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96-1038059G- /0_2180S CITY OF FEDERAL WAYPERMIT NO: ELD96-0429 33530 Fi rst Way SOLith ...,M !'; .,....;.,,;w..K,. �, WI;;°;F i� ';:i r.,1f.,.: ,.�... ISSULD: 11/20/96 Feder -al. Way, WA 93003 Building Inspec:Lion Rc,)quosts 661.4140 BY. FC 661-4000 EXPIRES: 05/19/97 ADDRESS:2109 S 300 ri-I S1 NO.: 798300-0010 PROJECT DESCRIPTION -RES ADDITION OWNER KRIS SYMONS 2109 S 300TH 4 FEDERAL WAY WA 98003 6-6010 *** CONTRACTORS, BLD?:X MEC?:X PLM?:X TYPE OF WORK:ADD USE:RES CENSUS CATEGORY ..... :434 OCCUPANCY GROUP---------- ; :R3 :? :? ,? TYPE OF CONSTRUCTION ----- i :5N :? :? :? OCCUPANT LOAD------- . 2: 0: 0: 0: FUEL TYPES.:GAS WOD PIPING.: 0 ft N<100K..: 0 a GAS HWT.... : 0 CON;' BURNER: 0 BBQ......... 0 GAS DRYER..: 0 RANGE....... 0 GAS LOGS...: 0 - ADDING 400 SQFT LIVING SPACE W/ASSOC PLUMBING AND WOODSTOVE. CONTRACTOR ==ter :: _ :: Tr-. == -_- w - :-- --- M W LENDER OWNER IS CONTRACTOR I PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.21 *** FLR--EXIST--PROP--- 1ST.: 2100: 400:sf 2ND.: 0: O:sf 3RD.: 0: O:sf OTHR: 0: O:sf BSMT: 0: O:sf DECK: 0: O:sf GAR.: 300: O:sf TOTL: 1400: 41O0:sf FANS........... 0 HOOD..........: 0 DUCT WORK.....: 0 WOOD STOVES...; 1 FURN>100K.....: 0 MISC............ 0 AIR HANDLING UNITS <:10,000 CFM: 0 > 10,000 CFM: 0 DWELLING UNITS: 1 STORIES......... 1 HEIGHT.....: 12.00 ft VALUATION ---------- EXIST..$: 55800 PROP...$: 13949 RECEIVED.:10/10/96 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 ..... ,... :SFHD WATER CLOSETS......: FEES: URINALS........: 0 TOTAL FEES $ 218.43 REQUIRED PARKING..: 2 SPRINKLERS?__:? ; PLAN CHECK FEE $ 116.48 SHOWERS ............. 1 HAZARD CLASS...:? BUILDING PERMIT.... $ 13.52 REQUIRED SETBACKS------- VAC BREAKERS...: FIRE FLOW_.: 0 qpm PLUMBING FIXT.... 93* $ 35.00 � FRONT.........: 20.00 ft t SBCC SURCHARGE ..... t $ 4.50 i SIDE..........: 5.00 ft WATER SERVICE..:FED PLAN CHECK FEE $ -90.55 REAR..........: 5.00:ft SEWER SERVICE..:FED ; 1 BUILDING PERMIT....* $ 139.48 C IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N 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 INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO TUE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. OWNER OR AGENT FILE COPY DATE u -%'6, WATER CLOSETS......: 1 URINALS........: 0 TOTAL FEES $ 218.43 BATH TUBS........... 1 DRINKING FOUNT.: 0 E SHOWERS ............. 1 SUMPS........... 0 LAVATORIES.........: 2 VAC BREAKERS...: 0 I SINKS ............... 0 DRAINS.......... 0 t DISH WASHERS.......; 0 LAWN SPRINKLERS: 0 ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0 LAUN WSHR OUTLTS...: 0 I f k i 1 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 INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO TUE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. OWNER OR AGENT FILE COPY DATE u -%'6, 140 0 ACity of Federal Way 0 APPLICATION FOR BUILDING PERMIT op 10 1996 PLEASE PR/NT ' U(LDING DEPT' AY ' APPLICATION #: _ SITE LOCATION Address 910S t1 - Tenant (if known) Lot # Nf Building Owner Name Address s Tax # 300 -001 City ,, - State Zip - ; Phone Nature of Work,-- APPLICANT Name (F,M,L) Address City State Contact P sop Day Phone Other Phone Kkq � 5 I 1216 - Aw 6.610 Company Name S-� Address City Contact Person Contractor's # (card must be presented) State Phone Expiration Date Zip Fax Zip Fax Verified ❑ Yes ❑ No LEGAL DESCRIPTION 1 e� Please Complete Reverse Side CD0492 (Rev 4/93) STRUCTURE Air Handling < sting Use ras = 10,000 CFM 30-50 Tons oposed Use k S 50+ Tons Miscellaneous Fuel Tanks Boilers Permit includes: 0-3 Tons Building 3-15 Tons ❑ Plumbing ❑ Mechanical ❑ Other Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck r ❑ Commercial ElAddition ElGarage _ ❑ Shed ❑ Other Enter 1st Floor ft 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 X Sewer Availability On -Site Septic System Availability ❑ Project Valuation y� Zoning _ 1 Lot Size Existing Bldg Valuation $ LENDER �\ Name City Contractor Name City Contact License # Contractor Name City Contact License # Water Closets Bathtubs Showers Lavatories Fuel Type (electric/other) Length of Gas Piping Furn < 100K BTUs Furn > 100 BTUs Gas Hwt Conv Burner BBQ's Sinks Dish Washers Electric Water Heaters Washing Machine Gas Dryer Range Gas Log Fans Hood Duct Work Wood Stoves Address State Zip Address State Zip Phone Fax Expiration Date Verified ❑ Yes ❑ No Address State Zip Phone Fax Expiration Date Verified ❑ Yes ❑ No Urinals Lawn Sprinklers Drinking Fountains Other Sumps Drains Total FixtureC. MECHANICAL VALUATION ONLY $ Air Handling < = 10,000 CFM 15-30 Tons Air Handling > = 10,000 CFM 30-50 Tons Unit Heater 50+ Tons Miscellaneous Fuel Tanks Boilers Above Ground 0-3 Tons Underground 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 arises out of the reliance �tnCity, including its officers and employees, upon the accuracy of the information supplied to the City as a part of this application. l Owner/Agent: i Date: a x - <s 3C7 ri t fi t; way Siot.ti..Li F,eue'f"a l way. "rats) 9t,lo ,"I 6-61-4000 13t11.Is:t:l.wl Tnspectiotl .4140 (4)1* E E.:.: 2 1C" 9 `.-3 '-o'j(a H 1 (-� I PROJECT T ES(P.I FS Q0N:, RES ADDITION ADDING 400 SOf I LIVING SPACE W/ASSOC PLUMBING AND WOODSTOVE. T� OWNER tONfRACfOR KRIS SYM(INc OWNER IS CONTRACTOR 1109 S 3OOTN { f DERAL WAY WA 18003 Mi.^..sl A:f S...A.o'::':S'li'�ad?&34 #:A9#..'kSTn.i'. =......FTBJI`CY9•....iSA:.',Sli'r.:t..;AY. %...::.ICY C'R 4:?t'S.-: ...'.. ,.. ,iY41. Y,,;Aa.:-Y.Rw..+.'.i.S±ID'.C.!q... .....�: I)ERMIT NO: 13LD96--U429 1:1./20/96 By : v c LENDER ..Al -1f t .;.Y!': Y;'.;;90.:.14 ti:C%L"'.. T -:,;s 5k... t... ..�.:ra Y;fa:ar alratX.. i:'liF.:1' .'. v',t.-•_L.» h.S AY._.`='.:A. .. ,t.'.:•.I * x C#N1RACT , p..TXG SALLS TAX TO DROJECIS V111111 If CITY Of 11DERAL NAY. 16X RAlt = W.it sts gcn:raw• xa�e:T m;;^;uca+R�ssan^tzsnzut rrr :r.-...:...5�:. �xn':c .ash ..nt- iii z .. => � ae�A�xw zs.....ay rx tt'u.aaex^xmsaaaytrscin!eccdlranAspaw�es:anmr+msaazh+a-rsrs»r:amrnmrz¢ea^:rarmtc.^:ut zxm�.mvrpa:nraet�;��asaYratnaeae. a..a c.r.. s.. ...mr. xt-_ r.. s.'.. ... ,:-^.::� 6 � BLD?:X MEC?:X PLN?:K fLP -ExI ►ROP--- P PLAN..,.». ... :SFHD fEES: ' TYPE Of WORK:ADD USE:RFS 1ST 400:s ... �tti�b IRED PARKING..: z SPRINY4LRS? :' PLAN (HECK EEE S 175.48 CENSUS CAIEGORY..... :434LND O.5 GHi® BUILDING PERMIT.... S 13.52 OC.CUPAKY UA REQUIR � I1? PLL41BING FIXT,...93t S 35.00 ST �.'r N RGE..... S 4.50 TYPE Of CONSTRUCTION �: P. a:AfER SER :fED KAFEE $ 90.55 � :SH :? ....... S.00:ft SEWER SERVICE..:fFb j i BUIID1NaPtitillT.... S 13.48 � O"CUPANT tOAD---- _ __... 95 r 2: 0: 0: 0 f0 0 0 f " IMPER+ SURfACI': O yT SENSITIVE ARCA.-:11 ■ E "•';`tCI:5l.t1:..lAGrati3C SSS.Aneuir�i:�w:asar,LaaacSt:ama;::fxYnst .n 3�'•r. F'6Y:teu>Que•ry`�: NSae9l+":na:mcmarfaM'af.; excYaw u.7..Mle¢'Aa�:•eeo3.-smatsta.'-d xea:6e:;arAnitm.x«xC:-.e.�''ttxmaY retA;sr. *s.n `9.xtan;:dsi�. ts.i��'.:a..a3:.zsaa..":-i fUEI TYPES.:GAS WOD TAMS ° : � SOILERS/0MPRESSORS WATFR CLOSETS ....: I URINALS ........ : 0 TOTAL iEt S 278.43 PIPING.: O It HOOD........... 0 0-3 HP....... 0 OATH TUBS.. ....... I DRINKING fOUNT.: 0 0 1AKT WORK...... 0 3-15 HT'...... 0 SHOWERS ............. 1 SUMPS- ......... 0 ,AS HNT....; 0 WOOD STOVES 1 15-30 IIP...,: O LAVATORIES— ...... : 2 VAC BREAKEftS.>.: 0 CONY BUFNEP: 0 fUPN>IOOK.....: 0 30-50 HP....: 0 SINKS ................ 0 DRAINS,.....,...: 0 { 884........ 0 "IS(..........: 0 5t HP..... .: 0 DISH WASHERS ......: 0 LAWN`AV41 RS: 0 j GAS DRYER.,: 0 AIR HANDLING UNITS FUEL TANKS-- --------- ELL( WiR HEAIERSS... : 0 OTNf '*RES.: 0 you ......: U .:10,000 CfM: 0 ABOVE GROUND: 0 LHON WSHR OUILIS...: 0 �A5 LOGS O 110.000 (FM 0 UNDERGROUND.: 0 Ivw..]a.,.aaR••, Y-.,,:.. _.:„'<,..F,v..::A...n.:..:...'YJ:.s..a..wz.......abl,ath.s :..., .., .1._. ....t.._.x.Ara,...e:santn.._.;krsnutaa.AxVYn mp. ', e.,. ...t .t.,.e...'sr..:a,..aae:r...,i.M....xr;m.it:e;z'J[ae.K..,r,..c-.,axw.t,e;K......sae4¢7a+arz..t.,a:.m^._....v:.sAar bi„rt..,,....;'.s„.a»'l.x.xa ..h v.:..'.x._...s y.. ,.. ... .... .. PERMITS LXPIRI 190 DAYS AFTER ISSNWL TT NO NORI IS STARTED. RESIKNIIAL AND GRADING PERMITS EXPIRE AR YEAR Atm PAT,* E. I CERTIt'f THAT TRE twomfl NI t1RN15HLD HY NT: IS TRUt ANO CORRECT TU IDE DESf CTI HY KOWFO AND TNT: APP1.I081E CITY t %t WAY RLOU12EMtMTS Wtit bt HUI. lHNfR t)R iaGLL1T �� : ,�• LwiL FIELD COPY e SMACKS...&TOOTINGS CDO193 Date By .............. ........... FOUNDATION WELLS'.., Date By ...................... ........................... .................. ............................. PLUMBING GjkOUMOMRK Date By 7- ..................... ..................... LINPERF L,OO:R,..:FRA,M.IN,G Date By SHEAR 11 ......5 .... Date By ............ ............ -- ... ........... ................ PLUM BINS:AOUGHWIM..:..:. Date By 7 .......... ............... .......... ............ ........... GAS PIPING ............ .......... Date By ................ .... .... ...... ..... ..... MECHANICAL Rr ... u.G.". IN., 1.11, - .... - ...... Date -zt By MECHANICAL (OTHER). Date By ............... ..... . .......... �FRAMING .... . . ... .. . Date 7jllN SU SU LATIrON:. T Date 7 7wB - 1ST LAYER Date By f GWB,w 2N r D LAYER Date By SUSPENDED CEILING Date By r r r r r rr .............. PLANNING FINAL Date By .......... ........ 1 -.1-1.11 .. ................... .......... .... ..... ................... ......... . — .......... — ........ FINAL . Date By 7 -r . . . ..... ......... .. ::r:FINAL FIRE Date By .......... ............ rr .......... .... .. . ............. BUILDING:rFINAL . .... . Date BY . . . . . . . . . . . . . . . . OTHER.9 . . . . Date By 7OTHER Date By CDO193