96-1040489G-/oylb y S
CITY OF FEDERAL WAY PERMIT NO: BLD96-0480
33WO F .i rs t way South
.�!'.'.;,.. ,�:' IN..,..;�N::;;i4 .::: ►�i a JH it, °� �;, cy, i'';"'� ►'. ►gym.„ .. ,:,, ISSUED: 01 / 0 2 / 9 7
Federal Way, WA 98003 Building Inspection RequesL:s 661-4140 BY: FC2
661-4000 EXPIRES: 07/01/97
ADDRESS:05152 2.7'm AVE SW
NO.: 252108-9047
PROJECT DESCRIP,FION'RES ADD - CONSTRUCT A 576 SF DETACHED GARAGE ON EXISTING LOT (TAX LOT 4252103-9047) WITH MOBILE HOME.
T= OWNER=_________________________=__=___._____-__===_===='p= CONTRACTOR
DON ANDERSON 1 ROGGE'S CONSTRUCTION
( 35211 27TH AVE SW 5116 228TH S1 E
r FEDERAL WAY WA 98023 ! SPANAWAY WA 98387
1 ►
833-4983 846-9198
ROGGEC4044BU
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE : 8.2% ***
I
BLD?:X MEC?: PLM?:
FLR--EXIST--PROP---
DWELLING
UNITS: 1
COMP PLAN .........
:SFHD
FEES:
I
TYPE OF WORK:ADD USE:RES
1ST.:
2640:
O:sf
STORIES........:
1
REQUIRED PARKING..:
2
SPRINKLERS?......:?
FINAL PLAN CHECK...*
$
76.05
CENSUS CATEGORY ..... :434
2ND.:
0:
O:sf
HEIGHT.....:
0.00
ft
HAZARD CLASS...:?
PUB WKS PLCK(SF)..93
$
40.00
OCCUPANCY GROUP----------
3RD.:
0:
O:sf
VALUATION----------
REQUIRED SETBACKS
------
FIRE FLOW....: 0 gpm E
FINAL PLAN CHECK...*
$
0.00
:U1 :? :? :?
OTHR:
0:
O:sf
EXIST..$:
0
FRONT.........:
20.00 ft
IBUILDING
PERMIT....*
$
111.00
TYPE OF CONSTRUCTION-----
BSMT:
0:
O:sf
PROP ...$:
9936
r SIDE..........:
5.00 ft
WATER SERVICE..:FED
SBCC SURCHARGE.....*
$
4.50
:5N :? :? :?
DECK:
0:
O:sf
REAR...........
5.00:ft
SEWER SERVICE- JED
OCCUPANT LOAD------------
GAR.: 0:
576:sf
R*ECEIVED.:11/04/96
i 0: 0:
0: 0:
TOIL: 2640:
576:sf
F
i FUEL TYPES.:?
?
FANS..........:
0
BOILERS/COMPRESSORS
GAS PIPING.:
0 ft
HOOD...........
0
0-3 HP....... 0
O
DUCT WORK.....:
0
3-15 HP.....: 0
0RN<100K..:
S HWT.... :
0
WOOD STOVES...:
0
15-30 HP....: 0
CONV BURNER:
0
FURN>100K.....:
0
30-50 HP....: 0
BBQ........ :
0
MISC...........
0
5+ HP........ 0
GAS' DRYER..:
0
AIR HANDLING UNITS
FUEL TANKS ---------
RANGE ......
0
<:10,000 CFM:
0
ABOVE GROUND: 0
GAS LOGS...:
0
> 10,000 CFM:
0
UNDERGROUND.: 0
IMPERV SURFACE: 4716 sf SENSITIVE AREAS?.:N
WATER CLOSETS......: 0 URINALS........: 0 ) TOTAL FEES
BATH TUBS..........: 0 DRINKING FOUNT.: 0
SHOWERS ............. 0 SUMPS........... 0 ,
$ 237.55
LAVATORIES.........:
0 VAC BREAKERS...:
0 !
SINKS ...............
0 DRAINS..........
0 t
DISH WASHERS.......:
0 LAWN SPRINKLERS:
0 1
ELEC WTR HEATERS...:
0 OTHER FIXTURES.:
0 I
LAUN WSHR OUTLTS...:
0
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 FURNISHED BY ME IS NB-EORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABJLE CITY Of FEDERAL MAY REQUIREMENTS WILL BE MET.
OWNER. OR AGENT ------- --------------------------------- DATE
FILE COPY 4ysG�a 3gy
• BUILDING DIVISION
«rvoF G 33530 First Way South
VFMF= _ RECEIVED Federal Way, WA 98003
NI�y (206) 661-4CD00
40V 0 41999 Fax (206) 661-4129
CITY OF FEDERAL WAY
APPLICATION FOR BUILDINTPEOff
PLEASE PRINT /,
APPL/CAT/O #: LD� � � V 4UQ
0
^7 /
CYT>�' 7 YT' A'i`ff]N Address
Tenant (if known)
Building Owner's Name f d F ,^rkAl-�,om
City ".� u!yR�Sttaate �{ -
Nature of Work F , a y l�j�i lM✓7(AP a ✓�
Lot # I orIs,'�x #
Address
*e
Zip Phone
Name (F,M,L)
Kal V-!
k . L,
Address I /
(, L 4
b
Cit bytu,'
State U%r .
�/
Zip �1 7� � -7
Contact Person
f' 'n ILL
Day Phone ��6`��� r)
Other �7n�k>�
Fax �G`� __r I'f5?
...................
IlftC TRA'31Z
....................................................................................
Company Name P cc y C 1 S
(A,
`�' i)
(n& CJv- t j C) 1V
Address E-f r / ,V
Ci
i5,j
Citv ?83C-- —7 •
State
zip g'3JC-?
Contact Person �Q //;
r' LUG
PhonO06Yl"-`%i`��
F� 5� �"'�
Contractor's # (card must be presented)
I/Jif1/ / ��J1 O[�/1,p //
Expiration,
Verified ❑ Yes ❑ No
Name
Address
City
State
Zip
Contact Person
Phone
Fax
LEGAL DESCRIPTION
PleaseCnm Idato Reverse Side
i
Rucrc
tin Use
g
posed Use
Permit includes:
0 Building
❑ Plumbing
❑ Mechanical
❑ Other
Type of Work:
Residential
❑ New
❑ model
❑ Number of Units
_
❑ Deck
Commercial
❑ Addition
Gara e�,
❑ Shed
❑ Other
fig'Ily❑
Enter 1 st Floor
sq ft
2nd Floor
sq ft 3rd Floor sq ft
Existing Floor Area
sq ft
Area Basement
sq ft
Decks
sq ft Garage i 76 sq ft
Proposed Total Area
SQ ft
Water AvailabilitAle
Sewer Availabilit
❑ On -Site Septic System Availability ❑
Project Valuation
1 $ �j ��r
Zoning '
��
Lot Size
- �-5 > -.r,
Existing Bldg Valuation
�.
I $
............................................................................................
...........................................................................................
............................................................................................
...........................................................................................
.,�.�....................................................................................
i<...................................`'.............................
ii''!3'?>>�> i<i<
....................................................
... ................... ........................... ..
Name
Address
Cit
State
zip
..........................................................................................
............................................................................................
.......................
�F��E3E E
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
..........................................................................................
............................................................................................
PLUJlIBING CONTRA�TOI.: '
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
........................................... .....--.....................................
...........................................................................................
............................................................................................
...........................................................................................
............................................................................................
...........................................................................................
............................................................................................
Water Closets
Sinks
Urinals
Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains
Other
Showers
Electric Water Heaters
Sumps
Lavatories
Washing Machine
Drains
Total Fixture Count
............................................................
............................................................................................
...........................................................................................
............................................................................................
%
ME�HAI�I�AIj KNIT���;!+d'�
............................................................................................
ONLY MECHANICAL EVALUATION
C$
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 <1OOK BTUs
Gas Log
Unit Heater
50+ Tons
Furn > 100 BTUs
Fans
Miscellaneous
Fuel Tanks
Gas Hwt
Hood
Boilers
Above Ground
Conv 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:
6` oi—A!
R, v— 8121 /96
Date: /
R
z.SO'
c
SITE PLAN APPROV
Permit Number.
Approved By:
Date:
Comments: S�
Sl��
�e61=- fCA
ce.\ ,-4 ZSZ 1 O 3 CA CA-1
xxx CONIK
ill( PLM":
Vsf:pP,:,
eQ 1."Htlp --- ---
F cl; I `._ i P. U T I 1*,�
1v H < I u0K 0
S Hw f
0
G0 DRYER_:
RANGE......:
GAS MIS
q*5?fo�
is
RLS ADD 1.QK'1l'0d i', S7r Si PLIi,CHID 1.,1Ak4t,1 oll L,;1_Ml15 1,01 i4�v (i1;1 I Will! MOH0 l!rjl1L
-- ---- - L LC 11 P I,
I)U6 228111 1
JPI,10AY WA
IORS PLIASL Uk.1' I (ICA] ION (Obi 1131 VKLM WOMIK I H KiN ]HI- QV ()I 14.19-XAL PAY. IfiX RAIL
7
fl-k- [--PROP "QUI fill'
M : '0: JQPI(S.p 11.1 -Pit,
ftlR wi 1: v1J, k! 14).
0: O:sf VALUAII pt `sHokk$ --- - 111iml-
.. (L . . . , : u 9pa
VTHP 0-.sf EXIST .910 ......... �u t 01 fuuf C KPM1
iSMT 0- o.- s, f PROP... 111 1� ...... E P S ERV I -I' E. F'c f
TIM.: 0. o"; f REAP
CAR. U: .576,sl .,Llvf p
roft - 21640*
F Air ...........
IMMIS ..........
FOUNI.. 0
0
0 VA( 8111AURS_.: 0
W f LoV,i 1091 1� ......... :
.............. DRAIM .........
illsll WASHEPS ........ 0 LAWN SPRIMERS: 0
R its ML fANG- ELSE VTR HEATERS—: 0 01HU MTURES.: 0
0 Jm- rl A K) 0 k I H 0 LAtIll %tP (101' LIS..
9
11 If UP WJR1. I'S SIMILK FLSIDIMIAI_ AND CRADUK PEHKII' LXPkN.t UK 11.0. hf HP. DIME 01- hSM'&L.
gig-.-fidi) CMU 1`0 1111F KSI OF hY KW-U-01L AND fiff. QPLI(Aftl' CflT Of FEDUAL 4Mi 49URIKHI*�' AM 01 11FI.
!Y'A f r. t;;Ij �, Ill q 7
FIELD COPY
SETBACKS & FOOTINGS
Date I! P i By
FOUNDATION WALLS
Date
PLUMBING GROUNDWORK
Date By
UNDERFLOOR FRAMING
Date By
SHEAR WAILS
Date By
PLUMBING ROUGH -IN
Date By
GAS PIPING
Date By
MECHANICAL ROUGH -IN
Date By
MECHANICAL. {OTHERI
Date By
7
FRAMING
Date — By
7
INSULATION
Date By
GWB . TST LAYER
Date By
7GWB
- 2ND LAYER
Date By
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
7
ENGINEERING FINAL
Date By
7FIRE
FINAL
Date By
BUILDING FINAL
Date By
70THER
Date By
OTHER
Date By
CDO193
CITY ❑FA
` BUILDING DIVISION
�� 33530 1 5T WAY SOUTH
FEDERAL WAY, WA 98003 66 1 -4000
-CORIR-ECTION NOTICE
7TI�
DRESS: 3-5)52- � A\,e _ MIT #': - 1�r1 1 t/ Ll
AD �/
VIOLATIONS OF CITY AND/OR STATE LAWS ARE LISTED BELOW:
Alv^a'
6
'ICi � LJl
i
YOU ARE HEREBY NOTIFIED THAT NO MORE WORK SHALL BE APPROVED UPON THESE PREMISES UNTIL THE
ABOVE VIOLATIONS ARE CORRECTED. WHEN CORRECTIONS HAVE BEEN MADE, CAi_L 661 -4 1 40 FOR
RE-INSPECTI❑N.
DATE INSPECTOR FOR BUILDING DEPARTMENT
D❑ N❑T REM❑VE THIS N❑TICE