96-101414 cily
CITY OF FEDERAL WAY �( u u PERMIT NO: BLD 16-0194
33530 First WaySouth '.�.°:��... .•14�. �i.,.•..•I ) 'I IC; e,,..A ,•„` ��'•�i ”'i
� �I ..,.,. :ISSUED: 06/14/96
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES : 12/11/96
ADDRESS : 31906 36TH AVE SW
NO. : 873198-0140
PROJECT DESCRIPTION:RES ADDITION - ADDING 132 SOFT LIVING AREA TO BEDROOMS.
r OWNER ..__._.________= -- --- -..,:------- CONTRACTOR .. -------- _-_-.___._- LENDER =--
1 JAMES LUSEBRINK MATTS REMODELING/REPAIR INC. 1 OWNER IS LENDER
31906 36TH AVE SW 33011 28TH AVE SW 1
IFEDERAL WAY WA 98023 FEDERAL WAY WA 98023 P
le5832 874-9156
_____:
_1MATTSRI125JJ
*** 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 I COMP PLAN •SFHD I FEES:
TYPE OF WORK:ADD USE:RES 1ST.: 0: 0:sf STORIES • 2 I REQUIRED PARKING..: 2 SPRINKLERS' - PLAN CHECK FEE $ 16.05
CENSUS CATEGORY •434 2ND.: 0: 132:sf HEIGHT • 0.00 ft HAZARD CLASS,..:? y BUILDING PERMIT....* $ 117.00
OCCUPANCY GROUP 3RD.: 0: O:sf VALUATION i REQUIRED SETBACKS FIRE FLOW • 0 gpm 9 SBCC SURCHARGE * $ 4.50
:R3 :? :? :? OTHR: 0: 0:sf EX1ST..$: 79700 FRONT • 20.00 ft ( FINAL PLAN CHECK...* $ 0.00
TYPE OF CONSTRUCTION BSMT: 0: O:sf PROP...$: 9049 SIDE • 10.00 ft WATER SERVICE,.:FED
:5N :? :? :? DECK: 0: O:sf REAR • 5.00:ft SEWER SERVICE..:FED
OCCUPANT LOAD GAR.: 0: O:sf RECEIVED...05/23/96
: 0: 0: 0: 0: TOIL: 0: 132:sf I IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS I WATER CLOSETS • 0 URINALS • 0 I TOTAL FEES $ 191.55
PIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
N<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
CONV BURNER: 0 FURN>100K 0 30-50 HP • 0 I 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
T .. T
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE N0 WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THA THE INFORMATION FURNIS ;Y ME IS ' E AND C RRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
_
OWNER OR AGENT 'fy %� # 1 IS/
- A., DATE -IV -67
FILE COPY
-,
rf,..ftY OF FEDERAL WAY PERM' I NO: 8LD96-0196
i, .
33530 First Way South BU I L. DI ViCi PERMIT ISSUED: 06/14/96
Federal Way. WA 90003 >, Building inspection ReguestA) 661 4140 BY: FC2
661-4000 • EXPIRES: 12/11/96
ADDRESS:31906 dc,rii AVE SW
HO. : 873198 -0140
PROJECT DE(XRI PT ION:RES ADDITION - ADDING 132 SOFT LIVING AREA 10 BEDROOMS.
JAMES LUSEBRINX NATTS REMODELING/REPAIR INC 1 OWNER IS LENDER
31906 3610 AVE SN r, 33011 28TH AVE SW 1 .
.,
FEDERAL WA WA 98023 FEDERAL WAY NA 9802A
74-5832 1 874-9156
MAITSRI125JJ .
lit* CoNIRWORS,ILLOF WA LORAIRIN ( W ler FIER PtPOOFING SALES 1AX FOR PROWS 111111111 IRE CITY Of FEDERAL WAY. FAX BAIL '-- 0.2% tst
BLD?:X NEC?: PLM?: FIR--EXISt-PROP-- tilfli*Df's 0411°' ' i LOMP PLAN 'SEND j FEES:
TYPE OF WORE ADD USE RES 1ST.: ifi'''' U:' ' STORIES - I "WM PAPICI0, " SPRINKLERS'' .? PLAN CHECK FEE $ 76.05
CENSUS CATEGOV *434 2ND . 0: 112' Htlf0i„ , 0.0, rt i WINO iL44.. datiw- .-3., ,e-,7, , BUILDING PERMlf....* $ 11/.00
OCCUPANCY GROUP M., 0:c.' it 0 TO:. - '''' EP 5.1.11'..4... ' L 1104 Ar 4, -A -7i.r' SBCC SURCHARGE... .4 $ 4.50
' ' _.---*_-v; --,W
13 :? :? :? : o*P0* A' , :sf H.; !, 1 L , 1, 1 : , t --2 -1.,.. h. ' I CHECK...* $ 0.00
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TYPE OF CONSTRUCTIONLi'' T.iiik .tN,„,. iyup...s: 9040 1 SIDE 10.00 ft WAIT+ 'APt..:FED ' -- - -
SN :? :? , • 500 ft SEWER SERVILE FED
,*IAM.8.1.IM,"41.1...E.g2.,SVA=.11.*.=,...11.,43.1.61
FUEL IYPES.:? ?
S PIPING.: 0 ft
N(100K..: 0
GAS HWT * 0
COHV BURNER: 0
BBQ........: 0
GAS DRYER..: 0
Illill 40 I RV SURFACE: 0 sf SENSITIVE AREAS?.:11
FANS...00t 00 HILERSICOMPRES'Ar-, WAAR CLOSEIS • 0 URINALs
HOOD
WOOD STOVES. • 0
FURN)100K * 0
MIS( • 0
AIR HANDLING OMITS 0-3 HP * 0 BAN TUBS
3-15 HP * 0 SN9WERS
15-30 HP * 0 L4TATORIES
30-50 HP • U STOS
5+ HP • 0 DIi1 WASHERS * 0
* 0 DRINKING FOUN1.: 0
' 0 SUMPS • 0
* 0 VAC AREAKERS...: 0
* 0 DRAINS 0
0 LAWN SPRINKLERS: 0
FUEL TANKS— . ---- EtEC NiP HEATERS...: 0 OTHER FIXTURES.: 0 ' TOTAL FEES $ 19/.55
1 RANGE • 0 <740,000 CFPI: 0 ABOVE GROUND: 0 LW WSHR MILTS...* 0
1 GAS LOGS...: 0 > 10,000 Cfli: 0 UNDERGROUND.: 0
11RNIIS EXPIRt 180 DAYS At ILK ISSUANCE If KU IA44 I!, SWIM RESIDENTIAL AND GRAWIN KWh EXPIRE OWL YEAR AtIER DATE OF ISSUAN(E.
I CER1ItY I TOE 14FORANION IMMISWED AY ML .6tii4 AND CI 'RECI 10 101 $151 OF NY KROVIEDG1 AND TNN 01011(A8EE CITY OF FEDERAL WAY REOUIRINENTS Wilt BE NET.
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--4L-NA-f—, nrzFn_ R EC E 1
APPLICATION FOR BUILDING PERMIT
NAY 2 3 1999
GI f OF FEDE RAL
PLEASE PRINT BUILDING DEPT AY APPLICATION #: Y(p `O (--L
SITE LOCATION Address 31%1 36' Ai
Tenant (if known) Lot # Assessor's Tax #
/ 7 973 ) c/S- D/ya-0
Building Owner Name Address/ us / R34-it Addresses l
City--. C,,/jci.it-�_ A- State /A- Zip 9,y1:),,,, (Phone 6).2 .4---- c 3`�
!I
Nature of Work A)1 6r /01173 6 / vAddthl 10 o'? QrDy/14
APPLICANT
Name (F,M,L)
�IA#711� S 6 - (✓ � ��K i 1
Address
City g-iit 4- __ ,,¢spy State kiZip 9)76) -k
Contact Person Day Phone Other Phone Fax
BUILDING CONTRACTOR
Compn Name R
Address
CD i 1 - 'r4 AOS ,k)
City r£0 1,i-it1.4)/4y L,..) State r I Zip `1, T'
Contaci Person i� h-, y� Phone Fax
04
Contractor's #(card must be presented) Expiration Date Verified ❑ Yes ❑ No
ARCHITECT
Name !
Address )-..\Cu
�
City !""pf- bt r'"\. A) n't; State !A l 4 Zip 8 3 a P.
Contact Person Phone Fax
LEGAL DESCRIPTION
'Twin Loje.e._S • 5 i ( ct
Please Complete Reverse Side 10 , loo
2/ 3ooCD0492(Rev 4/931
•
STRUCTURE ting Use j •PosedUse, '>f«lILL �—
--",, f
Permit includes: U„,..Btiilding 9 Plumbing 9 Mechanical ❑ Other
Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck
❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Enter 1st Floor .1(151/ 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 X On-Site Septic System Availability ❑ -9& Project Valuation $ 500p
Zoning 25-q, Lot Size 1 7C ,f . `? , ,1 ,- Existing Bldg Valuation $ 72. 74%'(;
Pini_ lcc=A
LENDER
Name t+ — /4__ Address
'City State Zip
•
MECHANICAL CONTRACTOR
Contractor Na
rr)e/ /l Address
City State Zip
Contact ,,s Phone Fax
License # '�
/
/ Expiration Date Verified 0 Yes ❑ No
PLUMBING CONTRACTOR
:::trtor
acNion :::ess
Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE COUNT
(�jAater
Closets Sinks Urinals Lawn Sprinklers
y VDish Washers Drinking Fountains Other
fowers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fixture Count
MECHANICAL UNIT COUNT MECHANICAL VALUATION ONLY $
Fuel Type lelectric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log Unit Heater 50+ Tons NI�4,
Furn >100 BTUs Fans Miscellaneous Fuel Tanks N
Gas Hwt Hood Boilers Above Ground k
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 in investigation an. efense of such claim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,
but only where h claim arises out of the r'a of the 'y,including its officers and employees,upon the accuracy of the information supplied to the City as a part of this
application. _
#2 /Akl 47-(=.Owner/Agent: 1 / e ' Date:
P• -r
t 1 t it:I,Ciiii;1:ir/2
i , I L E t
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biLvo - pleful
' SITE PLAN AP72/09VAL ��: N,T 5
Permit Number. BG��_P
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Approved By: 4_______ --
Date: /2�/��
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Comments: S0 ��'"" W
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