93-101507 lin_ . R � l0) 5D 7
NiiCITY OF FEDERAL WAY B U I L DING PER MIT PERMIT NO.: BLD93-0668
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 07/13/93
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 2021 S 304TH ST
PARCEL NO.: 053700-0035
PROJECT DESCRIPTION: RESIDENTIAL ADD/ALT — ROOM ADDITION AND GARAGE
OWNER
STEVE SELES
2021 S 304TH ST
FEDERAL WAY WA 98003
CONTRACTOR LENDER
4111-
STUSSER QUALITY CONST INC
1018 INDUSTRY DR
SEATTLE WA 98188
8796 I 575-8930 363-0621
STUSSQCO82C6
BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN •SR FEES:
TYPE OF WORK:ADD USE:RES 1ST.: 0: 140:sf STORIES • 1 REQUIRED PARKING..: 2 SPRINKLERS? .7 PLAN CHECK DEPOSIT.* $ 122.85
CENSUS CATEGORY •434 2ND.: 0: 0:sf HEIGHT . 0.00 ft HAZARD CLASS •7 FINAL PLAN CHECK...* $ 0.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm BUILDING PERMIT....* $ 189.00
:R3 :M1 OTHR: 0: O:sf EXIST..$: 75200 FRONT • 20.00 ft SBCC SURCHARGE * $ 4.50
TYPE OF CONSTRUCTION BSMT: 0: O:sf PROP...$: 17760 SIDE • 5.00 ft WATER SERVICE..:FED
:5N :5N DECK: 0: 0:sf REAR • 25.00:ft SEWER SERVICE..:FED
OCCUPANT LOAD GAR.: 0: 528:sf RECEIVED.:06/18/93
. 0: 0: 0: 0: TOTL: 0: 668:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:Y
FUEL TYPES.: FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 316.35
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 • 0 SUMPS • 0
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 0 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
LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
ALL 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 MET.
---
OWNER OR AGENT _ :.- R DATE -7 ) , c7 -1
bld_prmt 10/23/92
CIT r OF FEDERAL WAY BUILDING PERIVIIT
PERMIT NO.: BLD93-0668
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 07/13/93
Fedora! Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 2021 S 304TH ST
PARCEL NO.: 053700-0035
PROJECT DESCRIPTION: RESIDENTIAL ADD/ALT — ROOM ADDITION AND GARAGE
OWNER CONTRACTOR r LENDER
STEVE SELES STUSSER QUALITY CONST INC
2021 S 304TH ST 1018 INDUSTRY DR
FEDERAL WAY WA 98003 SEATTLE WA 98188
946-8796 575-8930 363-0621
STUSSQC082C6
BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN -SR I FEES:
TYPE OF WORK:ADD USE:RES 1ST.: 0: 140:sf STORIES • 1 REQUIRED PARKING..: 2 SPRINKLERS? •? PLAN CHECK DEPOSIT.* $ 122.85
CENSUS CATEGORY •434 2ND.: 0: 0:sf HEIGHT.....: 0.00 ft HAZARD CLASS .7 FINAL PLAN CHECK...* $ 0.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW 0 gpm BUILDING PERMIT....* $ 189.00
:R3 :M1 OTHR: 0: 0:sf EXIST..$: 75200 FRONT • 20.00 ft SBCC SURCHARGE.....* $ 4.50
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 17760 SIDE • 5.00 ft WATER SERVICE..:FED
:5N :5N DECK: 0: 0:sf REAR • 25.00:ft SEWER SERVICE..:FED
OCCUPANT LOAD GAR.: 0: 528:sf RECEIVED.:06/18/93
0: 0: 0: 0: TOTL: 0: 668:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:Y f
d
FUEL TYPES.: FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS........: 0 TOTAL FEES $ 316.35
GAS PIPING.: 0 ft HOODIll • 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 0 SUMPS . 0
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 0 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
ALL 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 MET.
OWNER OR At DATE -7 , '� l t :')
bld_prmt 10/23/92
' - ii
• 0
SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE,//. ....... BY Cll'✓ .......—_ DATE,,Z/"f .-BY DATE .. —...-_— .. BY
PLUMBING ROUGH IN WATER LINE O.K. _ MECHANICAL INSPECTION
DATE..... BY ..__—....__—_.._ GAS PIPING O.K._ _ DATE
O.K. TO ENCLOSE FRAMINGG INSULATION WALL BOARD ANDcFIRE WALL
DATE/!/7.2 ...BY I�� J DATE .F/9 ...-...BY _ ......— .._ DATE //7 l_.._..— BY ...
FINAL O.K. TO OCCUPY
DCD PSD FD
DATE '' 3 BY_ /N
Si ; GQLQ L IOSL A rrfc.bic,2 /r7a/lG Ale 75 ,177--.9‘,11 C;71,/
ME--yr iticd/l �, -// S Hc9777-i,k/G x7n, f'0 eo-
S'(S.- 9 3 --ii )T-/C-i e/P'i,o.) Sys� h 0cam- (;41)
• City of Federal Way •
NWOl /I /o et'
—=—j�. _�� t� " ' 4PPLICATION FOR BUILDING PERMIT 7ISW
JUN 1 8 IrjJ 9 - 1oJso-
°J OFF ,.
PLEASE PRINT itni�i' '1{` AI APPLICATION #: I)L f�4-.1 5
SITE LOCATION Address aolq 1 5' •- o1.1 -r t
Tenant (if known) Lot # Assessor's Tax #
T A-\,S_ (--% .,AA 1_. k.__ r)`S-Vi on 3-S-0 i
Building Owner NameA Address
Cit . \ State k.."... 1t Zip •• ••7 ' C 3 Phone ci 6' 15 /9 fc'
Nature of Work _.(t... 6/0-$44-A.6---
APPLICANT
Name (F,M,L)
(hIl s.) A te) S_s
Address
0Z1 1 (5 Li
City L�- *"..). `1/4,...:`\ State 'e5,~:A Zip 9(300
Contact Person Day Phone Other Phone Fax
Cr) ts,. ik 9 '-1 (.) S -79 1.
i
BUILDING CONTRACTOR ' C . _ - (c_, - ) — /??A v 4 'M P,---
Company Name
‘ -.1.( -. Z._ _ ("*. v..ALI'-‘-. ''.\ et:.1. s-T-Rk.I.,t......--r,t30,, ir QQ. .
Address
rc)i , , r % Z k
City <.r3 < �J��\, Zip c7rg l
��TT � State
Contact Person Phone 'C3-d6 Z \ Fax
i\\: _ 5T u.AS� k S'7; • Pn ' c
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
t '''J-Ii S Gtc.p R-C(p
ARCHITECT
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
. t✓c.A�?m, -ic\sT i C--- . QzrAl — AV.4 <- cA2- tka-c- _
c„.A9..yek, --v ,, N- L_ -ra_1( Lk
--.. -.)2_. c.s\A = k 0 -i( I LI J'Ati /07\' C
cijitti
..A.,,
v. kyvt) ,,,,,, ,
►1
iv Please Complete Reverse Side
CD0492(Rev 4 931
STRUCTUREExisting Use 1, . 0 Proposed Use ��c ��Sx� 1 I AI
- Permit includes: A Building _ -- Jskarxetl 0'Ocher
- Type of Work: laTResidential 0 New 0 Remodel ❑ Number of Units_ 0 Deck
0 Corxime� �
al rAddition Garage ❑ Shed 0 Other
try Enter 1st Floor 140 sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
- Are - -n sq ft Decks sq ft Garage .,t2g sq ft Proposed Total Area sq ft
Water Availability 1I, ewer AvailabOn-Site Septic System Availability 0 Project Valuation S .
Zon . Lot Size `"TeX 7-4-0 Existing Bldg Valuation $ ;:', 'Zoo k
[0)0
LENDER (575k ,t3o 0,,,
Name Address •
City State Zip
MECHANICAL CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes 0 No
PLUMBING CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes 0 No I
PLUMBING FIXTURE COUNT
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains° Total Fixture:Count
MECHANICAL UNIT COUNT
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 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.
saw-
te Owner • - — Nat — Illalk I\ Date: v LS '