ - - - - --- - - - - --- -- ---- - - - --- -- - -- - - - - - -_ -__�
- - - - - - - - - - -
US CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE = 8.6% US
BLD ?:X NEC ?: PLM ?: FLR--EXIST -- PROP --- DWI! I!ING UNITS: 0. ? COMP PLAN.........:? FEES: s
TYPE OF WORK:ALT USE:RES 1S" O: O:sf TOR. : 0,` [ REQUIRED PARKING..: 0 SPRINKLERS ?......:? PLAN CHECK FEE $ 72.31
CENSUS CATEGORY ..... :434 2ND.: 0: O:sf `EIG';' .... O.Othl t HAZARD CLASS...:? BUILDING PERMIT.... $ 111 25
OCCUPANCY GROUP---- ------ 3RD.: 0: O:st VALUATION- -- i REQUIRED SETBACKS- --- --- FIRE FLOW....: 0 gpm I SBCC SURCHARGE.....* $ 4.50
Al :? :? :? : OTHR: 0: O:s' EXIST..$: 0 FRONT.. 0.00 t
TYPE OF CONSTRUCTION - --- BSMT: 0: O:s:- PROP...$: aa00 � SIDE.....,....; t w. ?ER S[IWYCE..:? ;
r :5 -1HR:? :? :? DECK: 0: O.s` REAR_ ..... ...: O.'0.- SE�ER SERVICE.. : ?'
r
GAR.: 0: 0 RE£EIVED.:OS 27 99
OCCUPANT LOAD- --- -- -- - --- / /
0: 0: 0: 0: TOTL: 0: O:sf r IMPERV SURFACE: 0 sf SENSITIVE AREAS ?. :? }
FUEL TYPES.:? ? FANS..........: 0 BOILERS /COMPRESSORS WATER CLOSETS......: 0 URINALS........: 0 TOTAL FEES $ 188.06
GAS PIPING.: 0 ft HOOD..........; 0 0-3 TON.....: 0 BATH TUBS..........: 0 DRINKING FOUNT.: 0
FURN<100K..: 0 DUCT WORK.....: 0 3-15 TON....: 0 SHOWERS ............: 0 SUMPS..........: 0
.4NWT....: 0 WOOD STOVES...: 0 15-30 TON...: 0 LAVATORIES.........: 0 VAC BREAKERS...: 0
V BURNER: 0 FURN>10OK.....: 0 30-50 TON...: 0 SINKS ..............: 0 DRAINS.........: 0
s BBQ ........ :
0 MISC..........: 0
50+ TON.....: 0
; DISH WASHERS.,.....: 0 LAWN SPRINKLERS: 0
GAS DRYER..:
0 AIR HANDLING UNITS
FUEL TANKS--- - - - ---
ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
`
RANGE......:
0 < =10,000 CFM: 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 FURN HED BY HE S TRUE AN CURRECi TO THE BEST OF NY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE NET.
OWNER OR SEA'" r�tr•z �►--- - --• ---------- ._._. , 42-7°
DATE -
FIL
CITY Of' FEDLRAL WAY
37*30 F Way South
Fiz,der'il Way, Wo 98003 BtAlding Inspection Reqoes .s 253-661-4140
c D RL?SS:8 4',,) -,`418TI-1 ST
t: 609,1100-J)'300
'i"ki-lil CT PT`l(.*l :RES RIMOD- CUPORT.EKLOSER
p VWIIEK ... %Vn;K IUA 4-40= ... URRA
CAROL ROBERTS OWNER IS CONTRACTOR
849 s 318TH ST
FEDERAL WAY VA 98003
253-839-8379
#/A
tst CONTRA(TORS. PLEASE USE 16CATION CON 113? VNIA REPORTING SALES TAX FOR PROJECTS VITOIN THE CITY Of FEDERAL NAY.
BLD?:X NEC?: PLO?: ftf-AXJSST -PROP - -DNEIU#6 W COMP PLAN......... :?
"
TYPE Of WORt:ALT USE:RIS 0 Oat; u%l` REQUIRED PARKING..: 0 SPRINKLERS ?......:?
CENSUS (ATEGOPY.....:43' 2ND.: O:sf ft Iii s tQO HAIARD CLASS...:?
0 f RED SETBACKS FIRE FLOW.... 0 9ps
OCCUPANCY GROUP - 3RD.:
lm
il
mw
:Ul :? :? :? OTHR O-st- sr $4� , ft
f
y, QNMI
v"
D f AgIl", ? • TYPE OF CONSTRUCTION- PRO 4800 s I m I
f I!,
P
:57 IHR ? EWER
ol
z.
OCCUPANT LOAD--
0R.. 0.-, 0.*sf 0 E vii f. F�, 0 a
0: 0 0 0 TOTL- O. O3f IMPERY SURFACE: 0 s f SENSITIVE AREAS'.
PERMI'f NO: BLD99-0541
ISSUED: 08/2Y7/149
BY: FC2
EXPIRES: 02/23/00
TAX RATE : 8.6% Us
-vz-v ... .... W.A&-
FEES:
PLAN (NICK FEE 3 72.31
BUILDING PERMIT ....+ 111.425
SRCC SURCHARGE..... 4.50
FUEL TYPES.:? ? FAHS5 ........ 0 BOILERS /COMPRESSOR; WATER 0 URINALS........: 0 TOTAL FEES
GAS PIPING.: 0 ft HOOD. 0 0-3 TOM.....: 0 BATH TUBS.....,....: 0 DRINKING FOUNT.: 0
fultm<loot..: 0 DLK I WORK.....: 0- 3.15 TON—.: 0 SHOVERS ............ : 0 SYMPS .......... : 0
"WT—.: 0 WOOD STOVES...: 0 15-30 TON...: 0 LAVATORIES.........: 0 VAC BREAKERS...: 0
V BURNER: 0 fUpm)IOOK.—.: 0 30-50 TUN...: 0 sixts .............. : 0 DRAINS.........: 0
BBQ ........ : 0 MIS(........... 0 50+ TON...... 0 DISH WASHERS........ 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR 3ARRING UNITS FUEL TANKS-_--.. -- RE( VTR HEATERS...: 0 OTHER fl'ATURES.: 0
'ROUND: 0 LAUN WSHR WILTS—: 0
FAA( ...... 0 ":10,000 CFN: 0 ABOVE (3
GA" LOGS...: 0 10,000 cf": 0 UNDERGROUND.: 0
....... st—A ..........
PEANIIS EXPIRE Ise SAYS AFTQ ISSUANCE If No WK Is STARTED. RESIKAtIAL AU QWIK KANITS EXPIRE OK YEAR AFTER DATE Of ISSUAKE.
I CERTIFY INAT THE INFOWIION FURN BY Ill S TRUC AN CORRECT 10 INE, KSI Of W KNORM AN ISE APPLICABLE CITY Of FEDERAL. MAY REQUIRINEIRS MILL X- "t I.
OWNER OR& fr ,,/ --- - v- DATE
tq .
FIELD COPY
N `
$ 188.06
I
CFTY OF
-1:1t_91 I A%n
WN) Esua �
A 6 1 Inip Aggg
to UZ
- Uk- �JAL WAY
.j,j OFF EFT
APPLICATION FOR BUILDIN&V MIT
PLEASE PRINT APPLICATION#
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........ Site
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SIT.N.'st-0.1 'A' T:161, address
........... .. R49 .,3jf /71d, aL
Tenant name Lot # /ses fi
Building Owner's Name Address T1
yZ13
rite r-,4,rv.j V %, I 7in lPhone
I Description of Work
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BUILDING Dmsiox
33530 First Way South
Federal Way, WA 98003
(253) 661-4000
Fax (253) 661-4129
Tax #
Name (F,M,L)
I "
City
Address 31 r.
C't
State
Zip
Contact Person
[
Day Phone Y32-67 72,
Other Phone
Fax
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Foripml Wqv RipzinPczq I ir-pn-qp At
Company Name
Address
City
State
Zip
Contact Person
Phone
Fax
Contractor's # (card must be presented)
Expiration Date
Verified ❑ Yes ❑ No
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Name
Address
City
State
Zip
Contact Person
Phone
Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
X
V--I
.:::.
Address
istin Use
ro osed Use ^-
P C�J�iC`GL'C e
Permit includes:
City
Building
❑ Plumb rg »
❑ Mechanical
Other
Type of Work:
Residential
❑ Commercial
❑ New
❑ Addition
❑ Remodel
❑ Repair
❑ # of bedrooms
Q Garage
❑ Deck
❑ Shed
Enter 1 st Floor
Area Basement
sq ft
sq ft
2nd Floor
Decks
sq ft 3rd Floor sq ft
sq ft Garage sq ft
Existing Floor Area
Proposed Total Area
sq ft
sq ft
Water Availabilit
Sewer Availability
On -Site Septic System Availability ❑
Project Valuation
S NCKJ
Zoning
Conv Burner
Lot Size
0 -3 Tons
Existing Bldg Valuation
$
R.::::::::.:::..:::..::::: :::: ..
For new residential only - Proposed selling cost: $
Contractor Name. "
Address
Name
Address
Zip
Contact
City
State
Zip
Contractor Name. "
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
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.. { AI T R :...........................
............................................................ ...............................
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
.;LLIM.: f. IG.. FIXTiiFi ,.GtU..N..T.:.:_ :::::.:::::::..
Water Closets
Sinks
Urinals
Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains
Other
Showers
Electric Water Heaters
Sumps
Air Handling > = 10,000 CFM
Lavatories
Washing Machine
Drains
Total i'Fixture Count
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NICIEL:£II�iI :COLN ......:: :::.: ::: ::
MECHANICAL EVALUATION ONLY $
Fuel Type (gasleleoptri c /o er)
Gas Dryer
Air Handling < = 10,000 CFM
15 -30 Tons
Length of Gas Pi i
Range
Air Handling > = 10,000 CFM
30 -50 Tons
Furn <IOOK 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
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 hamiless the City of Federal Way as to any claim (including costs, expenses, and
attomeys' fees incurred in investigation and defense of ), which may be made by any person, including the undersigned, and filed against the City of Federal Way, but only
where such claim arises o the reliance of the c' , ' cluding o cers and ployees, upon the accuracy of the information supplied to the city as a part of this application.
Owner /Agent: Date:
�!� Ruaonq.nrr
REVSFO 5178/99