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97-100515 7—JO C 5 5 CITY OF FEDERAL WAY PERMIT NO: BLD97-0101 33530 First Way South ,11!Au,,,,V,1;: I!' .19c1PAft. irm471704.1r ,1r ISSUED: 08/05/97 Federal Way, WA 98003 Building Inspection Requests 66:L 4140 BY : FC 661-4000 EXPIRES : 02/01/98 ADDRESS: 330 SW 293RD STREET NO. : 119600-067:1 PROJECT DESCRIPTION:GRADING AND FILL - 850 CBYDS GRADING FOR ACCESS ROAD, ALSO 2 ROCKERIES AND 1 RETAINING WALL. r OWNER ____ ___________ __-- F CONTRACTOR ---------- -- -. ----------- ---------- gLENDER - _. ___._ i EDMUND JACOBS ) D W CONSTRUCTION CO 1OWNERS ARE LENDERS 114 2ND AVE SE ) 16422 199TH CT NE 1 P.O.BOX 513 3 WOODINVILLE WA 98072 { PUYALLUP WA 98371 a 1 845-0577 I 1 DWCON**232M1 ,' -- ------ .__...__..._ _:_ - --_j - _ - :.___ _:_____._ - i - - - --- - - - ----- ----I *** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.2% *** BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 0 j COMP PLAN •' 1 FEES: TYPE OF WORK:ADD USE:RES 1ST.: 0: 0:sf STORIES • 0 , REQUIRED PARKING..: 0 SPRINKLERS/ •/ 1 PLAN CHECK FEE $ 284.05 CENSUS CATEGORY •565 2ND.: 0: O:sf HEIGHT • 0.00 ft ) HAZARD CLASS •' 1 PW PLAN CHECK $ 600.00 { OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION ( REQUIRED SETBACKS FIRE FLOW • 0 gpm ) PW ADMIN. DEPOSIT $ 1409.00 :U2 :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 0.00 ft PW INSP FEE DEPOSIT $ 200.00 TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 55000 1 SIDE • 0.00 ft WATER SERVICE..:? i GRADING PERMIT $ 96.00 :2N :? :? :? DECK: 0: 0:sf i REAR 0.O0:ft SEWER SERVICE..:? OCCUPANT LOAD GAR.: 0: O:sf RECEIVED.:02/14/97 1 : 0: 0: 0: 0: TOIL: 0: 0:sf 1 IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:? 1 . .. .- __---_...._ I FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS j WATER CLOSETS • 0 URINALS • 0 j TOTAL FEES $ 2589.05 GAS PIPING.: 0 ft HOOD 0 0-3 HP • 0 ) BATH TUBS • 0 DRINKING FOUNT.: 0 1 FURH<100K..: 0 DUCT WORK • 0 3-15 HP • 0 jSHOWERS • 0 SUMPS • 0 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 I SINKS • 0 DRAINS 0 1 BBQ • 0 MISC • 0 5+ HP • 0 i DISH WASHERS 0 LAWN SPRINKLERS: 0 1 GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ` ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0 1 RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 E LAUN WSHR OUTLTS...: 0 1 GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 1 1 -==-----___---•-__-_ ._-._-___--_-___ _..__-.-• -_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 FURNISHE ME IS TRUE AND CORRECT TO THE BEST OF NY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. OWNER OR AGENT . _ DATE _YL5- 77___ FILE COPY • 7145530b e , ,I TY Of 1 f 1 1..Pi ti. 1-fi l'I' 33S-.40 First 4,,4,,,ty (::,outh r0114.." i 1...bi i-04.,..1 rii c rvri 1 ri 2-51 i -••?,-,k-t-A1 Way, Ws ' 100 i Itui Wing Inspection Reque•::,ts 661 661 -4000 •ADDR ES.S;: 330 tiW 2(K3R It !; I Ht.! 1 ti NO. : 1.1 9600--06 7 I PROJECT ouscR I l'1 i ott :GRADINt AND FILL ' 050 CRYITS GRADING" TOR AUISS ROAD, ALSO 2 ROO:ERRS AN PFTAINI r I. [KIND JACOBS D N CONSIRUCTION L'.' 114 2ND AVE SE 16422 199TH LT NE P.0.00X 513 PUYALLUP WA 18371 45-0577 WOODINVILLE WA 98072 011CONtt232N1 II& 1b i I 1 ; } ' ! i i 'U (011 CI* . PLEASE VSt LOCATION cool 1132 mot* "It— ,, , .. , . . , . 0;,..., 'Al p4111 . IJA, f*I _ _ ...,.. _ ( OLD?:Y. MEL?: PIN?: 41,--t siLpRI 4ft! ;;_,:, .r, ,: u , , 1 it(-. 1 1 TYPE OF MORI:ADD USE:RES 151.: ,:,, U. .. f PLAN (our l'EL $ 284.05 ( CENSUS CAtEGORY •SY5 2ND.: 0:0: ' :Li ,, PW PLAIT CHLCF $ 600.00 1 KOIPATICY GROUP- --- -- - 3PIT.• t:;.!: '', _:,.,1 1 !it :112 :? :7 :? : .. :441''''); -,':: 4/.4 I . - , Til ADMIN. DEPOSIT $ 1409.00 PW IHSP FEE DEPOSH $ 200.00 TYPE OF CONSIRKIION - - . ....- ..(Isf- ' , . Tt- -41AILIT StItYlt.t..: ' -''''f'•'-''' • ' - tt - :2H :? :1 :? • -- ,, II* i.41 11- 1:-f OCCUPANT LOAD-- ---- -- lifIT"..i,t- '1;‘! - . . , ;,i ..,,,,,_ ,,,,, ,,,, : . .,!. t SEWER SERVICI... :1 ; GRADING PERMIT 1 1 $ 96.00 ( : 0: 0: 0: 0: TOR: 1"- 0! ' t im! .,,' , , i.. 0 sf SENSITIVE APEAt-t.:? 1 . . / I FUEL TYPE:S.:1 :' TATC.4.=‘, ittALIT,' At! ti (Los • 0 1.181KALS • 0 Ma fidS .„ i GAS PIPING.: II ft dip... .. 0 ,P..... tt , C... ......: 0 DITINIINGIOUNI.: 0 WIR NEAI E 7 GAS DRYER..: 0 .1,110AIIN:.... I:, FUEL T15 IIP.. AOWE. • 0 MRIPS !ATTIV BURNER: 0 13B0 • 0 RANGE : 0 • 0 WOO 0 • 1551-30 : t,' i iliisfliirsT:AR.liE.HSE_Ri.......; 00 VDAR4(113RNs0 LAWN SPRINLUS: 0 EAILPS...: 0 1 'OP : 0 30-50 • 0 1 • K AIO, - . --- 1 LF( ERS...: 0 OMER FIXTURES.: 0 ADOVE GROUND: 0 EOM WSW OUTETS...: 0 1 1 GAS LOGS,..: 0 101 IN: 0 UNDERGROUND.: 0 f I ITINIIIS EXPIRE Do FM-, i ',It u NO WORK IS SIANIED. RESIK111141 AlD GRADING PUIN115 EXPIRE ONE YEAR A1111 WE Of ISSUANCE. I COME 11141 FIN 111fORt,i •IntillE NE IS WE AND CORRECT 10 INI NEST Of NY KNOWEEKE AIN Tut APPLICASEE (111' Of FEDERAL WAY REOUIRENENIS VIII RE WI. • OWNER OR ACM ' eel L_ ilat y/s17 7 ,... • FIELD COPY .1 SETBAOKS:&FOOTINGS S Date O //Sr/ q 7 By ............. .................................................................................. ............. ................................................................................... 2 FOUNDATION WALLS Date /' — i y 3 PLUM ING GR Date By ... .. .................................................... ..... • 4 SLAB INSttLATIN :: . Date By .................. ............................................................................ . ................................................................................................. ................................................................................................. ................................................................................................. 5 QOTING/DOWN tfrp [SES::;: :;:: :.. Date By 6 UNDERFLOOR ............................. .............. ................................................... ........................................... . .................................................. Date By ............................................................................................... ................................................................................................ ................................................................................................ ................................................................................................ ................................................................................................. ................................................................................................. Date By ................................................................................................. ................................................................................................ ................................................................................................. ................................................................................................ 8 Date By ................................................................................................. ................................................................................................. ................................................................................................. Date By .............................................................................................. ................................................................................................. ................................................................................................. ................................................................................................. ................................................................................................. Date By • 11 FRAMING Date By .............................................................................................. . ................................................................................................. ................................................................................................ 12 .................... .......................................................................... .................... .......................................................................... ................... . .......................................................................... Date By ................................................................................................. 13 ................................................................................................. ................................................................................................. Date By .............................................................................................. ................................................................................................. ................................................................................................ ................................................................................................. 14 .................................................................................................. ................................................................................................. Date By ............................................................................................... .. ................................................................................................. 15 '&USiN1BDOEiLItQ::...:::..`.:..........;: ::..........:. Date By .......................................... 16 I LAI ING°I NAL:; Date By 17 PUBLIC.WORKS:FINAL Date By .......................................................................................... ... .. 18 ............................................................................................. ... ...:.............................................................................................. Date By .................................................................... . ......... .............. ............................................................................................. .. 19 BUILDING:FINAL.:;: Date By ............................................................................................... ................................................................................................. ................................................................................................ 2 0 ................................................................................................. ................................................................................................. Date By CD0193(Rev 4/97) BUILDING DIVISION or G 33530 First Way South Federal Way, WA 98003 (206) 661-4000 RECEIVED Fax (206) 661-4129 FEB 14 1997 APPLICATION FOR BUILDING PERMIT LAiY' CrIED6EALWAY PLEASE PRINT BUILDING DEPT.. APPLICATION#: JAf 0 (0 ` 3f)Address S flA)- Lot # Assessor's Tax # 119 e —06'7/ —00 littibiamOwner's Name Address ScD►vl 1 1� :�nCOiz,S cc City- State Zip �y '-,, I Phone Nature of Work Z �( Q,ji(`0/ 1 V?tp,,k&?ii 'wa t i Q c GU✓� '°f a59 V . cAtA nrT>I Name (F,M,L)_ rb��1OjL,1� Address III -7'` Ca re .E City C1 f 14) i 1 v p State w- - - Zip ci 7 / Contact PerinDay Phone Other Phone Fax �c�/e� ;C .S 1-6"727 11(11LDING CONTRACT /,,�„�� l Company Name C / 0 /e-C..�'E't► Address City State Zip Contact Person Phone Fax Contractor's # (card must he presented) Expiration Date Verified 0 Yes 0 No F Name I'1e C' ILf/ rlllq'�('1j7� - Address City 1/1ti1� state tj1jq Zip CIS/ O- 1 - Contact Person Phone Fax LEGAL DESCRIPTION _4i1 airc.1.01 PIease_Complete Reverse Side • $Tl?C/C7�/l7L- Existing Use Proposed 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 - ❑ 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 sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft Water Availability -0 -Sewer Availability 0 --On-Site Septic System Availability 0 Project Valuation S 56- Tt–co Zoning ILot Size Existing Bldg Valuation S Name � Address O"rn"LYi ... City . -- • State Zip ivt ECOA TICAL Ca►NTRACTO :. :>: _ Contractor Name Addresy City ate , Zip Contact Phone Fax License # – Expiration Date Verified 0 Yes 0 No t1QING CONTItACIVIt>`> :>«' :<>><';>' /c PL111 Contractor Name Address City (! , State Zip Contact Phone Fax License # Expiration Date Verified 0 Yes 0 No PLUNI:13INGARMTUREVOUNINUMN Water Closets Sinks Urinals Lawn Sprinklers Bathtubs Dish Washers Drinkir.29 Fountains Other Showers Electric Water Heaters Sumps _ Lavatories Washing Machine Drains Total Fixture Count ME(,IIANICA L.UNIT'C #:: Tni.ig<Mi:i MECHANICAL EVALUATION ONLY $ Fuel Type (electric/oth: Gas Dryer u Air Handlin9 < = 10,000 CFM 15-30 Tons Length of Gas Pipin. Range Air Handling > = 10,000 CFM 30-50 Tons Furn <10OK BTU. Gas Log Unit Heater 50+ Tons Furn >100 BT.s Fans Miscellaneous Fuel Tanks Gas Hwt Hood Boilers Above Ground Cony Bur,er Duct Work 0-3 Tons Underground BBQ' 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' foes 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. E.,;(517 Owner/Agent ��i��r��!YCL — -- — Date: J /! 11.iii ou„An• ..• II,vi.,n11IJll!H