95-101469:478114.
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CITY OF FEDERAL WAY pu p pp E. PERMIT N0: BLD95-0507
03550 First Way South �� ru,. ... :h. q�:.t'�� � N ISSUED: 07/1.3/95
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: KLC
661-4000 EXPIRES: 07/13/96
ADDRESS:810 S 297TH PL
NO. : 515160-0200
PROJECT DESCRIPTION:RES ADDITION - ENCLOSE EXISTING ATTACHED CARPORT.
= OWNER CONTRACTOR T LENDER
RAY/ANITA FAIN GATEWAY CONSTRUCTION f
810 S 297TH PL 11410 NE 124TH ST, STE. 255 4
41111
FEDERAL WAY WA 98003 KIRKLAND WA 98034
489-9803
946-2207
GATEWC*093C6
1 =_____ =
=
xxx CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.2% *x*
_
BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 1C
OMP PLAN SR FEES:
TYPE OF WORK:ADD USE:RES1ST.: 0: O:sf STORIES • 2 REQUIRED PARKING..: 2 SPRINKLERS PLAN CHECK FEE $ 46.80
CENSUS CATEGORY •434 2ND.: 0: O:sf HEIGHT • 0.00 ft HAZARD CLASS •1 BUILDING PERMIT....* $ 72.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm SBCC SURCHARGE * $ 4.50
:M1 OTHR: 0: O:sf EXIST..$: 101000 FRONT20.00 ft
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 4800 SIDE • 5.00 ft WATER SERVICE..:FED
:5N : DECK: 0: O:sf REAR • 5.00:ft SEWER SERVICE..:SEP
OCCUPANT LOAD GAR.: 0: 480:sf RECEIVED.:06/29/95
: 0: 0: 0: 0: TOIL: 0: 480:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
_____.......= = =__=___==_======= =
UEL TYPES.: FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 123.30
AS 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 HWT • 0 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 0 VAC BREAKERS...: 0
CONV 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 WTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 i LAUN WSHR OUTLTS...: 0
, GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
1.. I = 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 INFORMATION URNISHEME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE NET.
r
OWNER OR AGENT ' DATE 7 y.S'-y -3'
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ILITY RECEIVED City of Federal Way
FryErzta�
JUN 1TATION FOR BUILDING PERMIT
CITY OF FEDERAL
AY
BUILDING DEPT.
PLEASE PRINT APPLICATION #: /l J 05b.
")
SITE LOCATION Address g /d .So
Tenant (if known) Lot # Assessor's Tax #
./or 11'9- .67 3 /S/_ 6o -0,2oo- 0/
Building Owner Name Address
R AY w Ate.,r 4 J A S .✓ 8/O 9 7 A
City „'.6 D n,t,q` (AM y State W,¢ Zip 9 �pa j Phone 0•(y _ 9
y6*
Nature of Work �lG�a J GA/Z,o r /Z
APPLICANT
Name (F,M,L)
!C "959.0-1-7a /G/4, i✓
Address �J
h/0 -Co ,Z 97
City /tee�Qh w,qy State /Ary2 Zip 9 U C 0 J
Contact erson Day Phone Other Phone Fax
9).7 _ 9 ,4
BUILDING CONTRACTOR
Company Name
6.4r �'w�ly Go esoJTrc cr, 0
Address
/i5'/ O A,. i, / y s;. Jt/ ,n zsf
City j•iL/j /t K tA,,.O State W4 Zip 9 /0 3 y
Contact Person Phone Fax
Dove, w!4AT.,✓ 206_ / '9- 91o3
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
GAr� w � iV o9 ? CG - / - 96
ARCHITECT
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
",Jrr /4/«es v«i' /3LX' •/ (or 2
Please Complete Reverse Side
CD0492(Rev 4/93)
STRUCTURE •xisting Use CAR te'd at r- • Proposed Use GA/!•4 6
Permit includes: flBuilding ❑ Plumbing ❑ Mechanical ❑ Other -
Type of Work: Cl Residential ❑ New ❑ Remodel ❑ Number of Units_ ❑ Deck
❑ Commercial ❑ Addition ❑ Garage ❑ Shed X Other fNG,a JE
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 ygo sq ft Proposed Total Area sq ft
Water Availability d' Sewer Availability ❑ n-Site Septic System Availability ❑ Project Valuation $ 4j/ S 00.E
Zoning A,) 1.6/ L Lot Size /37, zoo Existing Bldg Valuation $
/4-71,-. a - tce', l>c',
LENDER .ciP/C • l e/1 ?O o
Name Address
/V-d n/k.
City State Zip
MECHANICAL CONTRACTOR
Contractor Name Address
N0 �--e---
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name Address
Al-C.,.-4.e
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 ;:
. ..... ...........
MECHANICAL UNIT COUNT
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 /}�/�S , Gas Log Unit Heater 50+ Tons
Furn >100 BTUs / " Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
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 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.
.7
Owner/Agent: „ Date:
6-- -.2y- 2 .�
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0,0,1 \.ii , .
• FILE
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siTE PLAN VAL
Permit Number: 6ZD'9,_,i' 456U 7
Approved By: (f
Date: 71:518,i"
Comments: ,561" e/ii, /778/11s - Ara,.. metelz,
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1 Iv, ' JUN291995
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Ill v 1 CITY
BUILDING E WAY
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