97-101100CITY OF FEDERAL WAY
33580 First Way South
Federal Way, WA 98003
661-4000
Building Inspection Requests 661-4140
ADDRESS:28632 21ST AVE S
NO.: 422200--0070
PROJECT DESCRIPTION- RES ADDITION - 576 square foot addition.
- OWNER _____________________________________________________ CONTRACTOR
CHAD FICCA J L A CONSTRUCTION
28632 21ST AVE S 1004 S 197TH ST
FEDERAL WA 98003 BURIEN WA 98148
-3421
920-2675
JLSCO**007RP
LENDER======
PERMIT NO: BLD97-0189
ISSUED. 06/00/97
BY: FC2
EXPIRES: 11/30/97
US CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE : 8.2% #_*
BLD?:X MEC?:X PLM?:X
TYPE OF WORK:ADD USE:RES
CENSUS CATEGORY ..... :434
OCCUPANCY GROUP ----------
:R3 :? :? :?
TYPE OF CONSTRUCTION -----
:5N :? :? :?
OCCUPANT LOAD ------------
2: 0: 0: 0:
L INTYPES.:GAS ?
PIPING.: 30 ft
FURN<100K..: 1
GAS HWT....: 1
CONY BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
FLR--EXIST--PROP---
1ST.: 0: 612:sf
2ND.:
0:
O:sf
3RD.:
0:
O:sf
OTHR:
0:
O:sf
BSMT:
0:
O:sf
DECK:
0:
288:sf
GAR.:
0:
602:sf
TOIL:
0:
1502: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
HEIGHT.....: 0.00 ft
VALUATION ----------
EXIST..$: 0
PROP ... $: 44487
RECEIVED.:03/31/97
BOILERS/COMPRESSORS
0-3 HP....... 0
3-15 HP...... 0
15-30 HP....: 0
30-50 HP....: 0
5+ HP........ 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 9Pm
WATER SERVICE..:?
SEWER SERVICE..:?
IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
WATER CLOSETS......:
1
URINALS........:
0
BATH TUBS..........:
1
DRINKING FOUNT.:
0
SHOWERS .............
0
SUMPS...........
0
LAVATORIES.........:
2
VAC BREAKERS...:
0
SINKS ...............
0
DRAINS..........
0
DISH WASHERS.......:
0
LAWN SPRINKLERS:
0
ELEC WTR HEATERS...:
0
OTHER FIXTURES.:
0
LAUN WSHR OUTLTS...:
0
FEES:
PLAN CHECK FEE $ 284.05
BUILDING PERMIT....* $ 382.00
SBCC SURCHARGE.....* $ 4.50
PLUMBING FIXT.... 93* $ 28.00
Mechanical Permit* $ 63.00
FINAL PLAN CHECK... $ -35.75
PUB WKS PLCK(SF)..93 $ 80.00
TOTAL FEES $ 805.80
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 AGENT
FILE COPY
DATE - I
=' City of Federal Way
APPLICATION FOR BUILDING PERMIT
PLEASE PR/NT V ��"" "CI t Y ut- —7 Q
APPL/CAT10#4U�-O ;, ► V
M LOCATJON Address Z f ) 3 Z.
Tenant (if known)
Lot #
-y As essor's Tax #
Building Owner Name Address
M , a
city state \\ � P
t'- (• �,� �y� Zi �4�%tj Phone t'-= Z .r � �
Nature of Work //
Name (F,M,L)
Address 27- 4 j
City—]
a
Contact arson Day Phone
Company Name
Address
City
Contact Person
Contractor's # (card must be presented)
Name
Address
City
Contact Person
LEGAL DESCRIPTION
i
Please Complete Reverse Side
State
Other Phone
State
Phone
Expiration Date
State
Phone
Zip
Fax
Zip
Fax
Verified ❑ Yes ❑ No
Zip
Fax
C00492 (Rev 4/93)
RUCTURC
- fisting Use���
roposed Use
r�
Permit includes:91
b1 Building A Plumbing
i Mechanical
❑ Other
Type of Work: 2 Residential
❑ New ❑ Remodel
❑ Number of Units
■I Deck
❑ Commercial
® Addition ❑ Garage
❑ Shed
❑ Other
Enter 1st Floor �a J z sq ft
2nd Floor sq ft 3rd Floor sq ft
Existing Floor Area
sq ft
Arao Basement sq ft
Decks sq ft Garage sq It
Proposed Total Area
sq ft ,Ck->
Water Availability 15 Sewer Availability 18 On -Site Septic System Availability ❑
Project Valua�ar
$ �; •+ �
Zoning Lj Z
Lot Size
Exlstii Bld VafuaUo:'
Name
Address
City
State Zip
1Vf�C��ANTCAL :CONTRACT�Yt' `:>
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
PLUMBING CQNTRACTOR
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
]'LUMBiIYG FZNTU�tE
.,Co
Water Closets
Sinks
Urinals Lawn Sprinklers
Bathtubs '
Dish Washers
Drinking Fountains Other
Showers
Electric Water Heaters
Sumps
Lavatories 71
Washing Machine
Drains>
oun
MECHA,N�CAL UNIT COU'«;'``::::>
el Type (electric/other)
Gas Dryer
Air Handling < = 10,000 CFM
15-30 Tons
ngth of Gas Piping
r
Range
Air Handling > — 10,000 CFM
30-50 Tons
rn <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
isTotal`Un`'Count<`>%>?>s>`s'<>`>>z:
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, including its officers and employees, upon the accuracy of the information supplied to the City as a part of this
application.
Owner/Agent:
,1CITY OF FEDERAL WiaY
33530 Fir -Lt Way 'South I U I L D I N PLRfwj IT
,Vr-_d(-_,r,a1 Way, WA 98003 14jiLc11ti,1 li-issp,,Ctiorl R(�(JLK4SES 661-4140
61-4000
ADDRESS:28662 21ST AVE S
NO.: 422200-0070
PROJECT DES('RIPTION:RES ADDITION 576 square toot addition.
OWNER.= ...... ...... CONTRACTOR ...... ............... LENDER
CHAD FICCA J L A CONSTRUCTION
28632 21ST AVE S 1004 S 197TH ST
FEDERAL WA 98003 BURIEN WA 98148
-3421 420-2675
1 JISCO**0079P
ww= :, *11- 1 w=0 - I % N , -1-1.
to CON NIKIOC , N_f(At VIA tKA1,19A r4l 1?J?, Vkk RLA)ftiffill ':ALES TAX FOR PROJECTS 91014 "11!. CITY Of f[KRAL VAY. TAX RAI[ -- 8.2% tst
............ Co.
OLD?:X MIC?:X PLM?:X FLF-,� �f - fkwLi _110- 1.!N fl- 0 PLAN ........... ? FEES:
TYPE OF WORK:ADD USE:RES ISI.: 1�I'' 1 TOf'1 I O Pt` TIRED PARKING..: 0 PLAN (NICK FEE 284.05
CENSUS CATEGORY ..... :434 111[t. O: R11i'mi ... t( 04"AHAI ARWA-W t?'' BUILDING PERMIT.... 382.00
B(C SUR(HARGL. 4.50
OCCUPANCY GROUP ---------- ?PP. F IRE,*
I
:R1 :? :? 0:, 0 O.w t 7 FIXT .... 934 28.00
.... ......
TYPE OF CONSTRUCTION NATER SIRVIT.:? Mechanical Perritt 63.00
.5m : ? ? ........... 0.00: 1 t "EWER SIRYI(E..:? FINAL PLAN CHECK... # -35.75
OCCUPANT LOAD— -•---------
2:
PUB WKS PLCK(Sf)..93 80.00
IMPERV SURFACE: 0 sf SENSITIVE AREAS'.:? 0: 0: 0: TO
rt TYPIS.:GAS ? . FANS.
I.. . : BOILERS 'COMPRESSORS WATER CLOSETS......: I 'A'AffAtS.. 0 TOTAL FEES
*IPIRG.: 30 It HOOD........... fi 0-3 HP—...: 0 RATH TUBS..........: I DRINKING
loor..: I OU0 WORK.....: 0 3-15 Hp.....: 0 1. ............. 0 SUMPS...... 0
GAS HWT. ... : I WOOD STOVES...: 0 15-30 HP....: 0 LAVA10 IES.........: 2 VAC BREAKERS. 0
(ONV BURYLP: 0 FURN10OK ..... 0 30-50 HP..... 0 SINKS.- ........... 0 DRAINS.......... 0
RBQ ..... ... 0 MIS(........... 0 54 HP........ 0 DISH WASHERS........ 0 LAWN SPRINKLERS: 0
GAS DRYER - : 0 AIR HANDLING UNITS FULL TANKS--------- ILI( WIR HEATERS...: 0 OTHER, FIXTURES.: 0
RANGE......: 0 '-10,000 CFM: 0 ABOVE GROUND: 0 LAVH WSHR OUTLTS ... 0 N-1
GAS LOGS...: 0 " 10,000 CF": 0 UNDERGROUND.: 0
a .... 04wx ...... = ......... m35 =mw.a ............. =...x ..... :a ......
PERMITS [1PIRE 180 DAYS AffIR F)SUANCE It NO Wft" IS STARTED. RESIDEIIIJAI AND GRADING P[PNITS EXPIRC ONE YEAR AFTER DATE Of ISSML.
I CERTIFY THAT THE INFORMATION FURVIS00 9Y bt isI"L AND CORRECT To THE DIST Of MY Imout'Em AND THE AppmABLE CITY Of ICKM NAY RLQUIRFAI:111" Vitt K 1111.
040 OR AGENT PATE
FIELD COPY
PERMIT NO: BLD97-0189
11�s()ED: 06/03/w
13Y: FC:?
EXPIRES: 11/30/97
Ask
CD0193
SETBACKS & FOOTINGS
Date & By
7
FOUNDATION WALLS
Date By
PLUMBING GROUNDWORK
Dat By
7
UNDERFLOOR FRAMING
Date By
7S.HEAR
WALLS
Date – By
7
PLUMBING ROUGH -IN
Date t'] By
.........................
GAS PIPING
Date
MECHANICAL ROUGH -IN
Date
– By
MECHANICAL (OTHER)
Date By
FRAM IN G
_. _. oa
77
Date — By
14SULAI
Date% By
7`=wB
- 1ST LAYER
Date By
GWB - 2ND LAYER
r—
Date By
SUSPENDEMICEILING
Date By
7PLANNING
FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL
Date By
7
BUILDING FINAL
Date By
OTHER
Date By
7
OTHER 7==
Date By
CD0193