99-100654 CITY OF FEDERAL WAY ,,, k�.. ��� PERMIT NO: BL_D99--0109
33530 First Way South .I:;:,N ,..., .1.... �.....,.., h " h,.3 Ir., !i :;..!I ..Jl.. if ISSUED: 03/03/99
., �"
Federal253-661-4140 Way, WA 98003 Building Inspection Requests BY: FC
253--661-4000 EXPIRES: 09/04/99
ADDRESS: 296:L4 11TH AVE SW
NO. : 062104-9108
PROJECT DESCRIPTION:RES ADD - 76 sq ft addition to residence (breakfast nook) off second floor
:= OWNER =__._ ..._____.._ _-_._-__._ r CONTRACTOR __....._ __-_ , LENDER - - --
DOUGLAS ANDERSON '. J 4 K C-en '
29614 11TH AVE SW ^ �� /
FEDERAL WAY WA 98023 ` q-Y26 A!f 1Q.� 51-- V v
Wu v Pt WA V`f6
leo/946-1629
__i d E C* 055 Kt ._ __._,:_ . __. __� : _
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.6% ***
BLD?:X MEC?:X PLM?: FLR tXISt PROP--- DWELLING UNITS. 0 COMP PLAN •SFMD ' FEES:
f TYPE OF WORK:ADD USE:RES 1ST.: 0 0:sf STORIES . 0 REQUIRED PARKING..: 2 SPRINKLERS?......:N PLAN CHECK FEE $ 190.61
CENSUS CATEGORY 434 2ND.: 0: 76:sf HEIGHT 0.00 ft HAZARD CLASS 0 a BUILDING PERMIT....* $ 293.25
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION RECUIRED SETBACKS FIRE FLOW. ...: 0 gpm ED PLAN CK-COMM ONLY $ 43.99
:R3 :? :? :? : OTHR: 0: 0:sf EXIST..$: 0 FRONT.........: 20.03 ft SBCC SURCHARGE * $ 4.50
TYPE OF CONSTRUCTION BSMT 0:sf PROP...$: 18000 SIDE • 5.00 ft WATER SERVICE..:LAK MECH PERMIT FEE $ 23.50
1 :5N :? :? :? DECK: 0: 0:sf REAR • 5.O0:ft SEWER SERVICE..:SEP MECH PLAN CHECK FEE $ 5.88 j
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:02/09/99 FINAL PLAN CHECK...* $ 0.00
: 0: 0: 0: 0: TOIL: 0: 76:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:? '•
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS 4 WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 561.73
PIPING.: 0 ft HOOD • 0 0-3 TON • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
<100K..: 0 DUCT WORK • 1 3-15 TON • 0 SHOWERS • 0 SUMPS • 0
GAS HWT • 0 WOOD STOVES...: 0 15-30 TON...: 0 LAVATORIES • 0 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 TON...: 0 1 SINKS • 0 DRAINS • 0 d
BBQ • 0 MISC • 0 50+ TON • 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
_______.__........._____._____.-........_._--__-__m_._;.._..___.__. _.________________________ 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 ' NATION FURNISHED 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 ./ , DATE ylinV
FILE COPY
T
Cally OF rrArEDERAL So � . . :.. RERMI 1C::NC):t:3B�CI)9� 0109
53L1 Fir t. WaySouth )
federal Wray, WA ` AOO:.T L3�.ti:1dinq Inspe. c'Lion Re- tor,1. 25-T...661 ,, T f, 13 ': FC
`x3.._661 -4OOO
EXPIRES: tl` Itic, t� �a
►2EV(SED: ({(4.I.9q lac—
ADDRESS:29614 11 T'ti AVE SW
No. : 062104--91O&
PROJECT DESCRIPTION:RES ADD - 16 sq ft addition to residence (breakfast nook) off second floor ,kola 214Ft clL k. v.(,p(4ctivJ-
OWNERE-.�..� ffi� � ���: ��� �s��� x..::, ::�, COWTAACTOR .......4.......,—...7.. �. .a��ma�r����:<�a,s. iENUEA ,a ..:n..: a�.x._...Rw_�.�:R�. �m �i�--...,.,=:m..a
DOUGLAS ANDERSON J X 6`1 bt c - 'Z'' �
29614 11TH AYE SW
FEDERAL NAY WA 98023 1 �/2 26 /1 iit�..& . 1 t
•/946-1629 i11 t v 1-%t L'V A 47y6)j
sr YP4 CCSN tut:4::1f 446JYfSriitl295X:SL.":.SiC:oCLC r.1:�P3AYl :9f:t':f:..riw�a. ACX-ev'::mW"rilESaG v.G rY-)11 ._..-Y..:::Ln L.'-.:'iG:1:::�a i�:93A'Y,o.:J ..i�. "'''''"3.'"------
.t.._:.:_it'GSr. F:....:ti33>::S:SYG^3S�ui�Cis9E�:�.971R:.;sgni Z.+i;.3�1 'ieLCYiiC 11'x.
ttt CONTRACTOR$' l :JS IOD b' - $ SALES TAX IOti PROJECTS WITHIN THE CITY Of FEDERAL WAY. TAX RATE ' 8.6% :
:71:::::::::::::::'"--1:::—:
e{st '.�"yS:Cu tlA1a`1�y" Ail S..H.,...aR'3.*c iMCJ:e':AA A¢F.. W 0S11;tYLi"A 91A•1�Ch.1 0 \,t\.':'�\\, \ \;..\�.., "T'C`...::a::f:RW.Kix.Y:1 Y916i4�s,RtZYACCC.Y�aWCxx119YCYCCYS.`9x:'�3 ..,%flisutxSl.vii'S.QY!:..Ar.«...Y:W9.MTSi ^YUKa..�:.`,;�
BLD?:X NEC^::X PLM?: FIR-»EXIS �OR �` S, O COMP PLAN SFMD FEES:
TYPE OF WORK:ADD USE:RES 1ST.: a ��, . 0 sf , S '` RFD PARKING.. 2 SPRINKLERS' •N PLAN CHECK FEE $ 190.61
CENSUS CATEGORY 436 .2ND : v" 7
6 sf H HT L ='v „<.,,, r . ; >. �� � vL BUILDING FERMI....* $ 293.'5
OCCUPANCY GRENJP.--- i , V )AT� 7. REM-RC vv E w SIRE Y �,, v° ED PLAN CK COMM ONLY $ 4.3.99
"Y .7 .O ,.., y fir. ,v ,l V v ry 1. .y�� vim-.,i v �
:R3 .: ,. 0 <.: f E#Si kit\ \� � � � ,t x ; +''f,E # $ 4.50
t YPE AOF CONSTN} TiUN PI ... . ,, ,. fis6 ,. IDE • ,1 . `TER SERV AK E T FEE $ 23.50
:SN ,.:? i` �� Rim • S.00:ft SEWER SER'#ICE..:SEP MECH PLAN CHECK FEE $ 5:98
OCCUMNI LOAD------------ f PECfTYFD.:02/01/99 FINAL PLAN CHECK * $ 0.00
• 0: 0: 0: 0: INPERY SURFACE: 0 sf SENSITIVE AREAS?.:?
.',..1.); ,;;;.,;77.7.....;.,_i"c✓i .'N6r.z,..:.:_� _.tat:.._...,::: ..,,....:..,„„, ,. ..:... �,..ar.:xiaxx.,`ALe., »..S::A%k9AkmiL.CVy Sk:3mA]miA::Rl9'NSAI:.Y:p3nxzxX+a x:crk. ':Sic mna.a=-.asx.a x:Sr»G::;"'
FL
FANS 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 IOTAL FEES $ 561.'3
*PIPING.: 0 1t HOOD • 0 0-3 TON • 0 HO TUBS • 0 DRINKING FOUNT.: 0
<104K..: 0 DUCT WORK.....: 1 3-15 TON • 0 SHOWERS • 0 SUMPS 0
GAS HMT • 0 WOOD STOVES • 0 15-30 ION...: 0 I LAVATORIES.........: 0 VAC ;'.EAKERS.,.: 0 1
CONV BURNER: 0 FURN)100K 0 30-50 TON.,.: 0 1 SINKS ' 0 DRAINS . 0
B89........: 0 RISC........,.: 0 50+ TON • 0 DISH WASHERS • 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS NET TANKS--------- ELEC MIR HEATERS...: 0 OTHER FIXTURES.: 0
RANCE......: 0 <:10,000 (FM: 0 ABOVE GROUND: 0 LAUN WSHR OU1LTS...: 0 7` , `1,
GAS LOGS...: O I0,000 CFM: 0 UNDERGROUND.; O rt
►e�`
♦l'k:A:F,metF.ukAtr...a...Y'.:.... .+...4 :... ...:.:...@«».:.LSP:n2C:S11::�:s:YIC:.F.:t.. A«.YSCC3;':r7.......»: nciAiC.AA:x:.kf.':ad•.LtCi.1S :t23S LAx9t-.:3C$CSSS9�r,::..::isz"S'SC:.YAfLItY.:m,RstSYwS.kIA1.5..::3.A.c.x:C',.:hi:3 C:GLY..,.,.moi..- .: :.:...:. ::»..,;.i3�:.:..'.,
PERMITS EXPIRE 280 DAYS AULIL IS INC;1111/11rNE
IS STARTE)f. RESIDENTIAL AIS GRADING PERMITS EXPIRE OIN YEAR AFTER DATE ISSUAI E.
I CERTIFYTHAT TIS SOATIATIOH 1WRNISIS TRUE AND CORRECT TO TOE WITST OF NV KNOWLEDGE AID THE APPLICABLE CITY OF MEM ANT REDUIDDIEITS WILL BE NET.
OWNER OR AGENT ! r ' DATE ' / ''r
ii)
a FIELD COPY
177,..;;;74PWkitOP:17.1G:gailifiglialltiO7 •
Date By
2
Date By
3 PLUMgING3 aRGaNDWORK .
Date By
4 SLAB INSULATION
Date By
5 F..00...T{Iw10,11.11 N urr.o►1N : :::..`>. .. ..
Date By
IJNOERt
6 #SJR:;.::.:::AKA::::.:::::: MaR.:.:::::::: ::.,
Date By
7 SHEAR WALLS
Date By
8 .PLUMBING ROUGH•IN
Date By
9 t AS'.p!iPll .......
/ Date By
V 10 MECHANICAL ROUQH0IN
Date V.— l s- `f /By
11
>:
Date:..:'j`2�j. . By ::: .:: . : :::::.
12 INSIJ LA 11004 :::>:::::11
Date 3-26-41 By :.:.;:.;:.;:.,,
13 G1 `.B. ST LA .:ER
Date By
14
G11B<:-2ND:>LAyg
i1 :>: >:>:>:<::>:::»:»»»» >>«:>: ::: .:Ii:>:::>
Date By
15 SU SP -
EDCEILING[> »':> >:>: :>> [[>
Date By
16 PLANNING FINAL:`. ....... .... :::::. :::::>::::>::::>::
Date By
17 puguciw RICS`>FiNAI >> » >> > '» >> [> >
Date By
18
FiFiE< lNA i > >€ »< ::> < <> >€€ > >> >':<>»'>
Date By
........19 ..... .........................>............. . < >< : >NAL N ` < €> i :
Date g1)6 1Qt7 By Clf/
20 OTHER.:... :............;:......:.. .;::::»:<>: ::>>::>::::>:>::> :::»::::>:<:`::::::
Date By
CD0193(Rev 4/97)
BUILDING DIVISION
"°F �— 33530 First Way South
Fr1L • Federal Way,WA 98003
uv Fm,' it, /."`!^7 rt.f 7 D (253)661-4000
r —' `` Fax Fax(253)661-4129
1 .1t'r,
APPLICATIONly E - 3UILDING PERMIT
•
PLEASE PRINT APPLICATION # 1.,(„�c ell " O (Oct
T locATidN. .::: ,:. . Address .29C,1't 11 rN AVG . SAO r rEvarzAc, w AY
Tenant(if known) Lot # Assessor's Tax#
ow Net oc.e...cipre-7) (08 0ro2104 —'`t/O8—c7
Building Owner's Name Address
DOUG-LAc A . 1 JcAN M. AH-DC12sN -g(t4 [\rte Age. 5,V) . Fe-002-AL., Will
City FLDEgA t.. W Al State W (t Zip `9802.3 Phone (253)cifritko-1(f)21
Nature of Work —7(0 SF. At-(Tip N T O REsc"De-NCE
APPLICANIMENENnuMnmE
Name (F,M,L)
-PCMJCri. 2s f! . SoAN M . AN-Dt .soli
Address
2911" 11-tt4 PN(:. 5.W .
City 1'EDE la-AL— W Pll State W f' Zip 9 8023
Contact Person Day Phone Other Phone Fax
Ct+ttaaitNE Pfir IL(.1P5 (25.1y) )Zl- 570 t
lidiaiddibbibiXiefoliiiiiiningiiiiiiiiin FEDERAL WAY BUSINESS LICENSE
S SS
Company Name •
GAddrS k GEN A L. coNTA.AcTI NC:-
Address
ess
$22'Co P\t..i V%\l' As S7. VJ .
City UN\Vev2.5 yr i 1 CL State W A zip 9 239-(...L.,
Contact Person Phone Fax
aCFF wPLLAQE _ 4c4(.4z) .
—soi(
Contractor's #scar must be presented) -Ct= r4y�' C+55 K'P Expir tion pate Verified El Yes 0 No
ARC 1TEGI'EMME <<'``<M:Mg
Name
GN-R.lstoNL PF LC..1 (75, A2cNI r cr'
Address
190(v (9-1-frt AVL • c-.
City f%\ (...To NI State (A R Zip 955'7
Contact Person /
CM Rist-r1•• E Oil t PS P��i3)72z-370+ Fax
LEGAL DESCRIPTIONFI-T�L reict-f CD.
P/ease Complete Reverse Side
sten
Use
osed Use
ES CC
9
P l
N
R D�
Permit includes: Building ❑ Plumbing ❑ Mechanical ❑ Other
Type of Work: Residential 0 New ❑ Remodel ❑ Number of Units 0 Deck
❑ Commercial Addition ❑ Garage ❑ Shed ❑ Other
Enter 1st Floor sq ft 2nd Floor '7(, sq ft 3rd Floor sq ft Existing Floor Area / 7(P sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area /6` 2. sq ft
Water Availability} 0 Sewer Availability0 On-Site Septic System Availability' Project Valuation $ I8, Opc,)
Zoning _( Lot Size '2,/ - (j7 5tJ,� Existing Bldg Valuation $ v��.9jzC�oO
��.'// t32torst, S
MoT R F t AN
c.6
- t4 A c.E
Re
Name Address
N4A-itc.Nss22A-Nt✓ co4 Pole-fain ON r'(01-co s%uxt--ce-Nre-K- er-wy
City Se KTTLA-5. State L Pr Zip ctt(8 8
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUM BS G CONTRACTOR.:::.:.:i . . .:.: N A
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBtI�G�1�TL1t����U:T N/ibC
Water Closets Sinks / Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fixture Count.
ONLY
$
II/f��HANICAfrIJN T:0t�U#�T _..
MECHANICAL HANK
ALEVALUATION
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 EXTEND t pucr bi 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons TQu
otaG UnitCnt
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.
cL%ZL4 Date: 0 ¢ 9/9
BOLLLING.APP
REVISED 828/97