96-100589CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661--4000
Building Inspection Requests 661.-4140
PERMIT NO: BLD96-007O
ISSUED: 03/1.5/96
BY: FC2
EXPIRES: 09/1.1/96
ADDRESS:33914 19TH AVE SW
NO.: 032104-9001
PROJECT DESCRIPTION: TI - Alteration for new door to weight room into gym.
WNER----_-=T = CONTRACTOR LENDER
AVEDERAL SCHOOL DIST, #210 `
1066 S 320TH
FEDERAL WAY WA 98003
839-9250
..__..,-------mow_
US CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.2% _*#
BLD?:X MEC?:? PLM?:?
TYPE OF WORK:ALT USE:COM
CENSUS CATEGORY, .... :437
OCCUPANCY GROUP ----------
:E1 :? :? :?
TYPE OF CONSTRUCTION-----
:5-lHR:? :? :?
CCUPANT LOAD ------------
0: 0: 0: 0:
FLR--EXIST--PROP---
1St.:
0:
O:sf
2ND.:
0:
O:sf
3RD.:
0:
O:sf
OTHR:
0:
O:sf
BSMT:
0:
O:sf
DECK:
0:
O:sf
GAR..
0:
O:sf
TOIL:
0:
O:sf
DWELLING UNITS: 0
STORIES......... 0
HEIGHT... .,
0.00 ft
VALUATION ----------
EXIST..$:
0
PROP ... $:
2500
RECEIVED.:03/04/96
COMP PLAN ......... :SFHD
REQUIRED PARKING..: 0 SPRINKLERS?..,...:?
HAZARD CLASS...:?
REQUIRED SETBACKS --- - FIRE FLOW....: 0 qpm
FRONT. C.00 ft
SIDE..........: 0.00 ft WATER SERVICE..:FED
REAR..........: 0.00:ft SEWER SERVICE..:FED
IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:Y
FEES:
PLAN CHECK FEE
BUILDING PERMIT....*
SBCC SURCHARGE.....*
PLCK-FIR Comml only*
PLCK-FIR comml only*
PLCK-FIR comml only*
FUEL TYPES.:? ? FANS.,........: 0 BOILERS/COMPRESSORS WATER CLOSETS......: 0 URINALS........: 0 TOTAL FEES
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 HWT....: 0 WOOD STOVES...: 0 15-30 HP....: 0 I LAVATORIES.........: 0 VAC BREAKERS...: 0
CONY BURNER: 0 FURN>100K.....: 0 30-50 HP....: 0 SINKS ..............: 0 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 LRUN WSNft 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 INF RMA ION WISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APP ICA LE C Y OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT �... DATE
FILE COPY
$ 35.10
$ 54.00
$ 4.50
$ 2.70
$ 2.70
$ -2.70
$ 96.30
City of Federal Way
rAPPLICATION FOR BUILDING PERMI FILE
1�9� ate;
PLEASE PR/NT MAR ®4 APPL ICA TION #:
SITE LOCATION -i" y Addre..Gt `!.� Icl
Tenant (if known) Lot k As ssor's Tax #
Mcg'
Building Owner Name Address
F�W5F) KbZI of�
cityFr--MV-RL W State PfZip Phone Z50
Nature of Work
BUILDING CONTRACTOR
Company Name
Address
City State Zip
Contact Person Phone Fax
Contractor's N (card must be presented) Expiration Date Verified ❑ Yes O No
ARCHITECT
Name
Address
City State Zip Cv
Contact Person Phone Fax r
K,JIL01k) ���S u)��1 N 1 -SCM gzjI-bIzZ,
LEGAL DESCRIPTION
ktr .2kgQ
Please Complete Reverse Side
CDO492 (Rev 4/93)
V &Lrn iti - 02) -?lo
S,11RUC:7,URE
Existing Use SG L
Proposed Use
Contractor Name
Address
Permit includes:
Building ❑ Plumbing
❑ Mechanical
❑
Other
r
Type of Work: " Residential
❑ Commercial
❑ New ❑ Remodel
❑ Addition ❑ Garage
❑ Number of Units _
❑ Shed
O Deck
W Other
Verified ❑ Yes ❑ No
Enter 1st Floor _ sq ft
Area Basement sq ft
2nd Floor sq ft 3rd Floor _ ` sq ft
Decks sq ft Garage sq ft
Existing Floor Area
Proposed Total Area
_
_ sq ft
sq ft
Water Availability ❑ Sewer Availability ❑ On -Site Septic System Availability ❑
Project Valuation
$
t/t
Zoning S 7,
Lot Size 3 6.7
Existing Bldg Valuation
$
LENDER
Name
City f9tate a sm- ---TZip
MECHANICAL CONTRACTOR
Fuel Type (electric/other) Gas Dryer
Contractor Name
Address
City
State
Zip
Showers
Contact
Phone
Fax
Washing Machine
License a
Expiration Date
Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License N Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE COUNT
Fuel Type (electric/other) Gas Dryer
Water Closets
Sinks
Bathtubs
Dish Washers
Furn > 100 BTUs Fans
Showers
Electric Water Heaters
Lavatories
Washing Machine
MECHANICAL UNIT COUNT '
Fuel Type (electric/other) Gas Dryer
Length of Gas Piping Range
Furn < t OOK BTUs Gas Log
Furn > 100 BTUs Fans
Gas Hwt Hood
Conv Burner Duct Work
BBQ's Wood Stoves
Urinals
Drinking Fountains
Sumps
Drains
Air Handling < = 10,000 CFM
Air Handling > = 10,000 CFM
Unit Heater
Miscellaneous
Boilers
0-3 Tons
3-15 Tons
Lawn Sprinklers
Other
15-30 Tons
30-50 Tons
50+ Tons
Fuel Tanks
Above Ground
Underground
Total Unit Count
DISCLAIMER: 1 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. 1 further agree to save harmless the City of Federal Way as to any claim (including costs, expenses,
and attorneys' f s inc rred 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 clai arises out of the reli nce of the City, including its officers and employees, upon the accuracy of the information supplied to the City as a part of this
application.
aJ�/Owner/Agent: v �--- �_., Date;- �� )
C1'fY OF FEDFI?Al- WAY
33530 First, Way South
're4eral Way, WA 9800-3
�,61-4000
Builditig 1nspPctic)n Requests 661-41.40
ADI)RESS:743914 19'Tf-I AVE SW
P40. : 082104-9001
PRO'TE('T DE s(,, P T -10N - fI - Alteration for ney door to veight room into qym.
OWNER (ONTRACTOV ...
FEDERAL SCHOOL DIST. #210
1066 S 311010 40
FEDERAL WAY WA 98003 1
"J39-9250 lk &\
list CONTRACT
PERM11" NO:
ISSULl):
my -
Expir'!
WAS x is VITHIN"'1111E CITY Of FLM NAY. TAX RATE : 9.2% sts
BLD?:X ME(?:? PLM?:? FLR--�FX�I IS --PROP 0 ..:SFHD
TYPE Of WORK:ALT 0SF:COM ISI.: 0: VIM,
0 SPRINKLERS?......:?
CENSUS CATEGORY ..... :437 2XD,: 0:
OCCUPANCY GROUP------- OUT FI ...
Al :? ? ?
TYPE Of CONSTRUCTION cOP
.......... ATER SE 11D
:S -IHR:? '? :?
........ 0.00:ft SEWER SERVICE -11D
Ad
?,g
OCCUPANT LOAD --------- g,---
ON
0- 0: 0: 0: -'"'iMPERV SURFACE: 0 sf SENSITIVE AREAS?.:Y
r.
n 6
, AV'?
EL TYPES.:? ? WATER CLOSETS......: 0 URINALS........: 0 TOTAL FEES
S PIPING.: 0 ft 0-3 HP......: 0 BATH TUBS..........: 0 DRINKING FOUNT.: 0
N<IOOK..: 0 3-15 HP...... 0 SHOWERS ............ 0 SUMPS........... 0
, "WT .... : 0 4 STOV, 0 15-30 HP....: 0 LAVATORIES.........: 0 VA( BREAKERS—: 0
COIN BURNER: tUR ) 0 30-50 lip .... 0 SINKS .............. 0 DRAINS.......... 0
BN.... 1-1. 1 ... 0 5f HP........ 0 DISH WASHERS- ..... 0 LAWN SPRINKLERS: 0
GAS DRYER ANDLING UNITS FUEL TANKS --------- ELI( WIR HEATERS...: 0 OTHER, FIXTURES.: 0
RANGE 110,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR QUILTS,..: 0
GA S. 10,000 CFM: 0 UNDERGROUND.: 0
Arml III , i4fig ISSINIKE If NO WORK IS STARTED. RESIKKIIAL AND GRADING PtRNIIS EXPIRE Okf, YIAR AIIIA 801' Of ISSOAK(t.
I (FRI IN, PPj I IS A lIY ME IS fRUL AND (091:0 TO INE BEST Of MY K"[N't APO Iff APPI. A' I( F[KRA1 MAY REQUIREMENTS HILI. BE NET.
PhTI
54.00
4.50
2.70
$ 2.10
$ -2.70
S 96.30
FIELD COPY
..A
CITY OF G
' EO
33530 1ST WAY SOUTH
FEDERAL WAY, WA 9B003
COR R E CTI O N
ADDRESS: .1� � _
VIOLATIONS OF CITY AND/OR STATE LAWS ARE LISTED
( `
A-7) !.,O-e� e4 Z kill')
BUILDING DIVISION
C3151-4000
NOTICE
PERMIT #: , Z-
BELOW:
c �
I j_-eos�K�
f
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 661 -41 40 FOR
RE -INSPECTION.
DATE INSPEC ❑R FOR BUILDING DEPARTMENT
DO NOT REMOVE THIS NOTICE