97-103383CITY OF FEDERAL_ WAY
33530 F i rs t Way South
Federal Way, WA 98003 Cuil; � din�g, � Inspection Requests
equests 253--661-4140
--661-4140
253-661-4000
ADDRESS : 30651. 1ST PL_ SW
NO.: 556000--0850
PROJECT DESCRIPTION -RES ADD - CONVERTING EXISTING CARPORT TO LIVING SPACE.
MIRROR LAKE VILLAGE, LOT 18.
�= OWNER
LISA WEISTER
30651 1ST PL SW
�EDERAL WAY WA ?8023
228-8553
i
-------------------------
CONTRACTOR
OWNER IS CONTRACTOR
i runrn
PERMIT NO: BLD97-0534
ISSUED: 09/22/97
BY: FC
EXPIRES: 03/21/98
q -?-103383
US CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.2t i::
BLD?:X MEC?:
PLM?:
PLR--EXIST--PROP---
0 TOTAL FEES
DWELLING UNITS: 1
TYPE OF WORK:ADD
USE:RES
1ST.: 0: 246:sf
STORIES.......,: 1
CENSUS CATEGORY..
... :434
2ND.: 0:
O:sf
HEIGHT- ...: 0.00 ft
OCCUPANCY GROUP----------
0
3RD.: 0:
O:sf
VALUATION----------
:R3 :? :?
:?
OTHR: 0.
O:sf
EXIST..$: 0
TYPE OF CONSTRUCTION-----
BSMT: 0:
O:sf
PROP... $: 7000
:5N :? :?
:?
DECK: 0:
O:sf
OCCUPANT LOAD------------
GAR,: 0:
O:Sf
RECEIVED.:09/09/97
7: O:
0: 0:
TOIL: 0: 246:sf
--------------
FUEL TYPES.:?
?
FANS. .
0
BOILERS/COMPRESSORS
GAS PIPING.: 0
ft
HOOD..........:
0
0-3 TON.....: 0
FURN<100K..: 0
DUCT WORK.....:
0
3-15 TON....: 0
GAS HWT....: 0
WOOD STOVES...:
0
15-30 TON.,.: 0
CONV BURNER: 0
FURN>lOOK.....:
0
30-50 TON...: 0
BBQ......... 0
MISC...........
0
50+ TON...... 0
GAS DRYER..: 0
AIR HANDLING UNITS
--------
FUEL TANKS---------
RANGE--.: 0
RANGE--.:
<:10,000 CFM:
0
ABOVE GROUND: 0
GAS LOGS...: 0
> 10,000 CFM:
0
UNDERGROUND,: 0
COMP PLAN.........:?
REQUIRED PARKING..: 0 SPRINKLERS?......:?
HAZARD CLASS...:?
REQUIRED SETBACKS------- FIRE FLOW....: 0 gpm
FRONT...,.....: 0.00 ft
SIDE..........: 0.00 ft WATER SERVICE- JED
REAR..........: O.00:ft SEWER SERVICE..:SEP
TMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FEES:
PLAN CHECK FEE $ 58.50
BUILDING PERMIT....* $ 90.00
SBCC SURCHARGE.....* $ 4.50
FINAL PLAN CHECK...* $ 0.00
WATER CLOSETS......:
0
URINALS........:
0 TOTAL FEES
BATH TUBS..........:
0
DRINKING FOUNT.:
0
SHOWERS .............
0
SUMPS...........
0
LAVATORIES.....,..,:
0
VAC BREAKERS...:
0
SINKS ...............
0
DRAINS..........
0
DISH WASHERS.......:
0
LAWN SPRINKLERS:
0
ELEC WTR HEATERS...:
0
OTHER FIXTURES.:
0
LAUN WSHR OUTLTS... :
0
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 INFORM 01 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
DATE
FILE COPY
Name (F,M,L)
Address
• blo���
City
Contact arson �� 1
Company Name
Address
Contact Person
•r •
`, Contractor's # (card must be presented)
Name
Address
City
Contact Person
Day Phone
State ( Zip �C•�7
Other Phone Fax
ra
State
Zip
Phone
G` } •4 City
of Federal Way
Expiration Date
,,
APPLICATION
FOR BUILDING
PERMIT
� of 6ERALWAY
Jt(
PLEASE PR/NT aU1DNNb K.p
APPLICATION
#:
SITE
L�O�ATIC�•'
Address
Tenant (if known)
Lo q
Assessor's Tax #
Building Owner Na a
1�1
Address
AAA ' A AJ
I" ✓�
City
tate
zip
Nature of ork / ryil. t.3.�/ v r. �.
Phone x ?7
Name (F,M,L)
Address
• blo���
City
Contact arson �� 1
Company Name
Address
Contact Person
•r •
`, Contractor's # (card must be presented)
Name
Address
City
Contact Person
Day Phone
State ( Zip �C•�7
Other Phone Fax
ra
State Zip
Phone Fax
LEGAL DESCRIPTION
�"' Jia �/�,L7 �l F'"� 1 i—�•�+}�-•�.., �
Please C�omp/ete Reverse 5ide
C00492 (Hey 4/93)
State
Zip
Phone
Fax
Expiration Date
Verified ❑ Yes ❑ No
State Zip
Phone Fax
LEGAL DESCRIPTION
�"' Jia �/�,L7 �l F'"� 1 i—�•�+}�-•�.., �
Please C�omp/ete Reverse 5ide
C00492 (Hey 4/93)
STRUCTURE::'
Address
Existing Use
`
Proposed Used
Zip
Contact
Permit includes:
low
11 Building O Plumbing
0 Machanical
❑ 10thor s'
Drains TgtalFizt,'rs.,C...,.nt::..:.: ;::.:............
Typo of Work:
S Residential
O Commercial
❑ Now ® Remodel
❑ Addition O Garage
❑ Number of Unite
❑ Shed
O Dock
❑ Other -�
Hood
Enter 1 st Floor � sq ft
Area Basement sq ft
2nd Floor sq ft 3r4 Floor sq ft
Docks sq ft Garage eq ft
Existing Floor Area
Proposed Total Area
sq ft
sq ft
`
Water Availability
Sower Availability On -Sita Septic System Availability
... ,,,P!Qj44�,Ygivaq•n•
,$,. .,:`:;:`.::>;
!;;T:oti31`:Unit..:..........:...............:..,,,•.:.:..:,:::.
Zoning —1r
, Z.
Lot Size l.�p ,
'%<X�:S:tlk?9.61;pVeJueti:oi1':
$<.:•;>:.: .
Name
Address
City
State Zip
MECIi�NTCAT. CGNTRACTQY2`�„'
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expirati Data
Verified O Yes ❑ No
PLUMBINGCONTRACTOR,
Contractor Name
Address
City
Stnto
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes O No
r PLUA�I3ING U CUTS'.
Water Closets
Sinks
Urinals Lawn Sprinklers
Bathtubs
Dish Wa or
Drinking Fountains Other
Showers
Elec c Water Heaters
Sumps
Lavatories
shing Machina
Drains TgtalFizt,'rs.,C...,.nt::..:.: ;::.:............
AIEC�IANICAL UN�'I'CQU�TI` «'>.:
Fuel Type (electric/other)
Gas Dryer
Air Handling < as 10,000 CFM
15-30 Tons
Length of Gas Piping
Range
Air Handling > a 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
!;;T:oti31`:Unit..:..........:...............:..,,,•.:.:..:,:::.
DISCLAIMER/-',rti,1 y under penalty of perjury that the information furnished by me is trio and correct to the bust of my knowledge and further that I am authorized by the owner
of the above s to perform thework for which permit application Is made. I further abree to save harmless the City of Federal Way as to any claim (including costs, expenses,
and attorneycurred 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. '
r GerOwner/Agent:i Dats:
0,TY -OFFUL)FRAL WAYPERM] f NO: BLD97--05'34
S,3,530 Fu r-st WaV South IN-) I L Df NG PERMIT 1!SIJLD: 09/'�2/97
VcleeAl" Way, WA 9300J Buildinj In- pt-,)ction Req ci e t s '411x:";..661-41 0 BY: FC
25' e-,61...-4000 LYPIRES: 03P-1/9,.,
"ADDRF'3S:30651 ll,;T S;W
NO.': 556000 -0850
.PROJFCl' RES ADD CONVERTING EXISTING CARPORT 10 LIVING SPACE. \ot'�')l�l�
MIRROR LAKE VILLAGE. LOT 18.
OWNER .....m 1 .... -'; ... & tv"IMfur, LtRVLK
LISA W[ISTER OWNER IS CONTRACTOR
30651 IST PL SW
FfD[RAL NAY WA 98023
228 8553 {
*Is CONIRKIORS, PTI, f "I'M L#Lfillwo; (ON 11141 'AAA smf:• TAY FOR PROJECTS VIIIII flif CITY of FIRFA WAY. TAX KATE = 8.2% sit
BLD?:X nE(?.)( PLO?: OWfftI#f,' 911!11S° I f(mP PLAN.........."? FEES:
......... .... ......
IfP[ Of WORKADD USEAES isl,l Q* SWIM;'- I RFOU RID PARKING-: 0 SPRINKLERS:- *? PLAN CHECK flE 58.50
CENSUS CATEGORY ..... :434 0: O:sf 41r1c"T. 0.01) It RAZAft) C 811101% PERMIT.... x10.00
OCCUPANCY q* 'FJttji" I JORLI a 1, f0 111.0 S!It"At f, rip! 10W, Q '19C( SUR(HARGF- ... 1.50
13 : ? ? "Ov (to I*( "Ick...* 0.00
TYPE or CONSTRUCTION--
P�lll all k4f 01 e V. Of! ft VA!LR SEINIO .:FLO
:5H - ? :? X0 0.
Wizf 1 R! A$ .......... If. 00: 1 t SEWER SERVI(i..:SEP
0(tUPANT LOAD-- -- - if, 0.
7: 0: 0: 0. lolfi,r, m s f IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FINE TYPES.:? FANS..,.';:...: ROIL CPS/("PRESSWS WATER CLOSETS......: 0 URINALS........: 0 TOTAL FEES f 153.00
AS PIPING.: 0 ft HOOD.... ...... 0 0-3 TON.....: 0 BATP TUBS..........: 0 DRINKING FOUNT.: 0
URW100K.... 0 14Y.1 WORK.....: 0 3-15 TOM—.: 0 SHOVERS............: 0 SUMPS..........: 0
QS OWT .... : 0 WOOD STOVES...; 15-30 TOO—: 0 LAVATORIES.........; 0 VAC BRIAtEr ... 0
CORV BURNER: 0 fttpN)Iook ..... 0 3050 TON..,. 0 SINKS .............. 0 DRAINS........,.: 0
881)......... 0 MIS( .... --: 0 50f TON...... 0 DISK 0SHER.S-1 .... 0 LAVH SPRINKLERS: 0
Gff MY[R. 0 LIR HANDLING UNITS FUEL TANKS__-.---..- ELL( WIR NIAIERS ... 0 OTHER FIXTURES.: 0
RAKE......: 0 ",-10,000 0m: 0 ABOVE GROUND: 0 LAVH WSHR OUILTS...: 0
GAS LOGS...: 0 10'000 (F": 0 UNDEPGROUND.: 0
FmIls EXPIRE ISO DAYS AFTER il NO *0 IS STARTED. 1BINNIIAL AND GRUJIM PEAIIIIS EXPIRE OK YEAR AFTER DAff. OF IS%wt.
I (EPTIry INAI INE INFORmli"wi-ey Nil 6' TRUE AND (MR10 10 THE, btST OF NY KONLEXt AND IK APPLICAWt CITY Of FEDERAL MY ItOlIflifIlLNIS PILL K Wl
OWNER Of A4ENT DATE
FIELD COPY
1 SEM
CKS & FOOTINGS
A.
CDO 193 (Rev 4197)