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93-1022100, I CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 661-4000 BUILDING PERMIT Building Inspection Requests 661-4140 ADDRESS:28933 11TH AVE S NO.: 720570-0040 PROJECT DESCRIPTION :RESIDENTIAL ADDITION AND DECK REPLACEMENT OWNER CONTRACTOR SIGURD ANDERSON MOWNER IS CONTRACTOR M 28933 - 11TH AVE S FEDERAL WAY WA 98003 839-2591 NONE LENDER 93- /oaa)o PERMIT NO: BLD93-0962 ISSUED: 10/26/93 BY: FC EXPIRES: 04/24/94 BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN ......... :SR FEES: TYPE OF WORK:ADD USE A ES 1ST.: 0: 194:sf STORIES........: 2 REQUIRED PARKING..: 2 SPRINKLERS?......:? FINAL PLAN CHECK...* 134.55 CENSUS CATEGORY ..... :434 2ND.: 0: O:sf HEIGHT.....: 0.00 ft HAZARD CLASS...:? BUILDING PERMIT .... $ # 207.00 OCCUPANCY GROUP---------- 3RD.: 0: O:sf VALUATION---------- REQUIRED SETBACKS------- FIRE FLOW....: 0 gpm SBCC SURCHARGE....._ $ 4.50 A3 : OTHR: 0: O:sf EXIST..$: 122500 FRONT.........: 20.00 ft MEC APPLIANCE FEES.$ $ 4.50 TYPE OF CONSTRUCTION----- BSMT: 0: O:sf PROP ...$: 19145 SIDE..........: 5.00 ft WATER SERVICE..:FED PLUMBING FIXT.... 93= $ 7.00 :5N . DECK: 0: O:sf REAR........... 5.00:ft SEWER SERVICE..:FED OCCUPANT LOAD------------ GAR.: 0: O:sf RECEIVED.:08/21/93 0: 0: 0: 0: TOTL: 0: 194:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N TOTAL FEES $ 357.55 FUEL TYPES.: FANS..........: 1 BOILERS/COMPRESSORS WATER CLOSETS......: 0 URINALS........: 0 GAS PIPING.: 0 ft HOOD..........: 0 0-3 HP......: 0 BATH TUBS..........: 0 DRINKING FOUNT.: 0 FURN<100K..: 0 DUCT WORK.....: 0 3-15 HP.....: 0 SHOWERS ............: 0 SUMPS..........: 0 GAS NWT....: 0 WOOD STOVES...: 0 15-30 HP....: 0 LAVATORIES.........: 0 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.......: 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 FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET. ,r -- C. OWNER CR AGENT DATE ' ---`—-------- -- -- ------------------------------------------ _0��? (FILE COPY PLEASE PRINT S 0 City of Federal Way 0 RECEIVED APPLICATION FOR BUILDING PERM111JG 2 7 1993 CITY OF FEDERAL WAY 6U11- �` 44 GDEPT. APPLICATION #: &1293-,0162, TTE LOCATION Address 3 3 /ITN A vc--vE 5 Ten nt (if known)Lot # Assessor's Tax # �lN�/G>C-• 172, 0— O D D Buil in owns Name �V Address 33 ! /LAI -!5- d z)71 City�/,' `G,�I�CJL (tet) State �fi SL�� ,% Zip Phone Nature of Work J C/77tVg5kJ . APPLICANT Name (F,M,L) Address City Li/� '�� State Zip Contact Person Day Phone Other Phone Fax ...................................... BUII,DING CONTRACTUR Company Name Address City State Zip Contact Person Phone Fax Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No ARCHITECT Name Address City State Zip Contact Person Phone Fax L DESCRIPTION CS 1J6 Please Complete Reverse Side CD0492 (Rev 4/93) APPLICANT Name (F,M,L) Address City Li/� '�� State Zip Contact Person Day Phone Other Phone Fax ...................................... BUII,DING CONTRACTUR Company Name Address City State Zip Contact Person Phone Fax Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No ARCHITECT Name Address City State Zip Contact Person Phone Fax L DESCRIPTION CS 1J6 Please Complete Reverse Side CD0492 (Rev 4/93) ...................................... BUII,DING CONTRACTUR Company Name Address City State Zip Contact Person Phone Fax Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No ARCHITECT Name Address City State Zip Contact Person Phone Fax L DESCRIPTION CS 1J6 Please Complete Reverse Side CD0492 (Rev 4/93) ARCHITECT Name Address City State Zip Contact Person Phone Fax L DESCRIPTION CS 1J6 Please Complete Reverse Side CD0492 (Rev 4/93) L DESCRIPTION CS 1J6 Please Complete Reverse Side CD0492 (Rev 4/93) I— L RUCTURE Address sting Use �0� 7��L roposed Use Permit includes: Phone g Building ❑ Plumbing ❑ Mechanical ❑ Other Type of Work: �4 Residential ❑ Commercial ❑ New 9 Addition ❑ Remodel ❑ Garage ❑ Number of Units _ X Deck ❑ Shed ❑ Other Enter 1 st Floor Area Basement sq ft sq ft 2nd Floor Decks 7! 0 Esq sq ft 3rd Floor sq ft ft Garage sq ft Existing Floor Area Z 76 -sq ft Proposed Total Area sq ft Water Availability ❑ Sewer Availability ❑ On -Site Septic System Availability ❑ Proieci �ialuation S Zoning(� E� (� (� Lot Size ( 2 3-15 Tons Existing Bldg Vs(ueton . LENDER Name Address City State Zip ................................................... . .............. AIECHANiCA.L CONTRA. .... OR Contractor Name Address City State Zip Contact Phone Fax License # Expiration Date Verified ❑ Yes ❑ No __.................... PLUMBING CONTRALTO Contractor Name Address 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 Machine Drains Total Fixture Count MECHANICAL UNTf COUNT A 1, Fuel Type (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 <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 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. ,�% �J Owner/Agent: �'/C,[// v�C� / ti �1Jitl:� Dale: / J �' Z %� CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 661-4000 BUILDING PERMIT Building Inspection Requests 661-4140 ADDRESS:28933 11TH AVE S NO.: 720570-0040 PROJECT DESCR I PT ION : PESID£NTIAL ADDITION AND DECK REPLACEMENT OWNER- - CONTRACTOR SIGURD ANDERSON **$OWNER IS CONTRACTORM 28933 - 11TH AVE S FEDERAL WAY WA 98003 839-2591 NONE LENDER PERMIT NO: BLD93-0962 ISSUED: 10/26193 BY: FC EXPIRES: 04/24%94 y a BLD?:X MEC?:X PLM?:X 0* -E ISf P - �® COUP PLAN..... SA ffES: TYPE OF tItORK:ADD USE.RES IST 0 t9f a REQUIRED PARKING..: 2 SPRINKLERS?......:? FINAL PLAN CHECK... $ 134.55 CENSUS CATEGORY.....:434 2Nf�EO. f HAZARD CLASS—:? BUILDING PERMIT ....# 1 207.00 OCCUPANCY GROUP---- ---- 3RD�� 0: f VA �-. "'M(� SURCHARGE..... 4 4.50 t :R3 : : , f F.PPLIANCEFEES, # 4.50 OIL TYPE OF CONSTRUCITON � f P t WA E..:FEING FIXT.... 930 # 7.00 OCCUPANT LOAD ---------- 0 � a 0: £: 0: 0: 4. k k y1MPERY SURFACE: 0 sf SENSITIVE AREAS?.:N FUEL TYPES.. k BOILERS%COMPRESSORS WATER CLOSETS......: 0 URINALS........: 0 TOTAL FEES f 357.55 GAS PIPING.: O ft HOO ........:bre 0 0-3 HP....... 0 BATH TUBS..........: 0 DRINKING FOUNT.: 0 FURN0 00K..: 0 DUCT WORK.....: 0 3-15 HP.....: 0 SHOWERS ............: 0 SUMPS..........: 0 GAS HWT....: 0 111000 STOVES...: 0 15-30 HP....: 0 LAVATORIES.........: 0 VAC BREAKERS...: 0 CONY BURNER: 0 FURN>IOOK.....: 0 30-50 HP....: 0 SINKS ..............: i DRAINS.........: 0 BBQ........: 0 MISC..........; 0 5+ HP.......: 0 DISH WASHERS.......: 0 LAWN SPRINKLERS: 0 GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS--------- ELEC ITR HEATERS...: 0 OTHER FIXTURES.: 0 RANGE......: 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN MSNA OUTLTS...: 0 GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: O 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 FUPNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET. OWNER OR AGENT- w____....__d>._,a:I+s'E FIELD COPY CD0193 Adak SE�'AICS & Ft3(TINGS - Z�— G�fT s Date �� - 3 BY FpUNDATICjN VIiALLS Date By PLUMBIIHG�AA0UNlMR.K Date By UN»ERF ft FRAMING ;; ......:. Date y S- 5 By SHEAR WALLS Date -S - By 107/V PLUMBING THOUGH -IN Date By GAS PIPING Date By MANICAL ROU MIGH=IN Date By MECHANICAL IQTHER) Date By FRAMING C,v Date —- �� By INSU,L ON Date By d ............................................ . GWg - 1ST LAYER Date `" — By v .GWR - 2ND LAYER '9.9Date By SUSPEND..EG CEIL.I.NG Date By PLANNING :FINAL Date By _ ENGINEERING FINAL Date By FIREFINAL'' Date By BUILDING FINAL Date -- 61 Ll By 7'...OTHER Date By OTHER Date By CD0193