98-100464 "Y OF F-E4:ERAE_ WAYPERMIT NO: BLD98-0070
.
, 530 First Na . South 1E: ,,..,� ,.M,.. .,,,. ., .,, ...y:;. iN� il"";,.i EIf°,,M.1. °,�.,. ISSUED: 04/07/98
Federal Way, WA 98003 Building Inspection Requests 253-661-4140 BY: FC2
253-661-4000 EXPIRES: 10/04/98
ADDRESS: 00816 21ST AVE SW
NO. : 122100.-9090
PROJECT DESCRIPTION:NSF W/PLUMBING AND MECHANICAL.
WILDWOOD ESTATES, LOT 114.
f= OWNER --- -------- --- --------- CONTRACTOR - - -- -- - - LENDER
K BAR J/PHILLIPS CONSTRUCTION ! PHILLIPS CONSTRUCTION WASHINGTON FEDERAL S & L
PO BOX 835 25003 SE 200TH ' 10415 SE 240TH ST
RAVENSDALE WA 98051 MAPLE VALLEY WA 98038 KENT WA 98032
360-802-2257 360-802-2257 40
PHILLC*055B3
u: CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.6% :xt
BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 ' COMP PLAN •SR FEES:
TYPE OF WORK:NEW USE:RES 1ST.: 0: 1068:sf STORIES • 2 REQUIRED PARKING..: 0 SPRINKLERS" •' PLAN CHECK FEE $ 554.45
CENSUS CATEGORY •101 2ND.: 0: 953:sf HEIGHT • 0.00 ft HAZARD CLASS •' BUILDING PERMIT....* $ 853.00
OCCUPANCY GROUP 3RD.: 0: O:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm Mechanical Permit* $ 63.00
:R3 :U1 :? :? OTHR: 0: U:sf EXIST..$: 0 FRONT • 0.00 ft SBCC SURCHARGE * $ 4.50
TYPE OF CONSTRUCTION BSMT: 0: 574:sf PROP...$: 160540 SIDE • 0.00 ft WATER SERVICE..:? SCH IMPACT (SFR)NEW $ 2372.00
:5N :5N :? :? : DECK: 0: O:sf REAR • 0.00:ft SEWER SERVICE..:? PLUMBING FIXT....93* $ 91.00
OCCUPANT LOAD GAR.: 0: 918:sf RECEIVED.:82/13/98
: 0: 0: 0: 0: TOIL: 0: 3513:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.:GAS ? FANS • 5 BOILERS/COMPRESSORS t WATER CLOSETS • 3 URINALS • 0 TOTAL FEES $ 3937.95 1
GAS PIPING.: 0 ft HOOD • 0 0-3 TON • 0 BATH TUBS • 2 DRINKING FOUNT.: 0 j•
FURN<100K..: 1 DUCT WORK • 0 3-15 TON • 0 SHOWERS • 1 SUMPS • 0 I
GAS HWT • 1 WOOD STOVES...: 0 15-30 TON...: 0 LAVATORIES • 3 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 TON...: 0 SINKS • 2 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 4 LAUN WSHR OUTLTS...: 1
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 ;
1 - -- ...- _. _..._. -------- _ _ __.
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 INFO' AT 1 'NISHED BY ME IS • D CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPL A LE CITY OF RAL REQUIREMENTS WILL BE MET.
OWNER OR AGENT /.DATE 77/2
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H SETBACKS&FOOTINGSS�
Date 9 "Y
... ..........................................................................................
2 FOUNDATION WALLS
Date �— rby
3 PLUMBING f3ROUNDWORIC:::>:
Date By
4 SLAB INSULATK N
I
Date L .. /� ck'rBY C,C
.................................................................................. ...... ......
5 FOOTING/DOWN:SPOUT DRAIN$ iv
Date q//tI/t1( By
6 U FLOOR FRAMING
�
Date v— / (, - qsi BY C.(
7 SHEAR WALLS ( SG�� 1 N 1< 5=/ - 47
Date 5 - 1 BY8
L G.J......... ��e ✓ S�cc.�4 �� ^� r� S= S� �f Gam/
PLI7MBJNGRi7U.:. :..:..::.::....................... ...........:.. .::
Dater l/ 9r By I
.......:::. . ...;:.;
Date — J4- lY DY
10 MECHANICAL ROUGH--IN
Date 5= c(— dBy C C•✓
11 F �MIIG
Date —
1.2 INSU'' TION<> > >< > > > <> > <><«< »> > >
Date ( _ ?� Za y
.............. ...... ............................................................
13 GWB - 1ST LAYER
Date 7 _ By
14 GWB 2ND I:AYFI
Date By
15
Date By
16 PLANNING FINAL
Date By
. . . ...........................................
17 PUBLIC WORKSIFINAL
Date By
18 FINE FINAL
Date By
. . .................... ......................
19 BUILDINGFINAL'.
Date q_ ) By G
..................................................
20 OTHER
Date By
CD0193(Rev 4/97)
' ,
BUILD1NGDIVIBION
an'of =. 33530 First Way South
A (-.' `13ael'i ED Federal Way,WA 98003
(253)661-4000
:Ei 13 199B Fax(253)6614129
„EDERAL WAY
0
LA I`i 6,,,,,GDEFT.
8ut`” APPLICATION FOR BUILDING PERMIT
'LEA SE.PRINT........... , ........ . ..... . ...... .. . APPLICATION # bthq 3-60 7-0
gitatutio. wil.t;mosint Address 3e) //6, Z/‘ '''.-it-J6 314} 4 )7-Ly z4/-en:47,,,,, c 5#11-0S fS)Xrei Z
Tenant(if known) Lot# ii Assessor's Tax#
Building Owner's Namix
61/947- (1.7A ,3"rELfe 76"`-1 Address -(--; / / ,e.,--
City kii-A-10164/91-4) State 6.1,4- e.ZiP 9f(05-I Phone .,0 '6-62-2-2-5-11-
Nature of Work A...)6-1A-) _."(2/t-15'netie.77,0"--) k)5 r
0.140.iiiiit.'. ..iitettninie
Name (F,M,L) f,,6,.::_e
1- iril• -,1,44:06.5
Address ..- 1.._/. a:, z --0 r__, /*
City _./V am z.4,9t.../ State L...- ,74, Zip 5?,50Z 2-
Contact Perjibn _...---"' Day PhoneZOther Phone
/C061e'er- --if/CP 6.S e)6 930 Zre)2--- F5 / r
milawasitatiamationm
Company Name , , _.„..... cy
eini.5-7-4*2-7-700s-1
Address 3 11/ , 26,070 ,1 51.-,
City 7,1.17.-f enc.//Pt,/ , State LAYsolr- Zip 95Z22_
Contact Person , .../ Phone 2XZ Fax,Kj .
/5&.€7- --...//9-G c,8 -5-- Y3o es366 S,6‘2/6/,E
Contt/ri8W:."...,,fiulir proese.rad) ,n ExOlitGate Verified 0 Yes 0 No
tadianhintlaiiigeMENSMI
___------
Name L ' .a- 516
Address /q9'73 _.....:"....,-..":, ....e a zerm 4.1,277, ..5.. ‘,...3 a;re. 9, s.....
City ----TEI ei,,/,,c./9 State 64-44: Zip 9V
Contact Person
7- Pprzil. ?4/?zviw Fax
.EGAL DESCRIPTION Wr/e,..._) 6,--_-- ..7.7.741.-- 5er; y /jii..--/ -7-1-1:- A.16: //zi --- 'D.," /
71 AiI ,1- 4' -401LL3 E
LAI;L 4-A0/4-ire ifritefp,,,97
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Please Complete Reverse Side • .
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U:1��WCTJp#e'E`>`> ` ':�'%?"'??�'`iE Ei1;1;'11:??i > <:::> xstn9se
Proposed P
osed
Use
Permit includes: j"Building ❑ Plumbing ❑_Mechanical_ _ 0 Other
Type of Work: Ar Residential g New 0 Remodel 0 Number of Units_ ❑ Deck
— 0 Commercial 0 Addition 0 Garage 0 Shed 0 Other
Ercer 1st Floor / 7 , sq ft 2nd Floor ,S- sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement 4,- 14sq ft Decks l sq ft Garage sq ft Proposed Total Area /c/1 j sq ft
Water Availability 0 Sewer Availability 0 On-Site Septic System Availability ❑ - Project Valuation $
Zoning J Lot Size _ Existing Bldg Valuation $
Name Address
City State Zip -
: P14AN1:CAf»Mfl.NTRA: ... .R..............:
Contractor Name Address,
City _3S/9 jLJ .S/ State (,ti/�4. Zip C/ .'2.7
Contact,1�-- (J_ - Phone
/c,:'19 /L--.Et l C cit 3/- '—"
License # , 5/-/e79 tr /3'30A Expiration Date/yam Verified 0 Yes 0 No
Contractor Name 9
p Address' „ -""
�..��rn� ; %ICL-- C u/7,J/A--de7- / ,`,c)/ -7-(..,,..,
City /22/972e z. ,.9--t1 V State ,-/ zip <rfJL _
Contact Phone Fax
1c- a 7W ??2/
License # f�(�l--Z-T/''�' -?-1...:z./ �� Expiration Date
2 ! Verified 0 Yes 0 Nc
•Water Closets `j Sinks V Urinals Lawn Sprinklers
Bathtubs ?j Dish Washers / Drinking Fountains Other
Showers / Electric Water Heaters Sumps
.. . ........ .... ........................_ .....
................................................ .......
!7
Lavatories ) Washing Machine ,� Drains 7oal Fixture fount;:,..
.......................................... ..........................................
MECHANICAL V T N
E ALUA ION ONLY L
Fuel Type (electric/other) N'i (-f-/' 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 Lj Miscellaneous Fuel Tanks
Gas Hwt / L/t)&1 t Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Tota(Untt Oount».,,
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.
w r7
Owner/Agent: f Date:
C... -.
-7
REVISE)8128197