95-103412 55'iobtr)d
CITY OF FEDERAL. WAY � u LAD
PERMIT NO: BLD95-1028
33530 First Way South .�,,,.1'U .,,II it •,II ,h ,II.,. 'killti:,;:::ij IP �i R 1 ISSUED: 12/27/95
i Federal Way, WA 98003 Building „Inspect .on Requests 661--4140 BY : FC
661-4000 EXPIRES: 12/27/96
ADDRESS:30405 PACIFIC HWY S
NO. : 092104--9036
PROJECT DESCRIPTION:TI - REPLACE EXISTING CANOPY.
OWNER - --_--_ •.._..-----r- LENDER - __-_
€` _ __ _.-.... _._.: - ..._.._..._- .. --�=' CONTRACTOR -- _ - :��..-,
SUDS & CLEAN f g
30405 PACIFIC HWY S
4EDERAL :AYwA98::: y
i
i
*** CONTRACTORS, PLEASE USE LOCATION CODE 1132 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: 0 COMP PLAN •9 ! FEES:
TYPE OF WORK:TEN USE:COM 1ST.: 0: O:sf STORIES • 0 REQUIRED PARKING..: 0 SPRINKLERS9 •9 I PLAN CHECK FEE $ 122.85
CENSUS CATEGORY :437 2ND.: 0: O:sf HEIGHT • 000 ft HAZARD CLASS •' BUILDING PERMIT....* $ 189.00
OCCUPANCY GROUP 3RD.: 0: O:sf VALUATION N REQUIRED SETBACKS FIRE FLOW • 0 gpm I SBCC SURCHARGE * $ 4.50
:S3 :? :? :? OTHR: 0: O:sf EXIST..$: 0 FRONT • 0.00 ft 1 FINAL PLAN CHECK...* $ 0.00
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 18000 SIDE • 0.00 ft WATER SERVICE..:? PLCK-FIR comml only $ 9.45
:5-1HR:? :? :? DECK: 0: 0:sf REAR • 0.00:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: O:sf RECEIVED.:12/12/95
: 0: 0: 0: 0: TOTL: 0: 0:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
UEL TYPES.:? ?11111
FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS 0 TOTAL FEES $ 325.80
S 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 1 SHOWERS •
0 SUMPS • 0
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0 j LAVATORIES • 0 VAC BREAKERS...: 0 4
CONY BURNER: 0 FURN>100K • 0 30-50 HP • 0 { SINKS • 0 DRAINS • 0 1
BBQ • 0 MISC • 0 5+ HP • 0 I DISH WASHERS • 0 LAWN SPRINKLERS: 0 I
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
L. _-_ ___. ___.____ 1___. __._ _.._..__..___..._____.-
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 INFORM 10 FURNIS D 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 - ,,for, ‘1 DATE 1Zr 7-
FILE COPY
MOO al3ld
. ,,,,
r: -/e2- // 3140 1-7~,,7- ,, ''' *Z-- 14394 40 434140
__ ,., „,
1111 311 11111 SIN1111410011 AV A 1441011 10 Al]) 11114)1144V 4111 414 350111011 AN 10 IS18 1111 01 111440) 4114 1041 SI 111 Al 0 SINNAJ 11 ' III 3111 1VN1 A31113) I
'3)114OSSI 10 3140 11144 8431 1110 311/4X) 51111134 91I048, 014 14111301S31 '0314415 SI 3800 ON 11 3)IIVRSSI 13111 SAVO 081 311413 SIIN83d
42 2,,:r..c."MatitIVI,:',.....,,' 1. ...,,S94,,,,,,,., ..4..,t`..
0 :-QMA(,8943040 0 :WI) 0000i < 0 :'"S901 S45
0 :—S11100 4ISM 4041 0 :4110045 38004 0 :14.1) 000.01:-> 0 • 39448
0 : 534111Xli 83410 0 :—$4314311 dIM )313 53441 1301 SII40 91111144H 8IV 0 :-d3A10 549
0 :S431X(4ISdS 4441 0 • S3316411 OSIO 0 • dH +S 0 • )SI11 0 • on
o • S4144(1 0 • MIS 0 • dH 0S-0E 0 :"*"20010140.1 0 :3344101 /010)
0 :'"St13/43411 MA 0 • $314014A41 0 . dH 0E-St 0 :'"53AOI5 (1004 0 • 1MH S45
o • SdlIOS 0 • S43/04S I 0 • dH SI-E 0 :****4804 1)00 0 :-300I)11
0 : 111601 54134140 0 • S001 4140 I 0 • dH E-0 0 . 00011 II 0 :'91(Id1d S
04'SZE $ S331 14101 0 • S144140 0 • SI3S01) 43144 S4OSS34d40)/S431I00 ,,,,,,: - , .„7,tI ,,,•914.1 i,Sti: S34A11!!.1.,
...........„,....„........-„,....,,......,--...-- .,......,,„ ,,,, ,,,,,,., 1,,,,,\, ., , 1 :0 :0 :0 :0 : 1
i.:*Z543/14 3A111943S Is 0 :3)414AS A4361I ,, ,,
„
„,-
, , { '
6 iaawa, 1 , 0',-,•I ',‘ --ovol 144dADO 1
Z:"3)IA43S 43113S 11000 • lumw•ur • -', , , l'''' : Z: i,: C:441-S:
'•' '3S 4314 '' ' -. -.7. :4,1 , _,,, .,,..., 1'' , 11,..„ 1,, 41.40,,,, -',.-. s.'.,",,.- f ,or . H.O.H.A.I.SH0).3.0 3dki.
Sr6 $ ,AIUO II14°) ' Z' ' ,,- • .' :•.=. -,„•,, 4 , ' • ,-; is' , 4.s:0 ._:_,14,41„ 44014*-,f,-• 0 0 0 ES•
000 $ x-3)311) 4414 14411 I „ -.,,I• -40, T-H°.” !,1144lotr40.A ,, 4 inr
'c't $ * 3 ''''''s '''s ''''''' ..... mit -----:-...!..C.,' 4.V ,1111 ;A i: : ; ;,,; S:0 0,,,, :AK LD. -d0089 014d0))0
00.68/ $ *....11w4id ,011/48 • , ,,, . . r, ,:zir . A309114) SASH1
cfrZZI $ 331 1)34) 1441d g';-r. -,,,,ALivre.' ,' .3. 1-14s:0 ---41Ew :.isi wo):35A Nii:34014 Jo 3dAl I
0 454312114dS 0 :-541:184d 034I . • io , 0 ., .._ .._„.
:S33I 6. NVid 64,,,:4441l4VINIf.14010.41 . 74.:-.4°,8d6.3.:3.--41-1....-:t14„1.!...,.:).!!...!.:4:,!!!..!
J XVI S31VS MI '701111 IWO,. '.. , 'II
us °Z.° : 11°° MI '1” "jejj j° 1113 11 111111° SI)jfaj 1° ' im00',-.,"",";,:tt"::,....,...„.......„. -.s.-.4Allmr.....,-1.,A•e.....c:W.,ita."1.4.,,MM..VVAn=144
ar,,,m4144,u. tt....^.., M.U.,4..t....1”...7.=.....O.M.,......C.VMV .fl.,.... .V . t...4........1..41. . s-J.:..........1.1=am.,-.,....,.. vlen,42 . ., %
E0086 41 AVM 14431131 i
S AMM )111) d SO,OE I
1 4411) 2 BOOS I
.........,.
'Ad01111) 9111131X3 3)41d34 - 11 NOT.id Il.)b. 1)Ji'OJd
9C06-70TZ60 : 20N
S AMII DIJIDVel S.;01706:SS.D.KKIV.
• ,
96/Z.Z/e,T. :SAHI(1)(71 00047-T99
_I :A/1 ovt+2.-.15)9 s'4,47.,enbe uull-,2(1';t11 I.(1 !pund E00F36 11M * /
c6//.2/ZT :0111SS1 IIWInd t.)N I a -1 I 1101 114n0S M.:14 4s-.I TJ OESE .'„
HZ,OT ,c611 ill :ON I TW'r13(1 AM 1V213(13.1 JO A1.11.7) ;
I -
i
• RECEIVED
�„� 0• City of Federal Way
vv i APPLICATION FOR BUILDING PERMITDEC 121995 y
CITY OF FEDERAL WAY d
BUILDING DEPT.
PLEASE PRINT APPLICATION #: f3U)61.5 — /02-?
SITE LOCATION Address ,5)0e./05— /9G// ""/ , 1ik— l ����
f' Svc
Tenant (if known)r• / G/ Lot # Assessor's Tax #
JC/mil S . h� aye,o,f_ 9'63G_
Building Owner Name Address
/I/9L "S-04-)f) 4%.i-f rv9 30 CIO S- /7/4--L2 � X 7 J fil
City rC C/9/ / Gd/y4( St to Zip 'r7 v 2 Phone 2
�. S S7cC)
Nature of Work 6/9111v/e,y e."77,0,/e.7
APPLICANT
Name (F,M,L)
J�J yl�f
11� Address
City 22 State Zip
Contact Pero Day Other Phone Fax
BUILDING CONTRACTOR
Company Name
AL S2- /srEk) v1-2s_T/e-41'&r-0
Address
/2303 ei>s f'
City WU/ /./7'CJ State CY42 - Zip yiF' -2,(—
Contact Person Phone Fax
i m 7-0,e1/i2 S /fs'vv 5-5 ‘-'3/ 2c - 74'2-7z-, (2
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
6-4SLL`- 5c_ ieOL
ARCHITECT
Name
Address
ccl'q
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492(Rev 4/93(
(/tel-+ICGE ,5(rLact. 5%:e7/
STRUC1URE ..ting Use C7 n5.. e-me. 4....„),_5 posed Use )4,64oa 6;01/o,"
Permit includes: ❑ Building ❑ Plumbing ❑ Mechanical ❑ Other
Type of Work: ❑ Residential ❑ New fA Remodel 0 Number of Units ❑ Deck
II ❑ Commercial ❑ Addition ❑ 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 sq ft Proposed Total Area sq ft
Water Availability ❑ Sewer Availability ❑ On-Site Septic System Availability ❑ Project Valuation S /ems,Oo
Zoning n13` Lot Size Existing Bldg Valuation S
LENDER
Name
.4f� U/� 41,,,,iie-7---/ Address _ ,,l
11 ,CMA �Sc'j j Z,:./ ,-.7-206-- //2 .3•x'12 /Y q
City L%,i /2,i21 State Gr�/'? Zip �QU�
MECHANICAL CONTRACTOR
Contractor Name Address
ity State Zip
Con .ct Phone Fax
License # Expir. '•n Date Verified ❑ Yes ❑ No
PLUMBING CONT' +'CTOR»
Contractor Name Address
City State Zip
Contact Phone Fax
License # ,Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE COUNT
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fixture Count
NN
MECHANICAL' <COUNT ~d
Fuel Type (elect c/other) Gas Dryer Air Handlir < = 10,000 CFM 15-30 Tons
'x
Length of G.. Piping Range Air Handling >'' 10,000 CFM 30-50 Tons
Furn <1•4 K BTUs Gas Log Unit Heater '\ 50+ Tons
Furn > 00 BTUs Fans Miscellaneous \\ Fuel Tanks
Gas wt Hood Boilers Above Ground
C,,nv Burner Duct Work 0-3 Tons Underground
:BQ's Wood Stoves 3-15 Tons To I 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 a orized 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 lincludin osts,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 o ederal Way,
but only where such claim arises the reliance oft >City,including its officers and employees,upon the accuracy of the information supplied to the City as a rt of this
application. //'
I
Owner/Agent: / .4 �2 — 1 '— 5'S
Date:
Joe