97-100065CITY OF' FEDERAL_ WAYPERMIT NO: BLD97-0003
33530 F i r -s t Way South „�«.rFM,.,dN . ,� �,.,.,...�..,u „•�, � �''� �,:;:I �°�tl !G .: R '9: � �i,�� .. �.. I..,. 1 S S U L D: 01/27/97
Fede -'a7. Way, WA 98003 Suildi rig, Ir)spection FRequec:ts, 661-414L) BY: FC2
661-4000 00 EXPIFRES: 07/26/97
ATJDRESS:417 SW 35: RI) S f
NO.: 066231.-0410
FIRC.I,TE,CT DESCRIPTION -NSF W/PLUMBING & MECHANICAL. ***REVIEWED AS BASIC #95-1012-V94***
BELLACARINO WOODS, DIV. 2, LOT #41.
;= OWNER CONTRACTOR -_.. _-___� •-w:::=:-=-=r====-._
CARY LANG CONSTRUCTION CARY LANG CONSTRUCTION INC
34815 PACIFIC HWY S, #A-206 30117 17TH AVE SW
FEDERAL WAY WA 98003 FEDERAL WAY WA 98023
661-6880 t 661-6880 993-1531(PGR)
CARYLCI101OF
LENDER ===
WASHINGTON
Ss: CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL
BLD?:X MEC?:X PLM?:X
TYPE OF WORK:NEW USE:RES
CENSUS CAIEGORY..... :101
OCCUPANCY GROUP ----------
:R3 :U1 :? :?
TYPE OF CONSTRUCTION-----
FLR--EXIST--PROP---
1ST.:
0:
1416:sf
2ND.:
O.
1229:sf
3RD,.:
0:
O:sf
OTHR:
0:
O:sf
BSMT:
0:
O:sf
DWELLP.11a UNITS: 1
STORIES...,.,.,: 2
HEIGHT ..... - 0.00 ft
VALUATION------ ---
EXIST..$: 0
PROP... $: 192597
:5N :5N :? :? DECK: 0: O:sf
OCCUPANT LOAD------------ _ GAR.: 0: 659:sf RECEIVED,:01/06/97
{ 0: 0: 0: 0: TOIL: 0: -204:sf
i
TYPES.:GAS FANS..........: 5
PIPING.: 48 ft HOOD..........: 1
FURN<10OK..:
1 DUCT WORK.....: 1
�. GAS HWT... .:
1 WOOD STOVES...: 0
CONV BURNER:
0 FURN>100K.....: 0
BBQ.........
0 MISC........... 0
GAS DRYER-:
0 AIR HANDLING UNITS
RANGE......:
0 <:10,000 CFM: 0
GAS LOGS...:
1 > 10,000 CFM: 0
1
SUMPS...........
COMP PLAN ...... .•.:URBA
REQUIRED PARKING .: 0 SPRINKLERS?- ....:?
HAZARD CUSS....?
REQUIRED >SETBACKS-- ---- FIRE FLOW....: 0 qpm
FRONT.......... 20.00 ft
SIDE..........: 5.00 ft WATER SERVICE,.:FED
REAR,.,.......: 5.00:ft SEWER SERVICE,.:FED
IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
--_--- _....._._=__.__-.,__,..._ ___...__._____...._==-_.._-__=
MUTUAL
y
WAY. TAX RATE : 8.2% M
BOILERS/COMPRESSORS
WATER CLOSETS......;
3
URINALS........:
0
0-3 HP......:
0
BATH TUBS.........,:
2
DRINKING FOUN1.:
0
3-15 HP......
0
} SHOWERS--- ......
1
SUMPS...........
0
15-30 HP....:
0
? LAVATORIES.........:
5
VAC BREAKERS...:
0
30-50 HP....:
0
s SINKS ..............:
1
DRAINS.........:
0
5+ HP.......:
0
DISH WASHERS...,...:
1
LAWN SPRINKLERS:
0
FUEL TANKS---------
€ ELEC WTR HEATERS...:
0
OTHER FIXTURES.:
0
ABOVE GROUND:
0
LAUN WSHR OUTLTS...:
1
UNDERGROUND.:
0
v
FEES:
PLAN CHECK FEE $ 100.00
BUILDING PERMIT,...* $ 965.00
Mechanical Permit, $ 63.00
PLUMBING FIXT.... 93* $ 98.00
PUB WKS PLCK(SF)..93 $ 40,00
SCH IMPACT (SFR) $ 1707.00
SBCC SURCHARGE..... $ 4.50
y
TOTAL FEES $ 2977.50
i
a
e
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER SIE OF ISSUANCE.
I CERTIFY THAI THE INFORMATION FURNISHED BY MEJS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL MAY REQUIREMENTS WILL BE MET
OWNER OR AGENT (!.,. .. _ DATE
FILE COPY
I
i
T,1-1 iLo
�;l W16-
"I OI — �� I � � BUILDING DIVISION
CffyCWjG 33530 Fust Way Soutb
EDEI-— Federal Way, WA 98003
(206) 6614000
Fax (206) 661-4129c
Tenant (if known) Lot # / Assessor's Tax #
Building Owner's Name Address
Cit ,, A)tate Zi 5� U Phone [J�!'�
Nature of Work �
Name (F,M,L)
Address
City
State
Zi
Contact Person
Day Phone
Other Phone
Fax
.............................
Company Name
i
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 y� /,� jG/, ' ,, fir �`, v z9v-5 Lo
�,
Please Complete Reverse Side
Contractor Name �p
Address
ExistingUse
State
F!Rf posed Use
P
Contact
Permit includes
Fax
❑ Building
❑ Plumbing
❑ Mechanical
❑ Other
Type of Work:
Residential
E�I- New
❑ Remodel
❑ Number of Units _
❑ Deck
Fuel Tanks
❑ Commercial
❑ Addition
❑ Garage
❑ Shed
❑ Other
Enter 1 st Floor ' 1;� sq ft
2nd Floor f z `/
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
Sewer Availabilit
On -Site Septic System Availability ❑
Project Valuation
$
7nninn
I Lot Size
%n Ls rnn • f)A
Existing Bldg Valuation
5
Contractor Name �p
Address
City
State
Zi
Contact
Phone
jVerified
Fax
License #
Expiration Date
❑ Yes ❑ No
Contractor Name
Address
City
State
Zi
Contact
Phone
Fax
License #
Ex iration Date
Verified ❑ Yes ❑ No
R." A MM
Water Closets J
Sinks
Urinals Lawn Sprinklers
Bathtubs
Dish Washers l
Drinking Fountains Other
Showers
Electric Water Heaters
Sumps
Lavatories S
Washing Machine
Drains
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 of this application.
T
Owner/Agent: LAI Date:
B -Mo .Aw
REED 12/11/98
r^
EVALUAT O ONLY $ 5 7 Ci
MECHANICAL EVALUATION CJ
ANI AL �v
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
Gas Log
Unit Heater
50+ Tons
Furn > 100 BTUs
Fans 5
Miscellaneous
Fuel Tanks
Gas Hwt
Hood
Boilers
Above Ground
Conv Burner
Duct Work /
0-3 Tons
Under round
RRn'1;
Wood Stoves
3-15 Tons
"1'ptal air `'i>'`>
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 of this application.
T
Owner/Agent: LAI Date:
B -Mo .Aw
REED 12/11/98
k
01 (-z5/ 7
t)0I)RE 41 ? ".iW „I5iftl) !
NO. I'i�`? ~l`i .
)6 (143 0
r1lio,'Tf�c- F m,xrf 1.I, r i oto : NSF W1PI.t, BIWG & MECHAf11(Al. MMICt 0 AIS P€3SII� 1r'1', !'.I _ � �cv�Sdo� s_ I f�� �cr-)<-
BELLACARINO WOODS. DIV. '", 1.01 141.
y
OWNER fOHi►TACTOR LLHD£P ..
CARY LANG CONS1RUCHON CAVY LANG COHSTRtfMON INS: WASHIHUI4H M;1ftl:;t 1
14615 PA(IfIC MWY S, IIA -206 3011? 111H AVE SW
I&ERAL WAY WA 38003 [ f F.wv WAY WA 96023
f a
ott f�iMlRttTt 1'.A f t ' SALES fAX [Lit MJfCfS WIt(tfI# fff QIY Of ffGLRfI MAY. FAX RATE ' fIA 141
m: warrou ._.s .: .x. .ar.. .. ,..._ a.:�: .. z. :a �����a a� ��, "� .. .. .._. ... ...,c,., ...a, ...». .. .._ ...�. a._,.aar n... ..., r ..•, ,.. sr ,. rr •:: _..,.. •. . . ... .,n.x _r,.M.:, c ,. ,._.. ,.. c..
BiD`.':it MIC;':Y PITT`.': rlf Ct tip �� ds . �.m PLAN.... 1
�:1F�BA f LES:
��` N��tRli Vr �r��' _ PLAN CNE(I. ILL 100,Ot1
)
TYPE Of WORK:HF.W USt:RLS Ill T"1 �{..
101" f Gf� �.•
CENSUS CATEGORY'... fi _� IAt "< �� f;IfILD1HG PLRMI f .... 965.00
OCCUPA 'Y CROUP _. _ 0 0 54ZAK J1A
L IRC �I Pwrit 63.00
3 11 . , � � r0f .. FIXT..., 31 $ gB.D�I
I PE 01 (ONSTR►CTIOH-- ��4 � � k P M'1 5,r It WATER SLRVItE..:F£D rf�B MKS PLCKISf).4;3 4 40.00
t x 95
M.
AR,....... 5.00:ft SCW£f? SIItVICL..:C[D SCH IMPA(T (t.fRl 170t,t31!
UfCIJGAHI LOAD _,._.____ GA sm.MARG£.....+ i 4,50
q; U: 0: 0: 1011 .' IMPERV SURFACE: 0 st StHS11IV£ ARLAS".:"?
,m,: ... G.: :,_ .. .. .....:. .... ;z.,� ,..,. .. .._zc aa...:x.. o..r ..y.,..,. a..:..x.:u: .t. .o.ra: ... ,..xs_. xws..�mcu .x�. r:: a...... n..xxxs�a •a ... .v a.�m... nrx
L TYPES.:t;AS FANS..,. 5 B0ILERSJ0JMPRES;ORS WATER CLOSETS....... 3 URINALS......... 0 IffAt f'EE 24??.50 3
GAS PIPING. 48 ft HOOD.... 1 0-3 HP....... 0� BAATH TUBS..........: '2 MOM fOUHT.: 0
FURNtI00K... 1 DU('T WORK....., 1 3-15 HG,...,. 11 SHOWERS.... ...... 1 SUMPS..........: 0
GAS HWT..... 1 WOOD SlIMS'.... 0 15-30 HP..... 0 LAV'ATORI£,S ' ....... i VAC UP(AK£RS...: 0
r
COHV BURHER: U FUP,H>100K 0 30 50 IFP....: 0' SINK;....: i MAINS.........: 0
BBO......... ) MIS(........... 0 5+ HP........ 0 DISH WASHERS...... . LAWH'SPRIHKL RS: 0
6A5 DRYER.,: 0 AIP HANDLING UNITS FUEL TANKS- fLEC SIR HLAI£RS.:'OTHER rIKTU#f£S.: to
RANGE......: 0 "10,000 CFM: 0 ABOVE GROUND: 0 LAUN r5HP OUTLI�i....- I �
GAS LMS 1 10,000 +FM 0UHDLRGBQUWU 0
�N-'�.. en,v .F..:.1.s n -... ^..> .^e[ ... .n^. _ ..a.':'r. :• .*._,-,�,. A.... � ;;s-"� k¢ ..-x..F m. .., ^Y.kS. .r.....r .. .. ._ .. .c . A... .c_ ._. .,. _ _.. .. ..
1iRMITS apiRf 160 wr, af£R Isgucuil,own i5 Sfil up. Rlsionlim. maholm t'to ..Y 01'af OHt. n"'Of Alm 'mif of I Si"t.
I C£RlffY MAI IM 11foRmllov tt.emsmix NY ifI js mul An C{lai to ft1 TIL V' a tit 'NY ww tlm AND tut AtPI.lurl%f (1Y 01 ft:.011:AL RAY ifL01IRLM-MIS WILL M. MtT.
FIELD DOPY
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