97-102583 ( 7-JO (2-533
CITY OF FEDERAL WAY
PERMIT NO: BLD97-0421 421
33530 First Way South ":":3;1) ip ..") N � N 174.M »u.
»».1 . ISSUED: 02/19/98
Federal Way, WA 98003 Building inspection Requests 253-661--4140 BY: FC2
253-661-4000 EXPIRES: 08/18/98
ADDRESS: 30724 21ST AVE SW
NO. : 941269-..0010
PROJECT DESCRIPTION:NSF W/PLUMBING AND MECHANICAL.
WILD WOOD ESTATES, LOT #1.
r= OWNER ___;,._ g_ CONIRACTOR =----_,= LENDER --- -
K BAR J/PHILLIPS CONSTRUCTION K BAR J CONSTRUCTION WASHINGTON FEDERAL S & L
PO BOX 835 37716 280TH PL SE 10415 SE 240TH ST
illifENSDALE WA 98051 ENUMCLAW WA 98022 KENT WA 98032
360-802-2257 360-802-2252
KBARJC*088MM
*** 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?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN •SR J FEES:
TYPE OF WORK:NEW USE:RES 1ST.: 0: 1068:sf STORIES • 2 REQUIRED PARKING..: 0 SPRINKLERS/ •' PLAN CHECK FEE $ 588.58
CENSUS CATEGORY •101 2ND.: 0: 953:sf HEIGHT • 0.00 ft HAZARD CLASS •' $ PUB WKS PLCK(SF)•.93 $ 80.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW 0 gpm I BUILDING PERMIT....* $ 905.50
:R3 :U1 :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 0.00 ft SBCC SURCHARGE * $ 4.50
TYPE OF CONSTRUCTION BSMT: 0: 408:sf PROP...$: 175153 ° SIDE • 0.00 ft WATER SERVICE..:? 4 Mechanical Permit* $ 63.00
:5N :5N :? :? DECK: 0: 120:sf REAR • O.00:ft SEWER SERVICE..:? PLUMBING FIXT....93* $ 84.00
OCCUPANT LOAD GAR.: 0: 440:sf RECEIVED.:07/16/97 SCH IMPACT (SFR)NEW $ 2372.00
: 8: 0: 0: 0: TOTL: 0: 2989:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
^-^
L TYPES.:GAS ? FANS • 5 BOILERS/COMPRESSORS 1 WATER CLOSETS • 3 URINALS • 0 TOTAL FEES $ 4097.58
-GAS PIPING.: 0 ft HOOD • 0 0-3 TON • 0 J BATH TUBS • 2 DRINKING FOUNT.: 0 2
FURN<100K..: 1 DUCT WORK • 1 3-15 TON • 0 SHOWERS • 1 SUMPS • 0
GAS HWT • 1 WOOD STOVES...: 0 15-30 TON...: 0 LAVATORIES • 3 VAC BREAKERS...: 0
CONY BURNER: 0 FURN>100K • 0 30-50 TON...: 0 I SINKS • 1 DRAINS • 0
BBQ ' 0 MISC • 0 50+ TON • 0 DISH WASHERS • 1 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...: 1
GAS LOGS...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0
-- -- -- -- --1 -- __.._.. - -- _ ----
PERMITS EXPIRE 18O DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFO TIO, .'NISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OFOFFEDERA REQUIREMENTS WILL BE MET.
OWNER OR AGENT _--.. _._ --- DATE 7_�_ 1_-__
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SETBACKS &FOO TINGE;' '>::::iiii»:>:::::..;:..::
..:..............
Date 2)(flflY By
2 FGU 111ON'WALLS
Date aI4ire- By
3 PLUMBING GROUNDWORK
ummilDate l f' Z 1j By �L
4 S(AB INSULATION
Date 2 - I 53 By U L
5 FOOTING/DOWNSPOUT DRAINS
Date S.--6- 47s)---
.- - q By ce,j
6 UNDER:LOOW FRAMING,
Date By
-
7 SHEAR WALE.: ,::;:: Y}2 v 3 itGe. + D k 3 - — 7� C c-✓
Dater ...:q f By...0 J ... ff 1 en,. si,1,4 ,,k
8 �..
Da(e 7- CL. J
9 :. RING ::: :::i.::i:.;::>::>::>::;::;.:
Date II, -2- `j' By C--e,....L/
10 MECHANICAL ROUGH-IN.
Date 9 9r By ''''e.::„.1.
11 :FMING :/
Date L/ Z3- yrBy
12 INSU" TION ' » > >> >' « >> >:>::::>€::>:::>s 3:.'''>':
::::::::. ....... . p/
Date / 21- 9 By.................
13
Date 5-- _ f r By C_C.--1
14
•
Date By
EENDEIL
15 SLS :.:::::::::::::::::::::::::::::::::: :.;:. :::::::.
Date By
16 'PLAN iINGFI L;>,::;.::..::..; .:...:..,::::.,...::: w::
Date By
17 PUBLIC WORKS.FINAL <.::
Date By
18
Date By
19 BUILDING FINAL
Date { By (t
20
Date By �.
CD0193(Rev 4/97)
•
• .
BUILDING DivisioA
carver G 33530 First Way South
E�—�L Federal Way,WA 98063
(206)661-4000
ECEIVED Fax(206)661-4129c
JUL 6 1997 APPLICATION FOR BUILDING PERMIT
CITY OF FEDERAL WAY
BUILDINGDEPT, M 4 /(.)PLEASE PRR/NTNTAPPLICATION #
yy#' :iiitiTiii 1 :. :: : E :; ;: Address
:-.. e.)-12. -e/
e v-1 z -e/ 2 IAs 7"-f
ve—6161 ip.e.yr 4,i��oL.r.r,isms r•�'y3t,
Tenant(if known) Lot# / Assessor's Tax #
Building Owner's Named 37)0q1/LL ,GAS �i,✓,-,'>- Address fr. B)/ ..35-r.,/,„„,..57.a4.., __ %.
9ays/
City41Yh✓S"0i'rL,� State (��+¢. Zip 9 ire) 5---/ Phone 34.0-7O`-72 5-1--
Nature of Work /(„4-t.../ O,✓ST',e�.ree_71,) .✓
ilikfilaitillINEEMBEREK
Name (
(F,M,L)�Qf/�7/4 ,J
/Lt /��}' mss'-z'�ucr•ry
Address "0• 6,5A,
.5-.3
City d�- le-AJj •0f9•Lz / /
State W'�• Zip 7a'OS
Co ct Person Day Phone Other Ph L Fax
�35 ...7_64:7#744
7 th tic coos 3G��2- �� 2C� -14/
Company Name /e, 1,/'c L/AS (7,.....,57- ....,<_7- .04—,/
Address/?0 eay, � J
�s"-
City State t.e}¢" Zip 9705-1
Contac rson __ _/� Fax
/55-0C �"Pe c'53 ..-i.-----Z-"F-1— 4it e /f'S Pone 0 22s 7
Contractor's #(card must be presented) Exa•rati n ate Verified 0 Yes 0 No
�- C a / 'xLelkb�Sc�3 ',//`T'f --1/7
1M 1666401111111111111111111111111
Name
Address y r7 �—
` _
City U<G.// .,4 State vt/!4• Zip 97K.
Contact Person Phone Fax
,041 cIV ( ' - --/C . 2a, Z1/2/2-Yre)
LEGAL DESCRIPTI9N-
��� � r Ue.77 —' os•=' .tee— .5. . />1 o- ,Li,. /� e \ z�,,..�fzi
/C'/t.4,-.5 'v pO 2/ /._10-e714, `r,T"J�� ,-3 �1i s—J 6�e 4 I�a1Te''/'� f'1e/4i,r�-s�J/
„"‹.---e.... 67...,....--)/
Please Complete Reverse Side
•
Existing Use Proposed Us
e /G
z
` Permit includes: ,41 Building cO' Plumbing Xi' Mechanical 0 Other
/�C Type of Work: J"Residential .,) New 0 Remodel ❑ Number of Units_ 0 Deck
�-'T "1 ❑ Commercial ❑ Addition ❑ Garage ❑ Shed 0 Other
��\ Ki Enter 1st Floor�(�- -/j ft 2nd Floor 7� sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement G'')sq ft Decks j 6., sq ft Garage .140 sq ft Proposed Total Area 7-C)a I sq ft
�\
` Water Availability 0 Sewer Availability ' On-Site Septic System Availability ❑ Project Valuation $
r� Zoning �Lot Size Existing Bldg Valuation $
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NameAddress
9 f cue I ry•. �, G' >.¢^-/ /e//3.-- --5(r- zd
�/ im. 57—
City )"......`J- State ei24. Zip
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Contractor Name l4..74,..7-,;:t—/6 Address/k).,,5DX �S
i
City �j-`; (f/` / L-!/a?i State !4 Zip n�"'7"
Contact ,� Ac Phone �/ max
`�!a / c:- .0 -2 �t�5_Sc'e//s7 5
License # Y>n5"--/e71i /33 ?meq Expiration Date.5/25' Verified ❑ Yes 0 No
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iftCal.lyionsi tltSl''E AI ''oRom < <><`<>
'
Contractor Name /� Addresses,.. `'7, . S
t-✓ -L-� -74-2,,,..o,s, .✓fes
City /77,1-6.,L- !/AZA _State L'L��'4 Zip 5 ��`.3 ':3 .Contact Phone Fax
t� 6.24-e',....,271tri_d/3-96.3"7" .
License # / -i .07L�/fji✓/ Expiration Dates/7Verified 0 Yes 0 No
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LUM6:1NC7`Jt Ca.UNT- .
Water Closets j Sinks / Urinals Lawn Sprinklers
Bathtubs ?- Dish Washers / Drinking Fountains Other
Showers / Electric Water Heaters Sumps
Lavatories -5 Washing Machine / Drains 7otaL: ixtrsra::Geunt
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MECHANICAL EVALUATION ONLY $ �
Ci
Fuel Type (electric/other/W/1-; 1*55 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 1 Gas Log / Unit Heater 50+ Tons
Furn >100 BTUs Fans
5 r Miscellaneous Fuel Tanks
Gas Hwt / 'IA 60.ez4 ----1
Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons TotalUnit:Count
DIS CLAIMER: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.
Owner/Agent —�` Date: ;:75-"-le-7/ 2 : .
BO&Owc.Are
HE,SED 12/11/08