00-100446 411/ •
C'toFCee'penmmDvoServices Building - Single Family Permit #:00 - 100446 - 00 - SF
33530 1st Way S
Federal Way,WA 98003-6210 Inspection request line: 253.661.4140
Ph:253.661.4000 Fax:253.661.4129
(3:30pm cut-off for next day i• s ections)
Project Name: LOWE(REPAIR)
Project Address: 31636 4TH AVE S Parcel Number: 7' . I 0040
Project Description: RES REPAIR-CAR DAMAGE TO SLPIT LEVEL HOUSE-FRAMING/DR 0. 4 L ETC.
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Owner Applicant ✓,f. or Lender
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William E&Dorothy M Lowe NONE .r ,?sls AND ORE NONE
31636 4TH AVE S • , O'i,/, 3(7/1 )
FEDERAL WAY WA AVE S
98003-5234 NONE ir F L WA NONE
a.
Includes:
Census category: 434-Reside \-1 #2 #3 #4
Occupancy Group: Mint7 17 A
Construction Type: Type ` rof-
Occupancy Load: ''A= 1
Floor Area(Sq.Ft.): aiMr A & IM
Census Category \, -si. t/add-n e tion Type#1 Type V-N
Mechanical N. ation Fee Required No
New Address Required No 11 occupancy Group#1 R-3
Over the Counter Permitp200'
Yes , 5. •bing No
Proposed Project Valuation Senior Exemption No
. „„
Condi •
i
PERMIT EXPIRES August 1,2000,IF NO WORK IS STARTED.
Permit issued on February 3,2000
I her- ertify that the above information is correct and that the construction on the above described property and
the o cupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
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Owner or agent: Date:
fivy 2/i. 5/9 2 ai--
S e Y' - ,1z 3/a'V 41
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BUILDING DIVISION
«r.oF G , 33530 First Way South
-- ---� Fr-i EI Federal Way,WA 98003
's Fiy �{'"" (253)661-4000
Fax(253)661-4129
' FEB 0
APPLICATION FOR BUILDt TPERMIT
PLEASE PRINT APPLICATION# (70 — t. ooyw
> > Site address
f'
Tenant name Lot# Assessor's Tax#
Building Owner's Name Address..
l , )gt%T-/f /e9/(-;�-- i7 3< /1/ .?-�/ /'�` 5.1e,
City fes/ /i�FAG t '/ 1 State ���f �/7 Zip ?L.'��.....7 Phone.2J,
Description of Work Ric-P/91/2, / -4t. 11 1j¢�,L
Name (F,M,L)
13 g/nl/ C: /,e„ '/L .S': '71/
Address
5/1/1/.5" 61Th/ flii-'�� 5'1
City f ---/---7-/7/----- /"/L /,,V,4v G/-,$'// State l,tivii5'/7 Zip 9gfl`fi
Contact PersonDay Phone Other Phone Fax
TC ,7.53 5TH? . / 7/,
.................. ,:.::...................................................................
...........................................................................................
...........................................................................................
Business Federal Wayus ess License #
Company Name ,.552/Y S 1.)E .-h< i' INF�/Ri/ r
Address
3/17"-/S S/The /9///= M$
City -4-- ---,012/IL/ 1e/itly State PAC/171 Zip
Contact Person Phone Fax
g/ A/ („, , I' /L.5"/5/ ,2,)3., 529-/7/r
Contractor's #(card must be presented) Expiration Date Verified 0 Yes 0 No
/..A I z Snb 2,2'/.?m) 3 7,-/s-�rtr
AK EI `E I' > > >`'<< > < >`:::> �[ > > > > >
....................................................................... .................
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
—
ill
) .:: ( CTU ;j existing Use roposed Use
c Permit includes: `� CI Building CI Plumbing CI Mechanical CI Other
Type of Work: 1si Residential ❑ New ❑ Remodel ❑ # of bedrooms ❑ Deck
❑ Commercial ❑ Addition ❑ Repair ❑ Garage 0 Shed
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area L sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
, Cr
CI Water Availability Sewer Availability On-Site Septic System Availability Project Valuation $ 2• /!P
Zoning [Lot Size Existing Bldg Valuation $
--- ... For newresidential dentia
to
only Proposed ed se
Ilin9 cost:
$
_
Name Address
City State Zip
MECHAAH:CALCONMettitraiiiiiiiiiM:
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
•
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#� u11lIF3fl� € 517`I€iA. I
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
UNT << >
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Ftxture;Caunt
ONLY
L ATIO
N
S
MECHANICAL ANIC
AL EVA U
f� FANIG;fL131111T..
C
Fuel Type (gas/electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <1OOK BTUs Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Cony 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 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.
e __ �Owner/Agent: � '" Z' e.4 1--7 Date: —`'5 `
flEvNEO 5/18/99