96-100834I'y of (JI)ERAt- wtty
3330 I"ist Wl-Iy `;south LAY1 L V I HG
C. (AM I T
F,'ederal Way. W(i 9flOffl J3t1i1clinq 4`l 4(1
661-4000
i
,
"vR0JF'(7'1' 1`1011'ADD ADDITION Of BAIRPOOM AND (IOS11 APLA.
96-
PL14M I I' M-1,
K��A-)E'V* ()6/74'/it,
B)*: 'I"'
yP OWNER COMIRKTOR, (ENDLR
JP/PHYLLIS S"ll'
35422 IST AV[ S S 368TH pl.
FEDERAL WAY WA 98003 MORN VA 98001
38 63"8 838-1984
(ASI list I Ix'Af lSAM fAX FOR PROJIMS MllN(N IN[. CITY Of MM MAY. TAX RAff BA txx
,ottw
MW ING PLAN. .......'SF I "I
810?:Y. NEC?:Y PLM?:Y tLR--t
HG.': CPR I Hki Lps? ...... . PLAN (HECK TEE PAPY1
FEES: p
TYPE OF WOMADD 1JS(:RES IS].: O:Sfo
CENSuc C O:sf
. CATEGORY INK: 11 1 ... PUE NVS PtCt(cl)-93 40.00
OCCUPANCY GROUP---- Ksf-- VAI 1100 0001po Elloivoowo Mechanical Permits 1 22.00
:? ST [PON
f INAL PLAN CHE(f... i 5.8'
&�oo i S J LD PERMIT.—t 180.0o
TYPE OF CONSTRUCTION --
0 f 10.00:ft SEWER S[pVIQ..:S1P SVC SURCHARGE...,. .50
OC(UPANT LOAD- - - ptlj"Bm" I JXT.. ..q?s 35.00
0: 0: 0: ol "MV SURFA(E: 0 st SENSITIVE AIREM.911 I
FUEL TYPES.:? FANS' 901tERSICONPRESSORS WATER AOSETS ...... I URINALS,......,: u IOTAt FEES 398.9
4PIPINt.:
0 ft flooll .......... 0-3 HD...... : 0 BATH TUBS........... I DRINKING FOUNT.: f)
141,100r..: 0 KKI WORK ..... 1) 3-15 HP.. : 0 SHOWERS.. I SUMPS,. .
GAS OWT .... WOOD STOVES—: 0 15 30 HP.,.,, 0 LAVATORI['— ...... VA( BREAKER(—.: 0
(ORV 819NER: 0 0 30-50 Hp..... 0 SINIIIS.......... ...... 0 DRAIN,... : 0
Boo ........ : 0 MISC..........: 0 54 HP..... : 1) DISH WASHM ....... 0 LAWN SPRINKLERS: 0
I HEALERS...: 0 OTHERJI�TURM: 0
GAS DRYER–: 0 AIR HANDLING UNITS FUEL MKS—
LLEC WIR HIAIER
RANGE......: 0 0 ABOVE GROUND: 0 LAUM WSHR OUILIS ... 0
GAS LOGS ... : 0 M000 (r": 0 UNDERGROUND,: 0
MMIS EXPIRt IOU DAYS At 11R ISSMKI If NO NUK IS SlAgIto. R(slKN(Int AND GRADING P(gol JS EXPIRE OK Y[AR AFTER bAlf Of MVAIKt
i CERTIFY INAT 1"I IRM101101 1URNISULD By fM S 11% AND !ow(f 10 11% KSI 01 NY 910KDAlfEDU AND 101 APPIKABLE CITY MIRM MAY RIOUIRMINIS MILI M, NEI
OWNER OR kriful
FIELD COPY
7-
7
Aft
r
SETBACKS & FOOTINGS
Date By
FOUNDATION WALLS
Date .—G By
PLUMBING GROUNDWORK
Date By
UNDERFLOOR FRAMING
Date
SHEAR WALLS
Date By
PLUMBING ROUGH -IN
Date TM& By
GAS PIPING
Date By
MECHANICAL ROUGH -IN
Date By],�
MECHANICAL (OTHER)
Date By
FRAMING
Date �_% W7 By
INSULATION
Date -0 B
GWB - 1ST LAYER
Date By
GWB 2ND LAYER
Date �'� B
SUSPENDE..D 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
URN<100K..; 0 DUCT WORK 0 3-15 HP • 0 SHOWERS • 1 SUMPS • 0 96.i0083y
CITY QF FEDERAL WAY PERMIT NO: BLD96- 0095
IIIIIF
333530 First Way South •iR"NIA ,)t..,�L. I,„•,,.11::,�'1..'ll`il ;,;'1; i('vviln,' piin T ISSUED: 06/24/96
Federal Way, WA 98003 Building inspection Requests 661--4140 BY: FC
661 -4000 EXPIRES: 12/21/96
ADDRESS:35422 1ST AVE S
N0. : 292104-9065
PROJECT DESCRIPTION:ADD - ADDITION OF BATHROOM AND CLOSET AREA.
-. OWNER _- .._ :: _-- .--_ - ; CONTRACTOR -•-------------- t ::=a..
JP/PHYLLIS SCOTT SIMS, R S {
35422 1ST AVE S . 3237 S 368TH PL
i FEDERAL WAY WA 98003 I AUBURN WA 98001
r I,
I 838-6328 ) 838-3984
) SIMS*R51640F I,
#U= CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.2% u_
BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 ' COMP PLAN •SFMD ( FEES:
TYPE OF WORK:ADD USE:RES 1ST.: 0: 0:sf STORIES ,,: 2 REQUIRED PARKING..: 2 SPRINKLERS' •' PLAN CHECK FEE $ 122.85
CENSUS CATEGORY •9 2ND.; 0: 0:sf HEIGHT • 0.00 ft ? HAZARD CLASS •' i PUB WKS PLCK(SF)..93 $ 40.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW 0 qpm Mechanical Permit* $ 22.00
:R3 :? :? :? OTHR: 0: 245:sf EXIST..$: 51500 FRONT • 20.00 tt 1 FINAL PLAN CHECK...* $ -5.85
TYPE OF CONSTRUCTION BSMT: 0: O:sf PROP...$: 16795 SIDE • 10.00 ft WATER SERVICE..:FED 1 BUILDING PERMIT...,* $ 180.00
:5N :? ;? :? DECK: 0: 0:sf REAR • 10.00:ft SEWER SERVICE. :SEP 4 SBCC SURCHARGE * $ 4.50
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:03/28/96 PLUMBING FIXT....93* $ 35.00
: 0: 0: 0: 0: TOTL: 0: 245:sf ± IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N 9
FUEL TYPES.:? ? FANS • 1 BOILERS/COMPRES50RS 4 WATER CLOSETS 1 URINALS 0 TOTAL FEES $ 398.50
GAS PIPING.: 0 ft HOOD • 0
0-3 HP • 0 BATH TUBS • 1 DRINKING FOUNT.: 0 a
GAS NWT 0 WOOD STOVES,..: 0 15-30 HP 0 I LAVATORIES • 2 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 0 DRAINS • 0 t
BBQ • 0 MISC • 0 5+ HP • 0 F DISH WASHERS • 0 LAWN SPRINKLERS: 0 1
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 l ti
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 1
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 FURN SHED BY M IS TRUE AND CORRECT TO THE BEST OF NY KNOWLEDGE AND THE APPLICA LE CITY FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT y DATE (E) 6
FILE COPY
City of Federal Way
:°� G RECEJVEO _
v F � APPLICATION FOR BUILDING PERMIT •
illiR 2 8 1998 .
PLEASE PRINT APPLICATION #•''uj''""�'-`�`'=C jY O 7c
SITE LOCATION Address 3ti-� _ St AQ.. . •
Tenant (if known) Lot # ssessor's Tax N
4 Cj,10gq -6I()o`S
&Aiding Owner ?vine, (� Address
Q4.-Yvtei € u •S 6.l • C
City N-7-. Q State A Zip Ck n iJ% Phone % (0 3 2 g
Nature of Work (All_LA6s, ...3 '7: \-- kl...ii,`MU C)-1/4...-Z-, S arQQ--
1 APPLICANT
Name (F,M,L)
(c...--
lTh CLAN...z.,- 47.-- al CIAL--e--)
Address
City State Zip
Contact Person Day Phone Other Phone Fax
BUILDING CONTRACTOR
Company Ntair n
-A\0-g.._.42-Lki\
Address (�(�
, 3-75 . L " 1'-X. •
Cityc-NSL 3.A Q7:1‘._.L11-",•.. j 4- , State W Zip Q \
Contact Person 1 Phone Fax
Contractor's k (card must bepresented) Epration (rJ ite Verified ❑ Yes ID No
i/Y\ --�\-2.. S .1_(L D\t- 111111
ARCHITECT
Name .....\. ..,
..GAJ .-- (23 kl'-)\
Address
/`
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION /
(�' t1� \. (� ' • �(• ZO '&PQ . 311 ( E
�c vn e �®u xw.� 3�• 3� -6\e_ l�u t`�n uJe - - V(4- e& c3 AioF w4 '/‘.1 ()- -
5Q__&iii-v\.
-'5Q- fey` , • 0. .. k 0 i. l'• _ • . .. _ (V
4 tie �e...s4- 30 Ve +V eire_oC cm cke.Thya •No r 1st tome_.
111 Kaw,A " ....‘40e.4-•%O SC• u-r '. ao.L Sc Ai O• 1 O 5 q
Please Complete Reverse Side 1�S(
Ll.J VA Q Tom- • CD0492(Rev 4/931
STRUCTURE Oxisting Use 5 FR "Proposed Use c4/0
t1M_e
Parmit includes: A Building ❑ Plumbing ❑ Mechanical ❑ Other
Type of Work: I' Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck
❑ Commercial 91`Addition ❑ Garage ❑ Shed ❑ Other
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sqftj ft Proposed Total Area y c sq ft
Water Availability LvS Sewer Availability ❑ On-Site Septic System Availability m Project Valuation $ I(_ `11
Zoning f 35—,0 Lot Size t /0l 5-60 Existing Bldg Valuation $ s l 500
LENDER
Name Address
City State Zip
MECHANICAL CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
ic.PLUMBING FIXTURE COUNT
Water Closets 1 Sinks Al 1n- Urinals N )41 Lawn Sprinklers /v 16
Bathtubs I Dish Washers � Drinking Fountains it ) J(} Other O I 0
Showers I Electric Water Heaters 1 (-1 Sumps �/
Lavatories441, Washing Machine A. Drains ,\)li Total Fixture Count
r._
''MECHANICAL UNIT COUNT j
MECHANICAL VALUATION ONLY- $Fuel Type lelectric/ they) }
Gas Dryer „ J L1 Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping ikiU , Range /U/A' Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log A) Unit Heater 50+ Tons
Furn >100 BTUs trf Fans I Miscellaneous Fuel Tanks
0-
Gas Hwtn Hood S�1 i Boilers Above Ground
Conv Burner r 1 Duct Wo0 `S4.., 0-3 Tons Underground ILI
BBQ's f Wood Stoves '41' ."1- CI Cr3-15 Tons Total,Unit Count
DISCLAIMER: I certify under penalty of perjury t'at 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 w i. permit application is made.I further agree to save harmless the City of Federal Way as to any claim(including costs,expenses,
and attorneys'fees incurred in'investigation and,•fense of such claim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,
but onlysuch claim arises .+t o e relia e of the Ci including its officers and employees,upon the accuracy of the nformat n supplied to the City as a part of this
application.
OwnerlAge• iiM, , v Akli '`a�..:+ Date: R Ts G
SEA TTLWNG COUNTY DEPARTMENT OF PUBL•EALTH �
6L� �6 -UUO%'
ENVIRONMENTAL HEALTH SERVICES Activity Number`/%//'- ,,j5 -
tECEJ
Total Fee: $125. - ) APPLICATION FOR HEALTH DEPARTMENT
_
APPROVAL OF BUILDING PERMIT
- -- 21 M
Submit application, routemap; building permit plot plans,=and other required documents in triplicate. The following
must be completed a4Itthe fetal i U$1-accompany this application:
Note: If the property is located in unincorporated King County, make direct application to the King County Building
and Land Development Division (B.A.L.D.). Propertied in incorporated cities apply to local building
departments.
PROPERTY INFORMATION
House/structure is served by an on-site sewage (septic) system
Distance to the nearest public sewer t _ g,��p
Address of property -y'as— l - f Z.• • Q �Q,C �� } (�0
• '1 c>
Parcel Number (Tax Lot Account #) 02C1oZ1 - CI( () --� O
_ c;)(..,c;)(.., C -I L L�Applicant's name �A,,rne,5 P- 7e\,-. i,ti S M -
Day Phone
Applicant's mailing address (S(..k . .)
Owner's name ( 7,.Yvie. c c\vc Day Phone C e c+.z a.Yo4wC'�
Age of HouseOyrsNumber of existing bedrooms../--t- Existing square footage of house ,V-..--1 -70 "' ••):F.
Are additional bedrooms being constructed or created? ) )E
Description of proposed changes/remodeling (attach plot plans, showing existing structure, remodeling and
septic system):
(36,:tVvec c,.pt ' - IcA\<- .%-,-- CAQ S .k. • ..2.4.k.--a S.Q-.)
New square footage after construction )0 l a •
SEWAGE SYSTEM INFORMATION Ilk pum"rzerr ace_ (-90-ii, 3l%��r(�
Approximate dates septic tank was pumped (attached receipts) �-nlKxm,A9,1 • W �r ct. e. \ u e..
Additions or major landscape changes since house was constructed (examples: ad ami y room, e rooms,
garage, patio, deck, pool, etc.; major fills excavations done in landscaping):
i% vu.r -r s)\el..ge._ V.oar,r,t lk m. \ 1 �-�.reci„i �Oc1/4..0� �c�n.r ct S r c t
Additions nr renairc to eaµrayn s}�S+nm (gi_ra -t. w7 d-_,,,;�- kriefly) cL tkb tL-N• (' t
_r �T S
1\.„,)B'n Q <•-n i&ll.I YI
Other information which would be helpful in evaluating the sewage system (ex. drainfield easements,
covenants, etc.):
WATER SUPPLY INFORMATION
Z( Public system ( 2 or more connections) Private (well, spring, etc.) Attach copies of
well log , well covenants ,
chemical/bacteriological sample reports.
FOR HEALTH DEPARTMENT USE ONLY
0/APPROVED `. -\Flit- BY':--,-
DISAPPROVED BY: Date Received
Comments/Conditions: E.i ..
MAR 81996
ALDER SQUARE
Any person aggrieved by any decision or final order of the Health Officer may make written application for appeal to
the King County Board of Sewage Review if done so within 60 days of the above decision.
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