96-102763 - �'7V3
CITY OF FEDERAL WAY PERMIT NO: BLD96-0348
33530 First Way South . 'il+h,,.d0 ,;(h', II.,D„11!, IKkIP 1er pi,rim 1141:. V. ISSUED: 08/29/96
Federal Way, WA 98003 Building Inspection Requests 661 -4140 BY: FC2
661-4000 EXPIRES: 02/25/97 -
ADDRESS:32221 461H PL SW
NO. : 873202-0460
PROJECT DESCRIPTION:
SFR-ADD - BAY OUT WINDOW IN FAMILY ROOM
CONTRACTOR _...--____-. _ __ _�«_ __.-____«._.__ = LENDER ---- •-
JOHN/LORI PAULSON OWNER IS CONTRACTOR I I
32221 46TH PL SW 1 ( 1
FEDERAL WAY WA 98023
0
661-9029 ( 'tie
IP
*It CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE : 8.2% ***
BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 1 ( COMP PLAN •SFHD ( FEES:
TYPE OF WORK:ADD USE:RES 1ST.: 1740: 40:sf STORIES • 1 ( REQUIRED PARKING..: 2 SPRINKLERS' •' ( PLAN CHECK FEE $ 35.10
CENSUS CATEGORY 434 2ND.: 0: 0:sf HEIGHT 0.00 ft HAZARD CLASS •' ( BUILDING PERMIT....* $ 54.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION I REQUIRED SETBACKS FIRE FLOW • 0 gpm ( SBCC SURCHARGE * $ 4.50
:? :? :? :? OTHR: 0: 0:sf EXIST..$: 0 1 FRONT • 20.00 ft (
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 3000 SIDE • 5.00 ft WATER SERVICE..:FED (
:? :? :? :? DECK: 0: 0:sf ( REAR • 5.00:ft SEWER SERVICE..:FED (
OCCUPANT LOAD GAR.: 0: O:sf RECEIVED.:08/19/96 ( i
. 0: 0: 0: 0: TOTL: 1740: 40:sf I IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS 1 WATER CLOSETS • 0 URINALS • 0 i TOTAL FEES $ 93.60
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 0 i
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 I 410
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 ( SINKS • 0 DRAINS • 0 t
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
GAS LOGS,..: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 I (
1 =---::.-----------_----------- - :-_- _...._.._ -_1 :, ____ _- -----, «. .�
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF MO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FUR BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE NET.
OWNER OR AGENT < 14-e"_-• -__ DATE (iee.rTile
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• RECEIVED AUG 1
City of Federal Way ` g 1996
APPLICATION FOR BUILDING PERMIT,ot-,FEDERALwAY
BUILDING DEPT.
PLEASE PRINT APPLICATION #: ► � 631-1 8
SITE LOCATION Address 3 2.. ; 1 Liu t$. c-Ri 5,W
Tenant (if known) Lot# 1 l.�r Assessor's Tax #
0tdnLt �{732D2oluD
Building Owner Name Address
�j^�n�► -; L8r ( ?�.�c.(� 1,1 sRttae.
t-
City aip i"td f Loa 14 State (,J,4 Zip t O 1 3 Phone Lobo f-q t j,e't
Nature of Work ' {� D I✓C t erc w i rid Gni.) ► ca n`1 ( rva iv?
APPLICANT
Name (F,IVI,U ,
earl L Ye,iyn Pada/5D r 41- Johr1 T. i €1tl s,t
Address ,e„,‘
,- q t 6 „ R, 5 to
City t:'dr r f ti State WA-
- Zip
Contact Person Day Phone Other Phone Fax
BUILDING CONTRACTOR
Company Namai 1 �"
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes El No
ARCHITECT
I Name
Address
City
State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
7'c�rt,H- ;v r 96 .
Please Complete Reverse Side
CDo492(Rev 4/93)
STRUCTURE existing Useroposed Use ,Oki;r
Permit includes: Q' Building ❑ Plumbing ❑ Mechanical ❑ Other
Type of Work: Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck
❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Enter 1st Floor 1110 sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area 17 sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area Q sq ft
Water Availability lI Sewer Availability Q On-Site Septic System Availability ❑ Project Valuation $ 36-60
Zoning{�• ,;a' Z `; 'b - Lot Size 6Imo -t- Existing Bldg Valuation $
f
LENDER
Name CRO
7 d U a n C i ' Iv�G'(i�-{°�`n (pa�,(e1s`) Address 0 4,0 S S .
2.92 ",
City Feel e� /�a I W State w�J Zip r Odv3
\
MECHANICAL CONTRACTOR
IContractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes 0 No
PLUMBING CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes 0 No
PLUMBING FIXTURE COUNT
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine D.ains Total Fixture Count
MECHANICAL UNIT COUNT MECHANICAL VALUA'T'ION 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 l 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 investigati. d 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 City, including its officers and employees,upon the accuracy of the information supplied to the City as a part of this
application. /n/
Owner/Agent: '� t _ / 4( Date: l — 4xL2 ` / 1 L
0 Project,' NVI/k 0
Job t Date
MacDonald-My
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SITE PLAN APPROVAL
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