97-103599CITY OF FEDERAL.
33530 First Way
Federal Way, WA
253-661-4000
WAYPERMIT NO:
S o u t {'t ,. ,� .,, . ,,,,, .,�,„,.h .,�.,. ”' �,;;"li ; ;.. u't , �'ws ., i,,. ISSUED:
9-2003 Building Inspection Requests 25.a'-661-'4140 BY:
EXPIRES:
O DDRESS:29904 2ND AVE SW
NO.: 53.3730..-001.0
PROTECT DESCRI PT.T,.ON : REPLACE EXISITING DECK
= OWNER
E.E & MARY CHELGREN-
? 29904 2ND AVE SW
FEDERAL WAY WA 98023
-8603
CONTRACTOR
OWNER IS CONTRACTOR
LENDER
57-/()3 6-�5
BLD97-0583
09/24/97
FCL
03/23/93
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : BA ***
BLD?:X MEC?:? PLM?:?
TYPE OF WORK:ADD USE:RES
y CENSUS CATEGORY ..... :434
OCCUPANCY GROUP ----------
:? :? :? :?
TYPE OF CONSTRUCTION-----
:? :? :? :?
OCCUPANT LOAD ------------
: 0: 0: 0: 0:
EL TYPES.:? ?
PIPING.: 0 ft
RN<100K..: 0
GAS HWT,,..: 0
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 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
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
HE
0.00 ft
VALUATION ----------
0
EXIST.,$:
0
PROP...$:
500
RECEIVED.:09/24/97
BOILERS/COMPRESSORS
0-3 TON,....: 0
3-15 TON....: 0
15-30 TON...: 0
30-50 TON...: 0
50+ TON.....: 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
COMP PLAN.........:?
REQUIRED PARKING..: 0
REQUIRED SETBACKS -------
FRONT ......... : 0.00 ft
SIDE..........: 0.00 ft
REAR,.........: O.00:ft
SPRINKLERS?— ....:?
HAZARD CLASS..,:?
FIRE FLOW....: 0 gpm
WATER SERVICE..:?
SEWER SERVICE..:?
IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
WATER CLOSEIS......:
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: O
ELEC WTR HEATERS...:
0
OTHER FIXTURES.: 0
LAUN WSHR OUTLTS...:
0
FEES:
BUILDING PERMIT....
PLAN CHECK FEE
SBCC SURCHARGE....:
TOTAL FEES
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 MET.
OWNER OR AGEN
FILE COPY
DATE
$ 22.00
$ 14.30
$ 4.50
$ 40.80
arra G.
uV FAYIvv
BUILDING DIVISION 1,,l
33530 First Way South ,
Federal Way, WA 98003
(253) 661-4000
Fax (253)661-4129
SEP Z 4 1997
(AiYU'rF 1—h, A,LW
APPLICATION BPOIR SU- ILDING PERMIT
PLEASE PR/NT APPLICATION #
Address
�v
s7
Tenant (if known) Lot # Assessor's Tax #
Buil 'ng Owner's Name Address
cityState Zi %` J �-- Phone
(1" ' Nature of Work
Name (F,M,L)
Address
Address
State
Cit lri StateZi
�o L
Contact Person
V6
Day Phone Other Phone
—,o,,
Fax
/-�-5-.0',
ej!i
— J--
a I�
T..................::::::::.::
Company Name
1
Address
City
State
Zi
Contact Person
Phone
Fax
Contractor's # (card must be presented)
Expiration Date
Verified ❑ Yes ❑ No
...: F E i E :.::::::::,:::::: ..............::::::::::
Name
Address
City
State Zi
Contact Person
Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side 0
�►!. �Gr–` �.
Proposed Use iJ yyjf
Existing Use
Permit includes:
❑ Mechanical
❑ Building
Type of Work:
)ff Residential
❑ Commercial
❑ New
❑ Addition
Enter 1st Floor
Area Basement
sq ft
sq ft
2nd Floor
Decks
Water Availability
❑ Sewer Availability
❑ On -Site S
Zonina /1__
/___ e
Lot Size A --i
�►!. �Gr–` �.
Proposed Use iJ yyjf
City
❑ Plumbing
❑ Mechanical
R -Other
❑ Remodel
❑ Garage
❑ Number of Units /
❑ Shed
Deck
❑ Other
sq ft 3rd Floor sq ft
sq ft Garage sq ft
Existing Floor Area
Proposed Total Area
sq ft
sq ft
otic Svstem Availabilitv ❑
Proiect Valuation
$ r ..
Valuation $ Zoe Ods
Gam' i't'Yftgo•
............................................................................................
...........................................................................................
............................................................................................
...........................................................................................
............................................................................................
Contractor Name
Address
City
State
Zi
Contact
Phone
Fax
License #
I Expiration Date
Verified ❑ Yes ❑ No
...........................................................................................
............................................................................................
...........................................................................................
............................................................................................
...........................................................................................
Xx
Contractor Name
Address
City
State
Zi
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
Water Closets
Sinks
Urinals
Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains
Other
Showers
Electric Water Heaters
Sumps
Lavatories
Washinq Machine
Drains
T&al ixtuce:,._
...............................................................................
..
MECHANICAL EVAL ATION ONLY 5
CAL U
Fuel Type (electric/other)
Gas DrVer
Air Handlin < = 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
Ttstal;Unrt Coti'nt
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
attomeys' 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 of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part ofthis application.
Owner/Agents __�_ f— Date: 7�
Bunowc.Aw
Rewe. 8!28197
c ily 61- F-F'Pf-.PAL WAY
3-35qo First, way S'out:o
Ff?dernl Way, WA 9-800"'ll
253-661-4000
PERMIT NO: BLD97--0583
1�.S(JLD: 09/24/97
DU I LD IN t-` P L R 0 T
4 1, 4 BY: FC2
'/23/98
LXPIRFS: 0",
cz� (�_
I -
ADDRESS:29904 2ND AVF c�>W Mock -, "n
NO.: 513730--0010
PP.OJECf DESCftIPT.10t-I.PEPLACEEXISITIKDICK
OWNER
[.1 ' MARY (1111.010
29104 20D AVE SN
FEDERAL WAY WA 980413
CONTRACTOR LtND[P
OWNER IS CONTRACTOR
(QNlWTMK, FlIASE rl LKAl101(,,,0.K,t
BLD?:X hl(?:? PLN?:! f LR--EXISI --PROP--D4TT1�'TTSk +8'
-
TYPE OF WORf:ADD 0SE:91S ISI.: 0 s ST 9 0
CINS 2ND.E-,
US CAILGORY....,:434 0 s H0 1
4.00,
OCCUPANCY qfoup� V AT
L Al k"
TYPE Of COPSIRUCTION-
? ?
OCCUPANT LOAD— 949": QI 0;sf Rf(1fV1D.;0 "4141
SALES IAX to PMECIS 111ININ INE cily of flKPAL #At. IM RAI[ : 0.2% Us
OP PLAN.........:?
QVIRID PARKING..: 0
0.00 ft
SPRINKLERS?......:?
#4m," C=. - - :';",
IF"ll RE
0.0 ft WATER SERVIff.'.'"
0.00:ft SEWER StRVI(E..-?
FEES:
BUILDING PERMIT....
PLAN CHE4 FEE
SSC SUp('lHARf'1.'...*
1 4 U. F; 0
0: 0:
0: 0:
101-tt
"o""PERY Sop'FACF:
0 st
SENSITIVE NREAS?
:?
FUEL TYPEc.:?
?
FANS....
BOILERSAONPRESSOfS
WATER CLOSETS ......» :
0
URINALS ........
0
IMAL FEES
MPIPING.:
0 It
HOOD..... ..: 0
0-3 0
BAIN TUBS.,...,.....
0
PRINKING FOUNT.:
0
N 0 OOK. . :
0
W, I WORK .... 0
3 -IS TON..,., 0
SHOWERS .............
0
SUMPS..........:
0
GAS HWI__:
0
WOOD 0
15-30 too_: 0
LAVATORIES....,....,
.
0
_
VAf' SPEAKERS...,
0
(ONY BURNER:
0
FURN, lOOK. 0
30-50 TON.... 0
SINKS ..............
0
Dpp;I"S ......... :
0
BRO...
0
HIS(,..,. ... 0
504 0
DISH WASHERS........
0
Lhgh SPRINKLERS:
0
GAS DRYEI,.:
0
AIR HANDLING UNITS
FUEL IMS ----------
ELE( WTR HEATERS...:
0
OTNLR FIXTURES.:
0
RANGE,.....:
0
(Fm: 0
AbM GVOU�ND. p
LAUR WSHR 0111LIS ...
0
GAS LOGS.
0
10,000 CFO: 0
UNDERGROUND.: 0
..........
pt"lls IVINE
ISO YS N Ift
ISMIKE if No NOR Is
STARIED. RESIDENTIAL AND GRAPING PERMITS f0iff
OK
YEAR AFTER IlAff Or
ISSWW.
I COREY fffAl
THE INIONNABON
fURNISSED U NE IS T101 AND CORRECT TO TK K51 Of NY tg%IfKt AM' TOL APPLICABLE (Iff Of FLOUAL WAY RIQUIMENTS WILL 4 NET.
4WHER 09 AGENT
DATI
FIELD COPY
1 4 U. F; 0