92-101131 BUILDING 9JO /r3/
CITE' OF FEDERAL WAY PERMIT PERMIT NO.: 92-1147
335.10 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 09/30/92
Federal Way, WA 98003 BY: MH
661-4010
SITE ADDRESS: 29849 9TH AVE SW
PARCEL NO.: 1954600195
PROJECT DESCRIPTION: ADDITION OF DETACHED TWO CAR GARAGE
— OWNER — CONTRACTOR — LENDER
ROBERT LATTIMAR
29849 9TH AVE SW
FEDERAL WAY WA
0558 575-4013
BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN •LDR? FEES:
TYPE OF WORK:ADD USE:RES 1ST.: 0: 624:sf STORIES • 1 REQUIRED PARKING..: 0 SPRINKLERS? •N FINAL PLAN CHECK...* $ 111.15
CENSUS CATEGORY •434 2ND.: 0: 0:sf HEIGHT • 0.00 ft HAZARD CLASS...:LIT BUILDING PERMIT....* $ 171.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 620 glom SBCC SURCHARGE * $ 4.50
:M1 OTHR: 0: 312:sf EXIST..$: 80000 FRONT • 20.00 ft PUB WORKS-PLAN CHECK $ 35.00
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 15322 SIDE • 5.00 ft WATER SERVICE..:FED
:5N DECK: 0: 0:sf REAR • 5.0O:ft SEWER SERVICE..:FED
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:08/02/92
. 0: 0: 0: 0: TOTL: 0: 936:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 321.65
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 i 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
RANGE • 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0
yLOGS...: 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.
1 CERTIFY THAT THEINFORM�TION FURNI e E IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT / DATE C/7d/
bld_prmt 07/31/92 111
SET BACKS AND FOOTINGS7 O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
,�
DATE/9/01___BY—...5/0 DATE —... BY DATE — — — BY
PLUMBING ROUGH IN WATER LINE O.K. _........ MECHANICAL INSPECTION
DATE...._ BY ..._. —_...—____ GAS PIPING O.K. DATE BY
O.K. TO EN LOS FRAMI a 1 INSULATION WALL BOARD AND FIRE WALL
DATEJ
/..~ .._ _ BY �I /.._... DATE BY --.__ DATE —_ .BY
FINAL
DATE K T OC U"(AX n
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DCD PSD FD
/40//4'2- 9 /, /'9 e"E,✓ , W VAS 57276-c-
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• Perm ' I 14 7 r.( -)
RECEIVED -
CITY OF FEDERAL WAY
JUL 2 6 1992 BUILDING PERMIT APPLICATION
o Pt OER?^+iL WAN — Please Print—
BOX 1 TENANT NAM : Lii-j jfA,/I-1C
OWNERa 69;71,i-ems SITE LOCATION r �-3
OWNER'S ADDRESS 2r'J Y -,76/ � 5-c-tj CITY erect C.,�, / ,&,--75 PHON 9y6_-o S-S u
DESCRIBE JOB 2 cit __ C7l1 e 9— `-e —Y'i
THE PROPERTY IS OWNED BY: SINGLE/MARRIED # ii i -x+-43/ PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME Qwti .Q� ioi,e, (...)/?.."--t- 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 2j v 4, L,9-7'7i' 7LA...,/ - PHONE 57.5--7;`r`°/J
BOX 4 SEWER DISTRICT ZI --' l'. WATER DISTRICT et ice/ _
BOX 5 ESTIMATED PROJECT COST _ O EXISTING BUILDING VALUATII' _ z 00& s 0
BOX 6 PROPERTY TAX ACCOUNT NUMBER /9'S z? GO — 019)---- O Co
DES
LEGAL IPTJON Note17d Lo
f' 1/ / iY/ocif< 3 pU /4,1-,e. lu440 4-Id,fi6r7 \
-j- (-v,- cc,(If necessary, plea'e 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 / DECK / GARAGE 641 I 112"
BOX 8 ( ) SINGLE FAMILY (yN) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY //i t(/' SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS NO. FURNACE, ELEC. GAS $
SHOWERS GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER $
SINKS BOILER, SIZE BTU $
DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
OTHER — $
TOTAL FIXTURES $
TOTAL MECHANICAL FEE $
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 E OYEES, UPOk ' A c RACY OF T.- ' ORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT:/ DATE: 7- -c 2.
ANP-008 3/90
• •
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE ICip SETBACKS: FRONT 2O1 SIDE j REAR -�- ( HEIGHT LIMITC
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT L _ NOT EXEMPT
FIRE DEPARTMENT APPROVAL ,11/,Q DATE
REMARKS: ��//
PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS:
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY ( TYPE OF CONSTRUCTION 1/4/ STORES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION
BUILDING DEPARTMENT REMARKS: PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS:
; ��
X77 4.1 PARTIAL PLAN CHECK FEE RECEIVED
A. Amount Date Receipt#
BUILDING DEPARTMENT APPROVAL
RECEIVED BY DATE 5/ ACCEPTED FOR FILING
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