94-101102 1411141100,
CITY OF
335,30 First Way South BUILDING PPER 48
ISSUED: 07/18/94
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: DB
661-4000 EXPIRES: 01/14/95
ADDRESS:33333 40TH AVE SW
NO. : 327900-0720
PROJECT DESCRIPTION:RES ADD - ADDITION OF A BATHROOM, BEDROOM AND FAMILY ROOM.
i= OWNER CONTRACTOR LENDER
PAUL BAKER CLOYD CONSTRUCTION COMPANY OWNER
33333 40TH AVE SN 3425 S 164TH
FEDERAL NAY NA 98023Iiiri SEATTLE WA 98188
874 5885 661-7173 661-7108
CLOYDCCOSCfU
BLD?:X MEC?: PLM?:X FLR--EXIST--PROP--- ! COMP PLAN FEES:
TYPE OF WORK:ADD USE:RES 1ST., 900: 133::s- ' REQUIRED PARKING..: 2 SPRINKLERS/ •9 PLAN CHECK DEPOSIT.* $ 184.93
CENSUS CATEGORY •434 2ND.: 0: 0:s` -Eq,hT._. 0.10 ft HAZARD GL1$..4&" , I4411, FINAL PLAN CHECK...* $ 0.00
OCCUPANCY GROUP .',P,';:: 0: :s. VA, 'AM - RFcJIR:D SEIbAC S FIS ,:OW ,. s - F BUILDING PERMIT....* $ 284.50
:R3 : : : .'i:'.R: 0: C:sz -HIST ,*: 4=-,;JO r DRT ... 20 0 ft '4-;1,:ft * $ 4.50
TYPE OF CONSTRUCTION----- ' T:, 0: 0:si PRCu..,y' Doc() '.c. • 5.00 ft WATER SERVICE..:FED PLUMBING FIXT....93* $ 21.00
:5N . DECK 0- 0,' REAR • 5.00:ft SEWER SERVICE..:FED PUB WKS PLCK(SF)..93 $ 40.00
OCCUPANT LOAD BAR.`: 0: 0-.1 RECETVcD--06/C ,14 )
0: 0: 0: 0: T01,- 900: :333:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
1
FUEL TYPES.:ELE FANS 0 BOILERS/COMPRESSORS WATER CLOSEIS - 1 URINALS - 0 TOTAL FEES $ 534.93
GAS 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 - 1 SUMPS • 0
GAS HMT • 0 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES - 1 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 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 FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT - 4 __ _- _-- _ DATE __7T _9:
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SETBACKS & FOOTINGS
Date "Z___,"7f�; By
FOUNDATION WALLS (6;)/('
Dat "Z/g I By
PLUMBING GROUNDWORK
Date g: - .q Y By C/j
UNDERFLOOR FRAMING
Date By
SHEAR WALLS
Dateq-Q- 1/ ByI'�/,!AY
PLUMBING ROUGH-IN''
............... . . .. ........................
Dat -� -1C7 By/4
GAS PIPING
Date By
.. . .. .........................
MECHANICAL ROUGH-IN
..................
Date By
MECHANICAL,(OTHER)
Date By
FRAMING
Date(, -q-ct By MA,
INSULATION g--"ar-? ( p n-reTen n ti1 fld°' & G
Date `j—/S-e;;'/ By,--7,/ ( �t� js e7.pc1�s'� 2 x7 opJ Diu cJ+4L,z
GWB - 1ST LAYER .
Date�3�� By i ,/
-'R.3- /1u- 4 7.7-2
GWB - 2ND LAYER
Date By
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL
Date By
BUILDING FINAL
Date/0-;) `/ By ‘11-1/1
OTHER
Date By
OTHER
Date By
CD01 93
iiihi. .
'7 1 S4 I Cf
ar r r RECEIVED City of Federal Way
N)N4) F JUN 0 APPLICATION FOR BUILDING PERMIT
CITY OF FEDERAL WAY [�
PLEASE PRINT BUILDING DEPT. APPLICATION tt: .bL-[Nn 4-0 47�
SITE LOCATION Address 3_z _s 3 .3 i2C c"/L/d _r-'L-(}.
Tenant (if known) Lot# Assessor's Tax # ✓✓
/Jc, 1 /_S << c rJ� S.z7 YCr?.-o} 7,.t c, -Ce
Building Owner Name Address
Z
____c(- 1/1,, 3 3 '''//- ,.32 3 ,- ( tic s.tti.-
City ,- /7( reyL tAiri i' State (ii Zip /(9(LI Phone 74/._ C9%(`
Nature of Work 40 D/. r�'0-11
..............................................
APPLICANT ...
Name (F,M,L)
( ,()60 C.o-ii.ST er_r .
Address
X City /---e--c/.e{'i L tt/415 State L,(/el Zip Cl j27 ?
Contact Person Day Phone Other Phone Fax
1—(rI`( C k g0 C/= 7/ 7,3 CC/ -7iej-
BUILDING CONTRACTOR
Company Name
Address
34v/A S co. _i ,,z.r'23p/,
City
A---e/2 C i-e4 L !uCi r State jai -i Zip
Contact Person ✓ Phone Fax
t e. r-r /' /l7 - 7/ ZS
Contractor's #(card must be presented) Expiration Date Verified ❑ Yes ❑ No
(' A 0 Y0 C_(efrS( I)LI J A 7/91s--
kCHITECT
Name
Address
City State Zip
Contact Person Phone Fax
'LEGAL DESCRIPTION j 4/
7\ Py6 it_S. l Al I I
J
Please Complete Reverse Side
CD0492(Rev 4
.4111PL
IsTRITervitEiing Use •posed Use "
Permit includes:j_
i> Building Plumbing L7 Mechanical ❑ Other
Type of Work: Q Residential ❑ New Remodel ❑ Number of Units ❑ Deck
' ❑ Commercial LI Addition 0 Garage ❑ Shed ❑ Other
Enter 1st Floor 7/,_' sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area 790 sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area 41 3 sq ft
Water Availability Sewer Availability 1`r On-Site Septic System Availability ❑ Project Velua4an, $ o,+
Zoning .? ` _ ,_4 rte_/ Lot Size S f X i ./ E).000. .Bldg Yelua0ort: $: :''
2 s — 7. •L- Poo t
4 trsson S
/LENDER • /�{2uAT1-0
Name Address
City State Zip
AIIZ--� `%z fitj , f trof4 C ?'-- c.- t<.
MECHANICAL CONTRACTOR (7/ _'Z'— > *5-60c=-
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBINGZONTRACTORMMMM
Contractor Name Address
4 r ii(V,i/ S 19,/a t A fl,J -
City State Zip
Contact Phone Fax
,/? ). i ,- r)1
License # / A /46,1 :1 A. PO C7 9 C A" Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE COUNT
Water Closets / Sinks r Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers / Electric Water Heaters Sumps
Lavatories / Washing Machine Drains Total Fixture Count j
MECHANICAL UNIT:.COUNT
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping Range 77 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. /J ,/
/lwner/Agent: / C Date: K.-://,/,:„.3./, /J""