97-100698CITY OF FEDERAL WAY PERMIT N0: BLD97-0128
3353Q First Way South -131 .1 1„,,.. )1 N,(3 F, wR".III I ISSUED: 03/20/97
Federal Way, WA 98003 Building Inspection Requests 661--4140 BY: FC
661--4000 EXPIRES: 09/16/97
ADDRESS:32217 16TH AVE SW
NO.: 010450-0260
PROJECT DESCRIPTION:RES ADDITION - CONVERTING GARAGE INTO 2 BEDROOMS.
�= OWNER_______________________________________________===='r= CONTRACTOR =========
JERRY KUSHAN OWNER IS CONTRACTOR
32217 16TH AVE SW
FEDERAL WAY WA 98023
1-888-827-584
LENDER
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL VAY- TAX RATE = BA ***
'BCD?: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:
FUEL TYPES.:? ?
GAS PIPING.: 0 ft
FURN<100K..: 0
GAS NWT....: 0
V BURNER: 0
...... 0
DRYER..: 0
RANGE....... 0
GAS LOGS...: 0
PERMITS EXPIRE 180 DAYS
I CERTIFY THAT THE INFO
OWNER OR AGENT
FLR--EXIST--PROP---
1ST.:
0:.
0:Sf
2ND.:
0:
O:sf
3RD.:
0:
O:sf
OTHR:
0:
300:sf
BSMT:
0:
O:sf
DECK:
0:
O:Sf
GAR.:
0:
O:Sf
TOIL:
0:
300: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
DWELLING UNITS: 0
STORIES......... 0
HEIGHT.....: 0.00 ft
VALUATION ----------
EXIST..$: 0
PROP...$: 3000
RECEIVED.:02/28/97
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 ......... :URBA
REQUIRED PARKING..: 2
REQUIRED SETBACKS -------
FRONT ......... . 20.00 ft
SIDE...... .. 5.00 ft
REAR........... 5.00:ft
SPRINKLERS?......:?
HAZARD CLASS...:?
FIRE FLOW....: 0 gpm
WATER SERVICE..:FED
SEWER SERVICE..:FED
IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
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 ..... $
$ 35.10
$ 54.00
$ 4.50
TOTAL FEES $ 93.60
ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
BURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS HILL BE NET.
FILE COPY
DATE_w_�l�/'= 7
cm.oF G
uV AY
FEB 2 1991
crrY OF FE UERALAPPLICATION
BUILDING DEPT -
PL E PR/NT
Bvu miNG DmsioN
33530 First Way South
Federal Way, WA 98003
(206) 661-4000
Fax (206) 6614129c
FOR BUILDING PERMIT
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Address
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Tenant (if known)
zip 3
Lot #sse
Day Phone r
sor's T,,l#
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Building Owner's Name
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Phone r `y g Y �47� 5 -ft
Nature of Workt/J
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Name (F,M,L)
Address
Address
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State F.✓
zip 3
Contact Person
Day Phone r
Other Phone
Fax
Verified ❑ Yes ❑ No
Company Name
Address
City
State
Zi
Contact Person
Phone
Fax
Contractor's # (card must be presented)
Expiration Date
Verified ❑ Yes ❑ No
Name
Address
City State
Zi
Contact Person Phone
Fax
LEGAL DESCRIPTION
Please Complete Reverse Si e
. ...........
Contractor Name n
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified 13 Yes 0 No
Contractor Name Al
Address
Cit V
State
Zip
Contact
Phone
Fax
License #
Expiration Date
1 Verified 0 Yes 0 No
. . . . . . . . . . . . . . . . . .
. . . . . ...... . .....
th
Water Closets
Sinks
Urinals Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains Other
Showers
Electric Water Heaters
Sumps
Lavatories
Washing Machine
.....................
.. ....... . ... . . . . .
................
u ..kbu
Drains -T OT! ....
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
aftomeys'fees incurred in 'investigation jind defense of such claim), which may be made by any person, including the undersigned, and filed against the City of ederal Way, but only
where such claim arises out of the ce 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: Date:
Buiwm¢.Arr
Ru- 12111196
MECHANICAL EVALUATION ONLY $
Fuel Type (electric/other)
Gas Dryer
Air Handlin < = 10,000 CFM
15-30 Tons
Length of Gas Piping
Range
Air Handling > = 10,000 CFM
30-50 Tons
Furn <100K BTUs
A Gas Log
Unit Heater
50+ Tons
Furn > 100 BTUs
Fans
Miscellaneous
Fuel Tanks
Gas Hwt 7"
Hood
Boilers
Above Grou
Conv Burner
Duct Work
0-3 Tons
Undergroun
BBQ's
Wood Stoves
3-15 Tons
................... .... --
................
TiYtefUiutmir
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
aftomeys'fees incurred in 'investigation jind defense of such claim), which may be made by any person, including the undersigned, and filed against the City of ederal Way, but only
where such claim arises out of the ce 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: Date:
Buiwm¢.Arr
Ru- 12111196
- TA
TYPE Of SN CONSTRUCTION-- P�jf, q,
aa
OC(OPANT LOAD- -
0: 0: 0: 0:' 1 I"PER FA(F* 0 st SENSITIVE AREAS?.:?
'"PER
FUEL TYPES.:" ? F Rs' t ER CLOSETS...... 0 9RIKALS.– .... 0 TOIAL ft[= g 33.h0
GAS PIPING.: 0 tT Roo 0 0 P....... 0 BATH TUBS.....,....: 0 DRINKING FOUNT.: 0
FURN100K,.: 0 001(1 .... 3-15 0 SHOWERS ....... 0 SUMPS........... 0
HWI_.: 0 WOOD ST S...: 15-10 HP....: 0 LAVAIORi[S ... 0 VAC BREAKERS...: 0
BURNER: 0 0 30 :O HP—.: 0 SINKS ..... – ....... 01 DRAINS.........: 0
0 MIS( ..... ..... 1) i "P.—..': o DISH WASHERS......,: 0 LAWN SPRINKLERS: 0
[L(( WIR 4EAT(PS._: 0 OTHER flylURIS.: 0
GAS DR'y4p.*: 0 AIR HANDLING UNITS r9r1L IAKI'(.,- 7 - - I
RANGE......: (1 '710,000 cr"', 0 ABOVE GROUND: 0 LAUN NSHP 0
GAS LOGS...: 0 10,000 Cfh: 0
PEANIIS FXPIKL 180 DAYS AtiLk ISSWF It NO Wk IS SIAP1119. RtSIKKIIAt AND GRADING Ptilmlis EXPIRE ORL YEAR A11tv poll Of ISSUAKI.
I CERTIFY THAI 111E I At (OAR 1AN MKISK D NY of is lRot limb ((*R[(.l TO THl` KSI Of 11Y KWVII%t AND Illf, 11PP1.10111 CITY Of FEDINfit VAY RIQUIR[w_NlS gilt of. NET.
OWNER OR AGENT
q 7
4 14 For*—_o.; a A
PURM11 NO-,
Bt_b9/-01118
t. ^ .1.1f T
W,y), : 0104'._P- (;�',YJ,
1�*OJE('T IsE�JJ'1111
I 0t-4.,, 14S ADDITION CONVERTINg
(,ARA6[ INTO 2 KDROONS.
CONTRA( log aoto.
JERRY YUSHAN
OWNER IS (ORIRA0qR
32217 161H AVE SW
FEDERAL WAY WA 98041-31
n- L�0(_ A-1101-1-
COIN 11311 unto Rtp(fAl19G SALES 1AX f(* pRoitcls
millfk 1111- 01y of 1`1:011RAl WAY.
TAX RAIL 8.2%
BLD?:X NEC!: PLM':
rtp _f'fj11I_ PROP—
(OMP KA11-- .. :URBA
S
rt"":
TYPE OF WORt:ADD tISE:RE't
qq"
14 P.001PED PARKIK–
-.TAT,
SPRINKLERS?�
PLAN (HECK FEE
CENSUS (AILGORY....,:434
it
i w 0
HAZARD (LAV,
BUILDING PEPRIt ....
5401
OCCUPANCY GRO(IP ----
5
048 D. 01 "
iL�qtjlpfp SITBA(KS
FIRE f0W. 0
SB(( SURCHARGE --t
1.50
13 :? :? :?
OfHR:
P0
I
- TA
TYPE Of SN CONSTRUCTION-- P�jf, q,
aa
OC(OPANT LOAD- -
0: 0: 0: 0:' 1 I"PER FA(F* 0 st SENSITIVE AREAS?.:?
'"PER
FUEL TYPES.:" ? F Rs' t ER CLOSETS...... 0 9RIKALS.– .... 0 TOIAL ft[= g 33.h0
GAS PIPING.: 0 tT Roo 0 0 P....... 0 BATH TUBS.....,....: 0 DRINKING FOUNT.: 0
FURN100K,.: 0 001(1 .... 3-15 0 SHOWERS ....... 0 SUMPS........... 0
HWI_.: 0 WOOD ST S...: 15-10 HP....: 0 LAVAIORi[S ... 0 VAC BREAKERS...: 0
BURNER: 0 0 30 :O HP—.: 0 SINKS ..... – ....... 01 DRAINS.........: 0
0 MIS( ..... ..... 1) i "P.—..': o DISH WASHERS......,: 0 LAWN SPRINKLERS: 0
[L(( WIR 4EAT(PS._: 0 OTHER flylURIS.: 0
GAS DR'y4p.*: 0 AIR HANDLING UNITS r9r1L IAKI'(.,- 7 - - I
RANGE......: (1 '710,000 cr"', 0 ABOVE GROUND: 0 LAUN NSHP 0
GAS LOGS...: 0 10,000 Cfh: 0
PEANIIS FXPIKL 180 DAYS AtiLk ISSWF It NO Wk IS SIAP1119. RtSIKKIIAt AND GRADING Ptilmlis EXPIRE ORL YEAR A11tv poll Of ISSUAKI.
I CERTIFY THAI 111E I At (OAR 1AN MKISK D NY of is lRot limb ((*R[(.l TO THl` KSI Of 11Y KWVII%t AND Illf, 11PP1.10111 CITY Of FEDINfit VAY RIQUIR[w_NlS gilt of. NET.
OWNER OR AGENT
q 7
4 14 For*—_o.; a A