99-10429699
CITY OF FEDERAL. WAY PERMIT NO: BL_D99-0681
33530 F i rs t Way South :,�'���,.�� :.�;.: �.� :;�:.b :,�w �°" � �,m;;i � ° � i�';;:. �"�', �'"'iY :;;�;: � ISSUED: 11/05/99
Federal Way, WA 98003 Building Inspection Requests 253-661.-4140 BY: FC2
2.53-661-4000 EXPIRES: 05/03/00
ADDRESS : 31221 9T11 AVE S
NO.: 858220-0090
PROJECT DESCRIPTION - RES REMODEL - 1) REMODEL EXISTING MASTERBATH 2)BEDROOM CONVERTION TO BATHROOM/UTILITY ROOM 3)CONVERT EXISITING REC ROOM - SPLIT INTO BEDROOM/REC
<= OWNER =______=_____::____________________________________ CONTRACTORLENDER
CHRISTINE LUJAN f OWNER IS CONTRACTOR ! !
31221 9TH AVE S !
k
FEDERAL WAY WA 98003
F
53-945-6069
I N/A
-------------------
-------------------
CONTRACTORS,
------------------------------------CONTRACTORS, PLEASE USE LOCATION COI)Ciht WNEN'� TING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = BA a:
BLD?:X MEC?:X
PLM?:X
FLR--EX' '--PROP---
PLAN CHECK FEE
DWELLING UNITS:
1
i COMP PLAN ...... ...:SFHD
$
111.25
TYPE OF WORK:ALT
USE:RES
1ST.: 1200: 1200:s+
MECH PERMIT FEE
STO ES........:
1
RECUIREP PARKING..:
2
SPRINKLERS?......:'
%'_JMBING FIXT
CENSUS CATEGORY .....
:434
2ND.: 0:
O:s°
RE11 T
! OCCUPANCY GROUP----------
7':i 11:
1,'A_. 'TON---- ---
0rn,.PIE D
*or ,:';W
7 -- g
:R3 ;? :?
:?
R:
_.�
EX:E..$'=t
TYPE OF CONSTRUCTION-----
ISMT: ;:
O:s`
PR",%...$: 5000
5,CJ
07ER 5_RVICE..:-
.
:5N :? :?
:?
DECD-
O:s�
SEWER SERVICE..:.
AK
OCCUPANT LOAD------------
GAR.: 0.
O:sf
RE•:EIV:.::11/05/94
O: 0:
0: 0:
TOTL: 1200: 1200:0
.IMPERV SURFACE:
0 sf
SENSITIVE AREAS?..N
{
FUEL TYPES.:GAS
AS PIPING.: 15
GAS
ft
FANS..........:
HOOD..........:
1
0
BOILERS/COMPRESSORS
0-3 TON.....:
0
'WATER CLOSETS......:
BATH TUBS..........:
2
1
URINALS........:
DRINKING FOUNT.:
0
0
RN<100K... 0
DUCT WORK......
0
3-15 TON.....
0
SHOWERS .............
1
SUMPS...........
0
r GAS HWT....: 0
WOOD STOVES...:
0
15-30 TON...:
0
LAVATORIES.........:
2
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.......:
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...:
1
GAS LOGS...: 0
> 10,000 CFM:
0
UNDERGROUND.:
0
-------------------------------
FEES:
PLAN CHECK FEE
$
72.31
BUILDING PERMIT
$
111.25
SBCC SURCHARGE
S
4.50
MECH PERMIT FEE
$
23.50
PIECWIiN CHECK FEE
$
5.88
%'_JMBING FIXT
$
49.00
PLUMBING PLAN CHECK
$
31.85
TOTAL FEES
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 TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
6
OWNER OR AGENT - r-L'�L�_ +C��.' ----------------------------
------ -- ---- - - - - DATE ---------�
FILE COPY
$ 298.29
BUILDING DIVISION
crry cw G 33530 Fust Way South
"r = FE= L— Federal Way, WA 98003
F-iY R EG E 1 ED (253) 6614000
Fax (253) 6614129
NOY 0 9�
APPLICATION FOR BU&M%q. PERMIT
'LEASE PRINT APPLICATION # bl�D9 I�
s: Site address
Tenant name /� / , . , L _ _ i I Lot # Assessor's Tax #
Name (F,M,L) }y�
Address � l � /y �ln
�/ vt/ �(
State
Zi n�!ct
Pars o
rG r r 57�
Day Phone
�C6- 57� - z 3� 71;253
Other P
-w5 --&Z17
Fax
:..........:. 1Cf�::..: C NTR� T(..R ...............................
FPriPral Wav Rosiness I ir-ansa #
Company Name 15,(9n
/ D` -Cl (�J (�
Address
City
State
Zi
Contact Person
Phone
Fax
Contractor's # (card must be presented)
Expiration Date
Verified ❑ Yes ❑ No
: :::::::::::::::.
Name
Address
City
State
Zi
Contact Person
Phone
Fax
LEGAL DESCRIPTION
0
Please Complete Reverse Side 0
RUG EIFR�:;
Address
Existing Use
State Zi
Proposed Use
Contact
Permit includes:
Fax
❑ Building
Plumbing
❑ Mechanical
❑ Other
Type of Work:
Residential
❑ Commercial
❑ New
❑ Addition
Remodel
Re air
# of bedrooms
❑ Garage
❑ Deck
❑ Shed
Enter 1st Floor ��' sq ft
Area Basement �- s ft
2nd Floor
Decks
sq ft 3rd Floor sq ft
s ft Gara e s ft
Existing Floor AreaCQ sq ft
Proposed Total Area r s q ft
Water Availability
Sewer Availability
On -Site Septic System Availability ❑
Project Valuation
$ ';1
Zoning
Lot Size
Existing Bldg Valuation
1 $ fi /g
EN
For new residential on/ -Propos d sellingcost: $
Name
Address
Cit
State Zi
Contractor Name
71
Address
City
State
Zi
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
M.Bt
Contractor Name
Address
City
State
Zi I
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
Water Closets
Sinks �
Urinals
Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains
Other
Showers
Electric Water Heaters
Sumps
Lavatories 2
Washing Machine
Drains
Total 'rixtur.e.Z.
DISCLAIMER: I certify under penally 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 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
attorneys' 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 part of this application.
Owner/Agent: (i(/C-� C Date:
nrvuro sn nios�
,CITY OF' FEDERAL, W(
,�Y
3'1530 First Way SoUth 3 t ft H IT
BUI L DI N C f
Federal Way, WA 9P003 13uilding Inspection Requests 253-661--4140
25',�3- 661,1-4000
6 I)f)R E 13'E, 3 12'21 9TI-I AVE S
: 85B212,10--0090
PROJECT DESCRIPTION.,R(S REMODEL - 1) REMODEL EXISTING NASTERRAIN 2)IKDROOM CONVERTION TO BANROM UTILE!
10 IAI"100" U10111'
OWNER CONTRACT10
GORISTINE LUJAN OWNER IS CONTRACTOR
912111 9TH AVE S
FEDERAL WAY WA 98003 "m •
I53-945-6069
NIA
**I CON110"
BLD?: X NEC?: X Ptm?: X FLR- -EXIST DWRILTWVNITSx ' I e
TYPE OF WORr:ALT USE:RfS IST.: 120Oa# 'a1, L
CENSUS CATEGORY ..... :434 2ND .:GOT
VIE
OCCUPANCY GROUP -----7 ----
:R3 !? ? ? 4m- 0: S f L
TYPE Of CONSTRUCTION- ow- A.,
:5N ;? :? DIL(t: 0: 0 f 7,11111,
OCCUPANT GAR . : 0: 0. A(CEIVID.:11110
0: 0: 0: 0: TOIL, 1290: IMO, 1
Tot
PERMIT NO: BI_11`49' (A
1 c-'
,:;ULD: 1.1/
XPIRE1
E
rl lv.h , ' T( ROOM - SPLIT INTO BIDFOOM/REC R(
C114 ! FEDERAL VAY. TU NATE :: 8-61 *Is
FEES:
PL -AH CHECK FEE
BUILDING PERMIT
IF 11� SBCC SURCHARGE
MEC"' PERMIT FEE
ft NIW1t#R CHECK FEE
t SEWER SERVICE..:LAK p0moiNf, NXT
PLIMUING PLAN CHECK
0 sf SENSITIVE AREASI.:N I
FUEL TYPLS.:GAS GAS Bolt PRESSOF, 2 URINALS........: _T O- j, AL FEES
ULAVATORIES..........'
"(Kti Iu
iiAS PIPING.: 15 ft HOOD_ 0 BS..........: I DRINKING FOUNT.: 0
1
1
RH,1OOK_: 0 DUC -15 TAN....: 0 MER ............ I SUMPS......... 0
4AS, HNT..... 0 : 0 15-30 TON.... : 0 LAVATORIES ......... 2 VAC BREAKERS,... 0
COOV BURNER: 0 R 30-50 TON...: 0 SINKS .............. 0 DRAINS.........: 0
... : 0 504 ION.....: 0VISO WASHERS.......: 0 LAWN SPRINKLERS: 0
GAS DYER..: 0 No is 011. IA#rS --------- ELIC WIR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE......: 0 M: 0 ABOVE GROUND: 0 LAUR WSHR OUTLIS ... 1
GAS L 0 00 CFM: 0 UNDERGROUND.: 0
PtRNITS EXPIRI 1m) DAYS
,i 'CERTIFY Tom (m. INF
'OWNER 0 AGENT
E IF NO IM IS STARTE#. RESIKIFFIAL AND (AIADING PWITS EVIRF ORC YEAR Af ft# PAT( Of 1155UM.
ON FWJISK6 BY K IS IRK AND CMECT TO THE 01IJ Of KY KURE= AND lot App, I(Allf CITY Of FEDERAL VAY WURINEVIS !Lill df MIT.
-Ib/ Ice, DATE
FIELD COPY
$ 298.29