96-1025199(' ,ro)sj9
CITY OF FEDERAL WAY PERMIT NU_ BLD96 -0308
33530 F=irst Way South �l..,M,,,�: L -„., rw.„ F "�I't;' f", , F110'T"'�... ISSUED: 09/12/96
Federal Way, WA 98003 Building Inspection Requests 661 --4140 BY: FC
661 -4000 EXPIRES: 03/11/97
ADDRESS:722 SW 356TH PL.
NO.: 066231- -0080
PROJECT DE SCRIPTION:NSF - W/ PLUMBING & MECHANICAL (BASIC PLAN 96- 1002 -V94).
BELLACARINO, DIV. 2, LOT 118.
F= OWNER =_____________________ _____ ____________________ _ _ _ _T= CONTRACTOR
JOHN NORRIS NORRIS HOMES INC
10627 SW 18TH ST
1� BELLEVUE WA 98004
637 -0035 419 -0125 MOB
NORRIN1099LC
LENDER
xx: CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.2; s;;
BLD ?:X MEC ?:X PLM ?:X
TYPE OF WORK AEW USE:RES
CENSUS CATEGORY.....:101
OCCUPANCY GROUP ----------
:?
TYPE OF CONSTRUCTION--- --
:?
OCCUPANT LOAD----------- -
0: 0: 0: 0:
FLR--EXIST--PROP---
1ST.:
0:
1411:sf
2ND.:
0:
1374:sf
3RD.:
0:
O:sf
OTHR:
0:
O:Sf
BSMT:
0:
O:Sf
DECK:
0:
O:Sf
GAR.:
0:
603 :sf
TOTI:
0:
3388:sf
DWELLING UNITS: 1
STORIES......... 2
HEIGHT.....: 0.00 ft
VALUATION ----------
EXIST..$: 0
PROP ... $: 201314
RECEIVED.:08 /01/96
COMP PLAN ......... :SFHD
REQUIRED PARKING..: 2 SPRINKLERS ?......:?
HAZARD CLASS...:?
REQUIRED SETBACKS- - ----- FIRE FLOW....: 0 gpm
FRONT.......... 20.00 ft
SIDE..........: 5.00 ft WATER SERVICE.. :FED
REAR..........: 10.00:ft SEWER SERVICE..:FED
IMPERV SURFACE: 2616 sf SENSITIVE AREAS ?.:N
FEES:
PLAN CHECK FEE $ 100.00
BUILDING PERMIT....* $ 996.50
Mechanical Permit* $ 63.00
SBCC SURCHARGE.....* $ 4.50
SCH IMPACT (SFR) $ 1707.00
PLUMBING FIXT .... 93* $ 105.00
PUB WKS PLCK(SF)..93 $ 40.00
PASS _____________L TYPES. :GAS ? FANS..........: 4 BOILERS /COMPRESSORS WATER CLOSETS......: 3 URINALS........: 0 TOTAL FEES
PIPING.: 99 ft HOOD..........: 1 0-3 HP......: 0 BATH TUBS..........: 2 DRINKING FOUNT.: 0
f FURN<100K... 1 DUCT WORK...... 1 3 -15 HP...... 0 SHOWERS ............. 1 SUMPS........... 0
GAS HWT .... : 1 WOOD STOVES...: 0 15-30 HP....: 0 LAVATORIES.........: 4 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K...... 0 30 -50 HP..... 0 SINKS ............... 1 DRAINS.......... 0
BBQ ........ . 0 MISC........... 0 5+ HP........ 0 DISH WASHERS........ 1 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS--- -- ---- ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 2
i RANGE......: 0 <= 10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 1
GAS LOGS...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0 e
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 INFORMA ION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLI ABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWN OR-AGENT
_ _. _%`_� _ DATE _ _9
FILE COPY
$ 3016.00
r
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11SF W)l t'llftlk t 1'II(W,111? At, _ibh(1,C,j'IAH 90, 100 'V%,.
BELI.ACAPIK), DIV. 2. 1.(11 118.
�- OWNER
JONN NORRIS i HOP.RIS 00114' INS' i
j 106?' W 18111 I 1
f BELIEVUE WA 98004
x,37-0(05 419 012.5 No
WOO
Iris CONFRACI`*f d U ti 6 f C i SAILS IAK IN PROJLCI3 .'' ''I tiNF fIIY 01 ff.Wa l MAY. TAX 9611 3_2t 822
94x:XM:u?ri P9ee9c T^ :-. P: Y ..'. ' .. .. � .•••. d,..
BLD ?:1( NEC ':v Plii`: LP Ey @P pt, At! ......... .Sr1!>; 1Eti.:
fYPf CENSUSFCWOMFIYW.1{r ..[:101 x4T ,0m1�1 GIl� t: FIi." llfU.{#8
N _ 13 ,:;; "Il IIW: P011N11....+ 1 a9t..50
OCCUPANCY 6kOUP — - , e1 UA - �- A" + IRE �1 r' i P ?r�� "it+ 63.00
., ., , 1
TYPE OF CONS1PUCIION-° 5.110 tt. WA1lP SIRVI +.I..:1F1� S!:.N IF1PAt l 1SFk1 $ 11(17.00 .1
. ry 7 eta �� f I ( 1 f t �i t
.. iI y ;,� 1wR,.... ....: 1J.10:tt IWEP 1ERVI E. :1EC i PI {ttPltl.: 1 1.... 3 S 105.00
OCCUPANT LOAD ED :08 '46", pot Rat:`.; P1 rFj ;
CDO193
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Date t
By
Xlk
FOUNDATION WALLS
Date
BY f,41 ✓i
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PLUMBING GROUNDWORK
Date
By
............... _..__
UNDEliIFiiiDR':TRAMNVG
............................ ...............................
. 1...._....._ ................_.. ....._
Date -q
ByC;
SHEAR WAji.�u
. . . ...
Date
I
By
PLUMBING ROUGH -IN
Date z —2-4&
By C
GAS PIPING
Date �a — — j' ,
By
MECHANICAL ROUGH -IN
Date
By
MECRAMCAL (OTHER)
t:��4
By
FRAMING
Date D
B
INSULATION
Date
By
G1NB 1�T LAYER
Date (
By
GWB - 2ND LAYER
Date
By
SUSPENDED CEILING
Date
By
PLANNING FINAL
Date
By
ENGINEERING FINAL
i
Date
By
h2
FIRE FINAL
144
Date
By
BUILDING FINAL
Date
By ,L
OTHER
Date
By
OTHER
Date
By
CDO193
06 -30 -1996 08:14PM FROM HORNER DESIGN ASSOSIATES TO 6371792 P.01
� 6771
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TOTAL P. 01
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VV FiY
PLEASE PRINT
SITE LOCATION
Tenant (if known)
Building Ow er M
City
Nature of Work
APPLICANT
Name (F,M,L)
Orr'
Address
106 V) .54C i
City State Zip 9fOO+i
Contact Person Day Phone Other Phone Fax
�p �+•• A%/•' &37 - 6739 /J•r i 637 -/79 Z
BUILDING CONTRACTOR
Company Name
csa�.n
-7-V
�or!
Address
City
Contact Person
Contractor's # (card must be presented)
State
Phone
Expiration Date
Zip
Fax
Verified ❑ Yes O No
LEGAL DESCRIPTION
iv a I 13
Please Complete Reverse Side
CD0492 (Rev 4/93)
ECF1e1�r)
•
City
of Federal Way
AUG ® 1 nn
e 1a96
APPLICATION
FOR BUILDING
PERMIT (AI'Y OF FEDERAL WAY
q� -
�OO Z
— M al-li'ZINGDEPT.
y�
APPLICATION
#:
W
Address -2 Z
s6 Ur
'V
Lot #
Assessor's Tax #
�Q
tX.�J
Address
State
Zip
Phone
Name (F,M,L)
Orr'
Address
106 V) .54C i
City State Zip 9fOO+i
Contact Person Day Phone Other Phone Fax
�p �+•• A%/•' &37 - 6739 /J•r i 637 -/79 Z
BUILDING CONTRACTOR
Company Name
csa�.n
-7-V
�or!
Address
City
Contact Person
Contractor's # (card must be presented)
State
Phone
Expiration Date
Zip
Fax
Verified ❑ Yes O No
LEGAL DESCRIPTION
iv a I 13
Please Complete Reverse Side
CD0492 (Rev 4/93)
STRUCTURE
MECHANICAL VALUATION ONLY $
isting Use
"y r fq ✓—
❑
Permit includes:
❑ Number of Units
,K Building
'Plumbing
❑ Shed
Type of Work: X Residential
X New
❑ Remodel
Washing Machine
❑ Commercial
Proposed Total Area
❑ Addition
❑ Garage
Project Valuation
Enter 1st Floor <Y /f
sq ft
2nd Floor 137 sq ft
3rd Floor " sq ft
Area Basement —
sq ft
Decks — sq ft
Garage (p0'3_ sq ft
Water Availability JlC
Sewer Availability
M_ On -Site Septic System Availability ❑
Zoning
I Lot Size :
4?�
LENDER
Name
Iroposed Use &[S F
MECHANICAL VALUATION ONLY $
Nn Mechanical
❑
Other
❑ Number of Units
❑
Deck
❑ Shed
❑
Other
Existing Floor Area
Washing Machine
sq ft
Proposed Total Area
Hood
sq ft
Project Valuation
$
13G aw —
Existing Bldg Valuation I
$
Address
City ca SGG� State I Zip
MECHANICAL CONTRACTOR
Contractor Name
A / _ A
n
Address
City OsewlevA State Zip
Contact Phone Fax
-S %&-. y
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE COUNT
MECHANICAL VALUATION ONLY $
Water Closets
Sinks
Bathtubs
Dish Washers
Showers j
Electric Water Heaters
Lavatories
Washing Machine
MECHANICAL UNIT COUNT
MECHANICAL VALUATION ONLY $
Fuel Type (electric /other)
Gas Dryer
Length of Gas Piping 9 q
Range
Furn <100K BTUs
Gas Log
Furn > 100 BTUs
Fans
j
Gas Hwt
Hood
6
Conv Burner
Duct Work
BBQ's
Wood Stoves
Urinals
Drinking Fountains
Sumps
Drains
Lawn Sprinklers
Other Z IIO.Lr k
Total
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 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 City, including its officers and employees, upon the accuracy of the information supplied to the City as a part of this
application. / ff
Owner /Agent: Date:
MECHANICAL VALUATION ONLY $
Air Handling < = 10,000 CFM
15 -30 Tons
Air Handling > = 10,000 CFM
30 -50 Tons
Unit Heater
50+ Tons
Miscellaneous
Fuel Tanks
j
Boilers
Above Ground
6
0 -3 Tons
Underground
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 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 City, including its officers and employees, upon the accuracy of the information supplied to the City as a part of this
application. / ff
Owner /Agent: Date:
C7-29-1996 09:01AM FROMONER DESIGN ASSOS I ATES
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TO • 6371792 P.01
AUG 2 3 1996
CITY OF `EDQTAL WAY
i BUILDIPIG REQT
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REVISION DATE
AUG 2 3 1996
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SITE PLAN APPROVAL
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Number: ^s=ue Del %' -
�1 By:
C,,....;ien�s: = ,c/Vi 17 -ACS