92-101129 •
CITY OF FEDERAL WAY BUILDING PPERMIT N9�. �'/lel"
O.: 921025
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 12/02/92
'Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 121 SW 306TH ST
PARCEL NO.: 556000-1040
PROJECT DESCRIPTION: ADDITION OF KITCHEN, REC ROOM, BEDROOM, STUDY AND BATHROOM. Please note planning conditi
IIUGEN
OWNER — CONTRACTOR — LENDER
EE GRAY
121 SW 306TH ST
FEDERAL WAY WA
941-5959
• I
BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN •SR FEES:
TYPE OF WORK:ADD USE:RES 1ST.: 0: 864:sf STORIES • 2 REQUIRED PARKING..: 0 SPRINKLERS? .7 FINAL PLAN CHECK...* $ 289.90
CENSUS CATEGORY •434 2ND.: 0: 0:sf HEIGHT • 0.00 ft HAZARD CLASS •7 BUILDING PERMIT....* $ 446.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW 0 gpm SBCC SURCHARGE * $ 4.50
:R3 OTHR: 0: 0:sf EXIST..$: 0 FRONT • 20.00 ft MEC APPLIANCE FEES * $ 16.50
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 56264 SIDE • 5.00 ft WATER SERVICE..:FED PLUMBING PERMIT/SPK* $ 25.00
:5N DECK: 0: 0:sf REAR • 5.00:ft SEWER SERVICE..:SEP PUB WORKS-PLAN CHECK $ 35.00
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:08/02/92
. 0: 0: 0: 0: TOIL: 0: 864:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 1 URINALS • 0 TOTAL FEES $ 816.90
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 1 SUMPS • 0
GAS HWT • 1 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 1 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 1 DRAINS • 0
BBQ • 0 MISC • 0 5+ HP • 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...: 0
GASLOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
—0 I lis
ALL PERMITS EXPIRE 180 DAYS AFTER ISS • CE IF NO WORK IS ••RTED. RE �ENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
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I CERTIFY THAT THE INFORMATION FUR •' HED BY ME IS TRUE D CORK 0 THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF RAL WAY REQUIREMENTS WILL BE ET.
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OWNER OR AGENT �i /i DATE
bld_prmt 10/23/92 �/
----"" ttili tj 50:10207.14001
g-:05°---"--'
re
BY
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SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE f2?-/v y'j BY /'V _ DATE 7 -1 6 ', BY y ...____ DATE _ .-_ BY
PLUMBING ROUGH IN WATER LINE O.K. _.-`S ty MECHANICAL INSPECTION
DATE3-/51T '_ BY -___-___ GAS PIPING O.K. __. . DATE..7-15-:".ref° BY
O.K. TO ENCLOSE FRAMING INSULATION
Cj WALL BOARD AND FIRE WALL
DATE �._4 _ BY __ DATE 5�!0(�vf BY de° DATE BY
FINAL O.K. TO OCCUPY
DCD PSD FD
DATE BY _....
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JUS 1992 CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
CM yHKyvv��99O^y^F�u,rF..yEDE. �iit 'AY —Please Print—
BUI.S.YY DEPT.
BOX 1 TENANT NAME: 12/ 3. ,.) . 3..�t. :V fr S D_ 14OWNER GG�,t.>E vie-",c 4( AIWA- SITE LOCATION Cor#/O bc.g(v 1411011 AK; rc..• B
OWNER'S ADDRESS /Z/ ...5 -,Th. d CITY _-__P-.t •L. - PHON i / ---""t `?
DESCRIBE JOB AT-7-)i-7-6 /./&" ,. /---Pc-Too,/ G:en.ioo,. 5/ke/y/ G/t«t
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THE PROPERTY IS OWNED BY: SINGLE/MARRIEPARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME J/l rLF CONTRACTOR'S REG. #
/Card MUST be presented
CONTRACTOR'S ADDRESS /Z/ 6, /i. 3ca�'.57 CITY T6D6x,1L /J/1/ PHONE gib $f5`-
EXPIRATION DATE
—OR —
I HAVE READ CHAPTER 18.4010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICEVROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON PAHt .$$ 4/t/4/ PHONE cI /-5gsq
BOX 4 SEWER DISTRICT %p I : e .. �.' WATER DISTRICT ,;542/S/efa[. G✓l/ u�1 c, A,6‘.4.6BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION 1/ �' ,
1d BOX 6 PROPERTY TAX ACCOUNT NUMBER ,556 / t `"7`A�p
LEGAL DESCRIPTION /J r'j) hi ie , Nilo 1 (,a,�l
V!c.L III S
c
(If necessary, please submit a separate page with the legal description.) v\� p
K.C. Plat Recording # ��F-,�>�� .
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR /Z" -1 ti ,� 2ND FLOORX)I /_4
3RD FLOOR -'®" / '-3' BASEMENT —G- / ----ea" DECK —e / -�3.. GARAGE —a /-7(
BOX 8 j) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
N0. - WATERCLOSETS GAS PIPING, FEET $
THT-UBS NO. FURNACE, ELEC. GAS)( 3ici46i( $ fib- vo
/ SHOWERS -11466x. GAS HOT WATER HEATER $ 6 r
j LAVATORIES CONVERSION BURNER $
Z SINKS BOILER, SIZE BTU $
j DISHWASHERS AIR HANDLING UNITS $
—' ELECTRIC HOT WATER HEATER ti141111154 HEAT PUMPS, SIZE $
LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
OTHER $
TOTAL FIXTURES $
,Ks-1-ICI 0 0 TOTAL MECHANICAL FEE $ 1E °5-0
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 HARM SS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
FEES INCURRED IN INVESTIGATION A i DEFENSE OF SUC 'CLAIM), HICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
AND FILED AGAINST THE CITY OF F i I ERAL WAY, BUT Y WHE:-SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
OFFICERS AND EMPLOYEES, U': THE AC :_ ,a'Air HE VORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: Z.,' �' i DATE: e"- 2-Fe
ANP-008'
0
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OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONEE1'2, SETBACKS: FRONT ZO( SIDE .51 REAR 5( HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT I/ NOT EXEMPT
FIRE DEPARTMENT APPROVAL 4J/(ix DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS: bit,kPu
!- i,'P —
TYPE OF JOB: NEW RESIDENCE RES Z. FOLL) AL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT _(UNITS )
MULTIFAMILY ADD/ALT TENANT IMP -
OCCUPANCY 1^;.3 TYPE OF CONSTRUCTION UA/ STORES
'2t�
I f ec,jr BUILDING SQ_FT. 66 `i @ -7 '1 = ( 36
Ltn-O. .Froov- BUILDING SQ. FT. H @ 1( = (f4(3 C
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ r
BUILDING SQ. FT. @ /�O( (C-( tr 0 ` `6%. p
TOTAL SQ. FT. TOTAL VALUATION 6 t(-7f ' 3E-
BUILDING DEPARTMENT REMARKS: Y Clic fe, /,/4- PERMIT FEE ST(
A4 /frk IPUtr eAu L t A . t° • 1 "- 7 L/ PLAN CHECK FEE 3 Y1
PLUMBING FEE 2-5-
MECHANICAL
cMECHANICAL FEE 16 ,SO
TOTAL BLDG. FEES
I '\.‘
PART P/C FEE
U SEPA REVIEW
ki ifjfr e S.B.C.C. FEE Lit 5—(3
XOTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS: Sem e x (51- {(Al
J
t: Ap
PARTIAL PLAN CHECK FEE RECEIVED
,� Amount Date Receipt#
BUILDING DEPARTMENT APPROVAL0 Q
BY DATE_ Z3 ` ACCEPTED FOR FILING
RECEIVED