97-103442CIT`( OF FEDERAL WAY
33500 First Way South
Federal Way, WA 93003
253-661-4000
•,�..,��,,w,� „�.. �.xx. ,.Il,x�lr ..lix. �M��il ��x ,��� �ua�! �u�.. �I,f��l`� �'MI� �.�x. ��„�x•
Building Inspection Requests 253-..661--4140
ADDRESS:30120 12T14 AVE SW
NO.: 515320--0471
PROJECT DESCRI:PTIOP•I:RES ADD - Addition of sunroom-non heated
T= OWNER =_______________________________ __________________y= CONTRACTOR
JIM BERNOVICH 3 ALL CUSTOM REMODELING
30120 12TH AVE SW 19808 84TH AVE S
FEDERAL WAY WA 98023 KENT WA 98032
872-9310
9
ALLCUR*O66CN
LENDER=_-._____
OWNER IS LENDER
ax CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL W1
-------.___--_-----__.__--------.___..___.__-----._
BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN _...._...:URBA- - --- - - �`
TYPE OF WORK:ADD USE:RES 1ST,: 0: O:sf STORIES........: 0 REQUIRED PARKING..: 0 SPRINKLERS?......:?
CENSUS CATEGORY.....:434 2ND.: 0: O:sf HEIGHT.....: 0.00 ft HAZARD CLASS...:?
OCCUPANCY GROUP---------- 3RD.: 0: O:sf VALUATION---------- REQUIRED SETBACKS------- FIRE FLOW....: 0 gpm
:R3 :? :? :? OTHR: 0: 112:sf EXIST,.$: 0 FRONT.........: 0.00 ft
i TYPE OF CONSTRUCTION----- BSMT: 0: O:sf PROP...$: 10000 SIDE....,.....: 0.00 ft WATER SERVICE..:FED
:5N :? :? :? : DECK: 0: O:sf REAR..........: O.00:ft SEWER SERVICE..:SEP
OCCUPANT LOAD------------ GAR.: 0: O:sf RECEIVED.:09/15/97
0: 0: 0: 0: TOTL: 0: 112:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
PERMIT NO: BLD97-0546
ISSUED: 10/24/97
BY: FC
EXPIRES: 04/22/93
IY. TAX RATE : 8.2% US
FEES:
PLAN CHECK FEE
BUILDING PERMIT....*
SBCC SURCHARGE.....*
FINAL PLAN CHECK...*
FUEL TYPES.:?
?
FANS..,.......:
0
BOILERS/COMPRESSORS
WATER CLOSETS......:
0
URINALS........:
0 TOTAL FEES
GAS PIPING.:
0 ft
HOOD...,......:
0
0-3 TON.....:
0
BATH TUBS..........:
0
DRINKING FOUNT.:
0
FURN<1O0K..:
0
DUCT WORK.....:
0
3-15 TON....:
0
a SHOWERS ............:
0
SUMPS..........:
0
GAS NWT....:
0
WOOD STOVES...:
0
15-30 TON...:
0
LAVATORIES.........:
0
VAC BREAKERS...:
0
CONV BURNER:
0
FURN>100K.....:
0
30-50 TON...:
0
SINKS ..............:
0
DRAINS.........:
0 ;
BBQ........:
0
'ISC..........:
0
50+ TON.,,..:
0
DISH WASHERS.......:
0
LAWN SPRINKLERS:
0
GAS DRYER..:
0
AIR HANDLING UNITS
FUEL TANKS---------
` ELEC WTR HEATERS...:
0
OTHER FIXTURES.:
0
RANGE......:
GAS LOGS...:
0 )
0� /
<:10,000 CFM:
> 1,000 CFM:
0
0
ABOVE GROUND:
UNDERGROUND.:
0
0
` LAUN WSHR OUTLTS...:
0
{
PERMITS EXPIRE
I CERTIFY THAT,
OWNER OR AGEW
IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE Of ISSUANCE.
D BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE ;C17TYFEDERAL NAY REQUIREMENTS HILL BE MET.
DATE Ir <_ _
-------------------------------------------------- ---.
FILE COPY
$ 76.05
$ 117.00
$ 4.50
$ 0.00
$ 197.55
W
qA OF G
�� REGE�vE�.
pY
P:
APPLICATION FOR' WILDING PERMIT
PR/NT APPLICATION #
BUILDING DMSION
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax(253)661-4129
Address (� / O % % T v r
Tenant (if known) r Lot # Assessor's Tax #
Building Owner's Name - Addre
Citv`//�//2f�L--/ 6-aliJT I State Zio 1; 11 :t 3 1 Phone
Nature of Work
:..:........:..::.::,:::..
Name (F,M,L)
Address
Address
nAxe
-(o
Cit
State
State 1
Zi
Contact Person
�
Day Phone
-5 3/I -D
Other Phone
Fax
�a -
i�
J-�,
>:<:»ver,::
......... N.�...........id N .. T
Company Name
P Y
CJus � We / 117:- 1-1 �-
Address
Address
State
City
State
Zi
Contact Person
Phone
Fax
Contractor's # (card must be presented)
Expiration Date
Verified ❑ Yes ❑ No
Name
��r2 �l�3r�izs
Address
City U
State
Zi
Contact Person
Phone
Fax
LEGAL DESCRIPTION
Please Complete Reverse -Si de
W
qW
k
Address
Existing Use
State
Pro posed Use
Contact
Phone
Permit includes:
License #
Building
❑ Plumbing
❑ Mechanical
❑
Other
Type of Work:
Q Residential
❑ Commercial
New
Addition
❑ Remodel
❑ Garage
❑ Number of Units _
❑ Shed
❑ Deck
❑ Other
Enter 1st Floor
Area Basement
71 1 sq ft
sq ft
2nd Floor
Decks
sq ft 3rd Floor sq ft
sq ft Garage sq ft
Existing Floor Area /
Pro osed Total Area
;<'"
sq ft
sq ft
Water Availability
❑ Sewer Availability
❑ On -Site
Septic System Availabilit :tl_—.
Project Valuation
$
1,
Zoning
Wood Stoves
Lot Size
'ftstalalntt COii t ' ... ... "3.`
......_......._ ti ................................
Existing Bldg Valuation
$
Name
............................................................................................
i1tNK%.1'HICGAI0tJNAI' �'0<
..... .........
Address
State
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
............................................................................................
...........................................................................................
............................................................................................
...........................................................................................
............................................................................................
F i C1.VMI-.....E t TL R ;CC}U111T <::_.........:..
................ ............... ............... ......... ...... ...................... ....:...
Water Closets
Sinks
Urinals Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains Other
Showers
Electric Water Heaters
Sumps
Lavatories
Mashing Machine
Drains Total Fixture Count
...........................................................................................
............................................................................................
...........................................................................................
............................................................................................
...........................................................................................
ECHANICAV'I"" 1U.1V'i`':> • <> >
...........................................................................................
?
MECHANICAL EVALUATION ONLY $
Fuel Type (electric/other)
Gas Dryer
Air Han±Laq < = 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 >I 00 BTUs
Fans
Miscellaneous
Fuel Tanks
Gas Hwt
Hood
Boilers
Above Ground
Conv Burner
Duct Work
0-3 Tons
Underground
BBO's
Wood Stoves
3-15 Tons
'ftstalalntt COii t ' ... ... "3.`
......_......._ ti ................................
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 e work for which permit plication 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 s claim), hich maybe made by any person, including the undersigned, and filed against the City of Federal_Way, but only
where such cla' aris t of the relian e , ' eluding ' officers and employees, upon the accuracy of the information supplied to the city as a part of this plication.
Owner/Agri Date:
BunDlnc.A�
REV*ED 8126/87
CITY OF FEDFROL. WON'
3'`;5'30 First 14.3y `:;o I I-)
Federzi.t Wc-ty, WA 98001
'53 �61
DUILDING PERMIT
1-46 Jii.nq 1rmpc(.-Li(.m F(zjosts '2,53 661 -41,40
121`14 OVE ,W
NO. : 51,5320 .0471
PROD I (,,T DFSCRIPIJON.RtS ADD - Addition of sunrom-non heated
PER,111- NO-
1'�)ULD: 10/24�/97
13y: 1, (
t.XPIPEf04/2'1.1/91
OWNER CONTRACTORLIN10
310 BERHOVI(H AIL CUSffM REMODELING OWNER IS LINDEP
30120 I"TH AVE SW 19808 8011 AVE S
LRAL WAY WA '180`3 k141 WA 98032
812-9310
*so CONFRAcToks- ptts�k w.", ir0litf r,01' Ili' �4k'N SALES 141 fdk PMECIS 111111 TK CITY Of FEKL41 MAY. TAX RATE = 8.2t
..... vn.w
RL D?: X HEC?: pf FLR 4XIST-,,HFOR-- - "10 PLAN ......... :UR&A
TYPE Of W t:ADD UCL:RLS IST., 0:s1 S 10 IIS FI`IAIIRED PARKING ... 1,PRINKLERS? ...... :? i PLAN (01(t FEE T 76.06
CENSUS CATEGORY ..... :434
20.:
O-st
WATER CLOSETS ...... 0 (IR I HAL S .........
BAIN TUBS .......... 0 DRINKING FOUNT.:
t
IC(I)PAKY GROUP- --
lu
11 V40,i
'All
13
3-15 TON,....
0
SHOWERS .............
sipu
TYPE or mmu
_8w
P*
of pl�,
"
:5H :? :?
1KC
WOOD STOVES...:
0
15-30 TON...:
(W(UPART LOAD- -
0: 0: 0: 0.
6 LIVt
TOY
1, 15
904RD (LASS. ,
1, :+11V I D S! I 8A."I 0,44 t1 0
f f4 , lilt ........ O.Lwi
71PE .......... OP WATER SLRVI(f .40
.......... SEWER 14RVI([..:S1P
:hPrRV SURFACE: 0 sf SfHSIJIVE AREAS'%:?
]WILDING PERMIT....* $ 117.00
;If( SuRCHARGE ..... 4 i 4.50
1 1 Rk PLAN CHECK ... 1 0.00
L TYPES.:'
1 00 1, iS, , P�� �1 'P" � 'I NG "0 �,t 't
If A #c, .
`R_ �OO 'D � ......... 0
0-3 TON...... 0
WATER CLOSETS ...... 0 (IR I HAL S .........
BAIN TUBS .......... 0 DRINKING FOUNT.:
0
0
TOTAL FEES
0
DU(T NORK.....:
0
3-15 TON,....
0
SHOWERS .............
0
SUMPS...........
0
GAS NMI....:
0
WOOD STOVES...:
0
15-30 TON...:
0
LAVATORIES.........:
0
VAC PEAKERS ...
0
CONY RIJRNER:
0
f"R9400X ..... :
0
30-50 TON....
0
SINKS.. , ......... .
0
DRAINS..........
0
88Q ........ :
0
NIS(...........
0
50+ TON......
0
DISH -MASHERS.. „ ..
0
LAWN SPRINKLERS:
0
GAS DfYER..:
0
AIR HANDLING UNITS
FUEL
Ell( WTR HEATERS_:
0
OTHER FIXTURES.:
0
RANGE......:
0
<:10,000 CFM:
0
ABOVE GROUND:
0
LAIM VSHR O(RLTS... :
0
GAS LOOS...;
O,i"'
> 10,000 (F":
0
UNDERGROUND.:
0
IMERNITS EXPIRE 00 PAYS At It* ISJ8WE 11 N UK IS SINIFO. AESIKIIIAt All GRAZING PERMITS EXPIRE ONE YCAR ATTER NitOf ISSuwt.
I (miry TWAT:'ot
INIORMAJ10111,101111SOF1 NY NE IS TRUE AND (ORRECT TO INIE GIST Of NY KNI)KEKE AO TK APPIJ(Allf (EIV 11041. NAY REQUIREALITS VILI. K NET.
41
OWNER OR A 141 DATE
FIELD COPY
$ 197.55
CDO193 (Rev 4/97)