97-102222 947.- /0042.1
CITY OF FEDERAL WAYyJ PERMIT NO: BLD97-0371
33530 First Way South :LIU�,,,,, 1. ,,,,,, .. :,, :111... ii, 0,'.;;:h 1:":' :::..P,'.It'`'' .: ,: "T ISSUED: 10/17/97
Federal Way, WA 98003 Building Inspection Requests 253-661-4140 BY: FC
253-661-4000 EXPIRES: 04/15/98
ADDRESS: 30019 10TH AVE SW
NO. : 515320--0409
PROJECT DESCRIPTION:NSF - CONSTRUCT NEW SINGLE FAMILY RESIDENCE.
F. OWNER - CONTRACTOR CONTRACTOR _-__. --- = LENDER
LARRY LEE OWNER IS CONTRACTOR ( OWNER IS LENDER
25022 38TH AVE S
KENT WA 98032
Op-4514 946-1526 !
ee '
..._._.,d. _ .____.__.,..__ _.______._ ._ ..._._. _�__ _... .__•._._
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.2% ***
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BLD?:X 1EC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 I COMP PLAN •LDR e FEES:
TYPE OF WORK:NEW USE:RES 1ST.: 0: 1598:sf STORIES • 2 REQUIRED PARKING..: 2 SPRINKLERS' 'Y } PLAN CHECK FEE $ 504.40
CENSUS CATEGORY., ,..:101 2ND.: 0: 0:sf HEIGHT • 20.00 ft HAZARD CLASS...:EXT SALE COPIES/PRINTING $ 5.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 1518 gpm PUB WKS PLCK(SF)..93 $ 80.00
:R3 :U1 :? :? : OTHR: 0: 0:sf EXIST..$: 0 FRONT • 20.00 ft BUILDING PERMIT....* $ 776.00
TYPE OF CONSTRUCTION BSMT: 0: 1054:sf PROP...$: 138896 SIDE • 5.00 ft WATER SERVICE..:FED Mechanical Permit* $ 81,00
:5N :5N :? :? DECK: 0: 230:sf ! REAR • 5.00:ft SEWER SERVICE..:SEP PLUMBING FIXT....93* $ 70.00
OCCUPANT LOAD GAR.: 0: 713:sf RECEIVED.:06/23/97 ! SCH IMPACT (SFR)NEW $ 2372.00
8: 0: 0: 0: TOIL: 0: 3595:sf IMPERV SURFACE: 7012 sf SENSITIVE AREAS?.:N SBCC SURCHARGE * $ 4.50
-------- -, -- - FINAL PLAN CHECK...* $ a 0,00
FUEL TYPES.:GAS GAS FANS • 4 BOILERS/COMPRESSORS WATER CLOSETS • 2 URINALS • 0 TOTAL FEES $ 3892.90
AiiiiPIPING.: 50 ft HOOD • 0 0-3 TON • 0 , BATH TUBS • 1 DRINKING FOUNT.: 0
11,(10OK..: 0 DUCT WORK • 5 3-15 TON • 0 SHOWERS • 1 SUMPS • 0
GAS NWT • 1 WOOD STOVES...: 0 15-30 TON...: 0 t LAVATORIES • 3 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 1 30-50 TON...: 0 SINKS • 1 DRAINS • 0
BBQ • O MISC • 0 50+ TON • 0 DISH WASHERS • 1 LAWN SPRINKLERS: 0
GAS DRYER..: 1 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE • 1 <=10,000 CFM: 0 ABOVE GROUND: 0 @ LAUN WSHR QUILTS...: 1
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 INFORM TION FURNISHED ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT _ ___ DATE //C.-) I ? 9'2
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Oji Gel D BUILDING DIVISION
CT r • �✓ 33530 First Way South
=� EJNFIL- 9� Federal Wa WAu ,30 Z 3 1 y, 98003
t~�A�W A� (206)661-4000
E oEP.t. Fax(206)661-4129c
011156%F
APPLICATION FOR BUILDING PERMIT
PLEASE PR/NT % APPLICATION # V L 1�/ ( 7- �
Oft > dr
�'' Address
re.OM UI
Tenant(if known) Lot# Assessor's Tax #
E57PhF5 _5153zr)
Building Owner's Name Address
L. ;� IZ- H" L-I: A 30 o i 7 )C iVim_ S )
City FL;I�,L 1C, lvy2 7° !State I' f*t- Zip 4,9c7_3 Phone 2l�(a(�6 9 —lir/Y
Nature of Work n) W Gp JT
NameFIM,L)
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Address
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City i'"YL 9 1 L4 L 4-f State i d Zip q'(X-3
Contact Person Day Phone Lp/ Other Phone Fax Zc�
L 1r)/1 1 Lr� h L.( zotr 9'i -J/3y yy/ zo C�
Company Name u ,
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified 0 Yes 0 No
_:.RCMtTECT.::::::::::,.::::::::::::::::::::,:::::::::.::.::.;:.;;::::::.;::
Name
1/1-)
/y }
1"�
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
L eL,c V'Y 0-14 &ii 15c) . SiA 14:,-S
Please Complete Reverse Side
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SETBACKS...& FOOTINGS •
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Dater - rfk_c-\4_ Byl '
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i SET .:: : >'; » ngm:MbI , LILi,.�}ed - src (_,;.raptg -4- re O.f), V -kii-P_)
Date/7.-Z6- q 7 By Ci c-. J
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3 PLUMBINC,i E3ROUNQWORIf <E (> v hi,' t"' 14 C6 - 511)
Date By
4 SLAB INSULATION
Date , Z j'By (---
........................................................................ . . ........... . .
............................................................................. .............. ...
5 FOOnt ]QQWNSFL?UT'!DRAm
Date By
I6 UNDERFLOOR FRAMING
Date By
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7 SHEAR:HALLS
Date - »- glgBy GCS
..... ................................................................................
. ....................................................................................
L
8 PLUMBING ROUEN.IN..;........::::>:<::`:< ....iiii
Date /(7 ...J./A./ M By
9 GAS PIPING
Date /O -9 ( ByG/
10 MECHANICAL ROUGH-IN
Date // S/-y/ By .../..0,,t....1
11 FRAMING.: . ...
Date /f- SA By �_(." J
12 LN.SULATIO[+1' ' :.:::;: ::::::.:;..... .......:.:
.......;;::.;:.: . :
....::
Date/7-/3- feBy G6.., i
13 GWB - 1ST LAYER
Date I 2,.-31 _ 9F By "Di--
14
Dy14 011V62ND LAYER
Date By
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15 S.U..SPENQED CEILING . -.
Date By
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16
Date By
17
Date By qr. _r,/1e c_A Ca, 5a74 cA.,S f2 C
8 rETINA '` ... /7- y- 963 ,
Date By
19 BUILDING FINAL
Date .3----;2-4- 5By j)j_
20 OTHEFI~
Date By
CD0193(Rev 4/97)
gSe •roposei U• Se
U
Permit includes: .0I—Building Plumbing Mechanical 0 Other'L lc i,
Type of Work: Residential 0 New 0 Remodel 0 Number of Units 0 Deck
❑ Commercial 0 Addition 0 Garage 0 Shed 0 Other
Enter 1st Floor 1'S`/5 sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement %,;5&j sq ft Decks Z 3,. sq ft Garage 7 i 3 sq ft Proposed Total Area 3 5- •s sq ft
Water Availability 121 Sewer Availability 0 On-Site Septic System Availability-7.. Project Valuation s ci 7 > u
Zoning I Lot Size /6.C,C).(a. t' Existing Bldg Valuation S
............iU::i...................... ..... ...... .................................
........ ............................ ............ .......................... ......
.......... ............................ ..... ...... .................................
...........................................................................................
Name /� 1 A 7,r Address
�-' �J vVr llr.�i
City State Zip
Contractor Name Address
C'L../itii1 -
City State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes 0 No
....... ......... .............................................................
...................................................................................
...................................................................................
Contractor Name Address
nL}rVLi`h.
City State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes 0 No
Water Closets Sinks I Urinals Lawn Sprinklers
Bathtubs I Dish Washers f Drinking Fountains Other
Showers 1 Electric Water Heaters Gra'3 j Sumps
...............................................................
...............................................................
Lavatories Washing Machine Drains Totial..Fixtiure:Cotmt .it {
MECHANICAL EVALUATION ONLY $ 5 Z- U
�:
Fuel Type (electric/other) (505 Gas Dryer E'S 1 Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping 5 e I ' Range L.c k.C.' ) Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs ` c� Gas Log Unit Heater 50+ Tons
Furn >100 BTUs 5 , /C'(, Fans tf' Miscellaneous Fuel Tanks
Gas Hwt 'Y ti S Hood Boilers Above Ground
Cony Burner Duct Work Y A.S 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Y"t#tei anit fount.
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:
Date: "' L? — % )
?`/Y Q�
&LLOG.AP
I5Ev6EO 12/1 1/96