97-101099CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
Building Inspection Requests 661-4140
ADDRESS:27755 23RD AVE S
NO.: 757561--0300
PROJECT DESCRIPTION :RES ADDITION - ADDITION OF INSULATION FOR NOISE REMEDY PROGRAM.
- OWNER ________________________________________________ ___= CONTRACTOR
WILLIAM HESSLER S K M CONSTRUCTION INC
27755 23RD AVE S 14415 SE 143RD PL
FEDERAL WAY WA 98003 RENTON WA 98059
0-6729 369-0139
SMECOI*052L3
LENDER
PERMIT NO: BLD97-0190
ISSUED: 04/03/97
BY: FC2
EXPIRES: 09/30/97
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE : 8.2% ***
-------------- _
BLD?:X NEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN.........:? FEES: I
TYPE OF WORK:ALT USE:RES 1ST.: 0: O:sf STORIES........: 0 REQUIRED PARKING..: 0 SPRINKLERS?......:? BUILDING PERMIT .... # $ 60.00
CENSUS CATEGORY ..... :434 2ND.: 0: O:sf HEIGHT.....: 0.00 ft HAIARD CLASS...:? SBCC SURCHARGE.....* $ 4.50
OCCUPANCY GROUP---------- 3RD.: 0: O:sf VALUATION---------- REQUIRED SETBACKS------- FIRE FLOW....: 0 9P11 PLAN CHECK FEE $ 42.00
:R3 :? :? :? OTHR: 0: O:sf EXIST..$: 0 FRONT.......... 0.00 ft
TYPE OF CONSTRUCTION----- BSMT: 0: O:sf PROP ...$: 6825 SIDE..........: 0.00 ft WATER SERVICE..:?
:5N :? :? :? DECK: 0: O:sf REAR........... O.00:ft SEWER SERVICE..:?
OCCUPANT LOAD------------ GAR.: 0: O:sf RECEIVED.:03/31/97
0: 0: 0: 0: TOTL: 0: O:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS. i
FUEL TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS WATER CLOSETS......: 0 URINALS........: 0 TOTAL FEES $ 106.50
9IPIPING.: 0 ft HOOD........... O 0-3 HP....... 0 BATH TUBS........... 0 DRINKING FOUNT.: 0
RN<100K... 0 DUCT WORK...... 0 3-15 HP...... 0 SHOWERS ............. 0 SUMPS........... 0
GAS HWT....: 0 WOOD STOVES...: 0 15-30 HP....: 0 LAVATORIES.........: 0 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K...... 0 30-50 HP..... 0 SINKS ............... 0 DRAINS.........: 0 j
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 LAUN WSHR 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 INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE NET.
OWNER OR AGENT 1 :tom �1 ! ' - -------------------------------------- DATE A=_ -amu--------
FILE COPY
PLEASE PR/NT
yAR3
• 0
vi- i-EUiEHAL WAY
g" ILDILICATION FOR BUILDING PERMIT
BUILDING DIVISION
33530 First Way Souti;
Federal Way, WA 98003
(206) 661-4000
Fax(206)661-4129c
1, j hip'? it :n i ,
..�.....................:.............:..�:::::.�:::::::
Address
..r r "11A r Ivim x 1,/1-1/ I (L.
��
27;55 23rd Ave. S.
Tenant (if known)
N/A
City Renton
Lot #
30
Zip 98059
Assessor's Tax #
757561-0300-03
Building Owner's Name William & June
Nessler
Address 27755
23rd Ave. S.
city Federal Way State
WA
Zip 98003
lPhone 941 -6729
Nature of Work Port of Seattle
Noise Remedy Program
Expiration Date
Name (F,M,L)
SKM Construction, Inc.
Address
14415 SE 143rd P1.
City Renton
State WA
Zip 98059
Contact Person Sheila
Day Phone 369-0139
Other Phone
Fax
State WA
Zi p 980-57—
235-5569
235-5569
Company Name
Address
City
State
SKM Construction, Inc.
Contact Person
Address
14415 SE 143rd Pl.
City
Renton
State WA
Zi p 980-57—
Contact Person
Sheila K. Morrison
Phone 369-0139
Fax 235-5569
Contractor's # (card must be presented) SKMCOI * 0 5 2 L 3
Expiration Date
Verified ❑ Yes ❑ No
6/17/97
.:.::::..:.::::.::::.:::.:.::......:.::::::::::::.:::.:::
Name
N/A
Address
City
State
Zi
Contact Person
Phone
Fax
LEGAL DESCRIPTION
copy enclosed
Please Complete Reverse Side
Name
Address
I City I State I lin
:1Yt11'.4ri�ilit.�.;1�:`%�::::;%?:�:�>z:::,?�y:.i�:::::fir::?:i'�+.�:<::;::?;;%►>y�:::'::��::�?�:
Contractor Name
Existing Use
residential
Proposed Use
Zi
Permit includes:
Phone
IX Building
❑ Plumbing
❑ Mechanical
❑ Other
Type of Work:
❑ Residential
❑ Commercial
❑ New
❑ Addition
IX Remodel
❑ Garage
❑ Number of Units _
❑ Shed
❑ Deck
❑ Other
Enter 1st Floor
Area Basement
sq It
sq ft
2nd Floor
Decks
sq ft 3rd Floor sq ft
sq It Garage sq ft
Existing Floor Area
Proposed Total Area
sq ft
sq ft
Water Availability
❑ Sewer Availability
❑ On -Site Septic System Availability ❑
Pro'ect Valuation
$ 6,92
ZoningLot
3-15 Tons
Size
ExistingBldgValuation
$
Name
Address
I City I State I lin
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Contractor Name
Address
City
State
Zi
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
Contractor Name
Sinks
Urinals Lawn Sprinklers
I
FAddressCit
ZiContact
Fax
O'
Mae i ne
D
License # I
Expiration Date
Verified ❑ Yes ❑ No
::.;J.itit
Water Closets
Sinks
Urinals Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains Other
Showers
Electric Water Heaters
Sumps
Lavatories
Mae i ne
D
rfi>;i%u11»':`>>>>>€
»
MECHANICAL EVALUATION ONLY $
Fuel Type (electric/other)
Gas Drver
Air Handling < = 10,000 CFM
15-30 Tons
Length of Gas Piping r"
Range
Air Handling > = 10,000 CFM
30-50 Tons
Furn <100K BTUs
Gas LouUnit
Heater
50+ Tons
Furn > 100 BTUs
Fans
Miscellaneous
Fuel Tanks
Gas Hwt
Hood
Boilers
Above Ground
Conv Burner
Duct Work
0-3 Tons
Under round
BBO's
Wood Stoves
3-15 Tons
Vi'i't f 4ln r"G ii t
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 tiled against the City of Federal Way, but only
where such claim arises out ofthe reliance ofthe city, including its officers and employees, upon the accuracy ofthe information supplied to the city as a part ofthis application.
Owner/Agent: MIN A Date: -1-3�hq
Oaxm .Ar
Rc,— 12111M
T1'y OF f I" L) L. 1 t
,71,35.90 Firc0-. Way
Federal Way, Wo
661 - 4 000
f-)1 )RLS" -:27755 231` L) OVL,
NO.: 157561-0300
PROJEC r DE'�-,C-RIPT J-,CADDITION - ADDITION Of
OWNER
WILLIAM HESSLER
427755 23911 AVE S
FFDIRAL WAY OA 98003
*I
D1.1 H(
19,r
PERMI I
1 -411 c.
INSULATION FOR NOISE REMEDY PROGRAM
CONTRACTOR LENDER
S K "CONSTRUCTION INC
14415 St 143RD Pt
RENTON WA 980$9
Pf-'.RMIT NO: BLD97 -01110
By:
SALES TAX FOR PROJECTS VIINII THE CITY Of FEDERAL NAY. TAX RATE = 8.2% us
fi 4.50
4 2. 00
$ 106'so
PERMITS EXPIRE 180 DAYS AFTER ISWKE If NO PORK IS STARTED. RtSIKKIIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
1 CERTIFY INAT THE INFORMATION FMIiK# BY N1 is IRK AND (ORRICI TO THE DEST Of K K",FK1 AND 101 APPLICAlff (11Y Of FEDERAL WAY t"IMIRIM-N(S VItI. Ff "r!
OWNER OR ACENI
PAT,
571, �t*_Z
Adilk
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Date
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FOUNDATION 1NAU.S
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Date
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I�LUMRING GROt1NQWORI�
Date.
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UNDERF1OOR FRAMING
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Date
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SH. EAR WALLS
Date
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PLUMSING >ROUGf,IN
Date
By
GAS PIPING
Date
By
MECHANICAL ROUGH -IN'
Date
By
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MECHANICAL (OTHER)
Date
By
FRAMING
Date
By
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INSULATION
`
Date
By
bWB - 1ST YER
Date
By
GWB - 2ND LAYER,
Date
By
SUSPENDED CEILING
Date
By
7PLAN
::FINAL
Date
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ENGINEERING FINAL
Date
By
FIRE FINAL'
Date
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BIJII DING;: INAL; ,
Date
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71
OTHER
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Date
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