99-102293CII'Y OF FEDERAL WAY
805:0 First- Way South
Federal Way, WA 98003
25:3-661-4000
Building Inspection Requests 253--661-4140
9 9-/baa93
PERMIT NO: BLD99-0365
ISSUED: 06/18/99
BY: FC
EXPIRES: 12/15/99
ADDRESS:2138 S 2861`H ST
NO.: 422210-0360
PRO,7ECT DESCRIPTION:RES ADD - INSTALLING 320 sgft ADDITION W/PLUMBING. NO MECHANICAL
LAURELWOOD NORTH #2, LOT #76
r= OWNERCONTRACTOR=_______________-________________:_____-_____== LENDER
JOHN FURBER F ABSOLUTE CONSTRUCTION
1706 12TH AVE
38 S 286TH ST MILTON WA 98354
FEDERAL WAY WA 98003
' 0
u
M CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8.6% txx
BLD?:X MEC?: PLM?:X FLR--EXIST--PRCP--- 1WELLING 11 'S; 1 CrMP PLAN...... ... :SFHD FEES:
TYPE OF WORK:RDD USE:RES 1ST.: 0: ?�C:s` STORIES..... 1 RE^1`.?�D PARKI�C..: 2 SPRINKLERS? :N PLAN CHECK FEE
CENSUS CATEGORY ... ..:434 2ND.: 0: O�sf NEIb',' HAZARD CLASS ..:LIT BUT LDING PER MIT....
U
OCCUPANCY GROUP---------- 3RD.: 0. O:sf Vq'LUATION----------- ` REQUIRED C TRACKS------- FIRE FLOW..:,'. 362 gpm BUILDING PERMIT....
:R3 :? •? :? OTHR: 0: O:sf EXIST..$: 87000 � FRJNT...... - .: 20.00 fl SBCC SURCHARGE.....
TYPE OF CONSTRUCTION----- BSMT: 0: O:sf PROP...$: 16600 SIDE- ........: 5.00 ft WATER SERVICE..:LAK ` PLUMBING FIXT....93*
:5N :? :? :? : DECK: 0: O:sf REAR..........: S.00:ft SEWER SERViCE..:LAK PLUMBING PLAN CHECK
OCCUPANT LOAD------------ GAR.: 0: O:sf RECETVED.:06/15/99
E 0: 0: 0: 0: TOTL: 0: 320:sf E IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
- __ --_ _ _ -_ ____::_______-___---------------------------=-----------____
L TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS WATER CLOSETS......: 0 URINALS........: 0
GAS PIPING.:
0 ft
HOOD..........:
0
0-3 TON--:
0
; BATH TUBS..........:
0
DRINKING FOUNT.: 0
FURN<1OOK...
0
DUCT WORK......
0
3-15 TON.....
0
j SHOWERS .............
0
SUMPS........... 0
GAS HWT.... :
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
MISC..........:
0
50+ TON.....:
0
DISH %WASHERS.......:
1
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
GAS LOGS...:
0
> 10,000 CFM:
0
UNDERGROUND.:
0
PERMITS EXPIRE 180 DAY
I CERTIFY THAT THE I)d
OWNER OR AGENT
TOTAL FEES
ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
FURNISHED Y ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
_ _ _..4._._...
----------- ----- .----- -.--------
DATE
FILE COPY
$ 181.51
$ 63.70
$ 215.55
$ 4.50
$ 7.00
$ 4.55
g 49-/0 44'93
jk CUP( OF FEDERAL 1 +Y M PERMIT NO: Bt.L199-0365
'3,'!".35 3O First Way South BUJ I L I �,It.1 P R I �F I ::SULD: c_6.;/112 '9`
Federal Way, WA 93003 building ' Inspection Requests 15:s- 661 -4140 BY: FC
253-'.661 4000 1 EXPIRE 12/15/99
•
ADDRESS:2138 S 2861H ST
P4O. : 422210- 0360
PROJECT DESCRIPTION:RES ADD - INSTALLING 320 sqft ADDITION W/PLUMBING, NO MECHANICAL
LAURELWO00 NORTH 12, LOT 176
r= OWNER r=� �- n � � x • � rf=Y�=rM=-:,= „�= s-w�.=:.max COMTRACTOR -_ :_:_:.< asx ����r.::..z .W _Er .: _aa:� LENDER aaAxsa[RmAYasa S' wms W�asta �m.:sz cmcsamcuasr aca m
I JOHN EMBER ABSOLUTE CONSTRUCTION
170$ 12TH AVE
2138 S 286TH ST MILTON WA 18354
FEDERAL WAY WA 18003
11111/
r �
4I11
C3Tr'S L➢::SJ.'4.CmC .^.A-'C.?-�T..1! a....a,:i61C..=tC.� n. wl a+'.St 'at,,..., .. t-.....2's..crc:ams.H:a ZY:.Ci?:is14•Yt:]>;X.4^5CSCix:'::�t*a...`3t-t atawa>...a...: :..... s..XYariLtS'AF�SaxCCL"e::Yli�z(&tS^.YGR+xitl:li�tdaaFJ'2C.�Y.'x?�ttat8 CYJnasa �.Ylaa2.::..:..
*U� C4IIFRACiI*S. PLEA'SE.,USE LOCATION CIN= ' SALES TAX FOR PROJECTS VtTNIN INE CITY OF TE'DCRAI RAY. FAX RATE = 8.6% fl'
ss:zmxr:#t:,,a4aascq.:�armx. �.._sx:.....�..;.it :z:ts, � awax�rb e.r: . '...� ,..»< � ^:.t �sn c:.:::a:ti<a2;r..:ns�:x t:'�xamsuar.ffiCxzmmRxtS➢.r
BLD?:X NEC. PLM?:X FLR EXI P LING S.
,: X41 �.• � w. � r ,,,� �
• TYPE OF WORK:ADD USE:RES 151.::,.,; :,�0�:���. r,' #. S ,==1E FREQUIRE A�TIf , � :S RI, : ! PLAN CHECK FEE. $ 181.51
CENSUS CATEGORY 134 - fl O,sf 1,1,4,11/141.00� �� ElAAlT , a .. ,,,,��a PE ....� 62.70
f BUILDING Rl•IT
OCCUPANCY GROUP /PO" 0: O:sf ,rit -J ,L. �w Rf ,LUW..�:.. 'J6� gtH1 i ERMIT.... 215,55
:R3 :? :? :? : Oi',a: 0: u:sf MI..1: 81000 FRONT.......... 20.00 ft ;BCC SURCHARGE r $. 4,50
TYPE OF CONSTRUCTION BSMt: rt: 0:sf PPOP... , :,;600 SIDE • 5.00 It WATER SERVICE..:LAK PLUMBING FI?!i...,93* 7.00
:5N :? ? :? DECK: 0: O:sf 1 REAR • 5.00:ft SEWER SERVICE..:LAK PLUMBING PLAN CHECK $ 4.55
OCCUPANT LOAD GAR.: 0: O:st RECEIVED.:06/15/99
. 0: 0: 0: 0: TOIL: 0: 320:sfJAPERY SURFACE: 0 sf SENSITIVE AREAS?.:N
:iii.:= CER'SRM.CY:YOACRY.i'.:#Ctlm.i ICJLG xtl'.�WdJ2SXm'::.:::'.•..•..tx.====...a.t-1., 4n4ikG.... .41,4Z:GZC,..41.2talr:-".=4=Pc.9.Z.;UM0, a4=411:�.'..
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS......: 0 URINALS • U TOTAL FEES $ 476.$1
1 GAS PIPING.: 0 ft HOOD • 0 0-3 TON • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
100K..: 0 DUCT WORK • 0 3-15 TON • 0 I SHOWERS • 0 SUMPS • 0
HUT • 0 WOOD STOVES...: 0 15-30 TON...: 0 LAVATORIES • 0 VAC BREAKERS...: 0
I-CONY BURNER: 0 FUPN>100K • 0 30-50 TON...: 0 1 SINKS • I DRAINS • 0
B's • 0 NIS( • 0 50+ TON..,..: 0 DISH WASHERS • 1 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC RIR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE • 0 10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0
GAS LOGS...: 0 10,000 CIA: 0 UNDERGROUND.: 0
sHa::tta:rmz<as3sxml+rsma:csfxsctRw'�u�s0.+s.s.:mr_ .x;��r::axaoceix,n..a:za�v x. .m:suaaumaasr<UNDIRG:¢:tmx:x:ssaraa �:xR.�: ssm'xm:x:am.was..z:xea:�xx,raxxzc:asr.xu:L:*,.ata.✓anr+a.na�uaoaa-,rtxu s:sau: ......................*...........1'
KIWIS EXPIRE 110 ouS'AFTET ISSUANCE IF N0 WORK is STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ORE YEAR AFTER DATE OF ISSUANCE.
I",CERTIFY HMI TN I*ORIVIll I IUhNISNLD D TM l.S TRUE AND CORRECT TO TRE. DIST 01 NY ENOIIUIIGE AND IRE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS RIII DE NET.
y
illLET OR AGENT � DATE ,.....L....„'".1,..._..., .. '
1:7Yial
FIELD COPY
1 SETBACKS &FOOTINGS •
Date 7/(/"l 4/ By 9[, G'
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Date By
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Date By
4 SLAB'INSULTK►1*1
Date By
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Date By
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Date -7/7...4,3.. By 14
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Date / //3 - y
8 PLUMBING'''ROUGH-IN:::>:::::>> »:«:?:€::>:'::> ><>'
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Date By
9 PI*N ..........: 1101.;:.:
Date By
10 MECHANICS ROUGH-IN
Date By
1 IN.
1 F M
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Date /,p1l1-lir>::>By::_;: -#,.
12 INSULATION /`�*.;: ::>'.:;"::> :>:.::: ::::>::::::>
Date "wh:.✓.. - % / ✓.
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GWB -.9 S1 L',.
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Date .-4111//:1, By i /47!
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14 MB -2ND LA'1C1rR >' <:<:::::::>:
1111:::::::.....
Date t-'4r lot By L' %,.:
15 SUSFEI*ED CEILING
Date By
,:11 :. :: ;:<;:::>::::>::;
16 P:i.P I11 :IR1I+ ....:::* :.......
Date By
17 PUBLICWORKS.FINAL
Date By
18 FIRE`FIND .
Date By
19 BUILDING FINAL
Date t B
20 OTHER
Date By
CD0193(Rev 4/97)
• •
xrroF G • RECEI F—D •
E�ES�L
JUN 15 1ggq
61Jfi.Uii` G uEF' r.
APPLICATION FOR BUILDING PERMIT
PLEASE PR/NT
i}.............
..a� ..
Tenant name
Binding Owner's N
Description of Work r h
Site address ��- �. '
Lot #
Address
BUILDING DIVISION
33530 Fust Way South
Federal Way, WA 98003
(253) 661-4000
Fax (253) 661-4129
APPLICATION # 'VjLrY1q -C
FA:Tssor's Tax #
j
>_ Phone
Z--42--/.
l€ ?LNG> UNTIiCTCR:.::,.:::::.;..............
P-4-1 1A1R. t H
Company Nam
�7 "J C� ' c� .) fA
Address
Zi
Address
State
Cit
Contact Person
State
Zi
Contact Person
Expira ion ate ( ,
Fay-Phne
Other Phone
Fax
l€ ?LNG> UNTIiCTCR:.::,.:::::.;..............
P-4-1 1A1R. t H
Company Nam
�7 "J C� ' c� .) fA
Address
Zi
Cit C,
State
Zi
Contact Person
Phone
Fax
Contractor's # (card must be presented) ^ ✓ .�jL �� C�0 ��
Expira ion ate ( ,
Verified ❑ Yes ❑ No
i
HIT
Name
Address
7 /1
City 29U � g
State
Zi
Contact Person �- _,
Phone
Fax
LEGAL DESCRIPTION
Please COmvlete Reverse -&V
v
Ah
UCTLIt
Address
Existing Use
1 S
-7 r Z.
Proposed Use 2,
Permit includes:
Fax
.ilcli.g
Expiration Date
❑ Plumbing
❑ Mechanical ❑ Other
Type of Work:
❑ Residential
❑ New
Gas Log
❑ Remodel
❑ # of bedrooms ❑ Deck
❑ Commercial
❑ Addition
Miscellaneous
❑ Repair
❑ Garage ❑ Shed
Gas Hwt
Hood
Boilers
Above Ground
Enter 1st Floor.
sq ft
2nd Floorsq
4
ft
3rd Floor sq ft
Existing Floor Area sq ft
Area Basement
sq ft
Decks
sq ft
Gara e sq ft
Proposed Total Area sq ft
Water Availability
Sewer Availabilit
Q On -Site Septic System Availability❑
Project Valuation $
Zoningz
Lot Size
Existing Bldg Valuation $
t"ENLL?E::::::::.::::::..........:;;:.:;:.::.::.:;.;:.;:;.:
..................................................................
For new residential only - Pr^nnosed -qPllinn enst- S
Name
Address
City
State Zi
...::A1SA :::::.
Contractor Name
Address
City
State
Zi
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
LiiM.Bll\F;:i iVTftC [
Contractor Name
Address
City
State
Zi
Contact
_
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
PL%:!M'B
I
XTilFi1"..Gt�UNT ...............:.
Water Closets
Sinks
Urinals Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains Other
Showers
Electric Water Heaters
Sumps
Lavatories
Washing Machine
Drains Tbtal fix;tt[e: tSjf)t:.. ....
'MEMfFtt�IfG#1L: ..i 1yT.......,::::.;;;.:;.
,::;:.
MECHANICAL EVALUATION ONLY $
Fuel Type (as/electric/other)
Gas Dryer
Air Handlin < = 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
BBO's
Wood Stoves
3-15 Tons
Total Unit Count
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true a;,d correct to the best ofmy 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 inveAt gation 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 01-fofthl reliance ofthe city, including its officers and employees, upon the accuracy ofthe information supplied to the city as a part ofthis application.
Date: /4 /
97`
B -u- APP
RI -D 6110199