93-101149 9 -/6/Pe5
CI 1-Y r-;-- FEDERAL WAY BU I L D I N G PERMIT PERMIT NO.: BLD93-0500
335'J0 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 05/27/93
F';deral Way, WA 98003 BY: FC
661-4000
SITE ADDRESS: 3622 SW 339TH PL
PARCEL NO.: 921150-0630
PROJECT DESCRIPTION: ADDN — BUILT PRIOR TO INCORPORATION ® NEED FINAL INS? FOR SALE OF PROPERTY
OWNER CONTRACTOR — LENDER
FREDERICK PAUL
6435 DENTON WAY
CITRUS HEIGHTS CA 95610
726-7871
BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN •SR FEES:
TYPE OF WORK:ADD USE:RES 1ST.: 0: 0:sf STORIES • 0 REQUIRED PARKING..: 2 SPRINKLERS, .7 PLAN CHECK DEPOSIT.* $ 210.28
CENSUS CATEGORY •434 2ND.: 0: 0:sf HEIGHT • 000 ft HAZARD CLASS .7 BUILDING PERMIT....* $ 323.50
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm SBCC SURCHARGE * $ 4.50
:R3 OTHR: 0: 0:sf EXIST..$: 88000 FRONT • 20.00 ft
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 35758 SIDE..........: 5.00 ft WATER SERVICE..:FED
:5N DECK: 0: 0:sf REAR • 5.00:ft SEWER SERVICE..:FED
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:05/12/93
: 0: 0: 0: 0: TOTL: 0: 0:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 538.2
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
® OGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 1
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 ��' 4 2 -Ce.62 , i DATE a7-1 -23
bld_prmt 10/23/92
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a 1 • City of Federal Way • COMMUNITY DEVELOPM4 EPARTNIENT
---,s,fi-/\-11)1F1-1dir<F1Frk"r\
u � APPLICATION FOR BUILDING PERMIT MAY 1 2 1993
..op.k.:icerie.
q's , A PLEASE_.
PR APPL/CATIOg
g�pg3 0)-2)° 9 ,z3
SITE LOCATION Address 3ca„,Z2 S. Com. 339 tb PL . FEDERAL 143Ay, WA
Tenant (if known) Lot # Assessor's Tax #
tDARREL A .. .E MARY A . HODGINs b3 9z11so-0630- 03
Building Owner Name Address
FIRE DER-1C—V £,.v. PAUL , 435 I)En7on C4)Ax/
City C(''TIQUS H C(41-tTS State CA. Zip q . ,(0 Phone 016) 726-7871
Nature of Work ADDI 'non +o ( ' I5-r% ns BLD y . Art D 1REM1ovtLinc ,
APPLICANT
Name (F,M,L)
E D G-R.% K. 1,), PALL.
Address
671-1-35 .D En-ro rt Way
City C .yr Q u s W P I c�h State c A . Zip 9 s6 /0
Contact Person Day Phone Other Phone Fax
SArnE 0416) '726 - '78'71
BUILDING CONTRACTOR
Company Name
(SEE A cc.crnpyLr G. L-Tl2, ,J
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
ARCHITECT
Name N
lA
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Lo-r G3 Wer, e.WooD We -r .SIV, z
Please Complete Reverse Side
C00492(Rev 4/93(
•
STRUCY�TRE Ell, Use ,�
R�Sfp�mtTlaL �sedUse RCS!DENT IAL•
Permit includes: ❑ Building ❑ Plumbing ❑ Mechanical ❑ Other
Type of Work: Residential ❑ New II Remodel ❑ Number of Units ❑ Deck
❑ Commercial I ' Addition ❑ Garage ❑ Shed ❑ Other
Enter 1st Floor 1(SC)sq ft 2nd Floor 1180 sq ft 3rd Floor sq ft Existing Floor Area 2360 sq ft
Area Basement sq ft Decks sq ft Garage 1-1//,, sq ft Proposed Total Area ZC[ZO sq ft
Water Availability i3' Sewer Availability Er On-Site Septic System Availability ❑ Project Valuation $ .:
Zoning RS c).6 Lot Size 115•/724 86.37% O.oi:, Exfa4n Bld Valuation $
82.5'7 x 2F3 ac 4cA .9. <f- $
LENDER
Name Address
MERIP/A►si MoR,TGAcEIE Co• Po. ao < 1517
City WALLA WALLA State WA, Zip ' 4 3 6 2..
...........................................................................................
MECHANICAL CONTRACTOR
Contractor Name N` Address
A
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
......•..•........................................................... ....................
PLUMBING CONTRACTOR>":>`>ii i::...::
....... . .... .......... .. ...........................................................
•
Contractor Name Address
(SEE A ct"ompy)nc, LT g.•
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
....... ............ .. .............. .. ................................................
PLUMBING'FIXTURE COUNT
Water Closets Sinks ✓4 Urinals Lawn Sprinklers
Bathtubs ( Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fixture Count Z
. ...... ..................... ...... .............. . .....................
....................................... ....................................
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.
Owner/Agent: L/6GC�.l�iZ .(Z . Date: � ,/G7/ / 9 53
PLOT
SHOW I N G S`TCK
�5 FT E
3622 S.W. 33 " PL . D ELLUN
SITE PLAN APPROVAL
Permit Number: Ifl--r) ' rt )LSCALE: 1/411= 4/ APPROVED BY. DRAWN_BY'
�.�.Lc_
Approved By: 11 DATE: 5_8-93 REVISED
Date:
Comments:
� / •
42 ,t7tt) RECO,'Ey
DRAWING NUMBER
1
c , SHEET i ci5F- MAY 12 1993
JOM OF FEDERAL Witt!
BUILDING DEPT
Th
S LJ
JAVONTIA Vi 3T12
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