99-102189 CITY OF FEDERAL WAY „ p � �. p PERMIT NO: BLD99-0353
33530 First Way South - ::::;11 JI 1 M,.•„ JD I N b il""''�ERPI.JI.. 111j1 ISSUED: 07/15/99
Federal Way, WA 98003 Building Inspection Requests 253-661-4140 BY: FC
253-661-4000EXPIRES: 01/11/00
ADDRESS: 640 S 295TH PL 99- Mott 9.9
NO. : 515210-0080
PROJECT DESCRIPTION:RES ALT - w/ PLUMB & MEC - 400 SQ FOOT BEDROOM/BATH ADDITION W/ ADDITIONAL REMODEL WORK (ENCLOSING CARPORT, ADDING SLUE;; ROOF OVER EXISTING FLAT R0(
r= OWNER - _ .-.----.,._._.:.—._-___,-._ CONTRACTOR ----.- ---------------------------------7. LENDER _____.___._..____..____.__.__.___,,_1
{ KURTMOSS OWNER IS CONTRACTOR
640 S 295TH PL
FEDERAL WAY WA 98003
ler
253/839-8507
N/A 1
_ -.
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE - 8.6% ***
-BLD?:X MEC?:X PLM?:X FLR -EXIST -PROP DWELLING UNITS 0 - COMP PLAN •SFHD FEES:
TYPE OF WORK:ALT USE:RES 15�. 4 sf STO REQUIRED PARKING..: 2 SPRINKLERS' •N PLAN CHECK FEE $ 287.46
CENSUS CATEGORY 4.,4 2ND.: 0 �sf
' u. OO " HAZARD CLASS...:ORD j BUILDING PERMIT....* $ 442.25
EIGH. .. . . : .00 ft !
OCCUPANCY GROUP 3RD.: 0: 0:sf _.:?TION - ; REQUIRED SETBACKS FIRE FLOW • 540 gpm SBCC SURCHARGE * $ 4.50
:R3 :? :? :? : OTHR: 0: O:sf Z.{IST..$: 0 FRONT 20.00 ft PLUMBING PLAN CHECK $ 27.30
0CGC SIDE 30 ft WATER SERVICE..:LAK PLUMBING FIXT....93* 42.00
TYPE OF CONSTRUCTION BSMT: 0: O.sf PROP...$. JVIJUV SIDE ... , UU ( $
:5N :? :? :? : DEC-K: 0, 0 sf DET......,...: 0 't SEWER SERVICE..:LAK I MECH PLAN CHECK FEE $ 5.88
C::: 7ECE: ED .:: !DD,' �.. [ FEE LOAD GAR.: 0: _ _�_: .,. _ MCH PERMIT $ 23.50
0: 0: 0: 0: TOT' 0: 400:sfMPERV SURFACE: 7887 sf SENSITIVE AREAS?.:?
i4
-
FUEL TYPES.:? ? FANS • 2 BOILERS/COMPRESSORS WATER CLOSETS • 2 URINALS • 0 TOTAL FEES $ 832.89
GAS PIPING.: 0 ft HOOD • 0 0-3 TON • 0 € BATH TUBS 1 DRINKING FOUNT.: 0
FURN<10K..: 0 DUCT WORK • 1 3-15 TON • 0 SHOWERS • 1 SUMPS • 0
MHWT • 0 WOOD STOVES...: 0 15-30 TON...: 0 LAVATORIES • 2 VAC BREAKERS...: 0
V 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
i GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ! ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
1 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 DAYS AFTER ISSUA , E I 0 WORK START r. 'ESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT iI''M_ATION FURNI HED BY E IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
4.111,
OWNER OR AGENT r ?A77_
_ ---_. - _ )1( I.Z L
FILE COPY
'TY OF FEDERAL WAY
'530 Fi rt Way South
de rat Way,, WA 9E3003
3-661 4000
EiDRET-3:640 S 295TH RL
....
10. : *315210-0080 /
DU I L. DI NG" P ERM I T issuLD: 07/1.5/9f;
Building liv.-..,41e,: Lion Pogue-sic> 2.! :-; -66'1 ' 4140. — PERMIT 14°131-.:*: BEL:99-13353
p EXPIRES: 01/11/00
rfaillECF DIDXFEIPI fON:RES ALT - u/ PLUMB & NEC - 400 SQ FOOT BEDROOM/BAIN ADDITION Ni ADDITIONAL REMODEL WORK (ENCLOSING CARPORT, ADDING SLOPED ROOF OVER EXISTING FLAT ROO
/
IKURT NOSS ONNER IS CONTRACTOR
' 640 S 295TH Pt
FEDERAL. WAY WA 98003
253/839-8507
N/A
iiirona,ntat-..naalt=m=4-.4ixtuA=ssmva=na.wmrtmft=="4=ftmanglmAusoz.gannam.m.rmu.===magm4,1m....usw.44==wartm=warAsortu.smuzurgamammalaumzsmal,==.1zustvv..wg===zetm4====zw=amotva.stwmvitAn=agoommatua*multmm=2/
ss: CONIRACIORS, PLEASUSE LOCATION CODE 113? MEN ADORING SALES FAX TOR PROJECTS WITHIN THE CITY Of FEDERAL VAT TAX RATE r 8.4 $U
BLD?:X KIEC?:X PLM?:X FLR--EXIST--PROP ' - RULING ONIIS: 0 COMP PLAN *SEND FEES:
TYPE OF WORY:ALT USE:RES 1SF,,:, -----0; 400:sf PoPIL, • , REQUIRED PARKING..: 2 SPRINKLERS/ 11 PLAN CHECK FEE $ 287.46
CENSUS CATEGORY 434 2ND.: 0: .0.0 vJEGgi u,0 fi WARD CLASS...:ORD BUILDING PERMII....* $ 442.25
OCCUPANCY GROUP MD': 0; tl:sf V°-qATION REQUIRED SETBACKS---- - fIRE FLOW 540 gps SOCC SURCHARGE * $ 4.50
:R3 :? :? :? : OMR. U: 0:S tirT C 0 FRONT . .. .: 20.00 ft PLUMBING PLAN CHECK $ 27.30
TYPE OF CONSTRUCTION- --- BSMT: 0: 0-,f PW ,): MUM 10t•. .. .-.: 5.O$1 ft i, '-, ' 4CI . ,',-t,---,,-• , PLUMBING FIXT....93* $ 42.00
:5N :2 :2 :? : Fitt* 0: 0.(:f :',-. ...--,.. .-.00:FE006E4'- CE s--' s - ,-'1:i- ','.A NECH MAN CHECK FEE $ 5.88
t,' •t,--4'' ..: 44
OCCUPANT LOAD- 'GAIL: 0' *,:sf PEELC-LD.:hi08/'7'1 -A.6,1, ,,,,* $t! -4tElEcillpfEF FEE $ 23.50
--4,itiv.
: 0: 0: 0: 0: TTL; 9: 00:s/ IMPERV StoTACE: 7887 sI SENSITIVE
FUEL TYPES.:? 2 FANS.. .. ... : 2 BOELERS/CONPRESSORS WATER CLOSETS • 2 URINALS • 0 TOTAL FEES $ 81219
GAS PIPING.: 0 ft HOOD.. . . ...: O. o 3 TOL—: 0 BATH TUBS • 1 DRINKING FOUNT.: 0
FURN(100t..: 0 DUCT WORE • 1 3-15 TON • 0 SHOWERS • 1 SUMPS • 0
GAS HNT • 0 WOOD STOVES ' 0 15-30 TON, • 0 LAVATORIES • 2 VAC BREAKERS...: 0
V BURNER: 0 FORN>100K.....: 0 30-50 TON...: 0 SINKS • 0 DRAINS • 0
• 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 CIN: 0 ABOVE GROUND: 0 LAUN WSHR OOTITS...: 0
GAS LOGS...: 0 > 10,000 CIM: 0 UNDERGROUND.: 0
PERNITS EXPIRE 1iq DAYS MIEN ISSUANCE IF MO NOR&1S1M1E1. .RESIDENTIAL AND GRADING PFRRITS EXPIRE ORE YEAR ATTER RATE Of ISMAEL
I CERTIFY TUT JNE- AMMON FURNAEO PYRE IS IRK All CORRECT 10 IRE HEST of AY KNOWIEW AND TOE APPLICABLE CITY Of FEDERAL MAY REQVIRENENIS WILE 01 011.
OWNER ON AGENT __,... ........._;;4;:a.6.4 ::11 .. ..,4«....„ ,.....____,... _ _.... .. _,, .... DATE 7:71,11757../ 14:1.
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2 FOUNDATION WAILS
Date By
3 P�IM I. .. : . W4Rf 5 a k. /O1-347 SS
Date By
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4 SLAB INSULATION
Date By
5 FOOTING/DOWNSPOUT DRAINS
Date By
6 UNDERFLOQA FRAMING ::: :
Date . / �Q By jl
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7 SHEAR WALLS ::..
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Date D/h-loo By 53
12 INSULATION
Date /8/lrJ/C9Y By ��G%
13 QVII`N: S'C I>'tf ER
Date%//2.1,Q By !'yi,..ci
14 1..44 2ND U4YER':: :::'
Date By
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15 SU ;: . ... .......::::: ..
Date By
16 PLANNING FJNAL
Date By
17 PUBL1G WORKS FINAL
Date By
18 r1Rt":.FINS►t «:::::>::>::>::::>::»>::;.:::::<:<::<:::>::>::::>::::>::::>::
Date By
19 BUILQING3;iNAL b--.. .}c b94"1 .J r,.6;4 6.111. / --z9'- c 4 5 .
Date/` / By
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Date By
CD0193(Rev 4/97)
1(5
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« < 7( City of Federal Way
- V
"`� �' APPLICATION1
ECF FOR BUILDING PERMIT
JUN.0 81999
'LEASE PRINT APPLICATION It: Jd)LLel.1 `03(5
STTLLOCTION
' : Address � ) /%, Z,---1-7'-r( F'L
Tenant (if known) Lot # Assessor's Tax #
7 ...4.)4:2 44 ) . .
Building Owner Name Hijtz_frAddress
r '.47 .Z574.7 :..T,/ /
City �,, 4..),6, 'State 4 0 , Zip q!t,L7C-,'";% Phone 7,., 2:?, '''',"-r ---1
Nature of Work .1 t A" ?..-4----17,174.-24-2.21,-- ' ��
( !_J i��-".. r•- � t,',2,,.--1?---1 ��,t.;�? ��I�"�/..:,,t_t
APPLICANT:.:::,::;>::"''`' ' '>::;;:'' :::< im
Name (F,M,L)
., d2,-•)ter 7
Address
_
City ,
""'"" State Zip
Contact Person Day Phone Other Phone Fax
•
COnRACTOR :.<:
Company Name //..74)4.:2�b 7
Address
City
State Zip
Contact Person . • . Phone Fax '
Contractor's # (card must be presented) / Expiration.Date Verified 0 Yes 0 No
Name
t7/1,2-t)t t7 Li. 71-L2 --(1-71-", ,, .
Address 1 1.1 l, 1
'1Z:2/Lc,� 2.c.,f �' •
Cityf` 7 �. 4.,),A1 • State 4..„).k, Zip 11)-• ;;Ci-7-7
Contact IPerson' 221\1117.
t, }� Phone Fax
IAL DESCRIPTION
i--,C1 77 1 H4,4'j1F') ., ;-41 1-,L' t-(4-2, tj
Please Complete Reverse Side
C00402 In..4;071
.1.--TUIZEstrop use�.+�c 1 4 1 ' Jg oposod Use 04.<41.7 i �
Permit includesBuildin • lumbin. Mechanical ,
❑ Other
Typo of Work: Rosidontial 0 Now ® Romodol 0 Numbor of Units 0 Deck •
_ 0 Commorcial ® Addition ❑Garago 0 Shod; 0 Other '
Enter 1st Floor '`-L7,� sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area. sq ft
Area Basement 1 sq ft Docks sq ft Garage sq ft Proposed Total Aroa sq ft
Water Availability ❑ Sower Availability 0 On-Sita Septic System Availability 0 project Voluatio!1.: S e,`i`� r�wa tf
Zoning )�_oi ( Lot Size 14_r I�7 <7. BXlstln9 Bldg Valuation.. $ �'t?"x..`Sa;•a ...
�/ L= $(o 6DD •
:<: .;
ENDER.:.::;:::: .:;:.:.:;>....:.:......;»:.;::>:::>:>;.;;:::<<.;:.«;:
•
Name . Address .
City State; • Zip
tECH NTCAL CORT:•1 0T072< :;III: i
Contractor Name Address '
•
City State .. Zip '
Contact Phone •
Fax
License # Expiration Date Verified 0 Yes 0 No
LUIh1BIN.G CONTRACTOR ii: <: :`> ;; •
Contractor Name Address
I
'
City State Zip
Contac,: Phone Fax '
License # Expiration Dato • Vorified' ❑ Yes 0 No
LLJAII3IT,'G k` TUtE:COUP::> ;">.
Water Closets .., ' Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories 2,, Washing Machine Drains Tota( Fixtttre Count;
ECHANICAL UNIT COUNT' V4LIA,Q 61'1. , 10
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping Range Air Handling > s: 10,000 CFM 30-50 Tons
Furn <100K BTUs rt Gas Log Unit Heater • 50+ Tons l
Furn >100 BTUs Fans /,- , +.:. Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
BBC's Wood Stoves 3-15 Tons Total;UnitCount'E ';;;: '.,...
SCLAIMER: I certify under penalty of perjury that the information furnished by mo is true and correct to the best of my knowledge and further that lam authorized by the owner
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
id 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.
it 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 thi:
>plic etion. ,y,..../�
lomat/Agent: t.,/fir;, 472:17 Date: /111