95-100219 96 -Pbo1- / !
CITY 335300F FirsttERAL Way South AY BUILDING P El�;l1/I I T PERMIT
ISSUED: 01/27/9575
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 07/26/95
ADDRESS:33403 24TH AVE SW
NO. : 932090-0270
PROJECT DESCRIPTION:RESIDENTIAL REMODEL - CONVERSION OF EXISTING CARPORT INTO GARAGE.
r OWNER - . CONTRACTOR - LENDER MONIKA KONRAD *** OWNER IS CONTRACTOR ***
33403 24TH AVE SW
FEDERAL WAY WA 98023
• 515-0488 838-4798
**s: NONE ***
BLD?:X NEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN -SR FEES:
TYPE OF WORK:ADD USE:RES 1ST.: 0: 276:sf STORIES........: 1 REQUIRED PARKING..: 2 SPRINKLERS/ •9 PLAN CHECK DEPOSIT.* $ 46.80
CENSUS CATEGORY.....:434 2ND.: 0: 0:sf HEIGHT.....: 0.00 `t HAZARD CLASS •1 BUILDING PERMIT....* $ 72.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW 0 gp. !BCC SURCHARGE * S 4.50
:M1 OTHR: 0: 0:sf EXIST..!: 35300 FRONT • 20.00 ft FINAL PLAN CHECK...* $ 0.00
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 4761 SIDE..........:< 5.00 ft WA-ER SERVICE..:FED
:5N : : : DECK: 0: 0:sf REAR • 5.00:ft SEWER SERVICE..:FED
OCCUPANT LOAD GAR,: 0: 0:sf RECEIVED.:01/24/95
0: 0: 0: 0: TOIL: 0: 276:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
FUEL TYPES.: FANS 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 123.30
GAS PIPING.: 0 ft HOOD • 0 0-3 HP . 0 BATH TUBS . 0 DRINKING FOUNT.: 0
FURN<100K..: 0 DUCT WORK • 0 3-15 HP . 0 SHOWERS - 0 SUMPS • 0
GAS HNT - 0 WOOD STOVES...: 0 15-30 HP . 0 LAVATORIES - 0 VAC BREAKERS...: 0
CONY BURNER: 0 FURN>100K • 0 30-50 HP . 0 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 VTR 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 FURNISED BY MME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT o�L`- (CC 64--c C1 DATE / 27
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City of Federal Way
• •
44,rinia
szFL APPLICATION FOR BUILDING PERMIT
PLEASE PRINT jAItZ 4 19..r'7APPLICATION#: c ti s-W35
'tilt LoanoNmiiiimmiiiiinemiiiiiiiiiikibodr,s823642.y. 2(',/WI,
Tenant (if known) CO ej DINGDEPT. Lot #
-, _7 Assessor's Tax #
'131-(2'10 w 49270
Building Owner Namel(ayz / Address "
City 1:-7,2 tic,, I State L1,1 Zip 7022 J Phone /5'O'>`- 9t2/
Nature of Work !-..
f-, -1 1,,e-v,r ci.-, 60 v t C,,- ,(::,/I•-✓n ,{
APPL.10000
Name(F,M,L) , �/f
I a, j- / 'Dpi deg /�(c,-,--
Address
/2Us7 2 ii, /x/e i4.2
City /'e eif 6.4 11.200;, State !ro.l Zp 90'T>Z?
Contact Person pay Phone ' 4?fi Other Phone x
BUII,�NG CO�CTOR
Company Name
ti-1,0Xff 0 ri
Address
fs
i City
li
State Zip
11 Contact Person
IN Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
ARCHITECT
1
Name
Address
City
State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
201 /J Veik,e- //2 J 1 _ /_
G - /..
i / ,
/ / / /
Please Complete Reverse Side
CD0492(Rev 4/931
STRUCTURE l fisting Use , _ roposed Useti e
Permit'includes:s. Building ❑ Plumbing J Mechanical ❑ Othe'r
Type of Work: gIS Residential ❑ New remodel ❑ Number of Units_ ❑ Deck r
❑ Commercial lid Addition L:1 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 sq ft Garage 2 ',%( sq ft Proposed Total Area sq ft
Water Availability Sewer Availability V On-Site Septic System Availability ❑ Project Valuation $
.. : :: .Zoning iI11' ! 0d �S , Lot Size tg BdgVelraronS . . ..:.:.
1,->i.ss.:.--tct›
.......................i*iii ....................in,:. ::::..........,..a,.......
Name Address
City State Zip
—
11CHANICAL CONTRACTOR
1Contractor
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 F:: tE COUNT
.. ........................................................................ . ..........
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains ITota!Fxture::f^otfttt,:
IMECHANICAL UNIT CO
Fuel Type (electric/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
Furn >100 BTU Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Cony Burn 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 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:(%c'C c, [' �l`/y ,e�` "Q�L lr t' Date: /