95-101345 q ' t0151t
CITY OF FEDERAL WAYPERMIT PERMIT NO: BLD95-0471
BUILDING
33530 First Way South U I L.DI NG P M T ISSUED: 07/31/95
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 01/27/96
ADDRESS: 1816 S 296TH ST
NO. : 304020-0140
PROJECT DESCRIPTION:RES ADDITION - ENCLOSING GARAGE AND ADDING A SECOND STORY SUNDECK.
r= OWNER T CONTRACTOR T LENDER1,
WALTER KUDLO I CARRIG & DANCER ENTERPRISES I BOEING EMPLOYEES CREDIT UNION
1816 S. 296TH ST 3902 1/2 STEILACOOM BLVD
FEDERAL WAY WA 98003 TACOMA WA 98499 TUKWILA WA 98188
06-762-4782 206-839-2132 584-7704
1 CARRIDE1880N j
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.2% ***
_
BLD?:X NEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN •SR ( FEES:
TYPE OF WORK:ADD USE:RES 1ST.: 0: O:sf STORIES • 2 REQUIRED PARKING..: 2 SPRINKLERS.' 0 ! PLAN CHECK FEE $ 105.30
CENSUS CATEGORY •434 2ND.: 0: 288:sf HEIGHT • 0.00 ft HAZARD CLASS •' BUILDING PERMIT....* $ 162.00
OCCUPANCY GROUP 3RD.: 0: O:sf VALUATION REQUIRED SETBACKS FIRE FLOW 0 gpm SBCC SURCHARGE * $ 4.50
:R3 :M1 : OTHR: 0: O:sf EXIST..$: 63900 FRONT • 20.00 ft
TYPE OF CONSTRUCTION BSMT: 0: O:sf PROP...$: 14900 SIDE • 5.00 ft WATER SERVICE..:FED
•5N •5N • DECK: 0: 144:sf REAR • 5.00:ft SEWER SERVICE..:FED
OCCUPANT LOAD GAR.: 0: O:sf RECEIVED.:06/19/95
. 0: 0: 0: 0: TOIL: 0: 432:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:Y
== T
UEL TYPES.: FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 211.80
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
(f CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 ! SINKS • 0 DRAINS • 0 (
C 0 DISH WASHERS
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTRHEATERS...: 0 OTSPRINKLERS:
HERFIXTURES.: 0
( RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0 (
I GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 1 (
= I
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 F NISHED BY ME IS TRU ND CORRECT TO THE BEST OF NY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS MILL BE MET.
OWNER OR AGENT C7 _/ DATE i'`:/-17`�
37//779
73
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�,� G City of Federal Way
��mr- ���I '.' ,CATION FOR BUILDING PERMIT
JUN 19 1995
PLEASE PRINT ,APPLICATION #:_ "
C:1tY car rtuERN
SITE LOCATION I U�l,pINCa pEp dress ! /�/ � �;1-
Tenantf known) Lot # ssessor's Tax #
/l'c�T Lid/ DoZp — 0(40
Building Owner Name Addr s
zj , �/ 4- ... -7—2
City F e1 ( G� 'State /6j LJ Zip 9��)%7 1 Phone� 6-c3�
_ _L / !� �� 'moi
Nature of Work cl� Y!G�e, /� g� (96,S/��Cf 6 ,-%-i4tC, ` �e J.).o27
APPLICANT
Name F,M,L)
Addr7 /c
City i co State �e-- Zip ,o_.5---
Contact Person Day Phone Other Phone Fax
BUILDING CONTRACTOR
I Company Name ,
L//"rtei i OGi GIC 6l`` /i'74e1-13/VceS _7X e •
Address
3 2a 5TC/ Gam- Cee. g6 6/1)
City f, 0),'iJ- State L,Uc zip ..1.-1.
Contact Person Phone Fax 7
',49 -17S`
Contractor's # (card must be presence ) ® E rati n Det _lVerified Yes ❑ No
4_1,2
i
ARCHITECT
Name
Address
City State Zip
Contact Person Phone Fax
LEGALiD�SCRtd/,l/IS6��j/v lPTION �� /ra Biock 3 L 6'
'Y/bn
Please Complete Reverse Side
CD0492(Rev 4/93)
STRUCTURE ill Existing Use • Proposed Use
,
Permit includes: si'l Building CIPlumbing LIMechanical ❑ Other
Type of Work: Residential ❑ New d Remodel ❑ Number of Units ❑ Deck ,
LI Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other e
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor .,2:Y,-, sq ft Existing Floor Area sq ft
Area Basement sq ft Decks/__ /:._,,i_ sq ft Garage sq ft Proposed Total Area sq ft
Water Availability56 Sewer Availabilityc7 On-Site Septic System Availability LI �.Project Valuation S/9/ tc=c] /(
Zoning Lot Size Existing Bldg Valuation $
LENDER
Name �t Address
City �7 K�,�/i Y. �— State ,/,_ Zip
MECHANICAL CONTRACTOR
Contractor Name Address V
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name Address
i'
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
r
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 / 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.
i
�t Owner/Agent: Ci e=., � C LG Date: ! % _J