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98-103095CITY OF FEDERAL. WAY Woksr..- E O : PERMIT N L_ 8 5 B D9 -O 50 33530 First Way South „ „ „• . , „, ;;; ��,,.,.,� ...�,.. „,., .i� „, .,... i`' ��.m� �"°'� �”, • �” �'h 1,61 ... ISSUED: 08/14/98 Federal Way, WA 98003 Building Inspection Requests 253- 661 -4140 BY: FC 253 - 661--4000 USE:RES 1ST.: 0: EXPIRES: 02/10/99 ADDRESS :30712 16TH AVE SW NO.: 514930- -0080 PROJECT DESCRIPTION :GRADE /FILL F= OWNER JOHN LESKOVAR 30712 16TH SW FEDERAL WAY WA 98023 1 -5295 - APPORXIMATELY 100 CUBIC YARDS CONTRACTOR = =; LENDER ys- )o3o1) s FILE COPY $ 23.50 $ 37.00 $ 60.50 US CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.61 ti= BLD ?:X MEC ?:? PLM ?:? FLR- -EXIST- - PROP --- DWELLING UNITS: 0 COMP PLAN.........:? FEES: TYPE OF WORK:? USE:RES 1ST.: 0: O:sf STORIES........: 0 REQUIRED PARKING..: O SPRINKLERS ?......:? PLAN CHECK FEE CENSUS CATEGORY ..... :999 2ND.: 0: O:sf HEIGHT.....: 0.00 ft HAZARD CLASS...:? ' GRADING PERMIT OCCUPANCY GROUP---- - - - --- 3RD.: 0: O:sf VALUATION---- - - - - -- REQUIRED SETBACKS- - - - --- FIRE FLOW....: 0 gpm :? :? :? :? OTHR: 0: O:sf EXIST..$: 0 FRONT.......... 0.00 ft TYPE OF CONSTRUCTION ----- BSMT: 0: O:sf PROP ... $: 0 SIDE..........: 0.00 ft WATER SERVICE..:? :? :? :? :? DECK: 0: O:sf REAR........... O.00:ft SEWER SERVICE.. :? OCCUPANT LOAD-- ---- - - - - -- GAR.: 0: O:sf RECEIVED.:08 /13/98 0: 0: 0: 0: TOTL: 0: O:Sf IMPERV SURFACE: 0 sf SENSITIVE AREAS ?. :? FUEL TYPES.:? ? FANS..........: 0 BOILERS /COMPRESSORS WATER CLOSETS......: 0 URINALS........: 0 TOTAL FEES GAS PIPING.: 0 ft HOOD..........: 0 0 -3 TON.....: 0 BATH TUBS..........: 0 DRINKING FOUNT.: 0 0 R DUCT WORK.....: 0 3 -15 TON....: 0 SHOWERS ............: 0 SUMPS..........: 0 HRN<100K..: S HWT....: 0 WOOD STOVES...: 0 15-30 TON...: 0 LAVATORIES.........: 0 VAC BREAKERS...: 0 f CONV BURNER: 0 FURN>100K.....: 0 30-50 TON...: 0 SINKS ..............: 0 DRAINS.........: 0 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: O ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0 GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 _____________ ------------_____--------- PERMITS EXPIR YS AFTER ISSUANCE IF ORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY T T THE I TION FURNI TRUE ND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL NAY REQUIREMENTS WILL BE MET. OWNER OR AGENT - - - - . 7� - -- - -- - - -- -.rte= -, --------------------- - - - - -- DATE FILE COPY $ 23.50 $ 37.00 $ 60.50 C11Y Of FEDERAL. WAY 33530 F rst Way South federal Way, WA 98003 253 -.661. -4000 ADI)RLS5:30712 1.6141 AVE SW NO.: 514930-0080 1'1R0,IECT DFSCRIPT'FON-GRADE/FILL OWNER......... w ..... . . JOHN LESKOVAR 307121161H SW - FEDERAL WAY WA 98023 -5295 - APPORXIMAIELY 100 CUBIC YARDS CONIRACIOR —, a�-�ction F�e(4tIC"St-s 2133-661-4140 LcLHDLR a* ... L .......... . ........... In CONTRACTORS, PLEASE USE LKA[ION CODE 1132 OKI KLWTING SALES TAX FOR PROJECTS V1110 Iff CITY OF FEDERAL WAY, TAX BATE : 8A In BLD?:X NEC?:? PLM?:? FLR-4,X IST POP- - DWELLING VflIIS: U COMP PLAN.........:? FEES: TYPE Of WORK:? USE:RES 1ST.: 0: f STOP ICS .......... 0 rtQUIRLD PARKING - : 0 SPRINKLERS ?......:? PLAN CHECK FEE S 23.50 CENSUS CATEGORY..... :199 2ND.: O:sf HEIM— - : 0.00 ft HAZARD (LASS. GRADING PERMIT S 37.00 OCCUPANCY GROUP ----------- 3RD.: O:st ALYA-1 IUN-- REQUIRED SLIBAM ------- I M FLOW.... :? :? Ofi It# 1XVIA: O I-PIA] ......... 0. 00 ft TYPE of CONSTRUCTION-.- O:sf !*v A: u 2DL .... ulw !t WATER summ c - - � - -- -1 :? :? :? :? 0 PlAp ...... . . 0.00:4 SEWER SERvb i 7 L M R OCCUPANT LOAD---- - - - - -- 1-1 R q4 - !):sf 'E(L 1vED.:08!I3/1j ML 0: 0: 0: 0 I& O: sf IWO SURFACE: 0 sf SENSITIVE AREAS!.:? 7� -1 .......... ...... .. FUEL TYPES.:. FARS B(JILLRS/COMPR(SSOR,.i WATER CLOSETS ...... 0 URINALS ........ : 0 TOTAL FLLS 60.50 GAS PIPING.: 0 ft HOOD— 0-3 TON.....: 0 RATH TUBS..........: 0 DRINKING FOUNT.: 0 H(IOOK..: 0 DUCT WORK... 0 3-15 TON..... 0 I SHOWERS ............ 0 SUMPS........... 0 HWI .... : 0 WOOD STOVES... 0 15-30 TON...: 0 LAVATORIES.........: 0 VAC BREAKERS...: 0 COMV BURNER: 0 FURW,100K.....: 0 30-50 TON...: 0 SINKS .............. 0 DRAINS...,.....: 0 B8Q ........ : 0 HIS(— ....... : 0 50+ TON.....: 0 DISH WASHERS.......: 0 LAWN SPRINKLERS: 0 GAS MR..: 0 AIR HANDLING UNITS FUEL TANKS--_ - ----- LL(( NIP, HEATERS...: 0 OTHER FIXTURES.: 0 RANGE......: 1 "10,000 CFM: 0 ABOVE GROUND: 0 LAUR WSHR OURTS...: 0 GAS LOGS ... 0 10,000 CFM: 0 UNDERGROUND.: 0 ....... ^ 4`1...=.=m ....... W.W .... c;...-T..Q=....=.,M".Z.tl.x..c.%.Ur:,�.I....:.:;..a.".. ......9... ,rc p .... .........a............. "am ....... ft- nANIIS EXPIRE- I RESIKNTIAL AND GRADIK PEANIIS EXPIRE ONE YEAR AFTER Lift OF ISSUANCE. I)( AT AFTER ISWNCE If 10 VORI IS StAIRIED. I CERTIFY IMA IRE I CORRECT TO THE ILST Of NY KNONLEIQ AN TIF AMICABLE CITY Of FEKRAt MY REQUIREMENTS MILL BE NET. OWNER OR AGENT DAIL FIELD COPY PERMIT NO: BLD98-0550 TSSUED: 08/14/98 13y'. r-,c 11 EXPIRLS: 02/10/99 Adak S.E.TBACKS:& FOOTINGS .......................... ............................... Date By 7_ ...... ............................... _ FO .. .......................... ................._................... _......................I....... LHVi?Al'lI::IrIIICi.La. Date By i?!LI jMABING . G ROtJNDW O R K Date. By ................................................. ......... ............................. ............................... ................. ............................. ..............._._..__._...._.. UMDI»EiF 00R ERAMIN . . . ........_._....._.. _. _................. Date By HEAR,. WALLS Date By ....................... --- _ .__ ............................ ...................................... ............................... PLUMSI(s . N>AGUGH -IN .... Date By ....... GAS PIPING Date By ........... __ _____ ................................. ............................... ................................. ............................... IVI .E£EIANIGAL LOUGH -IN;; ................................ ............................... ......... ............................... Date By _....... ...................... ............................... .................... ............................... . MEGHA1IC 0: THFRI > Date By FRAMING Date By ... ............................... INSULATION..— > >r ..... ............................... ..... ............................... . Date By ........... ............................... OWg h $T E�k>vR Date By GW13 2Na �AkYER ................... ... ..................... Date By 7SUSPENDED CEILING Date By PlAAWING FINAL Date By ................................................... ............................... ................................................... ............................... ........... ....._......................_.. ................................................... ............................... ENG INEERIN.: .FINAL _ ... Date By FIRE FINAL Date By B IILDING'FINAL Date Gi -- 2 �- By OT. Date By ..............._ ............... OTHER' Date By CDO193 wr=-- FEME�--� W-'> FT-J,- BunDiNG-DIVIRON 33530 First Way South Federal Way, WA 98003 RECEIVED (253) 661-4000 Fax(253)661 -4129 AUG 13 1998 CITY OF FEDERAL W A, APPLICAIRM 1,C)R BUILDING PERMIT at PLEASE PRINT APPLICATION 101Y m A ddress 30-1�z W,11( tw..: -sw X Tenant (if known) Lot # Assessor's Tax # SL--V BCLO -j I — R'.Ndi— 0—.Ar,Q MAMA Address Phone iacp C Y OF SE i %-- Company Name Address City Contact Person Contractor's # (card must be presented) Name Address Contact Person LEGAL DESCRIPTION FEDERAL WAY BUSINESS LICENSE #. State Ph 0 Please Comfete Reverse Side0 I Fax Date I Verified ❑ Yes ❑ No Fax Name (F,M,L) JO-W AWTONC LESKOVAR Address 30712 16TH AVC SW City FELDE-MAL `/'SAY State W4 zip Contact Person Day Phone Other Phone Fax 2-S -�S S-z 1 S Company Name Address City Contact Person Contractor's # (card must be presented) Name Address Contact Person LEGAL DESCRIPTION FEDERAL WAY BUSINESS LICENSE #. State Ph 0 Please Comfete Reverse Side0 I Fax Date I Verified ❑ Yes ❑ No Fax Name :::::.:::::. ....> :....:::::::::>::> s:<::<:::::::>: ::: >::;::::;: ><::::: >:: ><:: >:;> Address State ;r Contractor Name Address Exist* Use n 9 State Proposed Use P Contact Permit includes: Fax ❑ Building ❑ Plumbing ❑ Mechanical Other Type of Work: ❑ Residential ❑ Commercial ❑ New ❑ Addition ❑ Remodel ❑ Garage ❑ Number of Units _ ❑ Shed ❑ Deck ❑ Other Enter 1 st Floor Area Basement sq ft sq ft 2nd Floor Decks sq ft 3rd Floor sq ft sq ft Garage s ft Existing Floor Area Proposed Total Area sq ft sq ft Water Availability ❑ Sewer Availability ❑ On -Site Septic System Availability ❑ Project Valuation $ Zoning 1"t.�tgli Unit Countl: Lot Size Existing Bld Valuation I $ Name :::::.:::::. ....> :....:::::::::>::> s:<::<:::::::>: ::: >::;::::;: ><::::: >:: ><:: >:;> Address State ;r Contractor Name Address city State Zip Contact Phone Fax License # Expiration Date Verified ❑ Yes ❑ No Water Closets Sinks Fuel Type (electric /other) Urinals Lawn Sprinklers Bathtubs Length of Gas Piping Dish Washers Air Handling > = 10,000 CFM Drinking Fountains Other Showers Unit Heater Electric Water Heaters Furn > 100 BTUs Sumps Miscellaneous Lavatories Gas Hwt Washinq Machine Boilers Drains Total'Fixture Count 1IC�i�(�:�hjt�'��'j` ... <':; MECHANICAL EVALUATION ONLY $ Fuel Type (electric /other) Gas Dryer Air Handlin < = 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 Conv Burner Duct Work 0 -3 Tons Under round BBQ's Wood Stoves 3 -15 Tons 1"t.�tgli Unit Countl: DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to he 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 , Cludmg' rcers and employees, upon the accuracy of the information supplied to the city as apart ofthis application. Owner /Agent: Date: R[vaco 8/28197