93-101974 93, 1019-7(1
CITY OF FEDERAL WAY BUILDING PERI‘,IIT ISSUED:PER77
09/17/93
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FLF
661-4000 EXPIRES: 03/16/94
ADDRESS:32149 9TH AVE S
NO. : 609390-0330
PROJECT DESCRIPTION:RESIDENTIAL ADDITION - CONSTRUCT FAMILY ROOM ADDITION
OrMER =CONTRACTOR = LOWER
MARK PALMORE TOTEM CONSTRUCTION INC
149 - 9TH AYES 2520 MILL AVE S
,Iiiib
ERAL NAY NA 98003 RENTON NA 98055
839-9079 2717
TOTEUCI090J1
iBLD?:X NEC?:X PLM?:X FLR--EX T P--- Mint WITS: 0 ' +KIM PLAN •SR FEES:
TYPE Of WORK:ADD USE:RES 1ST.: 0: 568:sf S' tIES ...,.....:,0 1I PARS,.. ; ..: �. PLAN CHECK DEPOSIT.* $ 214.50
CENSUS CATEGORY •434 .: 0» . . .0:sf N SHT.....: 0.00 ft : � fi . = PUB MKS PLCK(SF)..93 $ 40.00
OCCUPANCY GROUP- �.: 0: 0 sf VAUJAT --------- REQUI1 �E3 -- SIRE �, . gp� , . FINAL PLAN CHECK...* $ 0.00
:R3 OTHR: 0: 0:sf 4a E ST..$: 48000 f "f:: ...`.:.0 C� PEIMIIT....* 330.00
TYPE OF CONSTRUCTIONImo: 0: O: f,,, FSP..,$: ., '3 SIDE 5.00 ft NATER SERVICE..:FED SBCC SURCHARGE * $ 4.50
:5N : DECK: 0» Oaf EAR •
5.00:ft SEVER SERVICE..:FED NEC APPLIANCE FEES.* $ 14.00
OCCUPANT LOAD- GAR.: 0: 0� RECEIVED.:08/0 93 PLUMBING FIXT....93* $ 7.00
0: 0: 0: 0: TOTL: 0: 568:sf INPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
„ TYPES.:GAS FANS • 1 BOILERS/COMPRESSORS MATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 610.00
PIPING.: 20 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
FURN<100K..: 0 DUCT WORK • 0 3-15 HP . 0 SHOVERS • 0 SUMPS • 0
GAS NIT - 0 MOOD STOVES...: 0 15-30 NP • 0 LAVATORIES • 0 VAC BREAKERS...: 0
CONY 4IWRNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS - 0 DRAINS • 0
BBQ • 0 NISC • 0 5+ NP • 0 DISH MASHERS • 0 LAMN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE • 0 <:10,000 CFH: 0 ABOVE GROUND: 0 LAUN MSNR OUTLTS...: 1
GAS LOGS...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0
PERMITS EXPIRE 180 DAYS AFTER ISSUA+ IF WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE 4. ,RMATION J. +��MEME IS TRUE AND i CT TO THE BEST OF NY KNONLEDGE AND THE APPLICABLE CITY OF FERERAL MAY REQUIREMENTS MILL BE MET.
OWNER OR AGENT r' _ler' '11M, or 9 - 17- ,
7- 9
DATE
FILE COPY i3$a$88g1D
0 ' i
JAUG - 5
City of Federal Way
- 51993 APPLICATION FOR BUILDING PERMIT
7 Ni-ii -- 2I __, ,.--7-4CITY OF FEDERAL WAY / .-BUILDING DEPT. .� APPLICATION #: 040 93 °f 77
'
PLEASE PRINT ""�
SITE LOCATION Address <-)71.(19 9tH AVg- . 6), F(.. -/tt- vtllk-x tAJA- 9f9c 23
Tenant(if known) A'fA Lot# j Assessor's Tax #
1 { X9.390--03.30-01
Building Owner Name Mf/ t T' �i nivif Address
Mi— g-M�6 PALiwtol- 3 440 9TU. NS®.
City i&_ vvisrt State 1,✓P Zip 906364V Phone(Z0(6) g39•-9071
Nature of Work f i_-t 0(0)111 A(p(r0 fa
. .......................................................................................
.. .......... ...........................................................................
APPLICANT ..in':>'.:> : ` :M>>:
Name (F,M,L) mn A.Aitc) tit 9...5 /"1`^ 0JA �rG �,
Z
Address 3i" 1 ;►� /'Cv Ei �Q , F�
City f kL i/vfri--( i lore State (,1/4 Zip 98003
Contact Person Day PhoneOther Phone Fax I
MA \ A,L �S�h .-- &C.770 539 9079 NA
aati i CONTRACTOR.
Company Name .—C M\ (..,,01\ ci(Q` 1 e6,`
Address2„5Z� µ�l 4_ Ac M. �`�
City f,q.�troM / State I,./A' Zip 98O 5-5—
Contact Person zp �1�4,r f
�� Phone 27I_0161 Fax 71_ot6,0
Contractor's # (card must be presented) Expiration Date Verified 0 Yes 0 No
. ....................................................
..................................... ...............................................
ARCHITECT .i . . . :..
Name T01TrAA GQNGTELAcAi Ona i/ttL.
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
LcY l5l '5c. X--- j N f 6r 1-'- Qa�� /2, I ACCA-old
70 ?C.A-1 ot,.2ci-7 /4 V 6 L w4 6;Z o f .' i..-/417�/
'A6-1 77 l i ni V-IA1�� Goun.r.-( I wAst- 0/V,
Tt-0/V,
Please Complete Reverse Side
CD0492(Rev 4/93
4
0 •
STRUCTURE Existing Use ? ' J ri .— Proposed •Use ' ts-si NTS AL
Permit includes: X Building X Plumbing Mechanical 0 Other
,
Type of Work: X Residential 0 New A Remodel 0 Number of Units_ 0 Deck
0 Commercial "K Addition 0 Garage 0 Shed 0 Other
Enter 1st Floor ,.5-"Col sq ft 2nd Floor _sq ft 3rd Floor sq ft Existing Floor Area /CA 0 sq ft
Area Basement s /(
Decks sq ft Garage sq ft Proposed Total Area p®S sq ft
Water Availability— Se er Availabilit On Site Septic System Availability 0 Project.Valuation S...,35.090
Zoning Lot Size 1X I os r Existing Bldg'Valuation S
.14C:6) ,l.
LENDER
Name \4.. Address
City State Zip
MECHANICAL CONTRACTOR
•
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes 0 No
•
PLUMBING CONTRACTOR:
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes 0 No
. ... .... ..... ....................................... .
PI UM . NG•FIXTUR•E COUNT
Water Closets • Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine ( Drains TotalFixtuteCount 1
MECHANICAL:;UNIT.:COUNT
Fuel Type (electric/other) Gas Dryer Air Handling < = 10 ,000 CFM 15-30 Tons
Length of Gas Piping -Z-0 i Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log i 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 beet 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 def. se 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 arise le relian .f the City,including its officers and employees,upon the accuracy of the information supplied to the City as a part of this
application. tar, ''
Owner/Agent: �_ ` Date: e- 3 - 9