96-102224 c -1b ) aa y
OF FEDERAL WAY PERMIT NO: BLD96-0281
Way :. m' U1..,,..T ..,.,..1�,,;;M„ ,° File P E. Olt ,I "r' ISSUED: 08/12/96
:.3530 First South
Federal Way, WA 98003 Building inspection Requests 661-4140 BY: RM
661-4000 EXPIRES: 02/08/97
ADDRESS: 34400 271H AVE SW
NO. : 502945--0010
PROJECT DESCRIPTION:REM/ADD - EXPANDING ON EXISTING DECK.
r OWNER - ..__».. _ ..�__-- =__-_s_ CONTRACTOR ----= . -- 1 LENDER
1 SHEROLD THOMAS ( OWNER IS CONTRACTOR
I 34400 27TH AVE SW t Q
FEDERAL WAY WA 98023
0
874-7417
1
Its CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.2% i:s
LCCR-".. .. -_...»_.._C_..».. _..,__-.._ .. .. -.....-._.......-,-.....».. _...,,.. G -'
BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 1 t COMP PLAN •SFHD FEES:
TYPE OF WORK:ALT USE:RES 1ST.: 0: O:sf STORIES • 1 REQUIRED PARKING..: 2 SPRINKLERS' •' PLAN CHECK FEE $ 35.10
CENSUS CATEGORY •434 2ND.: 0: O:sf HEIGHT • 0.00 ft HAZARD CLASS •' BUILDING PERMIT....* $ 54.00
OCCUPANCY GROUP 3RD.: 0: O:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm SBCC SURCHARGE * $ 4.50
:? :? :? :? OTHR: 0: 0:sf EXIST..$: 65800 1' FRONT • 20.00 ft
TYPE OF CONSTRUCTION BSMT: 0: O:sf PROP...$: 2400 I SIDE • 15.00 ft WATER SERVICE..:?
:? :? :? :? DECK: 0: O:sf c REAR • 5.00:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: O:sf RECEIVED.:07/16/96 f
. 0: 0: 0: 0: TOTL: 0: O:sf i IMPERV SURFACE: 1000 sf SENSITIVE AREAS?.:?
cr_-cmc---c---c:.xaaa....._.._.._rsczca_».._....-.1 s--•' .-c_...._.
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 93.60
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
IllN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 0 SUMPS • 0
HWT • 0 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 0 VAC BREAKERS...: 0
CONV 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 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
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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 INFORMATTION FURNISHED BY ME IS TR/U,E AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLI BLE C TY OF FEDERAL WAY REQUIREMENTS NILL BE NET.
OWNER OR AGENT _ _, r'a ) j j'
i� . _ DATE 6 _.
FILE COPY
IV RECEIVED
cm or(.v., 47:_: City of Federal Way ,
tif._r<Fn_ JUL 161991
�� w APPLICATION FOR BUILDING PERMIT
- GALWAY
CITY o F
BUILDING DEPT,
PLEASE PR/NT APPLICATION #: 9 6' — 'W/
[SITE LOCATION Address ,'4 p O o27 Auz cS _
Tenant (if known) Lot # Assessor's Tax #
_ ,-c 9't - 0010
-- Building Owner Name Address
' SI-02b1 a ) 7 ^7 Ori 3 4 Oo 4uz_ Go,
City Fe_pt 24(.. 'c,,0 vv/ '/State (.c-)�}. Zip 'L 8c ZZ (P 814--- l 4-1
o (`t~ 7
hone
Nature of Work I�LC.. D C L () P G-P 4 OP. f},u 0 E cPAA ► OVo
APPLICANT
Name IF,M;LI SRE0-1 L D 7E_ I V .(
Address 344 0` -i-g AUE_ cs( •(A)
City F Etuzr4(, a)til State lar{ . Zip q O23
Contact Person Day Phone Other Phone Fax
P.Tu'LI)ING CONTRACTOR
Company Name SET
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified C; Yes El No
ARCHITECT .
Name
Address ------ ------ --- __.
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
72'" . - �
Please Complete Reverse Side
CD0492(Rev 4/93)
STRUCTURE .ting Use 'posed Use
Permit includes: ❑ Building ❑ Plumbing ❑ Mechanical ❑ Ot ' t
Type of Work: ❑ Residential ❑ Blew 17/4emodel ❑ Number of Units eck
❑ CommercialAddition ❑ Garage ❑ Shed ❑ Other
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor_ sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
Water Availability ❑ Sewer Availability U On-Site Septic System Availability ❑ Project Valuation $ 4O 0
Zoning ,',' '. % L ( S/ 77,;:', I Lot Size S!"-A-,' .'.(, i A,/ / T /f Existing Bldg Valuatigr" .—
/// 6c200
S00
LENDER �E cie
Name Address
City State Zip'"
/ .
MECHANICAL CONTRACTOR
IContractor Name I Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name Address
•
City . State Zip
Contact • Phone Fax
License # Expiration Date Verified 0 Yes ❑ No
•
PLUMBING FIXTURE COUNT
Water ClosetsSinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washingsf(/lachine Drains Total<'Fixture Count
MECHANICAL UNIT COUNT / MECHANICAL VALUATION ONLY $
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping 7 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
Cony 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 l 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 s — laim arises out of the reliance of the City,including its officers and employees,upon the accuracy of the i formation supplied to the City as a part of this
application.
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Owner/Agen • Y.' ` �z�) Date:
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_..._._.-. _.. ......._._..- _M w.._. .._._.., ../00 E _____ _ 4
STT 1PT,AN APP"OVAL
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