95-102682I Y OF FEDERAL, WkY
33530 First Way SO Lf f h
rederal Way, WA 9 �i 0 C-) -4
661-4000
P E R 1111 T
6<,,,,1 -4140
ADDRESS:2222 S 291S]' ��,I
NO : 422270--0250
PPOJECT DCSCR1PI-10t1-R[S ADDITION - CONSTRUCTION Of 320 SOFT UNHEATED S0000M,
OWNER
COHIRACTOP LENDER
FRED/ALICE FOSSES PUGET SOUND DESIGN/BUILD 110MEOWN
2222 S 291ST ST P.O. Box 24311
1 FEDERAL WAY WA 98003 FEDERAL RAY WA 98093-1311
sit PLEAS[ Mt. LKATION
ot D?: X NEC?: PLM?:
fLP-- L,
--A
TYPE Of WOPKADD USE:RES
Isf.:
0 -
CENSUS CATEGORY ..... :434
291i
0:
XCUPAN(Y GROUP----------
30
GAS DRYER-:
0 AIR, HANDLING UNITS
FUEL TANKS--___.__,
FYP( of comS[PucffoN ----
FUEL TYPES.:? ?
AR
FA,
idRS/CONPRESSOPS
WATER CLOSETS.......
0
OCCUPANT LOAD--------- ------
N'fr,
TOTAL FW
41
PlIu f SDO72PM
TING SALES TAX FOR FM FCTS 011me gut oly Of FEDI "At my
1b: In2��
M I f PIo : t3t, 0, , 4,5-081,-)
1":)SUED: 11/13/95
BY: FC -2
U'XP1RE"3`: 05/1-1/96
COMP PLAN.— .....:SR
RE01RID PARKIN;..: 2
SPRINKLERS?......:?
HAZARD CLASS...:?
SEWER sERF :f ED
fAX bit -
FEES:
PLAN (HECK FEE
BUILDING PERMIT .... t
SBC( SUR(HAR6[. .... t
FINAL PLAN (NICK .. #
0: 0: 0: 0:
gg
b" A 0" " 'N
--A
FPERV SURf A(f: 2840 51
SENSITIVE AR[AS?.:H
BBOT ....... :
0 MISS:..........: 0
"9W
Aff., 2
-'R
4
GAS DRYER-:
0 AIR, HANDLING UNITS
FUEL TANKS--___.__,
DEC WIR HEATERS—:
FUEL TYPES.:? ?
AR
FA,
idRS/CONPRESSOPS
WATER CLOSETS.......
0
URINALS........:
-
0
TOTAL FW
GAS PIPING,: 0 ft
"00 17 .....
1,D
0-3 NP......;
0
BATH TUBS ..........
0
DRINKING FOUNT.:
0
0
DOC] WORK ..... 0
3-15 HP....,.
0
SHOWERS .............
0
SUMPS...........
0
toH<100K.,:
. 0
WOOD STOVES...: 0
15-30 HP....:
0
LAVATORIES......,.,:
0
VA( RREAtERS ...
0
$ 111.15
$ III Ao
$ 4.50
$ 0,00
cov BoRNER:
(I F UR N,, 100 f ..... : 0
.40-50 Hr—.: 0
SINK" ..............
0 0
BBOT ....... :
0 MISS:..........: 0
54 HP....
DISH WASHERS........:
0 LAWN SPRINKLERS: 0
GAS DRYER-:
0 AIR, HANDLING UNITS
FUEL TANKS--___.__,
DEC WIR HEATERS—:
0 OTHER fIXTURLS.-
RANGE—...:
0 (:10.000 CFO: 0
ABOVE GROUND: 0
1AUP W*flf OUIIJS...
6AS LOGS—:
0 10,000 CFO: 0
UNKRuOUND., iT
i.
PfYOITS EXPIRI 180 DAY` AVILR ISSUANCE 11 NO MI IS STARTED- Y.fSIbLq1IA[ ko GRAVING PLp"Ils DIPIRI 0#1 YiAp Afftp PAR 01
I (LR(IfY 11%41 IRL 1010MAIJOH fORNISHED IV K IS 101 AND t0Iftl f0 AST Of MY rW,fK[ ANI) 101 0101.1(0-f CITY Of F[#fVI W4Y RIWIR11it-WIS HILL OF. 9-1.
1,
OWNER OR AGENI
FIELD COPY
CDO193
Adlikkk
SE`1'BA1r1!fS & FOQ7NVG1
Date /
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FOUND TIO WALLS
Date /%
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PLUMB 0*1iGUNDWQRK
Date
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UNDERMOOOR FRi�iIMNG>
Date �/ �'�
By
SHIM-.....
_
.
Date S
_ ...
By / oqJ
PLUMBING ROUGH-IN
Date
By
GAS PIPING
Date
By
MECHANICALAQ GW..IN
Date
By
..............._._ ..
...................................................................................
...............................................................................
MECHANICAI t07'HERI
... ...-
Date
By
FRAMING
% 3-4 �d�— !�✓ 'v E� w/'F Ql9 b 2
Date
By
INSUI A ID
Date 1`'t /i 5
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G W B - 1 ST V ER
! Cl) �/ r i int/ S�C Tom' /3v h� ®� 12 Ole
Date
By
GWS - 2Nt LAYER .......... I
Date
By
SUSP END:ED.:.GEILING
Date
By
PLANNING FINAL'.
Date
By
..........7ENGINEIA#i1Nts F.NAL
.............
Date
By
FIRE FINAL
Date
By
BUILDING FINAL
9
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CDO193
#OF' FEDERAL WAY
3530 First Way South
Federal Way, WA 90003
661-4000
Building Inspection Requests 661--4140
ADDRESS:2222 S 291ST ST
NO.: 422270--0250
PROJECT DESCRIPTION:RES ADDITION - CONSTRUCTION OF 320 SOFT UNHEATED SUNROOM.
OWNER.:==w======r=====__________-_=====w-:=====-==----=-= CONTRACTOR
- FRED/ALICE FORBES PUGET SOUND DESIGN/BUILD
2222 S 291ST ST P.O. BOX 24311
d FEDERAL WAY WA 98003 FEDERAL WAY WA 98093-1311
839-2221
PUGETSD072PM
LENDER ==
HOMEOWNER
PERMIT NO: BLD95-0319
ISSLJED: 1.1./13/95
BY: FC2
EXPIRES: 05/11./96
Ut CONTRACTORS, PLEASE USE LOCATION COLD: 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8.2% Its
BLD?:X MEC?: PLM?:
TYPE OF WORK:ADD USE:RES
CENSUS CATEGORY ..... :434
OCCUPANCY GROUP ----------
:R3 :? :? :?
TYPE OF CONSTRUCTION -----
:5N :? :? :?
OCCUPANT LOAD ------------
0: 0: 0: 0:
FLR EXIST--PROP---
1ST.:
0:
O:sf
2ND.:
0:
O:sf
3RD.:
0:
O:sf
OTHR:
0:
320:sf
BSMT:
0:
O:sf
DECK:
0:
O:sf
GAR.:
0:
O:Sf
TOTL:
0:
320:sf
DWELLING UNITS: 1
STORIES......... 1
HEIGHT.....: 0.00 ft
VALUATION ----------
EXIST..$: 65500
PROP ... $: 15290
RECEIVED.:10/11/95
FUEL TYPES.:?
?
FANS..........:
0
BOILERS/COMPRESSORS
GAS PIPING.:
0 ft
HOOD...........
0
0-3 HP.......
0
FURN<100K..:
0
DUCT WORK.....:
0
3-15 HP.....:
0
GAS HWT....:
0
WOOD STOVES...:
0
15-30 HP....:
0
CONV BURNER:
0
FURN>100K.....:
0
30-50 HP....:
0
BBQ.........
0
MISC...........
0
5+ HP........
0
GAS DRYER..:
0
AIR HANDLING UNITS
FUEL TANKS ---------
RANGE ...... :
0
<:10,000 CFM:
0
ABOVE GROUND:
0
GAS LOGS...:
-------------------
0
--------------
> 10,000 CFM:
---------------------------------------
0
UNDERGROUND.:
----
0
COMP PLAN ......... :SR
REQUIRED PARKING..: 2
REQUIRED SETBACKS -------
FRONT ... ...... . 20.00 ft
SIDE...... .. 5.00 ft
REAR........... 5.00:ft
SPRINKLERS?......:?
HAZARD CLASS...:?
FIRE FLOW....: 0 9Pm
WATER SERVICE..:FED
SEWER SERVICE..:FED
IMPERV SURFACE: 2840 sf SENSITIVE AREAS?.:N
WATER CLOSETS......:
0
URINALS........: 0
BATH TUBS..........:
0
DRINKING FOUNT.: 0
SHOWERS .............
0
SUMPS........... 0
LAVATORIES.........:
0
VAC BREAKERS...; 0
SINKS ...............
0
DRAINS.......... 0
DISH WASHERS.......:
0
LAWN SPRINKLERS: 0
ELEC WTR HEATERS...:
0
, OTHER FIXTURES.: 0
LAUN WSHR OUTLTS...:
0
FEES:
PLAN CHECK FEE
BUILDING PERMIT....*
SBCC SURCHARGE.....*
FINAL PLAN CHECK...*
$ 111.15
$ 171.00
$ 4.50
$ 0.00
TOTAL FEES $ 286.65
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO PORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT _ M - `l /
_ DATE
FILE COPY
City of Federal Way
v& FF-*' JVFU�PPLICATION FOR BUILDING PERMIT
PLEASE PR/NT OCT 1 APPLICATION #:
SITE LOCATION EDE AL. WAY I Address r_,
/ fir/ s; � `—
Tenant (if kno 4n) €3U�� Q) Lot #
Asse
d '4 IC > y
Building Own�, Name Address 9a,
Cit
Y State Zip ) Phon
Nature of Work_ m -r
;or's Tax #
Z-70— 0,316,E)
7
01
Name
City _ State Zip
Contact Person Phone Fax
-0 & Es
Cotor's # (card must be preynted) Expiratipn Dade Verified ❑ Yes ❑ No
LEGAL DESCRIP ION
V.
Please Complete Reverse Side
CD0492 (Rev 4/93)
STVUCZ UREisting
Address
Use
, _ '
City
roposed Use
Zip
Contact
Phone
Fax
-=-
Expiration Date
Verified ❑ Yes ❑ No
Permit includes:
Contractor Name
wilding
❑ Plumbing
❑ Mechanical ❑ Other
State
Type of Work:
Residential
❑ New
Fax
_L;? iemodel
❑ Number of Units El Deck
Verified ❑ Yes ❑ No
11 Commercial
,Addition
❑ Garage
_
❑ Shed Other 5;,-4
Enter 1 st Floor
sq ft
2nd Floor
sq ft
3rd Floor sq ft
Existing Floor Area sq ft
Area Basement
sq ft
Decks
sq ft
Garage sq ft
Proposed Total Area - sq ft
Water Availability ;21- Sewer Availability On -Site Septic System Availability ❑
Project Valuation
$e)e )
Zonings ">
7' ? L S&
Lot Size , �' p •
Existing Bldg Valuation
S (1�
z
NDER
A %c_65t it
Name
Address
City
State Zip
Contractor Name
Address
{{
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
UMBING CONTRACTOR
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
U1V11i1N1i r1X1'UKL UOUNT
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Tntal Pi i.iro rz
Wyk
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 lHood 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 maybe 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.
Owner/Agent. r Date: [`