95-103051 qs-'/a3o vl
CITY.OF FEDERAL WAYPERMIT NO: BL 95-0910 w
33 530 First Way South 1:13i1..) ..,,. fl,..,:.., .,h 111. 'W,,;;,li P Cf, 111,'111 -41 ISSUED: 11/27/95
Federal Way, WA 98003 Building Inspection Requests 661 -4140 BY: FC
661-4000 EXPIRES: 05/25/96
ADDRESS : 32712 33RD AVE SW
NO. : 951090-0350
PROJECT DESCRIPTION:ALTERATION - REPLACE ALL EXISTING WINDOWS WITH NEW WINDOWS.
= OWNER -_._ ----- -- _.......__________=._______
._ -. CONTRACTOR ---_..___-. =... __ T LENDER _
i EDNA VERZANI I QUALITY NORTHWEST CONSTRUCTION 1
I 32712 33RD AVE SW 32702 - 5TH AVE S.W. 1
1 FEDERAL WAY WA 98023 1 FEDERAL WAY WA 98023 1
838-1108
i QUALINC141DR
*** 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?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN •SR FEES:
TYPE OF WORK:ALT USE:RES 1ST.: 0: O:sf STORIES • 1 I REQUIRED PARKING..: 2 SPRINKLERS' 0 j PLAN CHECK FEE $ 52.65 I
CENSUS CATEGORY •434 2ND.: 0: 0:sf HEIGHT • 0.00 ft 1 HAZARD CLASS •9 BUILDING PERMIT....* $ 81.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION I REQUIRED SETBACKS FIRE FLOW 0 gpm SBCC SURCHARGE * $ 4.50
•? •?• ? ?OTHR: 0: 0:sf EXIST..$: 60700 FRONT 20.00 ft
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 5400 SIDE • 5.00 ft WATER SERVICE..:?
:? :? :? :? DECK: 0: O:sf E REAR • 5.00:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: O:sf RECEIVED.:11/09/95
0: 0: 0: 0: TOTL: 0: 0:sf 1 IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
=- - . -- _. ___-_._____. i
i FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS I WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 138.15
ilS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 1 BATH TUBS • 0 DRINKING FOUNT.: 0
RN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 SHOWERS 0 SUMPS • 0
GAS HWT • 0 WOOD STOVES...: 015-30 HP • 0 iLAVATORIES • 0 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 ( SINKS • 0 DRAINS • 0
BBQ • 0 MISC • 0 5+ HP • 0DISH WASHERS • 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS 1 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
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 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 ''wI DATE /4/2„21.2„11:
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City of Federal Way
• RECEIVED
�� Nov 0 91995
APPLICATION FOR BUILDING PER/ID-FEDERAL WAY
BUILDING DEPT.
PLEASE PRINT APPLICATION #: CUci - o y l o
SITE LOCATION I Address
Tenant (if known) Lot #
A s o 's Tax #
tr�1 d90 — 0--->50
Building Owne Name i Address
City / Zip �', r o �j Phone
Nature of Work cri a Lr cc / / X ki 1 1 i �S 'u. t..ite ewe ..(JC-1- Q /'12 e
St ,i t, _
IAPPLICANT I
Name (F,M,L)
Address
City State
Zip
Contact Person Day Phone Other Phone
J Fax
I BUILDING CONTRACTOR I
Company Name
i.
( udr y A, I.v eY�f-f-
It.
Address., -70 2 -' S -rc Lam.
111
r City ` (� State (71-0 ��
Ilk
"� (A.�4, Zip
If Contact Pf rson
II; `✓I WI J l l7S /r/1P _i / or Fax
Contractor's #(card must be presented)
Expiration Date Verified ❑ Yes ❑ No
009-1- i/
VC- iIfl 0f 'Z--2,6--9L
IARCHITECT I
Name
Address
City State
Zip
Contact Person
Phone Fax
I
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492(Rev 4!931
STRUCTURE Sting Use S r-i� *posed Use C' i •
i / �1L '�
t l �
Permit includes: ❑ Building ❑ Plumbing ❑ Mechanical ❑ Other
Tyfie of Work: , Residential ❑ New dcRemodel ❑ Number of Units ❑ Deck
❑ Commercial ❑ Addition ❑ Garage Cl 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 ❑ On-Site Septic System Availability ❑ Project Valuation $ �( L/C)0
Zoning - Lot Size Existing Bldg Valuation $
LENDER
Name (/\
Address
City State Zip
ML. ANICAL CONTRACTOR
Cont .ctor 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 Sinks ' als Lawn Sprinklers
Bathtubs Dish Washers Drinki . Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fixture Count
MECHANICAL UNIT COUNT
Fuel Type lelectric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping Range Air Handling > = 10,000 CFM 34 .0 Tons
Furn <100K BTUs Gas Log Unit Heater 50+ ..s
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
Bis 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 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 •'m arises out of the r•' • e 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: / / '-'1/----(---f2' Date: / /—y—! --3�