96-104046 CITY OF FEDERAL. WAYPERMIT NO: BLD96-0477
33530 F i rs t Way South _or !1!.....D."' IINp qi 'p. 114,.x,c1rt Ilmif I 111- ISSUED: 11/22/96
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2
661--4000 EXPIRES: 05/21/97
ADDRESS : 1625 SW 351ST ST 9 -ib Y b y(P
NO. : 920200--0080
PROJECT DESCRIPTION:SFR/ADD - ADD 12' X 32'(384 SF) ROOF OVER EXISTING DECK.
T= OWNER .__--=___ -=== _ __:=_- :: CONTRACTOR „_:_::_.::__ __.. -. . LENDER ___ -_=-;
1 EDUARDO MONTJOY i OWNER IS CONTRACTOR I
1 1625 SW 351ST ST 1
1 FEDERAL WAY WA 98023 i 1
874-9808 r
_..,_-- ...--.----. T ___ _- 1,..
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.2% ***
_ -_-.__._- - _.__y_ .N_ _ _..._ _____ ___ x -- __..___-...-....W____... -_---_._ -. _-. _ .._..___----------------
-1
BLD.:X MEC?: PLM?: FLR--EXIST--PROP---
DWELLING UNITS: 1 COMP PLAN •SFHD FEES:
TYPE OF WORK:ADD USE:RES 1ST.: 0: 0:sf STORIES • 1 REQUIRED PARKING..: 2 SPRINKLERS' •' PLAN CHECK FEE $ 33.80
CENSUS CATEGORY •434 2ND.: 0: 0:sf HEIGHT • 0.00 ft HAZARD CLASS •' ) BUILDING PERMIT....* $ 52.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION ' REQUIRED SETBACKS FIRE FLOW • 0 gpm SBCC SURCHARGE * $ 4.50
:R3 :? :? :? OTHR: 0: 384:sf EXIST..$: 51200 FRONT : 20.00 ft
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 2000 SIDE • 5.00 ft WATER SERVICE..:FED
:5N :? :? :? DECK: 0: O:sf I REAR • 5.00:ft SEWER SERVICE..:SEP
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:11/01/96
: 0: 0: 0: 0: TOTL: 0: 384:sf j IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
i .
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS a WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 90.30
GAS PIPING.: 0 ft HOOD • 0 0-3 HP 0 BATH TUBS • 0 DRINKING FOUNT.: 0
URN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 I SHOWERS • 0 SUMPS 0
iiiiNWT • 0 WOOD STOVES...: 0 15-30 HP • 0 ) LAVATORIES • 0 VAC BREAKERS...: 0
LONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 1 SINKS • 0 DRAINS • 0
BBO • 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
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DAZE OF ISSUANCE.
I CERTIFY THAT [HE ORMATION 'U' I 0 D BY NE IS IR 'ASID CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICA E CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT ! .._ L--4L. DATE 21Y
47 1/))
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• REC BUILDING DIVISION
�--- VEIL 33530 First Way South
��or
• Federal Way, WA 98003
vv �y Ems_
NOV 0 1 1996 (206) 661-4000
Fax (206) 661-4129
;a i ',,- vvAV
BUILDING DEPT.
APPLICATION FOR BUILDING PERMIT
PLEASE PRINT APPLICATION#: (-3 oti77
.....,
SIT. to...ON. Address 6G,2-L, ;:>0 Sirt 1
l T
Tenant (if kn wn) j Lot # Assessor's Tax #
1-Tt1A-, ) G, y Cy ThtaA, 00NT30/ �,
Building Owner's Name .{ Address ,ry
' \ t1 a 1 {� /;,f r1 e d �/
f State W A Zip ! b O 2--3 Phone 21(1-' -t O
City �/� ,[� �+ ' ,�,n
Nature of Work (��t X �1 � ( c..)0 '?
r
(Ci:.,.::y. ?:.:.:()e l fr. ij�) ( �O in) 1 f,,,,o_' Z `{ cNc'�ha v‘.C,
:err;r���rt.........:,;.........................�....:..... :.. •. [_
Name (F,M,L)�♦ r '[ •�,1-;, r1.1
Address
16 ff
City i k! t State Zip
Contact Person A� ,,.L_ ` Day Phone 9 1 , 1_ ,� Other Phone Fax
� � rt 4 a
I Bilithi G-.CUNTRPie tf:R:»: ':;:::<::<>:<Mgii>
Company Name ll
If.t( ! ),Ar
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes 0 No
ARCItTECT
Name ,,t .• r `�
•
Address r
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION ro
Please Compleie_ReMerse_Side
ve-....U._.. ..........._................................................,.:_
n use e
posed Use
Permit includes: V.1 Building ❑ Plumbing ❑ Mechanical ❑ Other
Type of Work: ,1X, Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck
❑ Commercial ❑ Addition ❑ Garage ❑ Shed CI Other
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks -_-‘,`-p sq ft Garage sq ft Proposed Total Area sq ft
Water Availability ❑ Sewer Availability ❑ On-Site/ ,Septic System Availability ❑ Project Valuation IS
Zoning `�.5 7o ‘2.- 1 Lot Size �' ,, Existing Bldg Valuation $ 4/ 2&L'-
N > <_ < :i
Name Address
City State Zip
...... ............................ ..................................................
....... ............... ........... ......................... .....................
....... ........................... ..................................................
NIE........ .......................... ..................................................
.^. Cts CO 1 2ACTOR >< .:':E. i
/
Contr tor Name Address
City State Zip /
Contact Phone Fax j
License # Expiration Date Ve ied ❑ Yes 0 No
f
................................................................... .......................
................................................................... ......................
..................................................................... ....................
PLUMBING;:GON'`RA TeR:;:::: _`>g ,
Contractor Name Address
City State Zip
Contact Ph e Fax
License # Expiration Date Verified ❑ Yes ❑ No
VLIN.113.ING:MXTURK.00tXPEMMi 7"
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers 'c inking Fountains Other
Showers .,, Electric Water H ters Sum.-
Lavatories Washing MSC ine Drains Total Fixture Count:/ i ::;
... .......................... ................................ ..................
............................. ... ................. .......... ........ .........
... .......................... ................................ ..................
............................. ... ................. .......... ........ .........
... .......................... ................................ ..................
==MECITA 3ICAL UNIT COU T'IT[>><i f*]:::" MECHANICAL EV UATION ONLY
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CF 15-30 Tons
Length of Gas Piping Range Air Handling > = 10,000 CFM •-50 Tons
Furn <100K BTUs Gas Log Unit Heater 50+ .•
Furn >100 BT Fans Miscellaneous Fuel Tanks
Gas H Hood Boilers Above Ground
.nv 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
ani 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.
1
Owner/Agent: Date: /t
/ /q6
m���omc.nrr
11r vtsto 0/21196
7. 65
-4 FCE VED
t�
NOV 0 1 1996
if yr t-L. AL vvAY
BUILDING DEPT.
FILE
N pEcw_ 12-622
3261iir2.11Ja 0414
8vluJ116 ISI
gT Jori S1T6
fi
SITE PLA APPROVA
•• Permit Number: 79 ._ '; A
Approved By: 4
Date: 446
Comments:
t
•
CITY OF F: DERAL WAY
DEPT. OF COMMU ITY DEVELOPMENT
PERMIT NUMBER _.. P546'0477
ADDRESS /12 Jl'U 39E' 51
PLANS FOR Roof:- oVot OSGK
OWNER FD04p2/70
DATE SUBMITTED I 1 '6 DATE APPROVED /y//rAPPROVED BY �� ( - L4.1 �