97-101221CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
; ;11.) ..IIS. L...;E.). I N G P E R111 "T"
Building Inspection Requests 661-4140
ADDRESS:30720 12TH PL SW
NO.: 178830-0075
PROJECT DESCRIPTION. BEDROOM EXPANSION AND BATHROOM ADDITION
F= OWNER =_________________________________________________ CONTRACTOR
GERALD PETERSON OWNER IS CONTRACTOR
r 30720 12TH PL. SW
FEDERAL WAY WA 98023
LENDER
977' 10141
PERMIT NO: BLD97-0209
ISSUED: 04/16/97
BY: FC2
EXPIRES: 10/13/97
.6-6580 946-2829
sss CONTRACTORS, PLEASE USE LOCATION COD 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE = 8.2% sss
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BLD?:X NEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN.........:? FEES: t�
f TYPE OF WORK:ADD USE:RES 1ST.: 816: 288:sf STORIES........: 1 REQUIRED PARKING..: 0 SPRINKLERS?......:? PLAN CHECK FEE $ 117.00
CENSUS CATEGORY ..... :434 2ND.: 0: O:sf HEIGHT.....: 15.00 ft HAZARD CLASS...:? BUILDING PERMIT....* $ 180.00
OCCUPANCY GROUP---------- 3RD.: 0: O:sf VALUATION---------- REQUIRED SETBACKS------- FIRE FLOW....: 0 9Pm SBCC SURCHARGE ..... # $ 4.50
:R3 :? :? :? OTHR: 0: O:sf EXIST..$: 0 FRONT.........: 0.00 ft PLUMBING FIXT.... 93t $ 21.00
TYPE OF CONSTRUCTION----- BSMT: 0: O:sf PROP ... $: 16704 SIDE..........: 0.00 ft WATER SERVICE..:? Mechanical Permit* $ 22.00
:5N :? :? :? DECK: 0: O:Sf REAR........... O.00:ft SEWER SERVICE..:?
OCCUPANT LOAD------------ GAR.: 0: O:sf RECEIVED.:04/09/97
3: 0: 0: 0: TOTL: 816: 288:sf - IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
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FUEL TYPES.:? ? FANS..........: 1 BOILERS/COMPRESSORS WATER CLOSETS......: 1 URINALS........: 0 TOTAL FEES $ 344.50
PIPING.: 0 ft HOOD........... 0 0-3 HP....... 0 BATH TUBS........... 0 DRINKING FOUNT.: 0
<100K... 0 DUCT WORK...... 1 3-15 HP...... 0 SHOWERS ............. 1 SUMPS........... 0
GAS HNT....: 0 WOOD STOVES...: 0 15-30 HP....: 0 LAVATORIES.........: 1 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K...... 0 30-50 HP..... 0 SINKS ............... 0 DRAINS.......... 0
BBQ......... 0 MISC........... 0 5+ HP........ 0 DISH WASHERS........ 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS--------- ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE......: 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0
y GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
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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 TVj�kTI N F S BYE IS TRUE AMD CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLECITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR flGENT ___ . �v-------------------------------------DATE
FILE COPY
,;%97 'HE 14:17 FAX 2066614129 CIT1" OF FEDLRAL IIA4 IJjoo
r
}l ULLDJNG Dr,,,moN
Omar 33530 Fust Way South
��_ �1 Federal Way, WA 95003
O (206) 661-4000
�\ Fax (206) 661-4129c
,APPLICATION FOR BUILDING PERMIT,_,�7e,40
47
PLEASE PRINT APPLICATION N
Address
To nt (if kn l)( Lot # As
az A f 71' ) jo
AN
Bu ina Own r N me� Address '�� �'
atv IG;,ike Stets 2i Ffton
Nature of Work C).i_ 1ClL��
Name (F,M,U 1
Address
i�J (
Ci n� State Ti
Contact Person ",% I Day Phone �n , y 1'� �C ��r, nth �gr�¢ 2-9, Ft -Z- ,,, h —Al i
Company Name \
AddressCj to
%
Ci State Zi
Contact Person Phon rex
e
Contractor's # (card must be pres tedl Expiret ole — Verified ElYes LlNo
LEGAL DESCRIPTION
U:1/ Ll�ii
Il: IS IA.A ;?U(iGUl1F�'!I
�%�i
e (electriclother)
Gigs Dryer
Air Handling c — 10,000 CFM 15-30 Tons
2 , `
Existing Use
Permit Includes:
C100K BTUs
1110"Buildin
Type of Work:
Ce'Rosidontiol
O Now
MJacelleneaua Fuel Tanks
O Commercial
fd�Addition
Enter ist Floor Z2L sq ft
2nd Floor
Area Basement
ag ft
Decks
Water Avai(abilia
❑ Sower AvsilaWliv
❑ 0n-�
Zo ni ng c
-% _-1_.
l.ot SJ2e
cll) UF 111A) RAL 11A1
0'-Flemodal
❑ Garage
sq ft 3rd Floor sq ft
sq ft Garage sa ft
ptic System Availability ❑
Proposed Use
W Mechanical CI Other
❑ Number of Units ❑ Deck
O Shed ❑ Other
Existing Roor Area _ S1 a aq ft
Proposed Total Area r^Q so ft
Project Valuation $ -, 10
Fxisting Bldg Valuation I S tAC, u
IJ.jo0
tleu s Wood Stovos 3-15 Tons Tbipj?L�nit'aw�t€
c�D ":N
)ISCLAIMER: r certify undo pcnatty of penury thatthe informalion fwnished by me is true end wrteot to thi, best of my kaowlodger and fiuther, Utot4I am authorized by the owner of
he above premises to perforate the Work for which prnnit application is made_ t furrier Agree to save bxnrless the City of Federd Way as to arty claim (including costs, expenses and
dionneys' heS incurred M estigation and defense of rte claim), Which may be mAde by any person, inoluding the undersigltcd, and filed Against the City of Federal Way, but only
.fine such claim Iris o of the rcl" /ece�of tit t eluding its offroera and employees, upon Me accuracy of the information supplied to the city as a part of this application -
/J/
)wnerfApen (/V Date: �S ✓G
F -AM
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MMHANICAL EVALUATION ONLY S
e (electriclother)
Gigs Dryer
Air Handling c — 10,000 CFM 15-30 Tons
h of Gas Piping
Ran a
Air Hendlin > - 10,000 CFM 30-50 Tuna
C100K BTUs
Gas Log
Unit Neater 50+ Tone
>11 00 BTus
Fans
MJacelleneaua Fuel Tanks
Wt
Hood
Boilers Above Ground
Burner
Duct Work
c 0-3 Tons Undararound
tleu s Wood Stovos 3-15 Tons Tbipj?L�nit'aw�t€
c�D ":N
)ISCLAIMER: r certify undo pcnatty of penury thatthe informalion fwnished by me is true end wrteot to thi, best of my kaowlodger and fiuther, Utot4I am authorized by the owner of
he above premises to perforate the Work for which prnnit application is made_ t furrier Agree to save bxnrless the City of Federd Way as to arty claim (including costs, expenses and
dionneys' heS incurred M estigation and defense of rte claim), Which may be mAde by any person, inoluding the undersigltcd, and filed Against the City of Federal Way, but only
.fine such claim Iris o of the rcl" /ece�of tit t eluding its offroera and employees, upon Me accuracy of the information supplied to the city as a part of this application -
/J/
)wnerfApen (/V Date: �S ✓G
F -AM
rNI1IVe
' I i Y OF F E T?Fvf)L. WOO PE -RMI 1 NC). BLD97 --0209
9 530 F4 rs f W�Ay 11; h ;'y J I L . 1. int(31 fig' E f� m t F 0 4; - tV9 7
Faderal Way, WA :-_: ,) t F?t�i.1 .I i.n�::l Ii'r:'.F��c t.i �c► I?.�f�u�<:t. ; �.,.?1 ; � ��� l `i': F (.:?
661-4000 C: }.F' T f (' 141/1.:3/91
20 :1":''1"ll I -'L ';W
NO. : 178830-00/ti
'�'ROJ Et_. T 1)E '(.,R T F11 10N., BEDROOM EXPANSION AND BAIRROON ADDITION
r OWNER aa....mma..::_xapse za.5x.... mn-m-A— — CONTRACTOR LLNDEF......
�w�:.-a�x_,as
GERALD PETERSON OWNER IS CONTRACTOR
30720 12TH Pl. SW
FEDERAL WAY WA 980213
b 65(;0 946.2824
s" COMTRACI , 1 SALES TAX fOR Pro JIC T `; W011"a 11;11 i al (Ill Of Tom MAY. TAX RATE 8.21 »:
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BLD?:X MEC?:X PLN?:X FLR--[XI. ROP--- MP PLAN.........:? FEES:
TYPE OF WORC:ADD USE:RES 1ST.: 288:sf S IRED PARKINC..: U PLAN CHECK FEE $ 117.00
CENSUS CATEGORY..,..:434 2ND.: O:sf Hi � �, �� �� BUILDING PERMIT....( $ 180.00
OCCUPANCY GROUP---------- 3A V UA R[OI►IRE I.,L �`� SPCC SURCHARGE.....R $ 4.50
:R3 ::' :^ :? sf E S1.1: : p ., 315
j'a'i F XT....93+ $ 21.00
I
TYPE OF CONSTRUCTION- - P.. .... HATfk SER :'? e 1 Perna( 2',00
:SN :? :? 0. ........... O.00:ft SEWER SEF".VICE..:?
OCCUPANT LOAD------------ 7
: 3: 0: 0: 0: TO :, 28 MERV SURFACE: 0 sf SENSITIVE AREAS?.:?
�vsx:...;:.z�a:z :.w_...c a..n-e maa.z - sx:•x+., na:a� ..ma :s::: aaus:� ac s.iaraa m �uun.. +•waauazrsmrsucaza_u:nr:3:_s:.:.>.:ic:a�:-sw:amas:.r.v usxaa�sa:xmac ^sx:rsmn,a
FUEL TYPES.:? ? FAHS.... .....: BOILERS/COMPRESSORS NATER CLOSETS......: 1 URINALS..,.....: 0 TOTAL FEES
PIPING.: 0 ft HOOD..........; 0 0-3 "P......: 0 BATH TUBS..........: 0 DRINKING FOUNT.: 0
N<100K... 0 DUCT WORK...... 1 3-15 HP...... 0 SHOWERS ............. 1 SUMPS........... 0
GAS HNT....; 0 WOOD STOVES...: 0 15-30 HP....: 0 LAVATORIES,........: 1 VAC BREAKERS...: 0
S roNf' BURNER: 0 FUR">100K...... 0 30-50 HP..... f? SINKS ............... 0 DRAINS.......... 0
BBO....... :: 0 MIS(..........: 0 51 HP.......: 0 DISH WASHERS..,.....: 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS----- [LEC WIR HEATERS...: 0 OTHER f1YTURES.: 0
RANGE,.....: 0 :10,000 CFM: 0 ABOVE GROUND: 0 LAUII WSHR OUTLTS...: 0
GAS LOGS...: 0 > 10,000 AFM: 0 UNDERGROUND.: 0
a:.n:s:¢.:ttCa�ma«aC+AigCa:.:•ma_: aiosA:.a ....::..�.._.i_c.niSlO:ncfi's:s'n..[.,aR.:..::, .�.-a..m::,...,__m._cc:v.-..:-a au:.::.z�xx=ra+::.-......x»..maFm.: T.:,. •a. P. a.ua•:._ _.., ._.. _..,.
PfRMIfS EXPIRE 131 DAYS AFTER ISSSKEX NO WORT~ IS STARTED. RESIDENTIAL AND GRADING PERNIIS EXPfRf Off YEAR AfIU, PAIL 4 173SUANI:f.
I CERIIFY ]NAT IML I NAII N fUMSM [, At IS TRUE AMD CORRECT TO THE NIST Of NY kROWLEDGI AND IH1. 011.10 01.F CITY Of f[DtRAI VAY PtOUIRLHI.N15 Will 1;I NI
OWNER OR AGf"T DAT, e m
ki
FIELD COPY
$ 344.50
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F_ -I
SET13ACKS & FOOTINGS
Date By
FOUNDATION WALLS
Date By
PLUMBING GROUNDWORK
Date By
UNDERFLOOR FRAMING
Date By
SHEAR WALLS
Date 5—' – `i By
PLUMBING ROUGH -IN
Date ' By
GAS PIPING
Date By
MECHANICAL ROUGH -IN
Date By
MECHANICAL (OTHER)
Date By
FRAMING
Date 5 By
INSULATION
Date — By
GWB - 1 ST LAYER
Date By
GWB - 2ND LAYER
Date By
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL
Date By
BUILDING FINAL
Date By
OTHER
Date By
OTHER
Date By
CDO193