97-1043289-2,10 �S
CITY OF FEDERAL_ WAY PERMIT NO: BLD97-0700
33530 F i r -s t Way South �::;3 H .) .1'.'. N.„ ,,,. ,il,,,,,� .,,LIN: ��,,ii I�,,;w,li il,,,,.W II;;;;;,. �,,.,,,� 11`- �� :.,It,. '11",. ISSUED. 12/02/97
Feder -al Way, WFC 98003 Bu:i _L di 9' [1-)s'E��ct i.on F?�,al, ]ests 25 , 661-4140 :BY: FC2
253--661-4000 EXPIRES: 0.5/31./9£3
ADDRESS:33319 41ST AVE SW
NO.: 327900-0150
PROTECT DESCRIPTION PERMIT TO FINAL BOTH PREVIOUS PERMITS
= OWNER _______________ _ ____ _________ __________:____-_; . CONTRACTOR
BARRY+PAT HORNBY$ OWNER IS CONTRACTOR
E 33319 41ST AVE SW
FEDERAL WAY WA 98023
a
°-7183
*** NONE
LENDER
Its CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE : 8.61 Its
BLD?:X MEC?:X PLM?:?
TYPE OF WORK:ALT USE:RES
CENSUS CATEGORY .,...:999
OCCUPANCY GROUP ----------
:?
TYPE OF CONSTRUCTION-----
,,
OCCUPANT LOAD ------------
0: 0: 0: 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
TOTL:
0:
O:Sf
DWELLING UNITS: 0
STORIES....,.... 0
HEIGHT.,...: 0.00 ft
VALUATION ----------
EXIST„$: 0
PROP -3: 0
RECEIVED.:12/02/97
COMP PLAN......,..:?
REQUIRED PARKING,.: 0 SPRINKLERS"......:?
HAZARD CLASS...:?
REQUIRED SETBACKS------- FIRE FLOW....: 0 gpm
FRONT......,... 0.00 ft
SIDE...,,.,...: 0.00 ft WATER SERVICE..:?
REAR..........: O,OO:ft SEWER SERVICE..:?
IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
a== ___::_==ea=_===n _:===-==M.c=.=xec===c==.=s ccc=❑=a:===c=cce=:::=: x: ec= =s
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE IPffl lATION FURNISHED 1Y ME IS TRUE A#r[C
OWNER OR AGENT
-----------------------------------
FEES:
BUILDING PERMIT....* $ 100,00
SBCC SURCHARGE....,* $ 4.50
TOTAL FEES $ 104.50
RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
ECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL MAY REQUIREMENTS WILL BE NET.
------------------ DATE 1.. __--�
FILE COPY
FUEL TYPES.:?
?
FANS........,.:
0
BOILERS/COMPRESSORS
WATER CLOSETS......:
0
URINALS........;
0
WPIPING.:
0 ft
HOOD..........:
0
0-3 TON.,...:
0
BATH TUBS..........:
0
DRINKING FOUNT.:
0
<100C.:
0
DUCT WORK....,.
0
3-15 TON.....
O
SHOWERS .............
0
SUMPS...........
O
$ GAS HWT....:
0
WOOD STOVES...:
0
15-30 TON...;
0
LAVATORIES.......,,:
0
VAC BREAKERS...:
0
CONY BURNER:
0
FURN>lOOK.....:
0
30-50 TON...:
0
SINKS ..............:
0
DRAINS..,......:
0
BBQ........:
0
MISC......,...:
0
50+ TON.....:
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
a== ___::_==ea=_===n _:===-==M.c=.=xec===c==.=s ccc=❑=a:===c=cce=:::=: x: ec= =s
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE IPffl lATION FURNISHED 1Y ME IS TRUE A#r[C
OWNER OR AGENT
-----------------------------------
FEES:
BUILDING PERMIT....* $ 100,00
SBCC SURCHARGE....,* $ 4.50
TOTAL FEES $ 104.50
RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
ECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL MAY REQUIREMENTS WILL BE NET.
------------------ DATE 1.. __--�
FILE COPY
CUY OF f, -
e- DUILDING DIVISION MIN
33530 First Way South"
RECEIVED Federal Way, WA 98003
W*4 FAY
(253) 661-4000
PRINT
Tenant (if known)
Building Owner's Name
DEC 0 2 1997 Fax (253) 661-4129
0f1 -y OF FEDERAL WAY
APPLICATION FOR 13TAbNG PERMIT
APPLICATION # LD5 3 1110 300
Address
Nature of Work AZi V14LQ 1114
Lot #
Addres!�, Si -
State Zio n-n.112—
Assessor's Tax #
S
Lt--)
2/11 -
Name (F,M,L)
Address
City
State
Zip
Contact Person
Day Phone
Other Phone
Fax
. .. ..... ..
T
Company Name 0
Address
Address
City
State
Zip
Contact Person
Phone
Fax
Contractor's # (card must be presented)
Expiration Date
Verified 0 Yes 0 No
Name
Address
City
State
zi.
Contact Person
Phone
Fax
LEGAL DESCRIPTION
Please Co=lete Revere Side
Name I Address
Zi
Contractor Name
Address
xistin 9 Use
State
Proposed osed Use
Contact
r Permit includes:
Fax
Building
❑ Plumbing
❑ Mechanical
❑ Other
Type of Work:
Residential
❑ New"
Remodel
❑ Number of Units
❑ Deck
Fuel Tanks
❑ Commercial
❑ Addition
❑ Gara e
❑ Shed
❑ Other
Enter 1st Floor
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 fl
Water Availability
Sewer Availabilit
On -Site Septic System Availability ❑
Project Valuation
$
Zonina
I Lot Size
Existing Bldg Valuation
$
Name I Address
Zi
Contractor Name
Address
City
State
Zi
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
Contractor Name
� C ),4
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
I Washing Machine
1 Drains FTMOAtiture Count
....>
FEARNIC ; 71�i.:T: t U#uT..............
> >
MECHANICAL EVALUATION ONLY $
Fuel Type (electric/other)
Gas DrVer
Air Handling < = 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 Grour
Conv Burner
Duct Work
0-3 Tons
Underground
BBQ's
Wood Stoves
3-15 Tons
Total;Unrt Coti'lt
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 of the city, inch4ing its officers and employees, upon the accuracy of the information supplied to the city as a part of this application.
Owner/Agent: / \ Date: / f� ,0,_2 _ 7
Bu-mc.Aw
RE—E. 8/28/97
Wly Or'FF4PAL WAY
33-cA0 F i, r -s- f Way �'outh
F,'# -%de ral W�ay, WA 98003
2453
BU 1 L D I NG
PERMIT
Poqtjests- -411,0
41 J 6VE `;W -- -----
NO. . '32 7900 -01,50
f+OJECT Lal' S('Rf PTIONPERNII TO FINAL BON PREVIOUS PERMITS
OWNER ............................ . .. . ..
......... (OHIRA(TOR . .
.... -AENDER
BARRY4PAT Hop"By OWNER IS CONTRA(TOR t4t
33319 41ST AVE SW
FEDERAL WAY WA 98023
103 m "HL m
f)ERMI T NO:
T 1"; S (� IE 1) '.
BY:
1, X 1) 1. R E!3%. -
HIL097-0/00
of commoits–not womot,, "tit , WE , 1,0*,ax SALES 19 ft* ?#0JL(fS MlINfN TK CITY Of f[KNAL NAY. TAX RATE 7 BA tst
OLD?:Y K(?:X PLM?:? FLR --EXIST, -PROP-- - DW @MIP PLAN.........:?
TYPE Of wRK:AtT USI:RES ST... O:sf Zi STOM3, o*WREb PARKING..: 0 SPRINKLERS?......:?
CENSUS tATIGORY.....:999 2ND.: 0 s voll" HT
-
OCCUPANCY GROUP- - - - 3914-t,, "i T v 11111,M)"T
-Sf
ON f
?
""t C
4 Pro-, ............. 4. 00 ff WATER SERVIff.
TYPE Of (OflSJRU(TIO#----- 8*�.
t
:? :?REA ........ 0.00:ft SEWER SERVICE...
OCCUPANT LOAD----. ---------
Th, 0 sf SENSITIVE AREAS?.:?
0: TO
0: 0: INPERV SURFACE:
kIltDING PERMIT.—t 100.09
SKC 4.50
FUEL TYPES.:?
?
fARS...
BOILERS/(OffISS"S
WATER CLOSETS......:
0
QRINALS. ....... :
0
TOTAL.FEES '04.A
PIPING.:
0 ft
HOOD...**
0
0-3 TON......
0
BATH TUBS...........
0
DRINKING FOUNT.:
0
ffloor...:
0
DUCT WORK......
0
3-15 TOM.....
0
SHOWERS ............
0
Sows. ......... :
0
GAS "wT_.-
0
WOOD SfOVLS...
(J
15-30 TON_:
0
LAVAIORIES .........
0
VAC BREAKERS...:
0
CORV BURNER.
0
FURN100k.....:
0
30-50
0
SINKS ..............
0
DRAINS.........:
0
B ........ :
BQ
0
MIS('
0
�0+ TON
DISH WASHERS........
0
LAWN SPRINKLERS:
0
GAS DRYER..:
A
AIR HANDLINt UNITS
FUEL TANKS ---------
ELE( WTR HEATERS...:
0
OTHER FIXTURES.:
0
RANGE..,...:
0
<10,000 (f":
0
AF wt Gkoow
o
toN WSHR OOTITS ...
0
GAS LOGS. .:
0 10,000 (F": 0
UNKRGROUND.:
0
hulls EXPIAL 190 Mrs Art[# ISMWE if No wK is stivile. 1610tvIlAt. An QUAG Priolls Explif (mf YtA# AE IER DATE or ISSINNICE.
I (fillry Iml TIL 1'"118111 IFURVISNED ME Is TRUE 17 ECT to Tiff. lks] Of MY Kik*L114.1 AND Ifil, APPLICABLE CITY Of FEDERAL.MAY REQUIRMNIS Vitt Of NIT.
OWNER OR AGEHI DAlt
FIELD COPY
CDO193 (Rev 4/97)