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CITY OF FEDERAL WAYKIRMIT NO: (111)98-0771
33530 f .i. rst Way South pu I LDIN(.3 PERMI 't p:SUE D: 03/04/99
dle ra 1 Way, WA 98003 FM i I dingtVmpec t ion Requests 253 661 -4140 BY: EC2
2b3-661'-4000 *.,.. EXPIRES: 013/31/99
t ,
0 ','"•-•;:' .
,
r)DRE.S‘,-,:i:4536 SW 3161 It PL
'NO. : 211551-0240
'PROJECT DESCRIPTION:RES ADD - INSTALL DAYLIGHT :-SENEN?
I JAMES COREY JOE HARfER CONSTRUCTION SOURCE ONE MORTGAGE CO
1 4536 SW 31610 PL , 3912 S,78410 PL PO BOX 1800 I
iFEDERAL WAY WA 98023 AUBURN 6-90001 FARMINGION HILLS MI 48333-1000
• 253-352-2204
JOERAC$115M5
US COMACIORSAKOCE Wt. 1.001103 obi 1140411.11W111G SUES TAX FOP PROJECTS WINN THE CITY Of MENAI Y. TAX MAZE = 8.4 to*
f.=4nsu======marvsvmmial4=443104u=4.44400.:A444)44004,m4.4.441, 114:--- 07:4,-,4:,..aru=m44=r44=4,4142==.=m4.4,4mallta4==.=44=4,x,44maris. anzarsonams,===.:...nrx4.1kA,,,Azzr..z,m-cy.y..TJ
I BI.B?:X NEC?:X PLM?:X FIR--IXIST7PROP--- ,g1trarett Oa' 1 tbmrt PLAN •SIIID FEES:
I TYPE Of WORK:ALT USE:RES 1ST.: :::-sf 0-sSTORIE- .., : e . I 0i1011RED PARKING..: 0 SPRINKLERS/ .1 PLAN Cour FEE $ 214.50
CENSUS (NINORY.....:434 2ND.: --4: ' 0:sf 0 Ntlwrif..=1- 000 ft1.x.',I14240t4 -,..-;;; Aqii41*4 M10001065, .' 1
BUILDING PERMIT..„.' $ 330.00
OCCUPANCY GROUP- -- - - 3RO.t Af: ,'' s kti '-4L ,'-tITUT - REQUIRE :- , - - 4RE ION A , iii Mechanical Permit* $ 22.00
„,,,,.. -A, 4, ‘;24,A, ' °I
:R3 :? . :?:' :? : --"4: '1-.' '':114,sf ';,,' 141.! .$: 2 FROMI '''.r!' : 1 !0471 4r-i- 11.11cal P8rlits $ 5.50
0i
TYPE OF CONSIOCTION----- BAT: 0: 0:sf P:si° _1 37000 SIDE . is Ti' s -TER SER ! TAC i --FLURITNG FIX!... .93* $ 35.00
:sg :? •? :? : Nur: 0:. 0:sf "?” s- '11' REAR' • 0.00:ft SEWER SERWICE..:LAK I PLM PLAN CHECK $ 22.15
OCCUPANT LOAD-------- --- GAR.: 0: 0:5f RECTIVED;:11/00)8
0 • 1
•
SB(( SURCHARGE * $ 4.50
0: 0: 0: 0: TOIL: : 0:st IMPERV SURFACE: 0 sI SENSITIVE AREAS?.:? FINAL PLAN CHECK * $ 0.00
Additional fees not shown here...
FUEL TYPES.:? ? FANS • NILERS/(00PRISSORS WATER CLOSETS 1 URINALS 0 TOTAL FEES
$ 780.25
filiVIIPO::: 00 ft HOOD • 0 0-3 TON • 0 BATH TUBS • I DRINKING FOUNT.: 0
DUCT WORK • 1 3-15 TON • 0 SHOWERS • I SUMPS • 0 1
1 GAS NWT • 0 WOOD STOVES. • 0 15-30 TOR. • 0 LAVATORIES • 0 VAC BREAKERS...: 0 I
COIN BURNER: 0 FURN)100r • 0 30-50 TON. • 0 SINKS • 1 DRAINS
I 1
BBQ • 0
0 RISC • 0 501 TON • 0 DISH WASNERS.......: 0 LAWN SPRINKLERS; 0 I k
1 GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANES--------- FLU WER HEATERS...: 0 OTHER FIXTURES.: 0
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 IAUH WSNR OUTLIS...: 1
GAS LOCS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
MIMS EXPIRE I:I. ;,'YS AMR ISSUANCE IF NO NONE IS SIARTED. RESIDENIIAL AND GRADING PERMITS EXPIRE ONf YEAR AMR DATE Of ISSUANCE.
--.1 tERIIFY HAT lip OWEN ruansso SY Of S I AND MKT T TA NEST 01 MY KNONLIP01 AND IRE AMAX E CIT Of FEDERAL NAY REQUIREMENTS WILL RE NIT.
. , , i _,•‘:
InEll OR AGENT lir ' 1 IF DAT I
/ ......_
, 4 / r---------- I )
i 4 ,,,-
.
FIELD COPY
1 SETBACKS-& FOOTINGS;
Date A./g-- By, _
..................... ........................................................................
..................... ........................... ............................................
- 2 FCUItAT1<,01iii AL14`
Date j--/0- q9 By
3 PLUMBINGiGROUNDWORK
Date 3 j e _ c ‘By G�
4 SLAB INSULATION
Date --/ -. By
5 FOOTRIGJDOWNSPOUT DRAINS.
Date By
..................................................................................... ...........
6
................................................................................................
..................................................................... ........................
....................................................................................... ......
Date By
EA. ......... ...............................;..:............................>.......<.......................>...............>... ° ..
7 SH :W LLS:;;:;:;::: ;> ;>;; > > > > > >>
...............................
.... ... ...........................................................................
Date By
.... ........ .................................. ......................... ...............
... . .................................................................. ....................
.... . ...... ................................... .. ..................... ................
8 PLUMBING'ROUGH IN...:_;..:....: ...; .:.;....:. .....;!'
Date 4(. /,-.::e��.::::::.By :`.::.!`::.
.................................... ..........................................................
9 IP1Nta
Date By
10 MECHANICAL ROUGE(=1N
Date LI- 47- 9 `? ByC..j./ ._
11 FRA1YIINt ':>....:
Date.::: ` — By `
milamilimmiffliffi,tommiiiciiiiiiiii
12 INSULATIO . /�y : .....
Date / / f / By 0,7„,
�I/`/
13 GWB =:IST LAYER
Date 11/..,/3_
I /3_ - Q By
14 GWB.=.• 2ND LAYER
Date By
15 SUSPENDED.CEILING..: . > >' > >:;
:....:::.......:.....:....:....:.................................................................
................................................................................................
Date By
................................................................................................
................................................................................................
16 PLANNI.NG..F1NAL: .. . .:>: ::>::::::::. ,: .
.......................................... ................................................
............................................. ........................ .....................
Date By
17 PUBLIC WORKS'FINAL. ;::::S .:
Date By
7F.R,,otit4,,,„,,,,,:,,,,,:::::::,:,:,,,,,,,,,,,,,,,:::::::"::::::::::::::::"":::::::::,"::",,,,„,,,„„„:,„:„.„,„,„,„„„.
Date By
19 BUILDING FINAL.:>
Date `/J 0 By AA
20 OTHER ,.
Date By
CD0193(Rev 4/97)
arroFG 'I R't R ECE I V E E. BUILDING DIVISION
633530 Fust Way.South
A IEJZFIL— Federal Way,WA 93003
uIkNOV� 0 5 1990 (253)661-4000
Fax(253)661-4129
GUY OF FEDERAL.Vrt.'
APPLICATION FOR BUILDING PERMIT
PLEASE PRINT APPLICATION # 3 ) 3 '"-Os- i
g.'.iftidexiiiiiiimmigniniliiingoil Address
5
ID 4 w 3
7
Tenant(if known) Lot# Assessor's Tax #
"2-V\ ' S 1 -- O2)4
BuildingOwner's Name Address
Prntzs - C_O e{S3 G S w 3 l CO ? 1
City t CL0?I.1(L- - Vi State w^ Zip cub b O'Z-J Phone 2- '21 b3$..-1S‘3
Nature of Work 1-??Aga 1 .-L . 1\N ' .cl 'k-f-- U frt LV G KI &VIAA _M
Name (F,M,L)
Address
City State Zip
Contact Person Day Phone Other Phone Fax
iiiiiiibigitii:MAriaiikiiiiiiIiiiiiiiiiiiiiiiiiiiiiiiiiiIiiiallFEDERAL WAY BUSINESS
LICENSE
#
—
Company Name
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified D Yes ❑ No
ECT..............................................................
............................................................................................
Name
C\AA CAAitt-l_ I(V`V R--\ '‘i
Address
City \1-(1'" Vv AL State N/ 7! Zip C., 0
Contact Person Phone s2-° ,---Fax
OVS Fax
LEGAL DESCRIPTION
O1 & Si- -`1 •rr -24_2 �� aoie0(M � V1-64/ zefJ?f, sl06, JC(Z
• Please Complete Reverse Side •
::
6T� � » E" .::... .: .._<'.>'.: : '.:» ; Oisting Use
"Imposed Usk
Permit includes: pk Building 5 Plumbing 0 Mechanical 0 Other
• Type of Work: pi, Residential ❑ New Remodel ❑ Number of Units ❑ Deck
0 Commercial 0 Addition 0 Garage ❑ Shed ❑ Other
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor _ sq ft Existing Floor Area sq ft
A Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
ater Availability Xl Sewer Availability On-Site Septic System Availability ❑ Project Valuation $ 37, cp00
Zoning S - 7 . Z Size ` GL 0 A Existing Bldg Valuation $ TA \ 0 00
L/+.N0 )-12_1 000
mnimmimiNiNiNi
I..EN.E ` >[[[[[> [< ':. >[[€ [` > > > >[[[[[[[:>>
Name Addie
S o Jz c-2.. U NXZ U (i-P a A-01Z ( 0 .0 . ov,,
l 16 6
City F dR`Qt(&\N Cr IU J.) )-AA,1-k, State lGVA Zip y X333"1 'BoO
MECHANICAVteNTRACTOREMME
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes 0 No
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
Water Closets t Sinks k Urinals Lawn Sprinklers
Bathtubs t Dish Washers Drinking Fountains Other
Showers 1 Electric Water Heaters Sumps
.............................................................
.. .............. ............ ...........................
.. ...... ...... ... ..................................
Lavatories Washing Machine t Drains Total Fixturez'Count
ettl.A ICAI, t.M eatnSO',,.;;.;.;..;.,..;,,,.., MECHANICAL EVALUATION 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:
(e.---1 / Date:
r,EV6fD 8/28/97