92-101236 902 /0/;,34;',
CITY OF FEDERAL WAY BUILDING PERMIT PERMIT NO.: 92-1105
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 08/12/92
Federal Way, WA 98003 BY: AJ
661-4000
SITE ADDRESS: 2630 SW 351ST ST
PARCEL NO.: 502945-0800
PROJECT DESCRIPTION: DECK
OWNER CONTRACTOR a. LENDER
RANDY FRISVOLD *OWNER IS CONTRACTOR*
2630 SW 351ST STREET
FEDERAL WAY WA 98023
-1289
*OWNER*
BLD?:X NEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN •? FEES:
TYPE OF WORK:ADD USE:RES 1ST.: 0: 0:sf STORIES • 0 REQUIRED PARKING..: 0 SPRINKLERS? •? FINAL PLAN CHECK...* S 35.10
CENSUS CATEGORY •434 2ND.: 0: O:sf HEIGHT • 0.00 ft HAZARD CLASS...:? BUILDING PERMIT....* S 54.00
OCCUPANCY GROUP 3RD.: 0: O:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm SBCC SURCHARGE * $ 4.50
:R3 :7 :? :? OTHR: 0: O:sf EXIST..$: 0 FRONT • 20.00 ft
TYPE OF CONSTRUCTION BSMT: 0: O:sf PROP...$: 2464 SIDE • 5.00 ft WATER SERVICE..:FED
:5N :7 :? :? DECK: 0: 280:sf REAR • 5.00:ft SEWER SERVICE..:FED
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:08/11/92
0: 0: 0: 0: TOTL: 0: 280:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES S 93.60
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 0 SUMPS • 0
GAS HWT • 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 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
iii • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0
OGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
ALL 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 TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT 6 )UJJJJA._ / �/ j 3. DATE 8 i-bldprmt 07/31/92
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Permit 0 9'2 -- hi 0c /?A-
RECEIVED CITY OF FEDERAL WAY
JUL 1 71992 BUILDING PERMIT APPLICATION
s1 vert ter.WAY —Please Print—
BOX 1 TENANT NAME: �� 2
OWNER t 12J IS4M(�,� 1/l�Ub
L5SITE LOCATION �l 310 w "V/ 2
OWNER'S ADDRESS 2/¢-i() S LL) 35/t 5�'E6 CITYFEDi 1€J . W y PHONE 838/zt??
DESCRIBE JOB ) pJA - . 4 46 DE.GK
THE PROPERTY IS OWNED BY: SINGL MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME ..5 "1,'P CONTRACTOR'S REG. #
Card MUST be presented
CONTRACTOR'S ADDRESS CITY PHONE
EXPIRATION DATE
—OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON .1 ► flo S 9Z S r _ PHUPI E��j -9,20:5045
BOX 4 SEWER DISTRICT f 2Rpty(,v'/4 Y WATER DISTRICT ffveRiv. (1}/1 y
BOX 5 ESTIMATED PROJECT COSTFP{X3- EXISTING BUILDING VALUATION?/C OC9
BOX 6 PROPERTY TAX ACCOUNT NUMBER ...50k ' .5 —D100
LEGAL DESCRIPTION 1.01- 83 H P 1.iP 2)v#'
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording#
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT Ca / '280 DECK l GARAGE /
BOX 8 SINGLE FAMILY ( ) NEW CONSTRUCTION
) MULTIFAMILY(NO. OF UNITS = ) ( EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BO 'LUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
Ni. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS NO. FURNACE, ELEC. GAS $
ERS GAS HOT WATER HEATER $
LAVATS- CONVERSION BUR ' $
SINKS BOILER BTU $
DISHWASHERS ' - NDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS IR COOLING UNITS, SIZE $
DRINKING FOUNTAINS Cs :CIAL HOOD $
SUMPS, SPRINK ^ Y CUUM BREAKERS OTHER $
DRAINS $
OT - ' $
OTAL FIXTURES $
TOTAL MECHANICAL FEE $
I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST..QF MY KNOWLEDGE
AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMITAPPL(CATION IS
MADE.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND'ATTOFIN€YS'
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: DATE: 7' /7' 92.
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THERE ARE TO BE NO DEVIATIONS4`1tCFIVED
TO THE APPROVED DRAWINGS
UNLESS OTHERWISE APPROVED BY �ul i 7 igg2
THE FEDERAL WAY BUILDING DEPT.
BUILDING DEPT.
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Date: AWL' •-.�,, r:Pl .
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Comments:_________--------
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DATE
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