00-104509Cry of federal
Cnnmiunity Developn�n, Services
33530 1 st Way S '
Federal way. WA 98003 -6210
Ph: 253.661.4000 Fax: 253.661.4129
,Building - Single Family &rmit #: •
Inspection request line: 253.661.4140
(3:30pm cut -off for next day inspections)
Project Name: BATES (NSF)
Project Address: 35400 1ST AVE S Parcel Number: 292104 9078
Project Description: NSF - RENEW NSF PERMIT WITH PLUMBING AND MECHANICAL
Owner
Applicant
Contractor
Lender
Wesley D Bates
NONE
Wesley D Bates
NONE
35400 1ST AVE S
Type V - N
Project on Platted Parcel ......... .............................No
Senior Exemption................. ............................... No
FEDERAL WAY WA
Sensitive Areas?.................. ............................... Yes
35400 1ST AVE S
No
98003 -7018
NONE
FEDERAL WAY WA
NONE
Includes:
Census category: 101 -New si
#1
#2
#3 #4
Occupancy Group:
R -3
New Address Required ......... ...............................
No Number of Stories ................................................ 2
Construction Type:
Type V - N
Project on Platted Parcel ......... .............................No
Senior Exemption................. ............................... No
Occupancy Load:
Sensitive Areas?.................. ............................... Yes
Is Review to be Expedited .... ...............................
No
Floor Area (Sq. Ft.):
Basic Plan .................. ...............................
No Census Category .................. ............................... 101 - New single family house
r Construction Type # 1 ........... ...............................
Type V - N Fire Sprinklers Required ...................................... No
{
Mechanical .................. ...............................
Yes Mitigation Fee Required ...................................... No
New Address Required ......... ...............................
No Number of Stories ................................................ 2
V Occupancy Group #I ............... ............................R
-3 Plumbing.................. ............................... Yes
Project on Platted Parcel ......... .............................No
Senior Exemption................. ............................... No
Significant Trees to be Removed .........................No
Sensitive Areas?.................. ............................... Yes
Is Review to be Expedited .... ...............................
No
PERMIT EXPIRES July 8, 2000, IF NO WORK IS STARTED.
Permit issued on January 10, 2000
I hereby certify that the above
information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: SCC
��� p' Date:
l
CRY OF* P (& THIS CARD ON FRONT OF BUf G
BUILDING DEPARTMENT
F q Y INSPECTION RECORD
PERMIT NO.:
OWNER'S NAME:
SITE ADDRESS:
) .FOOTINGS /SETBACK
INSPECTION REQUEST PHONE NO. 253 -661 -4140
Request must be received by 3:30 PM for next day inspection
SEE REVERSE FOR ADDITIONAL INFORMATION
SETBACKS - FRONT: 0.00 SIDE: 0.00 REAR: 0.00
( ) FOUNDATION WALL L,.
t�.,..�:��,,, .::.•.ter;•:: <. �} _ _
DRAINAGE Line Connection
( ) PLUMBING GROUNDWORK { ) SLAB INSULATION
..:..b: {; }:.,:: ••. � �) n•: ;; :; �} -..y, .. }: ti:.h:S?ii` M1:: C?.v,:.i•)i•:: v i4j►{ ., .yi:
:.i 4 < � 2 ?.per Y � ♦ iY� .` ::F � y:�.+'2 .. f•.. �' �y��.�� ��vv j� i�;, -.: ;# 'i; - �.t.`• . "'�`,,. : •y � �,.
( ) UNDERFLOOR FRAMING
( ) ROUGH PLUMBING: DWV
( ) ROUGH MECHANICAL /
•t ) SHEATHING Roof
Water pipe
Gas Pipe
Floor
( ) INSULATION: Floors 011,x- Walls Attic_
T:.iPFL iE3itID::.. TI.L:.TIIW:.ABOI..fS.:.})iPFR
......... .......:. :.:.: 1.::::::.:_::::::::::.::._.::.:::.::::. ::::::.::::::::. ::::::::::::._:
( ) WALLBOARD NAILING Z 3 Ol ( ) SUSPENDED CEILING
:: .: : :::: :...................:::::: .::::::::::.� : :.:� :��':. ::. .ii: .. ii :i 'i::: ::ii:i f . :. ... :f. _ .. .. .. .. :: . .: ... �: : : ..:: :. •v. .:: .: ... :: :. r .. ii5: {i.iu4}t iiii`:.iiiiiii: iiiiiii
( ) ELECTRICAL FINAL 2�� -. p Z T
( ) PLANNING DEPARTMENT
( ) PUBLIC WORKS DEPARTMENT
( ) FIRE DEPARTMENT
( ) FINAL INSPECTION (Building Department) 8 Z ` co
D:.O: <'
T.OU.P TH1 BIaL11G.:k,l'IL
BUILDING
•
Owner: Contractor:
INSPECTION LOG
Permit # -
DATE
INSPECT PR
OK
CORR/REJ
AREA AND TYPE OF INSPECTION
Ot o__lp 0 11
r.
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7
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As
a
buildin&ispbldg.log
—� F_DEIZAi_
uV �
REC'- ".
APPLICATION FOR BUILDING PERMIT
PLE
46
BUnDING DmSION
33530 First Way South
Federal Way, WA 98003
(253) 661 -4000
Fax (253) 661 -4129
CITY OF r- -.-
BUILDINCa L ,,,,, ,�„T.„�r r, E'7 1 n ��fhG - OD
7-C"5 15S
Name (F,M,L)
Address
city State I cl
Contact Person Day Phone I Other Phone Fax
I X11.... D..n; —, I ;none= A
Company Name
—
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`I�:�y ♦� <r. :r:• ... ...... •.;::e•: }::r;_..:'•`. -. Site address
State
}yy�
; IM�i7�' fi•) t�:;;_ 4. J:, f•>{ i,' �: iy;: t%>' j• ,:}i;:::Y,v,:;'?v;'i,'i.`�`.'+. {�
Contact Person
Tenant name Lot #
As�sor' Tax # O ¢
Contractor's # (card must be presented)
Expiration Date
Building Owner's Name
Address
C) c)
Phone
Cit y
State
zip
Description of Work CLC9J (YI k.i
l i
7-C"5 15S
Name (F,M,L)
Address
city State I cl
Contact Person Day Phone I Other Phone Fax
I X11.... D..n; —, I ;none= A
Company Name
Address
City
State
Zip
Contact Person
Phone
Fax
Contractor's # (card must be presented)
Expiration Date
Verified ❑ Yes ❑ No
Name
Add ress
City State zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
L
ME
i:; }. `: "..i::i:::•::i�: -i: �i':•'ii j {i;:i tit::::• .::2 > +',:',iv�= :�ii::v'.:4 ?j:''
E31;:•;::: >:•::• >:.<.f;;:::; :.:::;•::: >.;;:;:.:::,.; �...:
xisting Use
Urinals
roposed Use
,.City
Permit includes:
Buildin
De"Plumbinu
echanical
❑ Other
Type of Work: Residential
New
❑ Remodel
CY# of bedrooms
Deck
❑ Commercial
❑ Addition
❑ Repair
❑ Garage
❑ Shed '
Enter t st Floor 19 sq ft
2nd Floor 36 2—sq ft
3rd Floor C) sq ft
Existing Floor Area
sq ft
Area Basement sq ft
Decks sq ft
Garage sq ft
Proposed Total Area
Gq ft
Water Availability ❑ Sewer Availabili
❑ On -Site Septic System Availabity ❑
Project Valuation
$
Zonin
Lot Size c)
0
Existing Bldg Valuation
$
Name
Contractor Name
Contact
For new residential on& - PrODOSed selling cost: $ ZS c�, COQ C:)
Address
Address
Phone (Fax
(License # I Exniration Date I Verified ❑ Yes ❑ No
�� ,,., �„' i�' ,nlf;]F:!:;F•IOC�'.Y. :4:�F:Lti;Z ':��ti:n�:rp ��y { } }�:j K�:
Contractor Name
Address
Urinals
Lawn Sprinklers
,.City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
Water Closets
Sinks
Urinals
Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains
Other
Showers
Electric Water Heaters
Sumps
Lavatories
Washing sh n Machine chine
Drains
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 Ito the city as a part of this application.
Owner /Agent: =Q,� Date:
6 ILO—A"
H—'. 5118199