97-101734CITY OF FEDERAL_. WAY
33530 First Way South
Federal Way, WA 98003
661-4000
Building Inspection Requests 661-4140
ADDRESS:28913 15TH PL_ S
NO.: 516210-0300
PROJECT DESCRIPTION:RES ADD - ADDING NEW DECK -686 SQUARE FT
�= OWNER______________________________________________=====s= CONTRACTOR
DELBERT CONRAD DAWSON SERVICES INC
28913 15TH PL S 14848 PACIFIC HWY S #10
FEDERAL WAY WA 98003 SEATTLE WA 98168-4384
l
e0-2048
DAWSOSI12ONK
97,
PERMIT NO:
ISSUED:
BY:
EXPIRES:
iof>3y
BLD97-0303
06/04/97
FC2
12/01/97
*=i CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.2% s=:
BLD?:X MEC?: PLM?:
TYPE OF WORK:ADD USE:RES
CENSUS CATEGORY--: 434
OCCUPANCY GROUP ----------
:R3 :? :? :?
TYPE OF CONSTRUCTION -----
:5N :? :? :?
OCCUPANT LOAD ------------
2: 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:
686:sf
GAR.:
0:
O:sf
TOTL:
0:
686:sf
FUEL TYPES.:?
?
FANS........... 0
PIPING.: 0
ft
HOOD..........: 0
61<100K..: 0
0
DUCT WORK.....: 0
GAS NWT....:
0
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...:
0
> 10,000 CFM:
0
DWELLING UNITS: 0
STORIES......... 0
HEIGHT....,: 0.00 ft
VALUATION ----------
EXIST..$: 0
PROP ... $: 23000
RECEIVED.:05/19/97
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 Spm_
WATER SERVICE..:?
SEWER SERVICE..:?
IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
WATER CLOSETS......:
BATH TUBS...........
SHOWERS .............
LAVATORIES..........
SINKS ...............
DISH WASHERS.......:
ELEC WTR HEATERS...:
LAUN WSHR OUTLTS...:
0 URINALS......... 0
0 DRINKING FOUNT.: 0
0 SUMPS........... 0
0 VAC BREAKERS...: 0
0 DRAINS.........: 0
0 LAWN SPRINKLERS: 0
0 OTHER FIXTURES.: 0
0
FEES:
PLAN CHECK FEE
BUILDING PERMIT....*
SBCC SURCHARGE ..... #
PUB WKS PLCK(SF)..93
FINAL PLAN CHECK...*
TOTAL FEES
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 HE IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE NET.
_-_ _
OWNER OR AGENT DATE
_ _ ,�tr�-�
�idll.�-=�JJ '_" --------- �----------------------------------
FILE COPY
$ 152.10
$ 234.00
$ 4.50
$ 80.00
$ 0.00
$ 470.60
MY OFBunMINGDIVISION
Address
City
33530 First Way South
A
vv
RECEIVED
Day Phone
Federal Way, WA 98003
Fax
Expiration Date
Verified 0 Yes 0 No
(206) 661-4000
Fax (206) 661-4129c
MAY 19 1997
APPLICATION FOR BUILUNG
PERMIT
PLEASE PRINT
APPLICATION#'jI-T)C3�
&MMEMMAddress
Tenant (if known) --D4—�L-,3/-K,—
Lot #
ax #
Building Owner's Na MeDff
- 13 OFJ?-T- (�o eq JZA -D,
Address
City
state
Zi b O
Phone
P 39 Z-0 1F IF
Nature of Work
c0i
19-3(oq-3—
Name (F,M,L)
Address
City
State
Zip
Contact Person
Day Phone
Other Phone
Fax
Company Name
Address
Lf ea i�A C,' Ft C—
Cit y Y-- /.,) I (— X 1, 4z*,+.
State L.10B
zip
Contact Person Lo 1+ Y1 � � P, F) M
Phone
Fax
Contractor's # (card must be presented)
Expiration Date
Verified 0 Yes 0 No
. . ......
.. .... ... .
...... ........
.......................
Name
Address
Ci ty State
Zip
Contact Person —jPhone
Fax
LEGAL DESCRIPTION
Please Con lute, Reverse -Si
Va
NO
Contractor Name
Address
i stin Use
State
roP osed Use
Contact
Permit includes:
Fax
❑ Building
❑ Plumbing
❑ Mechanical
❑ Other
Type of Work:
❑ Residential
❑ Commercial
❑ New
❑ Addition
❑ Remodel
❑ Garage
❑ Number of Units _
❑ Shed
❑ Deck
❑ Other
Enter 1 st Floor
Area Basement
sq ft
sq ft
2nd Floor
Decks
sq ft 3rd Floor sq ft
sq ft Garage sq ft
Existing Floor Area
Proposed Total Area
sq ft
sq ft
Water Availability
❑ Sewer Availabilit
11 On -Site Septic System Availability ❑
Project Valuation
S L -). G' C' U
Zoni
TstiI;U.itstt
Lot Size
Existing Bldg Valuation
I $
Contractor Name
Address
City
State
Zi
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
...........................................................................................
............................................................................................
...........................................................................................
............................................................................................
...........................................................................................
Contractor Name
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
Washing Machine
Drains Total Kixture Zount
# i4iK1 1 T> >[
....................................
MECHANICAL EVALUATION ONLY $
Fuel Type (electric/other)
Gas Dryer
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 Ground
Conv Burner
Duct Work
0-3 Tons
Underground
BBQ's
Wood Stoves
3-15 Tons
TstiI;U.itstt
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 ofthis application.
Owner/Agent:
BUu ,l .Aw
REV 6EU 121l 1 /99
R
Date:
vC-,TITY OF FE DE WAY
*31-530 First Way $ouLh
117ederal Way, WA 9800'3
1661-4000
VJ I L D I N G
13uildinq Incpection Requesh,-,,; 140
'ADDI`tESS:28913 1.5l'IA Pt. S
tlO. : 51.6210 - 02,00
!)ROJECT DFSCRlPI`lON-.RES ADD - ADDING NEW DECK -686 SQUARE IT
OWNER ----------- - - ......... CONTRACTOR ....... LENDER
DELBERT CONRAD DAWSON SERVICES INC
28913 151H PI, S 14848 PACIFIC HWY S 110
FEDERAL WAY WA 98003 SEATTLE WA 98168-4384
-2048
sts (ON I KA( IOUs, pt 01A 0 L'004! Pw
...........
OLr,:X NEC?: PLM?: FLR--[Xl'A' PROP---
TYPE OF WORt:ADD US[:R[S IST. 0*"
O:St
CENSUS (ATEGORY ..... :434 2PP, 0.. O:Sf
OCCUPANCY GROUP---------- 3PD.
4tN UIP""'
:R3 -? :? :? Aq. 0.
TYPE Of CONSTRUCTION-- 0:, +�;:�
OCCUPANT
ONSTRLKTION-----
OCCUPANT LOAD -
0: 0: 0: TO f
9-7-
/0 / 73 tV
PLKMII NO:
IJLl)'-)/--0303
ISSULD:
06/04/9-17
BY:
F(" -
LXPIRES:
12/01/97
DAWSOJI12ORK
iij; #41A RIPL4011K SALES TAX FOR PROTECTS VITNIN TOE CITY Of FEDERAL NAY. TAX RATE :: 8.2% Its
...... MIT
FUEL TYPES.:? FANS...v ......
BOILERS,/CONPRESSQRcl
...
...........
0 ft
PTt!
0 PLAN.........:?
a
BATH TUBS...........
0
FEES:
4"..'100K..:
0
DUCT WORK...... 0
F(MIRID PARKING..:
0
SPRINKLERS?......:?
0
PLAN CHECK FEE
Zk'l HWT .... :
152.10
WOOD STOVES...: 0
o Ott
0
LAVATORIES.........:
0
BUILDING PERMIT....
CONV BURNER:
234.00
FURH>IOok ..... 0
30-50 Hp....:
IR ...
SINKS ..............
SB(( SURCHARGE .....
DRAINS.........: 0
4.50
0
00
0.00 t
VATER SEP
DISH WASHERS.......:
'![CK (SF)..93
'AN CHECK ...
LAWN SPRINKLERS: 0
80.00
fi. 00
RI, CIVID-05
ill",
w
1........:0.00:ft
IMPIRV SURFACE:
0 sf
SLWEP SERVICE-:,
SENSITIVE AREAS!
ttff WTR HEATERS...:
0
OTHER FIXTURES.: 0
RANGE......:
...... MIT
FUEL TYPES.:? FANS...v ......
BOILERS,/CONPRESSQRcl
WATER CLOSETS......: 0 URINALS........: 0
PIPING.:
0 ft
HOOD........... 0
0.3 Hp ...... :
a
BATH TUBS...........
0
DRINKING FOUNT.: 0
4"..'100K..:
0
DUCT WORK...... 0
3 15 HP.....:
0
SHOWERS ............
0
SUMPS........... 0
Zk'l HWT .... :
0
WOOD STOVES...: 0
15-30 HP....:
0
LAVATORIES.........:
0
VAC BREAKERS...: 0
CONV BURNER:
0
FURH>IOok ..... 0
30-50 Hp....:
0
SINKS ..............
0
DRAINS.........: 0
BBQ........:
0
MIS(..........: 0
54 HP..... . :
0
DISH WASHERS.......:
0
LAWN SPRINKLERS: 0
GAS DRYER-:
0
AIR HANDLING UNITS
FULL TANKS -- ------
ttff WTR HEATERS...:
0
OTHER FIXTURES.: 0
RANGE......:
0
(10.000 CF": 0
ABOVE GROUND:
0
i LAVN WSHR. OUTLTS ...
0
GAS LOGS-:
0
; 10,000 (FM: 0
UNDEP&ROU)
TOTAL FEES
;,— . . . . . . . . . . . . . . . . . . . . . . . . . .
PIERAIIS EXPIRE 180 DAYS Af F[R IS`M[ If NO VORK IS VARIED. RESIDENTIAL AND GRADING PERMITS FXPIRI ONE YEAR AFTER DATE Of ISSUANCE.
I CERTIFY THAT IMF JNfORNAJlON FURNISHED BY HE IS TRUE AND CORRECT 10 101 BLS1 Of MY KNOWLEDGE AND JK APPI I(AVLL ClIY Of FEDERAL MAY 91091RENLNTS VIll K NEI.
DATE
OWNER OP AGENT
FIELD COPY
I 470.60
CDO193
low
SETBACKS & FOOTINGS
Date By
7
FOUNDATION WALLS
Date By
PLUMBING GROUNDWORK
Date By
..........._ ..._......__
UNDERFLQQR FRAMING'''
Date By
7
SHE:AR> WALLS
Date By
PLUMBING ROUGH IN
Date By
...................
......................
.................
........ _.............
GASPIPING
Date By
71
MECHANICAL ROUGH-IN
Date By
MECHANICAL (OTHER)
Date By
FRAMING
Date By
7
INSULATION
Date By
GWB - 1ST LAYER
Date By
GWB -'2ND LAYER
Date By
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
7ENGINEERING
FINAL
Date By
FIRE FINAL
Date By
BUILDING FINAL
Date B
OTHER
Date By
7
OTHER
Date By
CDO193