96-100683 96-ho 493
CITY OF FEDERAL WAY NO: 13LD96-0084
33530 First Way South '';, N,...,N 3: 1.,..•, .I�.'M.,,,. k"ll .,,i? IP :N::�, �'��,f''"''h :'.I,.. 1".
.,�,.. ISSUED: 04/24/96
Federal Way, WA 98003 Building Inspection Requests 661-4.1.40 BY: FC
661-4000 EXPIRES: 10/21/96
ADDRESS:34434 35TH Pt_ SW
NO . : 440670-0030
PROJECT DESCRIPTION:NEW SINGLE FAMILY RES - Wf MECHANICAL & PLUMBING.
LORRAINE LANE, LOT #3.
OWNER =_ •--- - CONTRACTOR =-=-_-_--=__--=-•-
• .. _ .,1:= LENDER ==__-------___;__--_=---
LEE SIMS 1. OWNER IS CONTRACTOR
OWNER IS LENDER
114 SHERWOOD DR
dirSANTA ROSA CA 95405
•
707-527-5693 - {
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.2% ***
BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN •SFHD FEES:
TYPE OF WORK:NEW USE:RES 1ST.: 0: 1222:sf STORIES • 2 REQUIRED PARKING..: 2 SPRINKLERS' •' ( PLAN CHECK FEE $ 561.28
CENSUS CATEGORY •101 2ND.: 0: 1166:sf HEIGHT • 0.00 ft HAZARD CLASS •' BUILDING PERMIT....* $ 905.50
( OCCUPANCY GROUP 3RD.: 0: O:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm Mechanical Permit* $ 90.00
:R3 :? :? :? OTHR: 0: O:sf EXIST..$: 0 ) FRONT • 20.00 ft SBCC SURCHARGE * $ 4.50
TYPE OF CONSTRUCTION BSMT: 0: O:sf PROP.,.$: 175082 SIDE • 5.00 ft WATER SERVICE..:FED SCH IMPACT (SFR) $ 1707.00
:5N :? :? :? DECK: 0: 0:sf REAR • 5.O0:ft SEWER SERVICE..:FED ) PLUMBING FIXT....93* $ 98.00
OCCUPANT LOAD GAR.: 0: 660:sf RECEIVED.:03/14/96 PUB WKS PLCK(SF)..93 $ 40.00
: 0: 0: 0: 0: TOIL: 0: 3048:sf IMPERV SURFACE: 2980 sf SENSITIVE AREAS?.:N FINAL PLAN CHECK...* $ 27.30
._..L.__.._._._ ______________
dift. TYPES.:GAS ELE FANS • 4 BOILERS/COMPRESSORS WATER CLOSETS • 3 URINALS 0 TOTAL FEES $ 3433.58
PIPING.: 99 ft HOOD • 1 0-3 HP • 0 BATH TUBS • 2 DRINKING FOUNT.: 0
FURN<100K..: 1 DUCT WORK • 1 3-15 HP • 0 SHOWERS • 1 SUMPS • 0
GAS NWT • 1 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 4 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 ; SINKS • 2 DRAINS • 0
BBQ • 0 MISC • 0 5+ HP • 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 x LAUN WSHR OUTLTS...:_ 1
GAS LOGS...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0
_ --�__ -- - _ _ -__ __.. .._---- __.. _ ___ . ::._ -___......__...:-____ _ _._ _.____....__..___._..._ - ________ '_~ -.------------_.. _d
PERMITS EXPIRE 180 DAYS AFT ' ISSUANCE IF NO WORK IS ARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORM' ON FURNISHE .-VE I RU AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
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City of Federal Way 411
• RECEIVED
v� FlY�� L APPLICATION FOR BUILDING PERMIT MAR 1 4 1996
BUILDINGCITY FEDERAL AY
DEPT.
PLEASE PRINT APPLICATION #: /L D g
SITE LOCATION Address 3 v,743 y_ S
Tenaii.(' nown) Lot # 3 Assessor's Tax #
av " 3 - 90�
Building Owner Name Address n •
City rState e41._ _Zip 95- /4S- 4'3— Phon(7O//-c?i 7- 5-6 9
Nature of Work /lvr2a,/ 5/14U v/ilf
APPLICANT
Name (F,M,L)
Address
City State Zip
ie Contact Person Day Phone Other Phone Fax
t
BUILDING CONTRACTOR
Company Name
py Address
City State Zip
PP Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
i-NRCHTTECT e `
Name
Address
City State (,,e � Zip 7d41
Contact Person r , Phone Fax
oc) 6fj ' 6)G8e'- 712- /
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492(Rev 4/93)
STRUCTURE •sting Use (/ I" *posed Use
Permit includes: Building Plumbing if<Mechanical ❑ Other '
Type of Work: IV-Residential
Residential e'w ❑ Remodel ❑ Number of Units ❑ Deck
❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Enter 1st Floor/72-2.-,' sq ft 2nd Floor //(. 'sq ft 3rd Floor sq ft Existing Floor Areasq ft
uC.cj"
Area Basement sq ft Decks - sq ft Garage sq ft Proposed Total Area sq ft
Water Availability IBJ Sewer Availability (11 On-Site Septic System Availability ❑ Project Valuation $
Zoning %;,S — 7 Z7� D Lot Size 7 2,v. ‘% Existing Bldg Valuation $
LENDER
Name Address
City State Zip
MECHANICAL CONTRACTOR
Contractor Name 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 ❑ Yes ❑ No
PLUMBING FIXTURE COUNT
Water Closets 3 Sinks ` Urinals Lawn Sprinklers
Bathtubs --)- Dish Washers I Drinking Fountains Other
Showers / Electric Water Heaters Sumps
Lavatories L./ Washing Machine ( Drains Total Fixture Count
MECHANICAL UNIT COUNT MECHANICAL VALUATION ONLY $
Fuel Type (electric/other) VR '' Gas Dryer i Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping 1 / Range / Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs / Gas Log / Unit Heater 50+ Tons
Furn >100 BTUs Fans L ' Miscellaneous Fuel Tanks
Gas Hwt r 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 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 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 wher such clai arises out oft r, Iiance oft - City,including its offic rs and employees, upon the accuracy of the information supplied to the City as a part of this
application. ''. c/
Owner/Agent.%- ' jr,—Ill Date:
^�-- i- \rte- {��
1 lW SITE PLAN APPROVAL o� ,�_ t1i a,� , •
w Pe.- -'t Number' e O _e
09 �'N / i N_ m gni i''
A ;ved By: h
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