97-103776 '''7-/Z) 77
CITY OF FEDERAL. WAY NO: BL_D97-0614
33530 Fir t Way South .,m'w�l �r .,,�.: L,..1.),1":, �"" �.: °" '... °�'�.M:.,,,. .,�,,. ISSUED: 11/21/97
Federal Way , WA 98003 Building inspection Requests 253-661-4140 BY: FC2
253-661-4000 EXPIRES: 05/20/98
ADDRESS : 30019 21ST AVE SW
NO. : 012103....9119
PROJECT DESCRIPTION:NSF W/PLUMBING AND MECHANICAL
f= OWNER •- -. q-= CONTRACTOR - -- -- -- -- LENDER - _ ---3
1 JONATHAN S JONES I COMPLETE SITE SERVICES M AND T MORTAGE
31113 24TH AVE S 17175 - 341ST PL
FEDERAL WAY WA 98003 ! FEDERAL WAY WA 98003 KENT WA
1
253-874-7533 253-977-8967 t 874-7533
I COMPLSS077KC
--- - _ - ----- -- _..- -- l -.-.
x;; CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.6% ;32
BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 I COMP PLAN •LDR ! FEES:
TYPE OF WORK:NEW USE:RES 1ST.: 0: 1631:sf STORIES • 2 REQUIRED PARKING..: 2 SPRINKLERS' •N PLAN CHECK FEE $ 690.95
CENSUS CATEGORY 101 2ND.: 0: 1426:sf HEIGHT • 25.50 ft HAZARD CLASS..,:LIT ° FINAL PLAN CHECK...* $ 0.00
OCCUPANCY GROUP 3RD.: 0: O:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 1228 gpm BUILDING PERMIT....* $ 1063.00
:R3 :U1 :? :? OTHR: 0: O:sf EXIST..$: 0 FRONT • 20.00 ft Mechanical Permit* $ 72.00
TYPE OF CONSTRUCTION BSMT: 0: O:sf PROP. .$: 220252 SIDE • 5.00 ft WATER SERVICE :FED SBCC SURCHARGE * $ 4.50
:5N :5N :? :? DECK: 0: O:sf j REAR • 5.00:ft SEWER SERVICE..:SEP l SCH IMPACT (SFR)NEW $ 2372.00
! OCCUPANT LOAD GAR.: 0: 620:sf RECEIVED.:10/10/97 PLUMBING FIXT....93* $ 126.00
: 10: 0: 0: 0: TOIL: 0: 3677:sf IMPERV SURFACE: 3571 sf SENSITIVE AREAS?.:N PUB WKS PLCK(SF)..93 $ 80.00
FUEL TYPES.:GAS ? FANS • 6 BOILERS/COMPRESSORS WATER CLOSETS • 6 URINALS • 0 TOTAL FEES $ 4408.45
GAS PIPING.: 300 ft HOOD • 1 0-3 TON • 0 BATH TUBS • 2 DRINKING FOUNT.: 0
FURN<100K..: 1 DUCT WORK • 1 3-15 TON • 0 SHOWERS • 2 SUMPS • 0
*WT • 1 WOOD STOVES...: 0 15-30 TON...: 0 LAVATORIES • 4 VAC BREAKERS...: 0
BURNER: 0 FURN>100K • 0 30-50 TON...: 0 SINKS • 2 DRAINS • 0
BBQ........: 0 MISC • 0 50+ TON • 0 DISH WASHERS • 1 LAWN SPRINKLERS: 0
GAS DRYER..: 1 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE : 1 <:10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 1
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.. 0
---- =. ----..-----
PERMITS EXPIRE 180 DAYS AFTER I E IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMAT : F ,. .IS, +-BY IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CIT OF FEDERAL WAY REQUIREMENTS WILL BE MET.
/-
OWNER OR AGENT -_,__- ;�`j
c=c,- = _..._ DATE // 2 Q 7
FILE CQey 3y1 1 17 go/
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Oa IV , il HA)! l'i ,:. Hi I*( Pt RM1 T NO: nt tvs), ' 0,61'4
I,: ' )i;!. 1., DIU 1 I 1)1 NG f'"C.:',.IR M 1, f $5.,,..mt i-: t i : i i
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DRESS:3 019 •21ST AVE SW
Is ; 012103-9119
.
,DESCP r PT.10 f 1:NSF WOE JADING AND NOWA
,L 04AI1 .....,*,.4.0, ===..„..,...................,........uw............?. (041101(101 %.1titet;',..G4.4.M....,2114...t...."6.;".,=,..M...W.,""W'''""."." 1114818 --,-: .--,,. - --- r . u , , . - -
it
1 JONATHAN S TONES
, I CONPUTE.SITE stavius : ' . M AMP I MO'
- 1113 241H AF S
17175 - 341ST PL •
I FEDERAL-WAY
1842 , 1,
,ip, /05,,, ,,.,40,,o;17,,
4
:::t-:::;:::341A :357-3922-3967 '
Itt CONIRACIOKS, MIME ISE LOCATION COM 1/32 WIEN REPORTING SALES 1., FO I S ' 11 III CITY WA . IAA KATE : U.61 2"
PLD?:X ' '°(?:1' "?'Y 1tt"41144/RqP1-: ' '-,ijP144004#01;5110-A- CORP 1 ' . -- '
TYPE, Of,40.441tR q't:Pg 151'2'. . ' 0:' I11 . .I :-*(....r ErfA= ..,..#.:, 2 ,, 4, ,,, OW D !. / ' 11ERS. ....:N PLAN CHECFEE
cue* eAftGowt '101 2ND,: 414 «.142t:sf e NEI 1,„ „:„.„, z5,$0 ' , r : , diASS...:11T FEES:
K $ ,i4
FINAL PLAN CHECK...*
I OCCUPANCY GROUP-- --- -- 'JD.: 'iIi??,1 C:sf :-',', V40,142-.=2-'-':':::---- -: f_ sib : '',' 1228 gps. BUILDING PERMIT....t $ 1003.00
,13 :I.I1 :? :? : OTHk: 11:: 0..s,f , f4EST..$: '' o tic . 1... 1 ''4," Mechanical Permit* $ 72.00 1
. 444 ,--. .....‘„,- Al
...
FYPE or C0ASTRICTION-- -- /Or: '0":" ' " -;., - VFT . $: IV, Pr •!Pr.::. .
ShCC SURCHARGE.....t $ 4.50 1
1 :51( '114 "F0Z :? : Pkk; OT. -,.
.. SCA ISRACT (SEP)A ', $ 2372.00
OCCUPANT TOAD—,----- - 126.00 1
0: TAW 0, i' ' „.40, i . 5,1 ....f. SENSIIIA. i-,gt.m., .:11 PUB wrs ptcr(sr)...n $ 00.00
FUEL 101'7 "GAt 110 cow, ,,,,
1 , 'TS • 6 URINALS • 0 TOTAL FEES $ 440t.4.6.,
i GAS RIPV ,4 , - , To0...
0 8$ • 2 DRINKING FOUNT.: 0
i I FURN,100'
S , "r 'i' Allia.16 • 2 SUMPS • 0
0111VBORDEN HWT LAVATORIES. .....„.: 4 VAC BREAKERS...: 0, , silos • 2 DRAINS ' 0 ,
8B0,. .. . ,,, , . DISH MASHERS • 1 LAWS SPRINKLERS: 0
GAS DFM.' , UNITS FULL IANI TUC WIR HEAIERS...: 0 OTHER FIXTURES.: 0
RANGE , id (III: 0 ABOVE GR4Ulf:. 0 LAUN WAR OUILTS.... 1
GAS INA..." 1. . ,i,40 (FM: 0 , UNDERGROUND:: 0 .
'!. PERAIIS tXPIPf 109 001; A' ' :MAK[ IF At WORK IS WIMP. AISIDINIIAT AKA , NILS EXPIRE OK YEAR AFTER DATE OF 'MAKE,
*EF.:4. CIPIIIN 11111 THE III' ' A Iflitf 'lA30 BY IS TRW AID COWART 19 Ilk NISI Of AilENOWLEAGE AID fAt Ari., KAIO (11) Of 11191/61 WAY KLOOIRTATAIS Wilt RI NO, 1
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CD0193(Rev 4/97)
/ ..
/ p^°f' 33530 First Way South
A- EZFi1_ �� 6 ~D
OJ' Federal Way,WA 98003
• \)\> F� (253)661-4000
OCT 1 0 1997 Fax(253)661-4129
CITY OF FEDERAL WAY
APPLICATION FOR BUILbIiN6DT'ERMIT
PLEASE PRINT APPLICATION # •
S Address
t�.. .... >��>
... ,,00r5 a,f f�Y'�. 5 V4- --�t-�YzAt.- 146)(4 _
• Tenant(if known) Lot# As�essor'sTax#
Us9Thc1 _
Building Owner's Name Alcy / Address
�- 'v( ry r
45 00-Vc.
City ?T'�t,i2..p C, k Li State W►.�- Zip ISD 2,3 Phone A/Q
Nature of Work NIS l J
APPL CANE' > :<>?>%>;'. ?' ..;:<» ><<:>
oN�
Name (F,M,L) --- n
V 7,08 J .S , J6N£5 lgi)eitT,N4 , t_, --b,,lt0 ,
AddressIrl 3 2114 Ni 1-T('4
City '�t"lbC" J L., 144 4 o zoa 3 State kIk Zip 1 }�'co3 .
Contact Person --- Day Phone(�S3`) .741 _ 7 633 Or Phone ,7_t cx } 5-7 e
vo�ES c� 4t� 017 b 253 1''T xis
BL IED]NG C'.ONTf ACTO ' '`'' MB
Company Name Corm?Lc 7-6 ,st ` 17 Y I C.-e J.roG.
Address
1717 sa tt f 511 st- TLAc,'r,
City tl 21A1P-- Ws4 L` State LSJ4 Zip I <003
Contact Person ,. Phone Fax
onl�'f-r��l ' S . vo,J e-- 874._7533 ,52 -L ?I2�
Contractor's #(card must be presented) Expiratio ate Verified /` Yes 0 No
CAMPLSSOL#4/<S • /3/(3£f /
:A CHITS
Name . /
Address /�(
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION INE Eq5 12-7 - S 7S v _ or TFW 02114 840-1.01+5 1.7atl1w
oF i v4E S6uTtt 10 Z.1 -°►2.S c ,c r cr- M€ Sora ri-iWa. T Cc.fc L ThIZ_ r 17-/Sourt-f- E sr Om �2_ S - tcc I, 01,NI ISfiiP _21 Nam tet, i t.rct. 3 -Eilsr
11.M., IN klni Couwry JA _I I NSrot-I 4
P/ease Complete Reverse Side
� ... .
<:. It.Use it
sed�.�`;:,Y�M.:�E�»< »?%>EEE»_:`'.>:'``'�`:>;'[ >``````">z?'•.<:'s >:,
Use
Permit includes: Building C( Plumbing Mechanical 0 Other
Type of Work: /K Residential /)!eNew 0 Remodel 0 Number of Units_ 0 Deck
0 Commercial 0 Addition 0 Garage 0 Shed 0 Other
Enter 1st Floor 1(03 I sq ft 2nd Floor J 11-24 sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Gara_ge sq ft Proposed Total Area sq ft
Water Availability Sewer Availability 0 On-Site Septic System Availability Project Valuation $
Zoning I Lot Size 12 7 x 2/40 _ Existing Bldg Valuation $
NameAddress
Iiiii tie I O�'Tata t
City k I'i i State WA Zip
rirtaAhfoi.i ... ..
Contractor NameAddress
egit'i l E%f ter 7 i'-.':.
•- e ' V/Cf.‘
City State Zip
Contact et-') Al 5 /c( S,jf(1 ciJ . Phone Fax
License # Expiration Date Verified 0 Yes 0 No
J.,:....: kts./ l iONTR 1CTOFF iiii ilii ..:::
Contractor Name Address
Com ���" � �rr?�� . / 7/7 -sou 34/st,L
City �t7.13t 2i h-- kNfol GI 43COO? State I J.A Zip /S'ee,1
Contact ...--""-
u C/O/VtS , Phone e/(i. 7fj FaxL5 7-Y/, 79.?
License # G(r11-J/7/f' Si/c�'� Expiration Date/ !t,� R'
� iVerified Yes 0 No
'i::::'::r: iy'::?>r;?is:::::::::i>';:
r'LurViatigWi iii >'?`:`i`ii 3?iii
Water Closets ci . Sinks Z Urinals
Lawn Sprinklers C)
Bathtubs Z Dish Washers I Drinking Fountains .7 Other
Showers 2- Electric Water Heaters 0 Sumps Q
Lavatories Washing Machine / Drains Total iiiitvre wont ' `
r
111t �tAiVICi0.t.��JN T�CIC��k7';,:,. :....:: MECHANICAL EVALUATION ONLY $ 50:940 •_
Fuel Type (electric/other) (9OS E Gas Dryer 1 Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping 300 L` Range I Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs B-3c00 j Gas Log / Unit
Unit Heater 50+ Tons
Furn >100 BTUs Fans 6O ;Plitt_ Miscellaneous Fuel Tanks
Gas Hwt / Hood / Boilers Above Ground
Cony Burner / /,,4Ar Duct Work 9Oa LF 0-3 Tons Underground
/�
BBQ's '1/C Wood Stoves 3-15 TonsTotal Ur it CoirnVii:><>iiiiiii:::ii
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 reli city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of this application.
Owner/Agent: Date:
9//i/97
a
a'.a= Ary
REvsED 8/28/97