98-104486 w
9 g-to Y g6 -
CITY OF FEDERAL WAY PERMIT N : B D9 -O 07
4q ppp �� �� bb yp p E: C)- BLD98 8
33530 First Way South I;;,i .) ,,,„• L., D.,:'.1.. N il�,„;X P !I�::.II" ,� II ..,II,. 111II.
ISSUED: 11/20/ 8
Federal Way , WA 98003 Building inspection Requests 253-661-41401BY: FC
253-661-4000 EXPIRES: 05/19/99
ADDRESS: 3016'7 12TH AVE SW
NO. : 515320-0361
-PROJECT DESCRIPTION:RES ADD - CONSTRUCTION OF NEW RES GARAGE
r OWNER - - -- 1 CONTRACTOR • -- • LENDER -
SANDRA JURICH HEARTLAND INDUSTRIES INC
30167 12TH AVE SW 3411 C ST NE, 1116P0 BOX 1770
DERAL WAY WA 98023 $ AUBURN WA 98002
253.946.4049 ! 253.931.8082 800-794-2276
z HEARTII1O1KJ
*** CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.6; ***
BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 0 1 COMP PLAN •URBA FEES: •
TYPE OF WORK:ADD USE:RES 1ST.: 0: 0:sf STORIES • 0 REQUIRED PARKING..: 2 SPRINKLERS' •' PLAN CHECK FEE $ 76.05
CENSUS CATEGORY •438 2ND.: 0: O:sf HEIGHT • 0.00 ft HAZARD CLASS •' BUILDING PERMIT....* $ 117.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm SBCC SURCHARGE * $ 4.50
:U1 :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 20.00 ft
TYPE OF CONSTRUCTION BSMT: 0: O:sf PROP...$: 9336 { SIDE • 5.00 ft WATER SERVICE..:LAK
:5N :? :? :? DECK: 0: 0:sf REAR • 5.00:ft SEWER SERVICE..:SEP
OCCUPANT LOAD GAR.: 0: 48O:sf RECEIVED.:11/20/98
: 0: 0: 0: 0: TOTL: 0: 48O:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:Nlipt
TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS J WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 197.55
PIPING.: 0 ft HOOD • 0 0-3 TON • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
FURN<10OK..: 0 DUCT WORK • 0 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 SINKS • 0 DRAINS • 0
BBQ • 0 MISC • 0 50+ TON • 0 DISH WASHERS • 0 LAWN SPRINKLERS: 0 1
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS 1 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
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 FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE NET.
-i*,OWNER OR AGENT �"� DATE Jj_ ,,0 96/
FILE COPY
' - —
0. .
,.,. PERMIT NO: 81 D98--0807
...
,A I i r'-A-, 1,4;.10/ ',-,,Otil I) EU I I DI I NG PERM I is ii. D: 1 1 /20/98
_
1. i r 1 Hay, wo ‘-.Yll(1:! OH i..1 di ncj I w.-.1)o.C.ti on Regtfc.sts 25.1 661 4 140 BY: FC
- 66 1 - 4001_.; E.X.PIPTES:
;ADM ESC:3016 I A I H ()V L `... t+I
NO , : 51532O- 031
PROJECT DESCRIPTION:RES ADD - CONSTRUCTION Of NEN NES GARAGE _
[ SANDRA MICH HEARTLAND INDUSTRIES INC
1 7 12111 AVE SW 3411 C ST NE, 116P0 BOX 1770
*ERA!. WAY WA 98023 hUBUPII WA 98002
I
1 253.946.4049 25'1.931.8082 800-794-2276
HTTITtIti
2 "-"-"744*4*-"*t"" *"4"' FOR PROJECTS NUNN TIE CITY Of FEDERAL MAY. FAX RATE : 8.6% us
8" ar CelifitiCIfte cs ill"( USE "ICA"C11"1"111411411111"MIS FAX
--...,..—.......—....,..—........—
I BLD?:Y. NEC?:, PLM?: FLR--.01w,P--- i ,,,,,1 ILES:
1 ') :11171::::6:1 , '2'T'' ,'''-',!1:72!‘; IPAPirtslAH.:;':' ' ' ' PB:DCICEpEFRCNETT....* $
117.00705
I TYPE Of WORK:ADD USEIES 1ST„: 0t (40 --.::;- s' les. ....,.. u ,,,
I CENSUS CA1EGORY
I OCCUPANCY GROUP :438 21141': '4I ''IY:S' i '''' "4 -,,,,,.:),,,, 4- 11441 SU INACS.0 -‘41RE FLOW....:2 0 gps MC SWA(HARGE.....* $ 4.50
'AD,: Ailw&A, 1 )e, VOUATOVF"-** „ —, , - tit ,
0:11FRONT, • 20.00 ft
:U1 :? :? :? : 41°44 0
: -14 '' " -- • 5.00 ft WATER SERVICE .IAT
8911* 0:' t410.444t- ' ' '44' 1036-4W. SIDt......-. ...
TYPE of (04s1RuCTION-- -- . ' 4 -'''' 7-''-''
:511 :? :" :7 .• DEM Of , It* ATREAR-' - EAR • 5.00:ft SEWER SERVICE.,:SEP
GAP.: 0* , Ai,F-' IRECEPiED.:11/2W/90 '
1 OCCUPANT LOAD- --- . --- --" .: '' 1114"
I : 0: °: 0: 0: TM: °11'3. 4 ' . ....-.!!!!!!!!!!L,- ....!.:!..!!!!!!!!,!!!:2.......
1
TYPES.:? ? FAS....... ..: 0 BOILERS/COMPRESSORS WATER CLOSETS URINALS • 0 TOTAL FEES $ 197.55
j
AS PIPING.: 0 ft HOOD • 0 0 3 TON • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
I F0AN<100t..: 0 OKI W1 • 0 3-15 TON • 0 SHOWERS. • 0 SUMPS • 0 I
i
GAS 0141 • 9 WOOD STOVES. • 0 15-30 TON. • 0 LAVATORIES • 0 VAC BREAKERS...: 0
I
CONY BURNER: 0 TURN:100K 0 30-50 TON. • 0 SINKe, • 0 DRAINS • 0
• 0 MISC. • 0 501 TON • 0 DISH WASHERS • 0 LAVA SPRINILERS: 0
:: DRYLR..: 0 AIR HANDLING UNITS FUEL TANKS--------- UR NIP HEnTERS...: 0 OTHER fIXTURES.: 0
RANG' • 0 710,000 CFM: 0 ABOVE GROUND: 0 LAM WFHR 001115 • 0
GAS LOGS...: 0 > 10,000 CFM: 0 00DERGROUND.: 0
* ' ITS EXPIRE 1$1 DAYS Milk ISSUANCE IF NO MIRK IS SIARIEO. RESIDERflit AND MOUS PEWS, EXPIRE 011 YEAR MIER OAIE Of ISSUANC(.
-, ttRIDY INAI Tit INFORNAI101 111011S119 BY NE IS TRUE AID CAROM 10 INE OBI OF NY KNOWLEDGE AND In APPLICANT CITY Of TOM WAY REOUIRENENIS RU' fl r PIT
le f ' ,/_(..,
' OR AGENT '‘ / /?a _,.. ..., DATE //- -=.`•C: 7
01'1 )
1,
FIELD COPY
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Date l /3(V' By 1/L
2 FOUNpATIDI
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3 PL lMBING tri1 QU NDWORK ksOert' Sty i-�L L;;..� —��_ 4�' `b4..
Date By
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4 SIA .lNSULA7K?N
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5 FOOTLNGi. SOWN P.T.PR V!. > >[
Date By
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7 SHEAR WALLS
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11 FRAMLN.G
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Date/Z_ /r-98 By
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12 INSULATION_'......
Date By
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15 SU5PID; .EILING':<> ' > >
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19 BUILtI1G`I=tNAL.;.:::
Date � 7 ggBy 71f
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CD0193(Rev 4/97)
BUILDING DIVISION
Cfrir
G . First Way South
E0 33530— Federal Way,WA 98003
VVI sem- (253)661-4000
Fax(253)6614129
Grr� i o T pAPPLICATION FOR BUILDING PERMIT
PLEASE PRINT APPLICATION # , [a - O D
!$oct,00000gmom. .amm.imd Address
Tenant(if known) Lot # Assessor's Tax # ,
Building Owner's Name /G Address
�
331(o-1
City c'r✓fi� l.J State ,jJPc Zip (40,g.3 Phone/ 3)`14/G- `Ib`'1 9
Nature of Work &An,'
Name (F,M,L)
Address
City State Zip
Contact Person Day Phone Other Phone Fax
FEDERAL EDERAL WAY BUSINESS LICENSE # O'(1 tqu.k.
Company Name i j` 1 6c
A►2 Ip,r�
Address 3 i , �. J4 Al 4/ /
City AC/ cm- (i
State tjtL,//��
Zip 000N
Contact Person I2 �2 /)Q(I
J (JPhone Fax
-Koo- X94( x53=735 - r 610
Contractor's #(card must be presented) Expiration Date Verified Yes 0 No
i-IP ART 11 -SID 1 1<"
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
istin Use
•of:osei Use
Permit includes: 'fa,Building ❑ Plumbing ❑ Mechanical 0 Other
. Type of Work: 0 Residential ❑ New ❑ Remodel El Number of Units ❑ Deck
0 Commercial ❑ Addition a.Garase ❑ Shed 0 Other
/t\ Enter 1st Floor `„/`5Cl 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 Availlability Sewer Availability 0 On-Site Septic System Availability,I1 Project Valuation S
k
Zoning t I ) , C; Lot Size asExisting Bldg Valuation S ,.'j 7
O
i
4LZLLtw
I �,' fYDS(
t-'
Name Address
City State Zip
M . .ANIGALt{IiVTHA.CTi3R....................
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
pl� t G :0 RIgiiiNiMinin
:.
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
.....:K:::..........: ::::....:: :::...................................:Kf::..............
PLUM BINE !XTU EtOUNT r =
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fixture Count
..... ...............................................................................
.............. .......................................................................
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...... ....... ......................................................................
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I .t.ECHA:NI.CA: UNIT: OUN! >°`._.... .:::: MECHANICAL EVALUATION ONLY $
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 iTutat Urtik 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 perforin 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
AOwner/Agent: '1"} Date: k 1 I W1Ztf
a.m.G.Ary . I
flEV6E08/26/97 /