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92-101409 qa.- /61Ya9 Cl!Y OF FEDERAL WAY BUILDING PERMIT PERMIT NO.: 92-0952 3::530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 07/14/93 Fec'eral Way, WA 98003 BY: FLF 661-4000 SITE ADDRESS: 30521 6TH AVE SW PARCEL NO.: 178880-0510 PFOJECI- DESCRIPTION: RESIDENTIAL ADDITION — REVISIONS SUBMITTED 6/24/93 FOR DINING & FAMILY ROOM ADDITION ONL — OWNER CONTRACTOR LENDER PHILIP DYCK OLDRIGHT 30521 6TH AVE SW 114 S. 210TH FEDE.!:AL WAY WA 98023 SEATTLE WA 9 .-0903 878-2068 OLDR10B176M1 _ BLD?:X MEC?: PLM?: FLR EXIST PROP DWELLING UNITS: 1 COMP PLAN •SR FEES: TYPE OF WORK:ADD USE:RES 1ST.: 0: 247:sf STORIES • 1 REQUIRED PARKING..: 2 SPRINKLERS? PLAN CHECK DEPOSIT.* $ 117.00 CENSUS CATEGORY 434 2ND.: 0: O:sf HEIGHT • 0.00 ft HAZARD CLASS PUB WORKS-PLAN CHECK $ 35.00 OCCUPANCY GROUP 3RD.: 0: O:sf VALUATION REQUIRED SETBACKS FIRE FLOW 0 gpm FINAL PLAN CHECK...* $ 30.00 E--- :R3 OTHR: 0: O:sf EXIST..$: 34500 FRONT • 20.00 ft BUILDING PERMIT....* $ 180.00 TYPE OF CONSTRUCTION BSMT: 0: O:sf PROP...$: 16085 SIDE • 5.00 ft WATER SERVICE..:FED SBCC SURCHARGE * $ 4.50 :5N DECK: 0: O:sf REAR • 5.00:ft SEWER SERVICE..:SEP FINAL PLAN CHECK...* $ 0.00 OCCUPANT LOAD GAR.: 0: O:sf RECEIVED.:08/31/92 0: 0: 0: 0: TOIL: 0: 247:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 366.50 GAS PIPING.: 3 ft HOOD 0 0 3 HP 0 BATH TUBS 0 DRINKING FOUNT.: 0 FURN<100K..: 1 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 • 0 880 • 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 Gii <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0 GAS OGS...: 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. Y OWNER OR AGENT e i1— DATE ,/`, �7 2 _ , � bld_prmt 10/23/92 v kL j 7 �V ( • • SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK DATE Z _. BY_... _____ DATE ...0 ) BY C - DATE BY PLUMBING ROUGH IN WATER LINE O.K. _ MECHANICAL INSPECTION / DATE....— BY _.._—.........__..._______ GAS PIPING O.K. (.6lol5f�l DATE _-_._ BY O.K. TO ENCLOSE FRAMING INSULATION 7 WALL BOARD AND FIRE WALL DATE '_�....BY __ DATE ..Y`v .7V BY DATE .. Z/ .._ / BY FINAL O.K. TO OCCUPY DCD PSD FD DATE/ Fy BY_....... Wly ail,er/Z. *--;.-/W/,V6- o-lz (ii ) Y/71-Y �� G I City of Federal Way • v DEFIED APPLICATION FOR BUILDING PERMIT JUN 2 4 1993 II L? - ' APPLICATION #: I 7 'SITE LOCATION Address 3 D 5 q / f`t 4112. S. (A_). eLLW&J CAJ& Tenant (if known) Lot # Assessor's Tax # rlir(;p, Pu,c q gio 3 ; 7�r& _ DJ—/O Building Owner Name Address City F' x-0..\ State ,� A Zip Q 8 0 z.,33 Phone 2 ci .....- Vet 6 ©iO Nature of Work S+ •�f a I( J c.,0 Ot.. a e,yt APPLICANT Name (F,M,L) t ll, II e A Address � 05Z1 Cfn At,,e_. ,C, C4.) , City F QA 2,r'et 1 CA)cui State iv 4 zip T8 O Z3 Contact Person Day Phone Other Phone Fax S___2 ?q b — C1 (103 sa- A.2.__ ,.._________— 54 BUILDING CONTRACTOR Company Name 0 0tJ,J&2- Address City State Zip Contact Person Phone Fax Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No .. ......... ........................ .............. ...................... ARCHITECT Name K P h E • ' 0 i r till Address / Z ! O 1-V1 City Piz 5 /"t 0 1 h e S State /'1 zip -L ? t Q Contact Person Phone Fax _ln P78' . Z06 P LEGAL DESCRIPTION /04...— God 9 / 6 Z< 3 / --/ir,19-/-7 �� Poi 17 Please Complete Reverse Side C00492(Rev 4/93) r STRUCTURE xisting Use 0 Proposed Use . ' 'Permit includes: Building ❑ Plumbing Mechanical ❑ Other , Type of Work: Residential ❑ New ,' Remodel ❑ Number of Units ❑ Deck ❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area 10 sq ft Area Basement sq ft Decks sq ft_ Garage sq ft Proposed Total Area / S sq ft Water Availability Sewer Availability ❑ `—_`n-Site Septic System Ayailabih yProject Valuation S l — Zoning Lot Size _ Existing Bldg Valuation $ ; Soy LENDER /0//1-- Name Address City State Zip 11CI-IANICAL CONTRACTOR //44.- Contractor Name Address City State Zip Contact Phone Fax License # Expiration Date Verified ❑ Yes ❑ No PLUMBING CONTRACTOR Ai' i' Contractor Name Address City State Zip Contact Phone Fax License # Expiration Date Verified ❑ Yes ❑ No • PLUMBING FIXTURE COUNT 1 /1 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 A 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 ma 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 clai s"ut o .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. h Owner/Agent: ( ,.� 1 )-' /( &I/4_ Date: OPogiP - 92- lq c)--- JUN 2 veb 0 , Oiriorir. 3 199 W P,.:y Z CITY OF FEDERAL WAY Y4r BUILDING PERMIT APPL CATION v —Please Print— (-l t.c.,c_ , l t- i BOX 1 TENANT NAME: r di lt"` ") p4�� Ii � ��c.I� OWNER ° ti ` , • LC SITE LOCATION 3 a.52 ,i-'s ! ✓ ,, OWNER'S ADDRESS 'g © ' 2. I -I-h, j _- 5 . f CITY - ,-, •. r W, PHONE " ' •` i i ` DESCRIBE JOB Ad 1 ;fib.I THE PROPERTY IS OWNED BY: SINGLE/ RRIE .X PARTNERSHIP CORPORATION ic \;. BOX 2 CONTRACTOR'S NAME K ►�-vt 0 ( tit <-i t!k"f' CONTRACTOR'S REG. # az,- 01 OL DR l OS '.3 �� Card MUST be presented--- CONTRACTOR'S ADDRESS E` 14 So 2 t Q CITY 50_4414. PHONE 506)-20 6 3 EXPIRATION DATE 3 2 tf - '3 s — OR — 4- t`76 (1 I I HAVE READ CHAPTER 18.27.010 RELATING TO DE INITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON int a 1$ H • Dile k= PHONE 9 S/Z, -- D WO BOX 4 SEWER DISTRICT - -—'! r - .F I ' , ,L ATER DISTRICT Fodj-c Q El.)Ry BOX 5 ESTIMATED PROJECT COST __P e-S - EXISTING BUILDING VALUATION '7 b . 'O ©f4d, ?�U BOX 6 PROPERTY TAX ACCOUNT NUMBER 1-72 ,810- 05-10 - 0A. � �Mt. 15 9 ' LEGAL DESCRIPTION L e i- ii l v t- ` 3 r C 0 c n f rvi L. 4 k Dhf,"# 4t (If necessary, please submit a separate page with the legal description.) `l K.C. Plat Recording# Coo iV f R 1 L 4 iu 6 p ii U c &O, 41-_ _ BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR ��t?(/ 6� 3 - 21 FLOOR / 3RD FLOOR / BASEMENT / DECK l GARAGE / , BOX 8 (r) SINGLE FAMILY ( NEW CONSTRUCTION ( ) MULTIFAMILY(NO. OF UNITS = ) EXISTING STRUCTURE 1 " ( ) COMMERCIAUINDUSTRIAL OTAL AREA OF PROPERTY .d_ SQ FT BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL AP'LIANCES — BASIC FEE$ NO. WATERCLOSETS GAS PIPING, FEET $ BATHTUBS NO. FURNACE, ELEC. GAS $ SHOWERS GAS HOT WATE• HEATER $ LAVATORI . VERSION B i RNER $ SINK• BOI .•, SIZE BTU $ DISH HERS AIR HA•'LI UNITS $ ELEP Rh► HOT WATER HEATER HEAT PU `, SIZE $ LNDRY • .SHER OUTLET UNIT HEA'ER $ URINALS AIR C00 NG UNI IZE $ DRINKING FOUN • NS COM • •CIAL HOOD $ SUMPS, SPRINKLER ,CUUM BREAKERS OTI-t R $ DRAINS $ OTHER 1 $ —if-TOTAL FIXTURES $ TOTAL MECHANICAL FEE $ RTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS )E.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS' S INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM),WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED, FILED AGAINST THE CITY OF FEDERAL WAY,BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS CERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. :R/AGENT: 4 11 6 2- DATE: 6 r 5 - ` , ANP-008 3/90 • 0 - le OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW.triiS LINE) ?ONE l•2- SETBACKS: FRONT 0.201 SIDE _ ' REAR 5 ' HEIGHT LIMIT 3" PLANNING DEPARTMENTAPPROVAL T p %�31I REMARKS: .: ��"ticilnq S_naU enGr0ach y ,_ �,,.« ono or easement.shown or not shown.' pie -) p{A- f zc /05:/05'. Lizsore. illef Gni-ive cen/a.:r s 2 fats i 5/tu.. , `i' t 'J d 5' Pyt,, t s;dQ AA:MX, Tlette sAranfire, Gib—A4.4 o"-- — f.-4,- SEPA: -✓SEPA: EXEMPT // NOT EXEMPT Vim/ io-2)0M-. FIRE DEPARTMENT APPROVAL �� DATE REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL DATE REMARKS: � iifCr TYPE OF JOB: NEW RESIDENCE RES. ADD �� IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALTJNITS ) MULTIFAMILY ADD/ALT TENANT IMP. L --(am' OC c l (Al BUILDING SQ. F NI TYE Of .,VI.J IO® @•••��. • STORES L( V 0 O BUILDING SQ. FT. 233 @ ( ( = ( 4 3 BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ + _ BUILDING SQ. FT. @ '0df F(e'r= 6 ` 8 g TOTAL SQ. FT. TOTAL VALUATION il¶4 BUILDING DEPARTMENT REMARKS: PERMIT FEE 3(13 PLAN CHECK FEE $7.2-3 PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW Pot3UL tAbR.K. 36-.0t) S.B.C.C. FEE 14.3-0 OTHER FEES AMOUNT DUE ASSIGNED ADDRESS: See' I S 4-1(ivq 1 PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt# �/ BUILDING DEPARTMENT APPROVAL RECEIVED BY f� C q DATE I Li— f I ACCEPTED FOR FILING . . • 0„e ,..,,. ` et\ti 1 \ fa' • .t..... C .f,.:::;),) 1 -. -Tro• • . .. , ..... ,..2 .Z_. 4t011 gt ' 1 , ...., Li -Th 1 .-. . t:i • $ , ; ...,..,_. ; L.) ''' "....,4 _J! 1•• • 1 -Z ---T- ---- -- ------ I-A1 1 .-- - ,.....v Li k--- ,-- - c--)1 '0.Z. • , I 1 4.-- _ lir — -- - - 4p- '4 -,---7, 1 - . ... ..,:\-*, ....gt: _ n o : 13 WI tr) CC\ 7- ' • • k- • - .1-= , ra-fis- ____ .......... ____ 1,1 ......, 1\ 1 1 ...., 1 N-4-1 tit - I s:ley ) ---- -_,' 0 i 1 I I -1 V r-- .1 :1 V 2 C ) CO --. 0 tNi _ — 1"4 rii .'NN'- • -7. 6 NI -1 N. C..3 ..._i _ , 1* , ,N cizi ._._) ...*4(-) „\-- J *N,,C) Lid --- +t — 4 iCf 10/__ SITE PLAN K APPROVALac—1-,-- '4, Permit Number: VA.- cr 2-- (7 ?S A-- Approved By: e Date: Comments: _4 I A ,..........................