96-102710 . AM% 9,6,/00,27/0
CITY OF FEDERAL WAY PERMIT NO: BLD96-0339
33530 F i rs t Way South Dt-da.,, .: L.,lm': ,1N PO let t.,y,it1'",'it1 P1l.,,O 1,.. ISSUED: 11/14/96
Federal Way , WA 98003 Building Inspection Requests 661--4140 BY: RM
661-4000 EXPIRES: 11/14/97
ADDRESS:402 S 289TH Sr
NO. : 5152913--0260
PROJECT D E S C R I PT I O N:SFR/ALT - (ADU) - CONSTRUCTION OF A 793 SF ADU (ATTACHED) TO AN EXISTING HOME Of 2611 SF. (TRACT A, MARINE HILLS WEST)
T= OWNER ...__.._.___:,__._...__.._._._..__._ _._ --7 CONTRACTOR =::_--- ---- T LENDER _ :::.:.-,.------ _.---_. - - ---
( DAVID THORSTAD OWNER IS CONTRACTOR E OWNER IS LENDER
( 29505 7TH AVE SW e 2
1 FEDERAL WAY WA 98023 ; 1
•41-4850 i
L. _ i
_._.....___... -. _--,. -____--____-..
xxx CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITNIN THE CITY OF FEDERAL WAY. TAX RATE = 8.2% *t*
�__.._.__.. .._.. •• _. ._...-_"-__.___,:,, ..__...._::c___.----_-_._...__-._.--__..•-_..-----'r ..._ ----------- Y ----
BLD?:X MEC?: PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN •HDR ? FEES:
TYPE OF WORK:ALT USE:RES 1ST.: 0: 0:sf STORIES • 0 REQUIRED PARKING..: 3 SPRINKLERS' •' s PLAN CHECK FEE $ 64.35 I
CENSUS CATEGORY •433 2ND.: 0: 0:sf HEIGHT • 0.00 ft i HAZARD CLASS •' FINAL PLAN CHECK...* $ 0.00
1 OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW 0 gpm BUILDING PERMIT....* $ 99.00
1 :? :? :? :? OTHR: 0: 0:sf EXIST..$: 450000 FRONT • 20.00 ft SBCC SURCHARGE * $ 4.50
TYPE OF CONSTRUCTION BSMT: 0: O:sf PROP...$: 8000 SIDE • 5.00 ft WATER SERVICE..:FED 1 PLUMBING FIXT...•93* $ 14.00 I
I :? :? :? :? : DECK: 0: 0:sf 1 REAR • 5.00:ft SEWER SERVICE..:FED
y OCCUPANT LOAD GAR.: 0: O:sf RECEIVED.:08/14/96 I I
: 0: 0: 0: 0: TOIL: 0: O:sf IMPERV SURFACE: 3796 sf SENSITIVE AREAS?.:N
____ .._______-._------_--------..:..:
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS i WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 181.85
S PIPING.: 0 ft HOOD • 0 0-3 HP • 0 F BATH TUBS . 0 DRINKING FOUNT.: 0
INFORN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 0 SUMPS • 0
1 GAS HWT 0 WOOD STOVES...: 0 15-30 HP 0 LAVATORIES • 0 VAC BREAKERS...: 0
1 CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 1 SINKS • 1 DRAINS • 0
a BBQ • 0 MISC • 0 5+ HP • 0 I DISH WASHERS • 1 LAWN SPRINKLERS: 0 1 I
! GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS I ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
l RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0 ' I
1
GAS LOGS...: 0
. - . .,�.___.:..�> 10,000 CFM: 0 UNDERGROUND.: 0 _ ... .---.-_._ ,
.._..._-- --0000._ _. _..____I
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
/. .._. 0000__iii4_..._ ._._.. .__... .... .. ._ DATE /1 .../47._..
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SETBACKS'A FOOTINGS
Date By
FOUNDATION WALLS
Date By
PLUMBING GROUNDWORK
........ .......
....... .. .. ...
Date By
UNDERFLOOR FRAMING
Date By
[ SHEAR WALLS
Date By
PLUMBING ROUGH-IN
Date By
GAS PIPING
Date By
MECHANICAL ROUGH-IN
Date By
MECHANICAL (OTHER)
Date By
FRAMING
Date By
INSULATION
Date By
GWB - 1ST LAYER
Date By
GWB - 2ND LAYER
Date By
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL
Date By
BUILDINGF1JNAL/;
Date b...-- ( ;— -7 By /jar .
OTHER
Date By
OTHER
Date By
CD0193
RECEIVED ,
• City of Federal Way S AUG 14 1996
•
v\> Y L APPLICATION FOR BUILDING PERMIT CITY OF FEDERAL WAY
BUILDING DEPT.
PLEASE PRINT L10� APPLICATION #: /L4J IW-- 633
SITE LOCATION Address .e-) •6 , Z �'a i
Tenant (if known) Lot # Assessor's Tax #
Building Owner Name / �, / Address
L.. .'�!-1�?�'`��,��'I�gF7�l-.., r' -'' Y I "fa:, '�l',
City rim(7p7� ( (�� 1 State (�� Zip lit,„-7 Phone 1�1 :� 14
Nature of Work (/r?f- 2j2-,1.h -f Vy.,
APPLICANT
Name (F,M,L)
Address
City State Zip
Contact Person Day Phone Other Phone Fax
BUILDING''CONTRACTOR
Company Name
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
ARCHITECT
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
)
2�Z3 5�
Please Complete Reverse Side it. D �( y� v
JCD0492(Rev 4/931
i 51k UC'l YJKE ting Use '-ilA kt."ix1M., •posed Use .}z,,(kr1�jC�i 1�
l- rmit includes: ® Building ® Plumbing El Mechanical ❑ other
Type of Work: 0 Residential ❑ New Remodel ❑ Number of Units Z. ❑ Deck
❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Enter 1st Floor ZZCJL,o sq ft 2nd Floor /°p7 sq ft 3rd Floor sq ft Existing Floor Area .jC>(g sq ft
Area Basement J J 7 sq ft Decks 4e777 sq ft Garage �Q sq ft Proposed Total Area p l di sq ft
Water Availability Sewer Availability iiii On-Site Septic System Availability ❑ Project Valuation $ 6pq,C7'
Zoning #Z.jh 1, Z.0 Lot Size 7Y�Gj Existing Bldg Valuation $ o f:7, ,t C7i.=,p '
•
LENDER
Name Address
City State Zip
•
MECHANICAL';;CONTRACTOR
Contractor Name Address
H
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
.. ............................
. ............................
PLUMBING CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
B is & — pa)porde
PLUMBING FIXTURE COUNT 61 0 zg.,3il
Water Closets 3 �� Sinks j fli L' Urinals Lawn Sprinklers
Bathtubs 3 Dish Washers + 4-f ,)--_ Drinking Fountains Other
Showers ! . Electric Water Heaters C Sumps
Lavatories (,f li Washing Machine f ').-_ Drains Tote{Fixture Count
UPLithie- is--i
MECHANICAL UNIT COUNT MECHANICAL VALUATION ONLY $
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: ) , ,ii �_. ` - / .r'�� Date '',//' �r^
Ir ,