93-101555 L
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CITY 3353O0F FEDERAL WAY Firstt Way South BUILDING PPERMIT
ISSUED: 06/20/9487
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 12/17/94
ADDRESS:32524 11TH AVE SW
NO . : 926494-0510
PROJECT DESCRIPTION:DECK
41, OWNER CONTRACTOR LENDER
LARRY NORDBERG
32524 11TH AVE SN r� .4 VA*
FEDERAL NAY NA 98023 9 K
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874-8000 J . Ait5. ,.
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BLD?:X NEC?: PLM?: t:R- EX_ST—PROP--- DWELLING UNITS 0 1 COMP PLAN SrR t :
TYPE OF NORK:ALT USE:RES 1ST.: 0: 140 # S OR!* .: 0 REQUIRED PARKING..: 2 SPRINKLERS •9 PLAN CHECK DEPOSIT.* $ 20.15
CENSUS CATEGORY •434 U.: f. 0-, HEIGHT,.,..; ' 30 it , HAZARD CLASS •' BUILDING PERMIT..•.* $ 31.00
OCCUPANCY GROUP 3R1;_: 0: ,':.sf VALUATION - REQUIRED SETBACKS FIRE FLOW 0 gpi SBCC SURCHARGE * $ 4.50
:M2 :? :? :? D'HR C 0:sf EXIST..$: 0 FRONT • 20.00 ft
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 1232 SIDE • 5.00 ft WATER SERVICE..:FED
:5N :? :? :? DECK: 0: 0:sf REAR • 5.00:ft SEWER SERVICE..:FED
1111 OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:06/23/93
0: 0: 0: 0: TOTL: 0: 140:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 55.65
GAS PIPING.: 0 ft HOOD • 0 0-3 HP......: 0 BATH TUBS • 0 DRINKING FOUNT.: 0
FURN<IOOK..: 0 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 0 SUMPS • 0
GAS HAT • 0 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 0 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 0 DRAINS - 0
BBQ • 0 MISC • 0 5+ HP • 0 DISH WASHERS • 0 LANA SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC NTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 LAUN NSHR OUTLTS...: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
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 FURNIS • BY,' IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS WILL RG MET.
FILE COPY 6 - , c:' - ?� 2J--71) -'79 73
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City of Federal Way
APPLICATION FOR BUILDING PERMIT
PLEASE PRINT APPLICATION #: ✓L l) 9,3 -6 6 E 7
SITE LOCATION Address - V { ! -_ /91/‘`"
//‘`" 6(
Tenant (if known) Lot # i Assessor's Tax #
1
6- /71. ro-oa
Building Owner Name
ggi/ j,// R Cr— ddress
City F-eOrPL et.C tit;f Staatel\ �/`.✓r' ( Zip / go 3 Phone ,92`7 Fer,
Nature of Work iii,la De C-(l £1f'Te''1 he L-1
APPLICANT yy��//��
Name (F,M,L) L 4wAy Z. /Vc 1/(4)6491
Address
'�`Jv(b g4/ -7--
j 'G✓ _
City �r2 Q:�t L (/t/t/T ( State el/g ?„5061,--).
Zip
Contact Person, Day Phone,.; ,� Other Phone Fax
�11� ( a� �-r'v l - _�C, SCC 5, 4'- V2CC'
BUILDING CONTRACTOR
Company Name
M
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
ARCHITECT
Name
Address r `
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION 11
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cq ye( e i);e'2
Iht l/ 7 /l' 3 e 477" lea
• Please Complete Reverse Side
C00492(Rev 4/931
1i
STRUCTURE Existing Use (e _
Proposed Use X? ;'
Permit includes: ❑ Building ❑ Plumbing ❑ Mechanical J� 1 ❑ Other
Type of Work: ❑ Residential ❑ New El Remodel ❑ Number of Units_ ,Deck /'KO
❑ Commercial
-,;--Z Addition ❑ Garage ❑ Shed El 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 El Sewer Availability -. On-Site Septic System Availability ❑ Project Valuation S (/6p-3
Zoning Lot Size Existing Bldg Valuation $ 2J 6) .a 2 a
LENDER
Name Address
City State Zip
MECHANICAL CONTRACTOR
Contractor Name Address 1
/70 k-_
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name Address
City 11 71( "tact // ::t:e
/
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE COUNT
Water Closets Sinks Uri Is Lawn Sprinklers
Bathtubs Dish Washers .'\ rinking Fou Other
Showers Electric Water Heaters 1 / Sumps r I
Lavatories Washing Machine Drains Total Fixture Count
MECHANICAL UNIT COUNT
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 b'
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 cor
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 r N
but only where such claim arises out of the reliance of thty, including its officers and employees, upon the accuracy of the information supplied to the Cit'
application. - if /// (
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Owner/Agent: , ✓ V _� Dae K �—
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