94-100438CITY OF FEDERAL. WAY
33530 First Way South
Federal Way, WA 98003
661-4000
ADDRESS:506 S 303RD ST
BUILDING PERMIT
BUilding Inspection Requests 661-4140
NO.: 064310-0260 4
PROJECT DESCRIPTION., Petainiog isall; Amor fill and grade.
OMER CONTRACTOR
MARK RRISKOVIC ist ONNER IS CONTRACTOR
5% 5 103RD S1
FEDERAL NAY NA 9803
1297
4 IMANT&
4LD?:X NEC?- PIN?: FLA--EXIST--PROP----
TYPE
LA--(XIST--PROP----TYPE Of NORKADO USE:RIS IST.: 0:5
CENSUS CATEGORY.....: 565 2ND.: 0:S
OCCUPANCY GROUP---------- 'S
:? :? ?
0:S
TYPE Of CONSTRUCTION-----
?
ONSTRUCTION-----
?
OCCUPANT LOAD ---------
'n
0: 0: 0: 0:
FUEL IVES., LANS.
-CAR PIPING.: 0 ft HOOD .......... 0
wklook..': 0 DUCT NORK.._: 0
GAS HNT....:
0
WOOD STOVES...* 0
fO#V BURNER:
0
FURNA00K ..... 0
BBQ.........
0
IMISC .......... 0
GAS MER.
AIR P'NOI. ING UNITS
RANGE - _ . _
(:10,000 Cf"' 0
GAS Lots. . ..
0
> 10'0''+0 ON: 0
Ist undr M
LENDER
BOILERS/COMPRESSORS
0-3 HP......: 0
3-15 HP.. 0
15-30 OP. 0
30-50 HP....: 0
54 ITP..,...,. 0
FUEL TANKS ---------
ABOVE Goo. 0
UNDERGROUND., 0
NPERV SURFACE: 0 Sf SENSITIVE AREAS?.:?
NATER CLOSETS.,....: 0
BATH TUBS .......... : 0
SHOVERS.., .. 0
LAVATORIES.........: 0
SINKS.. _ . ........... 0
DISH HASHERS.,.....: 0
ELEC ITR HEATERS...: 0
LAON NSHR OUILIS _: 0
URINALS.......,: 0
DRINKING FOUNT.: 0
SUMPS.........., 0
VAC BREAKERS_: 0
ORAINS. .......... 0
LAWN SPRINKLERS- 0
OTHER FIXTURES.: 0
a�-iub��6
PERMIT NO: BLD94-0170
ISSUED: 03/07/94
BY: FLF
EXPIRES: 09/03/94
LEES:
BUILDING PERMIT...,* S 54.00
SOCC SURCHARGE.....* 1 C50
TOTAL FEES S 58.%
PERMITS EXPIRE 180 DAYS #TFR ISSUANCE If NO NORK IS STARTED. RESIDENTIAL AND GWING PERMITk EXPIRE ONE YEAR AFTER DATE Of ISSUANCE.
I CERTIFY THAI THE INJ40NATION fURNISED BY ME IS TRUE AMD CORRECT TO THE REST Of MY KNOLIKE AND Thf, APPLICABLE CITY Of FERERAL NAY REQUIREMENTS HILL fif Rfl,
OP AGEN 5,
F1T4W9 w—_*,aA
SETBACKS & FOOTINGS
CDO193
Date
By
................. ..
FOUNDATION ....... .- ... O_
............ .........................
Date
By
.......... ......
.......... ... ........
......... ........
PLUMBING ''GROUNDWORK
Date
By
UNDERFLOOR FRAMING
Date
By
11 ............... - ...
.................. WALLS ........ .
..... ...
Date
By
........ ........... . ....... .
P.LQM.B..l.N.G.:ROUGH-IN
..........
Date
By
........................ .......... ....
.............. - .... .
GAS PIPING
Date
By
..........
MECHANICACAW.GWIN
.... ........... I ....... -
..... .... .
Date
By
.......... 11
.... ............
IVIECHANICALI.: THER)
Date
By
FRAMING
Date
By
7INSULATION
Date
By
GWB - 1ST LAYER
Date
By
GWB - 2N1? LAYER
Date
By
7
SUS, PENOE. tEl LING
Date
By
..
PLANNING:. FINAL. ..
.. ..........
Date
By
ENGINEERING FINAL
Date
By
FIREfINAL
Date
By
BUILDING FINAL
Date
OTHER
Date By
7
OTHER
Date
By
CDO193
CITY
RAL WAY
BUILDING RM I T
MIT NO:
�EftISSUED:
DWELLING UNITS: 0
33S3O0FirstEWay South
1.
CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
03/07/9470
F=ederal Way, WA 98003
Building Inspection Requests 661-4140
BY:
FL.F
661-4000
STORIES . ...: 0
EXPIRES:
09/03/94
ADDRESS:5O6 S 303RD ST
NO.: 064310-0260
PROJECT DESCRIPTION:Retaining Nall; Minor fill and grade.
OWNER - CONTRACTOR ---- LENDER
MARK KRISKOVIC M OWNER IS CONTRACTOR M
506 S 303RD ST
FEDERAL WAY WA 98003
1297
ss:; NONE ist
BLD?:X NEC?: PLM?:
FLR--EXIST--PROP---
AFTER DATE OF ISSUANCE.
DWELLING UNITS: 0
COMP PLAN.........:?
APPLICABLE
CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
OWNER O R A G E N -__
_---------------------- C A E-1-`�-Y----
FEES:
TYPE OF WORK:ADD USE:RES
1ST.: 0:
O:sf
STORIES . ...: 0
REQUIRED PARKING..: 0
SPRINKLERS? ..:?
BUILDING PERMIT ....$ $ 54.00
CENSUS CATEGORY ..... :565
2NO.: 0:
0:sf
HEIGHT ...: 0.00 ft
,)ZARD CI ASS `?
SBCC SURCHARGE .... J 4.50
OCCUPANCY GROUP----------
:? :? :? :?
3RD.: 0:
OTHR: 0:
G;sf
0:5f
VALUATION- - -----
EXIST..$: 0
REg"IRED SETBACKS
1 FRONT... .....:
-----
0.00 ft
TRF F OW...,
0
V-32
TYPE OF CONSTRUCTION-----
BSMT: 0:
O:sf
PROP _ $: 3000
SIDE.........::
0.00 ft
NATER SERVICE,_:`
:? .? .?
DECK: 0:
O:S"
REAR..........;
O.00:ft
SEWER SERVICE..:?
OCCUPANT LOAD------------
GAR.: 0:
O:Sf
RECEIVED.:O3/04/94
0: 0: 0: 0:
TOTL: 0:
O:sf
IMPERV SURFACE:
0 sf
SENSITIVE AREAS?.:?
1
TOTAL FEES $ 58.50
FUEL TYPES.: FANS....,.....: 0 BOILERS/COMPRESSORS
WATER CLOSETS......: 0 URINALS ....: 0
_
4S PIPING.: 0 ft
HOOD..........:
0
0-3 HP......: 0
BATH TUBS..........: 0
DRINKING FOUNT.:
0
9<100K..: 0
DUCT WORK.....:
0
3-15 HP.....: 0
SHOWERS ............: 0
SUMPS..........:
0
GAS HNT....: 0
WOOD STOVES...:
0
15-30 HP....: 0
LAVATORIES.........: 0
VAC BREAKERS...:
0
CONV BURNER: 0
FURN)IDOK.....:
0
30-50 HP....: 0
SINKS ..............: 0
DRAINS.........:
0
BBQ........: 0
HISC..........:
0
5+ HP.......: 0
DISH WASHERS.......: 0
LANK 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 HER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE
ONE YEAR
AFTER DATE OF ISSUANCE.
I CERTIFY THAT�HE I
RMATION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE
APPLICABLE
CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
OWNER O R A G E N -__
_---------------------- C A E-1-`�-Y----
FILE COPY
PLEASE PR/NT
0 City of Federal Way 0
APPLICATION FOR BUILDING PERMIT
APPLICATION #. PC
n
- &/;i(--)
Lot # 1 ELLIJC J i ft- U4 V . Assesso?s Tax #
i� 4- 2 No- z v�� 31 0
Address
o C Zip W gin. n Phone q— 12 4'7
Name (F,M,L)
Address
Address
1,, ) �:
State(�(!
Zip cot
n(1��:j��A
Person
A A
Day Phone
39-1 Z
Other Phone
35�-�13 L
Fax
BUII,DING CO1�ITRACTOR..
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
LEGAL DESCRIPTION
Please Complete Reverse Side
CDoaaz (Rev 4/93)
It
Use
Permit includes:
❑ Other
77 Building
❑ Plumbing
Type of Work:
❑ Residential
❑ New
❑ Remodel
Proposed Total Area
❑ Commercial
❑ Addition
❑ Garage
Enter 1st Floor
sq ft
2nd Floor
sq ft 3rd Floor sq ft
Area Basement
sq ft
Decks
sq ft Garage sq ft
Water Availability
❑ Sewer Availability ❑ On -Site Septic System Availability ❑
Zoning
Underground
Lot Size
Wood Stoves
3-15 Tons
Total Unit Count
................................................................................__.__.
................................................................................
............................................................................... _ _.......
....................................................................
................._....
R......................................................
..........................................................................................
sed Use
MWI
Cl Mechanical
❑ Other
❑ Number of Units _
❑ Deck
❑ Shed
I Other
Existing Floor Area
sq ft
Proposed Total Area
sq ft
Name
Address
City
State Zip
...........................................................................................
MECIANYCAY; CONTRACTOR
...................... .................
..................................................::
............................................................................................
...........................................................................................
__..
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
__..
PLUMBING CONTRACTOR
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
_.........._............._...............................__......._....._.........
...........................................................................................
........................................................................ ................
PLjJ.1ZBTNG T TU,FtE CO
Water Closets
Sinks
Urinals
Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains
Other
Showers
Electric Water Heaters
Sumps
50+ Tons
Lavatories
Washing Machine
Drains
Total;FXtuee.;C0uhf
............................................................................................
...........................................................................................
............................................................................................
ANICAI tTNIT' COUNT
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 -irises 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. �
1
Date:
Owner/Age