96-102872 96—/oD 8'7a
CITY OF FEDERAL WAY PERMIT NO: BLD96-0366
33530 First Way South D4... .I L,•...,r:A.11. rifN,, F rm, ::Irk Ifq I. .,. ..,. ISSUED: 10/02/96
Federal Way, WA 98003 .Building Inspection Requests 661.-.4140 BY: FC2
661-4000 EXPIRES: 10/02/97
ADDRESS: 33315 35TH AVE SW
NO. : 109960-0300
PROJECT DESCRIPTION:DECK REPLACEMENT - REPLACEMENT TO EXISTING DECK (332 SF).
T- OWNER r-== .:_..__.. I.- CONTRACTOR ::-.__ . __._ __-----..- LENDER --------- -___ _.._-1
M3NTHONY TERLICKER j OWNER IS CONTRACTOR I
3315 j 1
FEDERAL WAY WA 98023 ) 1
874-3446
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.2% sts
_._. _____._--____,_.______.__....__z:--_-_-___xw_.,_ --_- ----------- x.._---_.__a__.___-._..._:: ... .. .,::_-=
I
BLD?:X NEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN •SFHD FEES:
TYPE OF WORK:ALT USE:RES 1ST.: 0: O:sf STORIES • 2 REQUIRED PARKING..: 2 SPRINKLERS' •' i PLAN CHECK FEE $ 35.10
CENSUS CATEGORY •434 2ND.: 0: O:sf HEIGHT • 0.00 ft HAZARD CLASS •' 1 BUILDING PERMIT....* $ 54.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW 0 gpm 1 SBCC SURCHARGE * $ 4.50
:? :? :? :? OTHR: 0: O:sf EXIST..$: 70300 FRONT • 20.00 ft
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 2922 ) SIDE • 5.00 ft WATER SERVICE..:FED
:? :? :? :? DECK: 332: 332:sf 1 REAR • 5.00:ft SEWER SERVICE..:FED
AlliCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:08/27/96
0: 0: 0: 0: TOTL: 332: 332:sf ) IMPERV SURFACE: 1944 sf SENSITIVE AREAS?.:N 1
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS 1 WATER CLOSETS • 0 URINALS • 0 1 TOTAL FEES $ 93.60
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 t BATH TUBS • 0 DRINKING FOUNT.: 0 I
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 $ SHOWERS • 0 SUMPS • 0
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0 I LAVATORIES • 0 VAC BREAKERS...: 0 I
I CONY BURNER: 0 FURN>100K 0 30-50 HP • 0 ) SINKS • 0 DRAINS • 0 I
( BBO • 0 MISC • 0 5+ HP • 0 j DISH WASHERS • 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS A ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0 I
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 1 LAUN WSHR OUTLTS...: 0 1
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 1
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORE IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY 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 =�_.,. ---�'' -- ___ FILE COPY DATE /C2 ..(-2Z.Y16/
• •
• City of Federal Way AUG 2 7 1996
NY APPLICATION FOR BUILDING PERMIT
ilTY OF FEDERAL WAY
BUILDING DEPT.
PLEASE PR/NT
APPLICATION #:
SIVE L0CATIQN Address
Tenant (if known) Lot #SSG
Assessor's Tax#
-r/(9 t-� �,�/� -GP, In9`]-&'° —030°
Building Owner Name Address
•
City C�r C� J State / + Zip 270 I Phone
Nature of Work � - S, n," 04? 47/‘p�
Name (F,M,L)
Address
? ice " Avg S. l-U
City LA-1I State(.4/4 Zip 57nc 7
Contact Person ay Phone Other Phone Fax
c) 57.2 47- tt y Krc/C 7/K: 7 1
•
f
i BUILDING CONTRACTOR
Company Name
Address
City r State Zip
Contact Person
Phone Fax
Contractor's #(card must be presented) ! Expiration Date Verified 0 Yes ❑ No
Name
Address
City State
Zip
Contact Person Phone Fax
LEGAL DESCRIPTION b»K,I r i�'V^000A) Bk4c LaT 53
Please Complete Reverse Side
CD0492(Rev 4/931
(, ' ilig
LSTRUCTURE • • ing User 1� posed Use
Permit includes: 1 Building ❑ Plumbing ❑ Mechanical 0 Other
Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ Number of Units
't',\V/--\ Deck
❑ Commercial n I ❑ 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 2 sq ft Garage sq ft Proposed Total Area sq ft
Water Availability ❑ Sewer Availability ❑ On-Site Septic System Availability ❑ Project Veluatton $
Zoning '.S 7, 2 I Lot Size � l (03 /(Ets ADO(z,) xlstin Bld Ya(uetlon
L.5 /cGAr, Akz.e'-,--moo ke,f) Com",--,,.y,�
LENDER
Name
Address
City State Zip
I CHANICONTRACTO
ALCR
Contractor Name Address
City
State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBINGCONTRACTOR mii /�'
Contractor Name
Address
City
State Zip
Contact
Phone Fax
License # Expiration Date Verified 0 Yes ❑ No
PLUMBING FIXTURE COUNT ,
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories WashingMachine Drains ns
Fixture Count
C ICAI,UNIT COUNT
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 1\5-30 Tons
Length of Gas Piping Range Air Handling > = 10,000 CFM 36150 Tons
Furn <100K BTUs Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Grou
Cony Burner Duct Work 0-3 Tons
Underground
BBC's Wood Stoves
3-15 Tons Total Unit Gaun ::.:,::::>
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:
y