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93-1030904 CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 661-4000 ADDRESS:30727 12TH PL SW NO.: 178830-0170 PROJECT DESCRIPTION: CARPORT ADDITION OWNER MARY HEDIN 30727 12TH PL SW kDERAL NAY NA 98023 839-3721 BUILDING PERMIT Building Inspection Requests 661-4140 CONTRACTOR ;=OWNER IS CONTRACTORM NONE LENDER 93-/63()50 PERMIT NO: BLD93-1291 ISSUED: 01/10/94 BY: FLF EXPIRES: 07/09/94 BLD?:X NEC?:? PLM?:? FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN ......... :SR FEES: TYPE OF NORK:NEN USE:RES 1ST.: 0: O:sf STORIES........: 1 REQUIRED PARKING..: 2 SPRINKLERS?......:? PLAN CHECK DEPOSIT.# $ 35.10 CENSUS CATEGORY ..... :434 2ND.: 0: O:sf HEIGHT.....: 0.00 ft HAZARD CLASS...:? FINAL PLAN CHECK...* $ 0.00 OCCUPANCY GROUP---------- 3RD.: 0: O:sf VALUATION---------- REQUIRED SETBACKS------- FIRE FLOW....: 0 gpe BUILDING PERMIT....x $ 54.00 Al :? :? :? OTHR: 0: O:sf EXIST..=: 37800 FRONT.........: 20.00 ft SBCC SURCHARGE....._ $ 4.50 TYPE OF CONSTRUCTION----- BSMT: 0: O:sf PROP ...=: 2340 SIDE..........: 5.00 ft WATER SERVICE..:? :5N :? :? :? DECK: 0: O:sf REAR..........: 5.00:ft SEVER SERVICE..:SEP OCCUPANT LOAD------------ GAR.: 0: 200:sf RECEIVED.:12106/93 0: 0: 0: 0: TOTL: 0: 200:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N TOTAL FEES $ 93.60 FUEL TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS WATER CLOSETS......: 0 URINALS........: 0 GAS PIPING.: 0 ft HOOD..........: 0 0-3 HP......: 0 BATH TUBS..........: 0 DRINKING FOUNT.: 0 FURN<100K..: 0 DUCT WORK.....: 0 3-15 HP.....: 0 SHOWERS ............: 0 SUMPS..........: 0 GAS HMT....: 0 WOOD STOVES...: 0 15-30 HP....: 0 LAVATORIES.........: 0 VAC BREAKERS...: 0 CONY 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 NTR HEATERS...: 0 OTHER FIXTURES.: 0 RANGE......: 0 <:10,000 CFM: 0 ABOVE GROUND: 0 LAUN NSHR OUTLTS...: 0 GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 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 NFORM TION F Y ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS WILL BE MET. OWNER OR ASNT _ DATE -O' /�-�- r FILE COPY PLEASE PRINT S 0 City of Federal Way 0 APPLICATION FOR BUILDING PERMIT APPI tCATMAI N• I? f 1 61 ) ITE LOCATION ` 60 > iii IT Address j���?-7 Tenant (if known) Lot # Assessor's Tax # AA *,rLLi l7/N i -7 ell 6) Building Owner Name Address City w /=D kv t iy, State j„, N . Zip y8 �,� Phone Nature of Work c Rl? Peg r 2,0 APPLICANT Name (F,M,U Address City %/FG0,ps.'i w State i Zip 18 Contact Person Day Phone i Other Phone Fax �\ -] 99 �?- : 7 / G :z- ' 0,, i e7/ z BUILDING CONTRACTOR Company Name Address City State Zip Contact Person Phone Fax Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No A CHITECT Name Address City State Zip Contact Person Phone Fax LEGAL DESCRIPTION 64 PC- Al Please Complete Reverse Side DEC ® 6 1993 CD0492 (Rev 4/83) CITY OF FEDERAL WAY BUILDING DEPT. APPLICANT Name (F,M,U Address City %/FG0,ps.'i w State i Zip 18 Contact Person Day Phone i Other Phone Fax �\ -] 99 �?- : 7 / G :z- ' 0,, i e7/ z BUILDING CONTRACTOR Company Name Address City State Zip Contact Person Phone Fax Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No A CHITECT Name Address City State Zip Contact Person Phone Fax LEGAL DESCRIPTION 64 PC- Al Please Complete Reverse Side DEC ® 6 1993 CD0492 (Rev 4/83) CITY OF FEDERAL WAY BUILDING DEPT. BUILDING CONTRACTOR Company Name Address City State Zip Contact Person Phone Fax Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No A CHITECT Name Address City State Zip Contact Person Phone Fax LEGAL DESCRIPTION 64 PC- Al Please Complete Reverse Side DEC ® 6 1993 CD0492 (Rev 4/83) CITY OF FEDERAL WAY BUILDING DEPT. A CHITECT Name Address City State Zip Contact Person Phone Fax LEGAL DESCRIPTION 64 PC- Al Please Complete Reverse Side DEC ® 6 1993 CD0492 (Rev 4/83) CITY OF FEDERAL WAY BUILDING DEPT. LEGAL DESCRIPTION 64 PC- Al Please Complete Reverse Side DEC ® 6 1993 CD0492 (Rev 4/83) CITY OF FEDERAL WAY BUILDING DEPT. ST LENDER Name Address City City State Zip City RUCTURE Zip ting Use _ /tic /1 � 17 1/%%5 oposad Use ) Fax Permit includes: License # ® Buildin ❑ Plumbing ❑ Mechanical ❑ Y Other Type of Work: Residential e ❑ Remodel ❑ Number of Units f ❑ Deck Total Unit Count ❑ Commercial ❑ Addition ❑ Garage ❑ Shed GJ 0ther�'/j�>�n'j Enter list Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area ire- sq ft Area Basement sq ft Decks sq ft ' 'Gavage sq ft Proposed Total Area sq ft Water Availability ❑✓i Sewer Availability ❑",_ On -Site Septic System Availability ❑ ; :' Project Valuation $ j -t Zoning lot Size i- ) •, , �,%,. ' Existing Bldg Valuation $ ,3'r a ✓' 0 LENDER Name Address City City State Zip MECHANICAL CONTRACTOR Address City Contractor Name Address Contact City State Zip Expiration Date Contact Phone Fax Washing Machine License # Expiration Date Verified ❑ Yes ❑ No PLUMBING CONTRACTOR Contractor Name � 1r Address City State Zip Contact Phone Fax License # Expiration Date Verified ❑ Yes ❑ No PLUNJ BING FIXTURE COUNT Water Closets Sinks Urinals Lawn Sprinklers Bathtubs Dish Washers Drinking Fountains Other Showers Electric Water Heaters Sumps 50+ Tons Lavatories Washing Machine Drains Total Fixture Count MECHANICAL UNIT COUNT Fuel Type electric/other) Gas Dryer Air Handling < = 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 BBQ's Wood Stoves 3-15 Tons Total Unit Count 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 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 /CL y>!� L-� f1��%L / �% %J� Date:-- CITY OF FEDERAL WAY 33530 First Way South federal Way, WA 98003 661-4000 ADDRESS:3O727 12TH PL SW NO.: 178830-0170 PROJECT DESCRI PT ION: CARPORT ADDITION OWNER NARY HEDIN 30727 121H PL SR FEDERAL NAY NA 98023 839-3721 BLD?:X NEC?:? PLN?:? fLR--EXIS- PROP -- TYPE Of INIRK:NEN USEALS 1ST. Ox.," O:sf'. CENaUS CATEGORY ..... :434 20. 0- f >f OCCUPANCY GROUP------- - 0- :? :? :? :?a.'� f TYPE Of CONSTRUCTION-- IW-: O: f :511 :? :? :? OCCUPANT LOAD------------ 20:s? a 0: 0: 0: 0: TOAn'`.r,0s BUILDING PERMIT Building Inspection Requests 661-4140 CONTRACTOR =- ----�----- MONNER IS CONTRACTORM LENDER ._ � .. j"'60P PLAN ... ..- :SR PARK"' ..: 2 SPRINKLERS?......:? 11f 1. ft VAi IION _ _ .. f1Tx5. .FII„ Ei4.4w ita H c : a NATER SERVICE-:? f AfAR.......... : 5.00:ft SEVER SERVICE..:SEP RT #'D, : !� Jam/ ► NPERV SURFACE: 0 sf SENSITIVE AREAS?.:N FUEL TYPES.:? ? FANS... .....: BAIN TUBS ...... BOILER'S/CONPRESSORS PS PIPING.: 0 ft HOOD..........: 0 0-3 HP......: 0 dRRN<IOOK..: 0 DUCT WORK.....: 0 3-15 RP.....: 0 GAS HNT....: 0 WOOD STOVES...: 0 15-30 NP....: 0 CONY BURNER: 0 FURN)1001.....: 0 30-5C HP....: 0 880......... 0 RISC........... 0 5+ HP........ 0 GAS DRYER..: 0 AIR NRMDI.ING UNITS FUEL TANKS --------- RANGE ...... : 0 (=10,000 Cf": 0 ABOVE GROUND: 0 GAS LOGS...: 0 > 10.000 CFN: 0 UNDERGROUND.: 0 NATER CLOSETS......: 0 URINALS,.......: 0 BAIN TUBS ...... 0 DRINKING FOUNT.: 0 SNORERS ............. 0 SUMPS........... 0 LAVATORIES.........: 0 VAC BREAKERS...: 0 SINKS ............... 0 DRAINS.......... 0 DISH RASHERS....,..: Ci [ANN SPRINKLERS: 0 FLEC NTR HEATERS...: 0 OTHER FIXTURES,.: 0 IAUN VSHR OUTI.TS...: 0 PERMIT NO: ISSUED: BY: EXPIRES: BLD93-1291 01/10/94 FLF 07/09/94 FEES: PLAN CHECK DEPOSIT.* FINAL PLAN CNECK...s ' " 1wHARGE.....i TOTAL FEES PERMITS EXPIRE 150 DAYS AFTER ISSUANCE 11 NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE, CERTIFY THAT VHENFORIIATION FURNISED BY N& IS TRUE AND CORRECT TO THE BEST Of NY KNOWLEDGE AND IHE APPLICABLE CITY Of fERERAL WAY RfOUIRENENTS WILL BE HP NHER OR AGENT L FIELD COPY = 35.10 = 0.00 1 54.00 1 4.50 1 93.60 r Affik Ah .^ SETBACKS & FOOTINGS Date By FOUNDATION WALLS Date By PLUMBING GROUNDWORK Date By UNDERFLOOR FRAMING Date By $HEAR WALLS Date By PLUMBING. AOUGH-IN Date By f,AS PIPING Date By MECHANICAL ROUGHAN Date By MECHANICAL (OTHER) Date By FRAMING Date By INSULATION Date By GWB - 1 ST LAYER Date By GWB - 2ND LAYER Date By SUSPENDED CEILING Date By PLANNING FINAL Date By ENGINEERING FINAL Date By FIRE FINAL Date By BUILDING FINAL Date —,2,b ^ `f S By OTHER Date By OTHER Date By CDO193 CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 661-4000 ADDRESS:30727 12TH PL. SW NO.: 178830-0170 PROJECT DESCR I PT ION: CARPORT ADDITION = OWNER---�.z�-� MARY HEDIN 30727 12TH PL SM FEDERAL MAY WA 98023 839-3721 BUILDING PERMIT Building Inspection Requests 661-4140 CONTRACTOR = LENDER PERMIT NO: BLD9:3-1291 ISSUED: 01/10!94 BY: FC EXPIRES: 01/09/95 ti �_.Yr-:=w•�,=_-ate _. _ -� ----._ _.__.. BLD?:X NEC?:? PLM?:? FLR- x I --PROP-- 4FLLiki UNITS: 0 LW WO � ���� FFEf: TYPE Of WORK AFW USE:RES 1%T..� 0 0,44 P � PIAN CHECK GEPOSIT.$ 4 35.10 CENSUS CATEGORY.... 43 01 It�H .. IO• a �� ��I H ? �� PLAN GHECK..,$ j 0.00 OCCUPANCY GROUP---- y. ;` .at ----Ft 0 M NG PERMIT....: ; 54.00 :? At$T.! 3,f, .......... 20.00 ft SBCC SURCHARGE.....t S 4.50 5411_TYPE Of CONSTRUCTION----- w SIDE........... 5.00 ft MATER SERVICE-:? 041 REAR........... 5.00:ft SEWER SERVICE..:SEP OCCUPANT LOAD------ ---- GI, h 0 ��:sf RECEIVED.: 12/06/93 0: 0: 0: 0: TOT I a 0: O:Sf IMPERV SURFACE: 0 sf SENSITIVE AREAS -11 FUEL TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS WATER CLOSETS......: 0 URINALS........: 0 TOTAL FFES >i 93.60 GAS PIPING.: 0 ft HOOD..........: 0 0-3 HP......: 0 BATH TUBS..........: 0 DRINKING FOUNT.: 0 FURN<tOOK... 0 DUCT WORK...... 0 3-15 HP...... 0 SHOWERS.— ........ 0 SUMPS........... 0 GAS HWT....: 0 WOOF STOVES...: 0 15-30 HP....: 0 LAVATORIES.........: 0 VAC BREAKERS...: 0 CONY 6URNER: 0 FURN>1OOK.....: 0 30-50 HP....: 0 SINKS ..............: 0 DRAINS.......... 6 880........: 0 MISC..........: 0 5+ HP.......: 0 DISH WASHERS.......: 0 LAWN SPRINKLERS: 0 GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS--------- ELIC WTR HEATERS...: 0 OTHER FIXTURES.: 0 RANGE......: 0 <-10,000 CFM: 0 ABOVE GROUND. 0 LAUN WSHR OOTLTS...: 0 GAS LOGS...: 0 > 10,000 CFM: i UNDERGROUND.: •0 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE If NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY CHAT THE INFORMATION FURNISHED BY Mf IS TRUE AND CORRECT TO THE BEST Of MY KNOWLE11GE AND THE APPLICABLE CITY Of FEDERAL WAY REQUIREMENTS WILL RF MET. 0i1NEF OR AGENT DATE �0( � FIELD COPY t♦ A& SETBACKS & FOOTINGS MW Date By FOUNDATION WALLS Date By PLUMBING GROUNDWORK Date By UNDERFLOOR FRAMING; Date By SHEAR WALL5 Date By PLUMBING ROUGH -IN Date By GAS PIPING Date By MECHANICAL ROUGH -IN Date By MECHANICAL (OTHER) Date By FRAMING Date 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 Ad A-0hVS n' , Date p- g s By AtAl trVa, 4-11/0d-f'P- S -L4-0 Glc-, OTHER Date By OTHER Date By CDO193 �Vr PLEASE PR/NT SITE City of -Federal Way APPLICATION FOR BUILDINGIERMIT Apoi,irernnnr it. TE LOCATION 4-1 r ` 1' Address�� Tenant (if known) G �al�iZ AAti/;7' tic' Lot A Assessor's Tax X Y ,, 617 u Building wner Name Address City f",6.�A4L4/ 1 State t,<,r !�j Zip J l%r,�, Phone Nature of Work i `11 1 1 R0ler /r APPLICANT Name (F&PU y /� AddF7 1.7 City %,(r7G _-2,11 ,4 2' e State Luiz/ .- Zip Contact Person Day Phone Other Phone Fax /17/ r'h6ZZ.. BUILDING CONTRACTOR Company Name Address City State Zip Contact Person Phone Fax Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No ARCHITECT Name Address City State Zip Contact Person Phone Fax LEGAL ,Gz TIPTION /,)L-, h/�� �., %1/ 11/�l /z " I - L GU V /� C� SLt� ,3 GSC/ 391 ECEIVED DEC - 61993 Please Complete Reverse Side CITY OF FEDERAL WAyoo492 IR— 4;971 BUILDING DEPT. APPLICANT Name (F&PU y /� AddF7 1.7 City %,(r7G _-2,11 ,4 2' e State Luiz/ .- Zip Contact Person Day Phone Other Phone Fax /17/ r'h6ZZ.. BUILDING CONTRACTOR Company Name Address City State Zip Contact Person Phone Fax Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No ARCHITECT Name Address City State Zip Contact Person Phone Fax LEGAL ,Gz TIPTION /,)L-, h/�� �., %1/ 11/�l /z " I - L GU V /� C� SLt� ,3 GSC/ 391 ECEIVED DEC - 61993 Please Complete Reverse Side CITY OF FEDERAL WAyoo492 IR— 4;971 BUILDING DEPT. BUILDING CONTRACTOR Company Name Address City State Zip Contact Person Phone Fax Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No ARCHITECT Name Address City State Zip Contact Person Phone Fax LEGAL ,Gz TIPTION /,)L-, h/�� �., %1/ 11/�l /z " I - L GU V /� C� SLt� ,3 GSC/ 391 ECEIVED DEC - 61993 Please Complete Reverse Side CITY OF FEDERAL WAyoo492 IR— 4;971 BUILDING DEPT. ARCHITECT Name Address City State Zip Contact Person Phone Fax LEGAL ,Gz TIPTION /,)L-, h/�� �., %1/ 11/�l /z " I - L GU V /� C� SLt� ,3 GSC/ 391 ECEIVED DEC - 61993 Please Complete Reverse Side CITY OF FEDERAL WAyoo492 IR— 4;971 BUILDING DEPT. LEGAL ,Gz TIPTION /,)L-, h/�� �., %1/ 11/�l /z " I - L GU V /� C� SLt� ,3 GSC/ 391 ECEIVED DEC - 61993 Please Complete Reverse Side CITY OF FEDERAL WAyoo492 IR— 4;971 BUILDING DEPT. ST RUCTURE L (tel d/t' T isting Use IR roposed Use < ti Permit includes: Zip ® Buildin ❑ Plumbing ❑ Mechanical ❑ Other Type of Work: Residential ew [l Remodel [] Number of Units / l] Deck Fuel Tanks C Commercial) Addition ❑ Garage [IShed © Other " ^ Enter 1st Floor sq ft 2nd Floor sq ft �4door sq ft Existing Floor Area -rw- sq ft Area Basement sq ft Decks _ sq fti ,C wge _ sq It Proposed Total Area �L0--0 sq It Water Availability ❑ �fSewer Availability 171F�On-Site Septic System Availability —S Project Valuation $ Zoning Lot Size /� 6`11-7)'A 11) Existing Bldg Valuation $ 3, 7i ,g LENDER Name Address City State Zip MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Contractor Name All) /1/ Contractor Name Address State City State Zip Fax Contact Phone Fax Drains Total Fixture Count License # Expiration Date Verified ❑ Yes ❑ No PLUMBING CONTRACTOR Contractor Name All) /1/ Address City State Zip Contact Phone Fax License # Expiration Date Verified ❑ Yes ❑ No PLUTfBV G FIXTURE COUNT Water Closet Sinks Urinals Lawn Sprinklers Bathtubs Dish Washers Drinking Fountains Other Showers Electric Water Heaters Sumps Lavatories Washing Machine Drains Total Fixture Count NIECIIANICAL UNIT COUNT Fuel Type ctric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons Length of Gas i29 Range Air Handling > = 10,000 CFM 30-50 Tons Furn < l OOK 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 BB Q's Wood Stoves(AEGEAY MIZ Tons Total Unit Count DISCLAIMER: I certify under penalty of perjury that the information furnished by Cue en6c lffi`t'o 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. G 0-: but only where such claim arises out of the reliance of the City, including its A= -upon the accuracy of the information supplied to the City as a part of this plication. \ )gent- i Dale:An -- — — --- - - -- ------ _... --- - ---- - _. _ ..._ ---- - — ---- — ---- -- r