97-102417' y7-iaar/7
CITY OF FEDERAL WAYPERMIT NO: BLD97-0399
33530 First Way South ;; N...,�.. m ......,�., . ���M;
0 •
BLW,DING DMSION
C"Yof G 33530 First Way South
�' E1�E1ZA1_ Federal Way, WA 98003
VV AY
(206) 6614000
Fax (206) 661-4129c
APPLICATION FOR BUILDING PERMIT
PLE.4SEPRINT APPLICATION # J Y)
Addres
s
Tenant (if known) Lot # Assessor's Tax #
Ronald & Donna Huebner 29 1757561-0290-05
Building Owner's Name Address
Ronald & Donna Huebner 27745 23rd Ave. S.
City Federal Way State WA Zip 98003 Phone 839-5654
Nature of Work Port of Seattle noise insulation program.
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
235-5569
Fax
235-5569
Company Name
Address
City
State
Zi
Contact Person
Phone
Fax
Contractor's # (card must be presented)
SKMCOI*052L3
Expiration Date
6/17/98
Verified ❑ Yes ❑ No
AM�k.::N`�.::..::..::::::.::::..:.::.:::.::::::::.:::::.::::::::::.
Name
Address
City
I State
I Zi
Contact Person
Phone
Fax
LEGAL DESCRIPTION
Please Complete Reverse Si
r�
Water Closets Sinks Urinals Lawn
Bathtubs Dish Washers Drinkin Fountains Other
Showers Electric Water Heaters Sumps
Lavatories
Washina Machine _ Drains 1fsi
Fuel Type (electric/other)
I Proposed Use
Exis i
❑ Mechanical
Permit includes:
❑ Numbor of Units 1
IN Building
❑ Plurnbinl
Type of Work:
❑ Residential
❑ New
IN Remodel
sq ft
❑ Commercial
❑ Addition
❑ Garage
Enter 1 st Floor
sq It
2nd Floor
sq ft 3rd Floor
Area Basement_
sq ft
Decks
sq ft Garage
Water Availability
❑ Sewor Availabilit
❑ On Site
Se tic System Availabi
Zoning
Lot Size
Water Closets Sinks Urinals Lawn
Bathtubs Dish Washers Drinkin Fountains Other
Showers Electric Water Heaters Sumps
Lavatories
Washina Machine _ Drains 1fsi
Fuel Type (electric/other)
I Proposed Use
Length of Gas Piping
❑ Mechanical
❑ Other
❑ Numbor of Units 1
❑ Deck
❑ Stied
❑ Other
sq ft Existing Floor Area
sq ft
sq ft Proposed Total Area
sq ft
❑ Project Valuation
$ 1 1, 562.0
Existing Bldg Valuation
$
Water Closets Sinks Urinals Lawn
Bathtubs Dish Washers Drinkin Fountains Other
Showers Electric Water Heaters Sumps
Lavatories
Washina Machine _ Drains 1fsi
Fuel Type (electric/other)
Gas Dryer
Length of Gas Piping
Range
Furn <100K BTUs
Gas Lo
Furn >11 00 BTUs
Fans
Gas Hwt
Hood
Conv Burner
Duct Work
BBQ's
Wood Stoves
MECHANICAL EVALUATION 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
TofaC fnit•>.CAiffit:::
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 ant 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 infomlation supplied to the city as a part of this application.
1'\ A
Owner/Agent: A0 � t! �c,n ,�.��v y Date:
B -.A,
REVKED 12/11/90
!P
,y CT,,y Y Of FEDERAL_ Wf)Y PERMIT NO: i LD97-0399
33530 First, Way SOLJth DU T L:)DI NU 1ttl ". IS; ULD: 0//0,'4/9I
F4aoe'ral Way, WA 9I::003 )Xlildi.ng Inspection FtegUests, 661 z, l ;Ia BY: FE.:2
.f&151-4000 EXPIRES: 12/30/97
r DPRESt'-: -1 771x5; 23RD 011,4'
NO.: 757961-0290
PROJECT lkf,CRIPTION:PORT Of SEATTLE NOISE INSULATION PROGRAM
OWNEi—=M=4 ._«>....�
RONALD "U€BNER
27?45 23RD AVE S.
I KkAt WAY VA
839.5654
1
CONTRACTOR ....— ,----..----,---r.::�
S K M CONSTRUCTION INC
14415 SE 143RD PL
RENTON NA 91105"
369.0139
LENDER
-w. dMswnv P-J",.r..iN,Y aaN.YiKSSa1K�.e:S.n:^.•.=,;ri0:.:'Jx4..r..,,w:sN:Z'-:.3Fa.n+r.:mS,�=a`x ;1�_.!".::'". a„exSs.:. w.... .. a: .. ..: x.....:e:s^sa.almxraasrs::x-:Ya:s.:iYr;^'sx.aL"c st u:...L.+:;�..:sS: a: e.,Axxas :s aa.:na�ac:fz.;:�..: ,.. c, �r.". L..t.:esa�xnz::.mun:.u9ns,.: rez2eamvewnY-, ,. �:::'Yiro. .�zs:.
na CBNlw1oNS, Piust Uyi tocof IN 00F 1132 M RF011% IS TAX FOR PWICTS 1111111N INT CITY Of FfK#At WAY. TAX RAT[ = 8.23 ttt
].®maaaO:t'ic:wclatteY.of -.•iaw''Ya:TYlCR3�..::-..5,..]C::]t S::.G1�.�'CS`.GG',2ib`i".•=..:i^'C»`•:S'^:'&Ti•e^:1.•••:g+•i•••iR:'�YSI i..tS;:a:.SaL`231ffiaE:'SAe�.:k:G::»5:.�:i..:..Yd.... �.:J. a.".x;, C:R C. A. N::Jt: Yea
fI1CT?:X MEC?:?
TslT1::?
FLR
EX1�*-T OP_-
?
MR119C IJNITS 0
CON PLAN..,......:'
BOILERS/COMPRESSORS
TYPE OF WORK:REP
USE:RES
1ST.:
10
O:sf°
"I OOI�......... : U
kLOUIRED P41 INC,.:
0
0
CENSUS CATEGORY ......
:434
20.:
0:
O:sf
tt
CONV BUINER:
0
H€!,1RD (LAF'�:...:
O(C9PANCY GROUP ----------
30-50 HP....: 0
'Ftp '
{I'
t;: - f
JAI ilhi109
v1:Q"IRE.D SET K°
GAS:DRYER..:
FREE FLOiT..,.. 0 '�TN
;? :? :?
:?
FUEL TANKS ---------
RANGE ...... :
0
:10,000 CTM:
..........
0.00 ft
TYT��+ LOGS...:
TYPE OF CONSTRUCTION--
5MT:
U:
C:st
I'Rllt, - S$ 11* -1
)As:........:
0.00 ft
WATER SERVICE..:?
'
PE�1F.......... .
O.00:ft
SEWER SERVICE..:?
OCCUPANI LOAD --------
---
,I,;r: ;
r,:
O:sf
i?LCEIVED.:u
I
0: 0:
0: 0:
191L,
U:
Oast
INPERV SURFA(E:
1) sf
SENSITIVE ARIAS?.:?
.ri::S.-.s9--^4-....zaaze-*wvtic».:._.:.,sac:
0
:.. --.araarc.cz�.
L TYPES.:?
?
FANS... ......:
0
BOILERS/COMPRESSORS
PIPING.:
0 ft
WOOD.....,.....
0
0-3 HP......, 0
FURN<1QOK...
0
N..ICT WORK......
0
3.15 HP...... 0
GAS INTI....:
0
WOOD STOVES...:
0
15-30 HP..,.: 0
CONV BUINER:
0
FURN>100K..... :
0
30-50 HP....: 0
BOO.........
0
MIS(.,.......,..
0
5+ HP........ 0
GAS:DRYER..:
0
AIR HANDLING UNITS
FUEL TANKS ---------
RANGE ...... :
0
:10,000 CTM:
0
ABOVE GROUND: 0
TYT��+ LOGS...:
0
: 10,000 CFM:
0
UNDERGROUND.: 0
WATEF CLOSETS......:
0
URINALS........:
BAT" TUBS..........:
0
DRINKING FOUNT.:
SHOWERS .............
0
SUMPS...........
LAVATORIES.........:
0
VAC BREAKERS...:
SINKS.........,.,...
0
MAINS..,.......
DISH WASHERS.......:
0
LAWN SPRINKLERS':
ELEC MIR HEATERS...:
0
OTHER FIXTURES.:
IAUN WSHR OUR TS...:
0
.as.rcra,asr..
FEES:
BUILDING PERMIT.... $ 135.00
`fBCC SURCHARGE.....? 4.50
TOTAL FEES $ 139.50
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PE5 EXPIRE 188 DAYS AFTER 155UARCE IF NO WiiRK IS 51AR1E11. RESIDEiITIAI. AND GITA®Ili PERMITS EXPIRE ttlN: YT:AR AFTER DATE 0I55UANCE.
T T!IFY INAT INE INFORNA1181 FURNISN'.D lit` ME IS 1kUE A1110 CORRECT TO INE REST 01 NY KYOWI.ET%I AND THE APPETCAREE CITY Of FEIERAE WAY REOUIREKMS VILL K NEi.
A �
OWNER OR
1, 1 • a `k� '
FIELD COPY