92-101941CITY OF FEDERAL WAY BUILDING PERMIT PERM NO.: 092-1041
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 11/06/92
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 29621 11TH PL S
PARCEL NO.: 515160-0370
PROJECT DESCRIPTION: NSF
OWNER
ERIC WAGNER
29621 11TH PL S
FEDERAL WAY WA 98003
946-2001
BLD?:X MEC?:X PLM?:X
TYPE OF WORK:NEW USE:RES
CENSUS CATEGORY ..... :101
OCCUPANCY GROUP ----------
:R3
TYPE OF CONSTRUCTION -----
:5N
OCCUPANT LOAD ------------
0: 0: 0: 0:
FUEL TYPES.:GAS ?
GAS PIPING.: 50 ft
FURN<100K..: 1
GAS HWT.... : 1
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE....... 0
GAS LOGS...: 0
FLR--EXIST--PROP---
1ST.:
0:
1498:sf
2ND.:
0:
1684:sf
3RD.:
0:
O:Sf
OTHR:
0:
O:Sf
BSMT:
0:
O:Sf
DECK:
0:
O:Sf
GAR.:
0:
655:sf
TOTL:
0:
3837:sf
FANS........... 0
HOOD........... 0
DUCT WORK.....: 0
WOOD STOVES...: 0
FURN>100K.....: 0
MISC........... 0
AIR HANDLING UNITS
-10,000 CFM: 0
> 10,000 CFM: 0
CONTRACTOR
CASA BELLA DESIGN & CONST
838 S. 299TH
FEDERAL WAY WA 98003
946-2001
CASABD608OJ8
DWELLING UNITS: 1
STORIES......... 2
HEIGHT.....: 0.00 ft
VALUATION ----------
EXIST..$: 0
PROP ... $: 217934
RECEIVED.:08/24/92
BOILERS/COMPRESSORS
0-3 HP....... 0
3-15 HP...... 0
15-30 HP..... 0
30-50 HP..... 0
5+ HP........ 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
COMP PLAN ......... :SR
REQUIRED PARKING..: 2
REQUIRED SETBACKS -------
FRONT ......... . 20.00 ft
SIDE........... 5.00 ft
REAR........... 5.00:ft
LENDER
SPRINKLERS?......:?
HAZARD CLASS...:?
FIRE FLOW....: 0 gpm
WATER SERVICE..:FED
SEWER SERVICE..:SEP
IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
WATER CLOSETS......:
3
URINALS........: 0
BATH TUBS..........:
2
DRINKING FOUNT.: 0
SHOWERS .............
1
SUMPS........... 0
LAVATORIES.........:
5
VAC BREAKERS...: 0
SINKS ...............
1
DRAINS.......... 0
DISH WASHERS.......:
1
LAWN SPRINKLERS: 0
ELEC WTR HEATERS...:
1
OTHER FIXTURES.: 0
LAUN WSHR OUTLTS... :
1
FEES:
MEC APPLIANCE FEES.* $ 18.50
PLUMBING PERMIT/SPK* $ 75.00
PLAN CHECK DEPOSIT.* $ 484.00
FINAL PLAN CHECK...* $ 200.13
BUILDING PERMIT....* $ 1052.50
SBCC SURCHARGE.....* $ 4.50
PUB WORKS -PLAN CHECK $ 35.00
TOTAL FEES
$ 1869.63
ALL 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 I7RMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT ' (� DATE �/
/Ivl Ail'?__
bld_prmt 10/23/92
PAL # D -4q I Lr
CITY OF FEDERAL WAY ?-I 4-q
J011,
I4-qJ+°1w . 1992BUILDING PERMIT APPLI1PATION az -ty�/
,G r w ttt_ WAY — Please Print — 11 D
n_
BOX 1 TENANT NAME:
OWNER E/z/�- S. GtJiF675._ SITE LOCATION 2162,1 tltt A66e SQU414
OWNER'S ADDRESS_ 6M S 2q,9''*' PL CITYr W_49 1 PHONE 9561-20'6 %
DESCRIBE JOB Sin-, 6; Akmc J j
THE PROPERTY IS OWNED BY: SINGLE/MARRIED ✓ PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME G S A 0 ti CONTRACTOR'S REG. 11r #9 OG 060 8
�(� Card MUST be presented
CONTRACTOR'S ADDRESS £� ZG�CITY ��ei��C PHONE ��-) I • 200 I
EXPIRATION DATE
—OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. _—
PHONE 4346 • 14:01
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION B
BOX 6 PROPERTY TAX ACCOUNT NUMBER -5 r S'l wy 0-7 7a — tC
LEGAL DESCRIPTION L67T -7 t- 14-`7 mibL Lloe W
(If necessary, please submit a separate
K.C. Plat Recording # 1) Cl, I'v
with the legal description.)
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR /_lgya 2ND FLOOR /, I& 8q
3RD FLOOR / BASEMENT / DECK / GARAGE /62
BOX 8 ( SINGLE FAMILY (X NEW CONSTRUCTION f 1 r� c.i 31 9-a
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE �!1
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
m
PLUMBING FIXTURES (including rough -ins)
NO. '% WATERCLOSETS
_BATHTUBS
_SHOWERS
_ 5 LAVATORIES
I SINKS
_DISHWASHERS
_I ELECTRIC HOT WATER HEATER
_I LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
_11TOTAL FIXTURES
MECHANICAL APPLIANCES — BASIC FEE $
GAS PIPING, FEET . o / $
NO._ FURNACE, ELEC. GAS $
GAS HOT WATER HEATER $
CONVERSION BURNER $
BOILER, SIZE _ BTU $
AIR HANDLING UNITS $
HEAT PUMPS, SIZE $
UNIT HEATERS $
AIR COOLING UNITS, SIZE $
COMMERCIAL HOOD $
OTHER $
S
S
S
TOTAL MECHANICAL FEE $
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 FEDERALPAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS ANDtEORLOYEKS, UPOU�E A CURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AG
DATE:
ANP -008 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZON 110 SETBACKS: FRONT SIDE 5 _ REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMAIJKS, "i j n Sh- easement, wn or not showm.4
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL
REMARKS:_
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY TYPE OF CONSTRUCTION STORES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION
BUILDING DEPARTMENT REMARKS:
ASSIGNED ADDRESS:
DATE
DATE
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
�V6uc woeks
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
PARTIAL PLAN CHECK FEE RECEIVED
Amount 104.06 Date 7 - 14 _ TZ Receipt #
M.
BUILDING DEPARTMENT APPROVAL
DA'
va
ACCEPTED FOR FILING
rn
CJi
e--
aaj
RECE?V
EP X-0
ASSIGNED ADDRESS:
DATE
DATE
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
�V6uc woeks
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
PARTIAL PLAN CHECK FEE RECEIVED
Amount 104.06 Date 7 - 14 _ TZ Receipt #
M.
BUILDING DEPARTMENT APPROVAL
DA'
va
ACCEPTED FOR FILING
2ol
VR%VAWAt •APPROVED
,.
BY.
DATE:
4ak
Aeol,,eEa5, -7-31?7z-
-FREW 14 40. 3 y )5&e4
PRO P4o 5e -Z — 2 o z-4H<-
REOVIVED
OCT 22 1992
o"
NUOMPA"
11
DO c3r-
OF' V.Wf-,
,.S e.\ L P—
FILE
WA4WEPI t- I
C? IS
- ?
T
P
BUILDING 6EPARTMENT
CITY OF FEDERAL WAY
. . .
Correction
Job Located at 1/1711
t
Notice
L
I have this day inspected this structure and these premises
and have found the following violations of City and/or State
law overning same:
r
LMt
0
You are hereby notified that no more work shall be approved
upon these premises until the above violations are corrected.
When corrections have been made, call for inspection.
1C�
Date
— 'Zt�
�l
Inspe for for Buil ing Dept.
DO NOT REMOVE THIS TAG
ANP -007 1/05/90
0
fN
CD
•cn O U
OL
Q O Q O CA
_1caU
■ Cf)C N' O O O m'
W .OV`�� �c•� acs
Q cz Oca _ co~
c co
Q i �ca q\ y o,0 �
a W
o Lam,E�a3 >
W_ .c c N c
• ■ •� v co W
Z U
0�1 > O
co CU z
W- N
v `� O L
J V c CIO\ OM cn O
cn 1p
co
L70
-O O C
i �1
O>>
J >
m � 7C)
_ O
CL
C'5 }- D
a
a
N
0
tm
CIO
0
o�U
a
--CO)
M
U) U
U +�
V0
o
1
>
CU
a
3
z
co O
Q)c
O
� �3
aU
•
:3 cz
W
O
}+ O
ul '
cn
LL
U.
.o
O
O
V
Q�
co
4-0
co
—
70
cz
-O
-0
O
C/)coO
o
(Tj 70
O
-r- c
— co
—
a
a
N
0
tm
CIO
0
o�U
a
--CO)
M
1
a
a
N
0
tm
CIO
0
o�U
a
--CO)
M
k
'D
a)
OL
i� O a.� O rn
Q J Q p }, c
CIO
®® N O o U
a) co a
— CIO U)
Z L :t:f ca cn C: `o
aW .�— v .— O N
C13
co
J p •> U _
i—
CC.• io 'l�� — O 0 -O C W
cu a
ttJ • ® hLU
cn '' O cu E -� O
® _ --� �� ca)c
O ELL CU w
lmo p Q� +_• -O
U O �� �► > O
® F' \a a) Z
C0 0
co
c0 C +. -O i ._-
cz
p (13 O o U
M v O -C
0 �CIO
9
0
l!
u
cz
p Q 0 o
o =,
cz O
czt� — cti Cl) o
iJ.) �U 'L O iyQ
z(z 0 %1�— a
co 1� v
�+ .0 U
Q 3 > _
cr. cz
w°
W �-� N -ciao�>
• o > O ri o
LL co LLW
..1 U cn Co O
m co c -0 1- LN -�°—
.i N �� (� /� O tom. U
+ N . ( N
4-> 0
J > cn; i, Q g Co C c
cd _0 C, 0ca 20
+,
CITY OF FEDERAL WAY BUILDING PERMIT PERMIT NO.: 92-1041
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 11/06/92
Federal Way, WA 98003 BY: FLF
661-4000-
SITE-ADDRESS:
61-4000
SITE-ADDRESS: 29621 11TH PL S
PARCEL NO.: 515160-0370
PROJECT DESCRIPTION: NSF
OWNER
ERIC WAGNER
29621 11TH PL S
FEDERAL WAY WA 98003
0 2001
BLD?:X MEC?:X PLM?:X
TYPE OF WORK:NEW USE:RES
CENSUS CATEGORY ..... :101
OCCUPANCY GROUP ----------
:R3
TYPE OF CONSTRUCTION -----
:5N
OCCUPANT LOAD ------------
0: 0: 0: 0:
FUEL TYPES.:GAS ?
GAS PIPING.: 50 ft
FURN<100K..: 1
GAS HWT.... : 1
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE....... 0
!r -OGS...: 0
FLR--EXIST--PROP---
1ST.:
0:
1498:sf
2ND.:
0:
1684:sf
3RD.:
0:
O:sf
OTHR:
0:
O:sf
BSMT:
0:
O:sf
DECK:
0:
O:sf
GAR.:
0:
655:sf
TOTL:
0:
3837:sf
FANS........... 0
HOOD........... 0
DUCT WORK.....: 0
WOOD STOVES...: 0
FURN>100K.....: 0
MISC........... 0
AIR HANDLING UNITS
<=10,000 CFM: 0
> 10,000 CFM: 0
CONTRACTOR
CASA BELLA DESIGN & CONST
838 S. 299TH
FEDERAL WAY WA 98003
946-2001
CASABD6080J8
DWELLING UNITS: 1
STORIES......... 2
HEIGHT.....: 0.00 ft
VALUATION ----------
EXIST..$: 0
PROP ... $: 217934
RECEIVED.:08/24/92
BOILERS/COMPRESSORS
0-3 HP....... 0
3-15 HP.....: 0
15-30 HP....: 0
30-50 HP....: 0
5+ HP........ 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
COMP PLAN ......... :SR
REQUIRED PARKING..: 2
REQUIRED SETBACKS -------
FRONT ......... . 20.00 ft
SIDE........... 5.00 ft
REAR........... 5.00:ft
IMPERV SURFACE:
WATER CLOSETS......:
BATH TUBS...........
SHOWERS .............
LAVATORIES..........
SINKS ...............
DISH WASHERS.......:
ELEC WTR HEATERS...:
LAUN WSHR OUTLTS...:
LENDER
SPRINKLERS?......:?
HAZARD CLASS...:?
FIRE FLOW....: 0 qpm
WATER SERVICE..:FED
SEWER SERVICE..:SEP
0 sf SENSITIVE AREAS?.:N
3 URINALS......... 0
2 DRINKING FOUNT.: 0
1 SUMPS........... 0
5 VAC BREAKERS...: 0
1 DRAINS.......... 0
1 LAWN SPRINKLERS: 0
1 OTHER FIXTURES.: 0
1
FEES:
MEC APPLIANCE FEES.* $ 18.50
PLUMBING PERMIT/SPK* $ 75.00
PLAN CHECK DEPOSIT.* $ 484.00
FINAL PLAN CHECK...* $ 200.13
BUILDING PERMIT....* $ 1052.50
SBCC SURCHARGE.....* $ 4.50
PUB WORKS -PLAN CHECK $ 35.00
TOTAL FEES
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTE jFjKR
I CERTIFY THAT THE INF RfJIATJON FURNISH BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CI
OWNER OR AGENT DATE %C
bld_prmt 10/23/92
O
f
$ 1869.63
WILL BE MET.
SET BACKS AND FOOTINGS
DATE /P_-) 71 f_Z_._BY . . ...... .
OX TO POUR FOUNDATION WALLS
DATE W_A) ____
PLUMBING GROUNDWORK
DATE BY
PLUMBING ROUGH IN
DATE B Y
WATER LINE O.K.. . . ..... . . ... ... . .......
GAS PIPING OXY�,�() 4)
MECHANICAL INSPECTION
DATE --BY ---- -
O.K. TO ENCLOSE FRAMIN�Gu,
DATE ..BY
INSULATION
DATE
BY
WALL BOARD AND FIRE WALL
DATE . . . ... ...... . . .. ..... __,BY
FINAL O.K. TO OCCUPY
DATE _..........----..._..._BY
DCD
PSD
FID
-7- T ;F6_4 0 Y 1=02 r---.0P4-7/6.V
� ,t7_
75 <D
(-,lll-Tl74C76 R! r— 41,/4s,V'
A&-6- b&_Q
/u& S
6-6 r -/,o
9 (a