97-103193g7.ro31 �93
CITY OF FEDERAL WA1'RM
P IT id0 ` B D97 -O 04
' ..M .,,�,,. .,, .,'!,. .,.'I. ". Q,::;,� !L.... "`�, 411 . ,..,, E
33530 First Way South "�'�,., ,,,,, , ,.. �. µ;i; << ISS UED: 10/20/97
Federal Way., WA 98003 Building Inspection Requests 253-661--4140 BY: FC
259--661--4000 EXPIRES: 04/18/98
ADDRESS:29306 11TF1 PL
N0.: 51.5230-0080
PROJECT DESCRIPT'I0N:RES
= OWNER
ROBERT BLACKMON
29306 11TH PL S
FEDERAL WAY WA 98003
253-941-7196
ADDITION - REPLACING AND
CONSTRUCTING DECK.
CONTRACTOR=____=___=:_____________________________=====8= LENDER
DECKS BY J R W MELLON MORTGAGE }
1420 NW GILMAN BLVD 2135 # PO BOX 2885
ISSAQUAH WA 98027-7001 HOUSTON TX 77252-2885
451-1408 881-8302
DECKSJR099QG
Ut CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.2% =i*
BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 0 s COMP PLAN ......... :URBA
TYPE OF WORK:ADD USE:RES 1ST.: 0: O:sf STORIES........: 0 REQUIRED PARKING..: 0
CENSUS CATEGORY ..... :434 2ND.: 0: O:sf HEIGHT.....: 0.00 ft
OCCUPANCY GROUP----------
3RD.:
0:
O:sf
VALUATION ----------
:R3 :? :? :?
OTHR:
0:
O:sf
EXIST..$: 0
TYPE OF CONSTRUCTION-----
BSMT:
0:
O:sf
PROP ... $: 4136
:5N :? :? :?
DECK:
0:
470:sf
DUCT WORK.....:
OCCUPANT LOAD------------
GAR.:
0:
O:sf
RECEIVED.:08/22/97
0: 0: 0: 0:
TOTL:
0:
470:sf
CONV BURNER:
FUEL TYPES.:?
?
FANS..........:
0
BOILERS/COMPRESSORS
GAS PIPING.:
0 ft
HOOD..........:
0
0-3 TCN.....:
0
FURN<IOOK..:
0
DUCT WORK.....:
0
3-15 TON....:
0
GAS HWT.... :
0
WOOD STOVES...:
0
15-30 TON...:
0
CONV BURNER:
0
FURN>100K.....:
0
30-50 TON...:
0
BBQ.........
0
MISC...........
0
50+ TON......
0
GAS DRYER..:
0
AIR HANDLING UNITS
FUEL TANKS ---------
--------RANGE......:
RANGE ......
0
<:1C,000 CFM:
0
ABOVE GROUND:
0
GAS LOGS...:
0
> 10,000 CFM:
0
UNDERGROUND.:
0
REQUIRED SETBACKS -------
FRONT .........
.
SIDE...........
REAR...........
IMPERV SURFACE:
SPRINKLERS? ...... :N
HAZARD CLASS...:?
FIRE FLOW....: 0 gpm
0.00 ft
0.00 ft WATER SERVICE..:FED
O.00:ft SEWER SERVICE..:SEP
WATER CLOSETS......:
BATH TUBS..........:
SHOWERS .............
LAVATORIES..........
SINKS ...............
DISH WASHERS.......:
ELEC WTR HEATERS...:
LAUN WSHR OUTLTS...:
0 sf SENSITIVE AREAS?.:?
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 $ 46.80 s
BUILDING PERMIT.... $ 72.00
SBCC SURCHARGE.....* $ 4.50
FINAL PLAN CHECK... $ 42.00
t
F
0
TOTAL FEES $ 165.30
i
i
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 TR E AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT- ----- - ------------------- DATE
----------------------------------------- - -- ---�)-,i--5
FILE COPY
CITY ofG
Avw-
AFCF'V'E
BUILDING DIvmm
33530 First Way South
Federal Way, WA 98003
(206)661-4000
Fax (206) 661-4129c
FOR BUILDING PERMIT
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Name (F,M,L)
Address Q9
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Address
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Tenant (if known)
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Lot #
Assessor's Tax #
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Building Owner's Name
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ax
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Address
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Zip,C' ` " U
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Nature of Work
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Contact Person
Rt-Q,6LPCy ntrd
Day Phone
Other Phone
Fax
17'`Eft:::.:
Company Nam ?
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City
Address
Contact Person
Phone Fax
Cit ---t=1 C(�
State is
Zi (T? 4-24
Contact Person
Phone 51Lf 3G
ax
Contractor's # (card must be presented) )
Expiration Dto
Verified Yes ❑ No
L, v;
Name ^
/ V
Address
City
State Zi
Contact Person
Phone Fax
LEGAL DESCRIPTION
.)-T 3, C� (�K '7 m aR►�) r ►-r- I s A)C ACC RZ>tAJ C. Tc -1 Vtc PL « � T►(nom G�
c- (- i vM.E - C PEAT 5 to E (-s ��� iry K i N
l -k
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Please Complete Reverse Sid
tt��/ j
�pTOR
Address
Existin Use
9
State
Zi
Proposed Use
P
Phone
Permit includes:
License #
')!fBuilding
❑ Plumbing
❑ Mechanical
❑ Other
Type of Work:
❑ Residential
❑ Commercial
❑ New
❑ Addition
❑ Remodel
❑ Garage
❑ Number of Units _
❑ Shed
Deck
IS Other
Enter 1st Floor
Area Basement
sq ft
sq ft
2nd Floor sq ft
Decks sq ft
3rd Floor
Garage
sq ft
sq ft
Existing Floor Area
Proposed Total Area
sq ft
sq ft
Water Availabili
Sewer Availability
❑ On -Site Septic System Availability
3-15 Tons
Project Valuation
$
Zoning
Lot Size
Existing Bldg Valuation
$
Contractor Name ,
Address
City
State
Zi
Contact
Phone
Fax
License #
x " a on Date
Verified ❑ Yes ❑ No
Contractor Name
Address
City
State
Zi
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
Water Closets
Sink/Urinals
Lawn Sprinklers
Bathtubs
sh Washers
Drinking Fountains Other
Showers
Electric Water Heaters
Sumps
Lavatories
Washing Machine
Drains Cour #=
0.H A. NI0NPuy r
'?...
MECHANICAL EVALUATION ONLY S
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
Fu > 100 BTUZ
Fans
Miscellaneous
Fuel Tanks
Gas Hwt
Hood
Boilers
Above Ground
Conv Bur er
Duct Work
0-3 Tons
Under round
BBQ's
Wood Stoves
3-15 Tons
Tata*:.** tY CQtzrit»
DIS ¢LAIM ER: I certify under penalty of perjury that the information fumished 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 art ofthis application
Owner/Agent: ✓r Date:
BUMAr
RE -D 12/11/98
CITY OF EE,DERAL_ WA% PERMIT NO: BLI)97'-0504
13530 First Way '.>outh .,l.� DINE-i �.rv. E6-'M1..� 10/20/97
Federal Way, Wry 9,£3003 Building Inspection BY. FCC
( PDRES S : 29:306 111-1-1 Tei..
MO.: 15152301--00F,40
F RoJ EC: T DESC'R.1 P 11ON: RES ADDITION - REPLAORG AND CONSTRUCTING DECK.
OWNERCONTRACTORa�a......rr:R..,..>.�����
ROBERT BLACKMON DECKS BY 3 R W MELLON MORTGAGE
29306 11TH PL 1420 NW GILMAR BLVD 2135 PO BOX :1885 1
FEDERAL WAY WA 98003 ISSAOUAH WA 98027-7001 N1NtSTOH'TX 77252-2885
`3 941 7196 451 1400 881-8302
DECKSJRO9�!QG
rs:ssa:mae":n:c:a�:,a.s.m:a::xam.9sutt.�..._s.-xc�c:.:asoma:a�.r..s:.-r.w.c�axxems..ur.,_.___t.,.n_.,:x.:•p::�caam�!aaz::+cs:asmac.:w:r..axsnct9caGrme.s:..:..mnmsnv.. saa x+stt«f ..zmue=a;a•ar:.xu:.�F:.a:wu sw;c: msean�m:.xsxm_:z.ezriz#SK :rsr.+mlfx:as�c. n.^:�mcaew'#
m CONINACTORS, PLEASE USE LOCATION (OK 1117 wrl Rf."NTIN6 SALES To FOR PROJECTS V1111I iff CITY OF fEDENAL NAY. TAX NATE = 8.2%
kB
LD?:X MEC?: PLM?: FIR-4XImxx^asr.�zcsm,':as-:::ar"ST--PROP - IWLIRG UNIIS: 0 COMP PLAN.........:URBA FEESN PLAN CHEfK FEE $ 4b.8O
YPE OF WORK:ADD USE:RES IST.: 0: O.sf S%wa".a.,....,.; 0 REQUIRED PARKING..: 0 SPRINKLERS? ...... •
CENSUS CAIEGORY....,:434 2ND.: 0: 0-t Hm' n 00 f HAZARD CLASS...:? BUILDING PERMIT.... S 72.00
OCCUPANCY GROUP ---------- 39D.: IItiM-._._-.__v, PFMTIRED STINACKS-_- - - FTP£ ft's....: 0 P SBCC SURCHARGE.....r $ 4.54
:R3 :? :? :? VIP: 0. P:sf tX1`.`..: 0 f1wit PLAN CHECK...* 42.00
TYPE OF CONSTRUCTION--._- BSMI: IJ: O:sf PROP _..�: 41 t SIDE– .W....... 0.00 It Wb,EI, `,aRVICE..:fi;
:? :? 1?FrK: u: "►:st fiLA!t. . 0.flu: tt SEWER SERVICE .:>`_Y
{ OCCUPANT LOAD ------------ UR.: 0: 0.;f RECLIV[Ir,:09,'"21"7
0: 0; 0: 0: TOIL: 0: 4?0:sf IfMYERV SURFACE: 0 sf SENSITIVE AREAS?.:?
.-:ci_er..::-:.az....z:a.rae.ccraa:s:a;wYus.sms�ca. s.cx..�s ..`ypi;::xak.•::xu*+:.am.. a... altlm e.:..::eriMlMA..xe_..;.. .: m: +MAtlA. _.. A%Yt.saasrrcet.�«a.+:sm»sccxa:.ansst-as:E.uvsessascasa:>.n.r. sr¢:csat✓ennaxr zewrW
FUEL TYPES.:? ? FANS.—,0 BOILERS/COMPRESSORS WATER CLOSETS......: 0 URINALS........: 0 TOTAL FEE'.; 165.30
G S PIPING.: 0 ft HOOD..... .. 0 0-3 TON...... 0 BAIN TUBS........... 0 DRINKING FOUNT.: 0
<loot : 0 DUCT WORK...... 0 3-15 TON..... 0 SHOWERS............. 0 SUMPS........... 0
a NWT:...: 0 WOOD STOVES...: 0 15-30 TON—: 0 LAVAT%IfS.........; 0 VAC BREAKERS...: 0
CONV BURNER: 0 FURN:,lOOK... _: 0 30-50 TON.... 0 SINKS............... 0 GRAINS.......... 0
BBQ... ..... 0 MISC........... 0 50+ TON...... 0 DISH WASHERS........ 0 L4VN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS---- ELEC VTR HEATERS...; 0 OTHER FIXTURES.: 0
RANGE......: 0 <.10,000 CFM: 0 ABOVE GR04JWD: 0 IAUR 4SHR OUTLTS...: 0
141S LOGS...: 0 10,000 CFM: 0 UNDERGROUND 0
Tax �� vrw.:s::emrszaaa.;:su..saxr:..:xsc �::a...sarrstimta,nre ^.>=... ae...:ee:: .u;naa.r ....>w •. rr. ..._. .....xe..._..n .: .: c :::� n:....._x_...-:.u.�._:.�a..<..:e.ttnarner_�•xcns.�,.a<.. a.::..::x ......�:a.: r.. x.s :um zrcr,a:a::..«;s^»:mw+usmxx:.^-xuoasxatunmmamraraxxs<.:aayc:.erms�
PEjS EXPIixE 1tN1 DAY'r` AFTER ISSUAY(E lT N4 KIS STt tTED. RESIDLr1ItAt AJD GRADING PERt1ITS EXPIRE 01 YEAR AFTER NIF % ISStNlNCf. .
I CERTIFY THAT Tw INF(m)ION FWNISWD DY N 1S 1"t ANO (MICT 10 TIN H011 Of MY KNJV[fbGE AND iNl APPLICAHLI CITY Of FL*RAL WAY REOU01KNIS MILL TN: NEI.
OWNER OR AGEMI Yvu G,� ;'-� "_'--- Pal " ✓ �' '7
_ FIELD COPY