97-104288 CITY OF FEDERAL WAY yy�. 11ll y. J,.y � PERMIT NO: W
33530 First Way South :El)...u.. II.,„�.•..,h ,IL. 11il .:li il,,.,��.:.:.. i.:.,fti., ,.. .,,�.,, EIS UEDO:11/25/97
Federal Way „ WA 98003 AA Building Inspection Requests 253-661-4140 BY: FC
253-661-4000 g � t-,Alla" EXPIRES: 05/24/98
ADDRESS: . . . . . . . . . . . . . . . ,. . . . v � 97' 1O y��'g
NO. : 082104-9249
PROJECT DESCRIPTION:Builing permit for infrastructure of 11 lot cluster subdivision.
-- OWNER ----- -- - CONTRACTOR -- LENDER -- ,.
�- WALT SHAFER JAN-WES HOMES INC
I 22030 7TH AVE S 204 .L2/4-4-C4X' ` I 22030 7TH AVE S, SUITE 204
I DES MOINES WA 98198 DES MOINES WA 98198 i
206-824-9990 824-9990 1
UP f
` JANWEHI1320D I
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.6% in
T Z
BLD?:X MEC?:? PLM?:? FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN •SR FEES:
s TYPE OF WORK:NEW USE:COM 1ST.: 0: 0:sf STORIES • 0 REQUIRED PARKING,.: 0 SPRINKLERS' •' BUILDING PERMIT....# $ 0.00
CENSUS CATEGORY •999 2ND.: 0: 0:sf HEIGHT • 0.00 ft ` HAZARD CLASS •'
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm
:? :? :? :? OTHR: 0: O:sf EXIST..$: 0 FRONT • 0.00 ft
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 0 SIDE • 0.00 ft WATER SERVICE..:?
:? :? :? :? DECK: 0: 0:sf REAR • 0.00:ft SEWER SERVICE..:? i r
OCCUPANT LOAD GAR.: 0: O:sf RECEIVED.:11/25/97
: 0: 0: 0: 0: TOTL: 0: 0:sf I IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:? i
-- ___.t.._.
-FUEL TYPES.:?? ? -- FANS 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 0.00
GAS PIPING.: 0 ft HOOD 0 0-3 TON 0 BATH TUBS • 0 DRINKING FOUNT.: 0
RN<100K..: 0 DUCT WORK • 0 3 15 TON 0 i SHOWERS • 0 SUMPS 0
HWT • 0 WOOD STOVES...: 0 15 30 TON...: 0 LAVATORIES • 0 VAC BREAKERS...: 0 t
CONY BURNER: 0 FURN>100K • 0 30-50 TON...: 0 3 SINKS • 0 DRAINS 0
BBQIlliS
0 MISC • 0 50+ TON • 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
1 GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 E `
ru___ _ _
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 NE IS TRUE AND CO C ! r,- BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE NET.
OWNER OR AGENT '� DATE ///ZS4___
FILE COPY
BUILDING DIVISION
«rr of
RECEIVED• W 33530 First Way South
grlErtFIL Federal Way,WA 98003
uV F7Y (253)661-4000
Nov 2 5 1987 Fax(253)5614129
CITY OF FLULHAL WAY
POI DING DFPT
APPLICATION FOR BUILDING PERMIT
PLEASE PRINT APPLICATION # b 0 d 77 -0,0
''' Address
Tenant(if known) Lot # Assessor's Tax#
Building Owner's Name �/, Io4".,_ ,^ / Address
U��S ar-c65. /vC
City State Zip Phone
Nature of Work ;/- /-c-4 7 71-6.¢-77
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;�1...�'�.1.SAN'�..........................................:.....:.............
Name (F,M,L) J
AA., /2/(FIZZ:), /,‘-'C
Address 226 3 A��
City ��S - /.4.-Yi, "!! S ' State VL,:sa Zip
Contact Person �v Day Phone', Other Phone Fax
�c:r�FcL (2o ) 8-2 —9990 (UoE) 730 -7997 (z00 -244 -1800
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Company Name --
s7f /-/J ,ya ve'
Address
City State Zip
Contact Person Phone Fax J
Contractor's #(card must be presented) Expiration pith z Verified Yes 0 No
751nkAjEtit 1
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Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
iSTRUPWROMENEMMEMEii, tin9 P
Use ose
d Use
Permit includes: 0 Building 0 Plumbing 0 Mechanical 0 Other
Type of Work: 0 Residential 0 New 0 Remodel 0 Number of Units 0 Deck
0 Commercial 0 Addition 0 Garage 0 Shed 0 Other
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement s. ft Decks s. ft Garaee s. ft Pro.osed Total Area sq ft
Water Availability 0 Sewer Availability 0 On-Site Septic System Availability 0 Project Valuation $ _
Zoning I Lot Size Existing Bldg Valuation $
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LENDER:<:z::::z::>:«:><>z <::< <>>::;::>< ??'':?
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Name Address
City State Zip
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MECHAN
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes 0 No
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....1.�..f�1A.�.1 t.Y...A..t.... ........1.(.1.�..y.+.R�*......C..y.!.t.�.�y.........................
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes 0 No
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#?lU...air.4C,MX Rgi4:0tllel. ?>><ON..
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Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fixture Count
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MECHANICAL UN1. C:O.UNri ==? ?> MECHANICAL EVALUATION ONLY $
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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 TateLUntt:Coupt
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 pers?54cluding the undersigned,and filed against the City of Federal Way,but only
where such claim arises out of the reliance of the city,includin ' cers..•- .oy upo -accuracy of the information supplied to the city as a part of this application.
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Owner/Agent: _ -''�/' Date: �� 2 S 9
BUILDING.APP
REV6E0 8126197