93-102726 CITY OF FEDERAL WAY BUILDIN 93-/aa)'7.7,
PERMIT NO.: x1,1093=1141
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 11/10/93
Federal Way, WA 98003 BY: !C
661-4000
SITE ADDRESS: 5202 SW 318Th ST
PARCEL NO.: 102103®9042
PROJECT DESCRIPTION: RESIDENTAL ADDITION — CONSTRUCT DETACHED GARAGED
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OWNER — CONTRACTOR -- LENDER
JERRY MAHN ***OWNER IS CONTRACTOR***
5202 SW 318TH CT
FEDERAL WAY WA 98023
874-3151
iiii8884
NONE
BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN .SR FEES:
TYPE OF WORK:ADD USE:RES 1ST.: 0: 0:sf STORIES • 1 REQUIRED PARKING..: 2 SPRINKLERS?......:? PLAN CHECK DEPOSIT.* $ 34.35
CENSUS CATEGORY •438 2ND.: 0: O:sf HEIGHT • 0.00 ft HAZARD CLASS •' PUB WKS PLCK(SF)..93 $ 40.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm BUILDING PERMIT....* $ 99.00
:M1 :? :? :? OTHR: 0: 0:sf EXIST..$: 120000 FRONT • 20.00 ft FINAL PLAN CHECK...* $ 0.00
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 8000 SIDE..........: 5.00 ft WATER SERVICE..:FED SBCC SURCHARGE.....* $ 4.50
:5N :? :? :? DECK: 0: O:sf REAR • 5.00:ft SEWER SERVICE..:SEP
OCCUPANT LOAD GAR.: 0: 1080:sf RECEIVED.:10/22/93
0: 0: 0: 0: TOTL: 0: 1080:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
FUEL TYPES.: FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS........: 0 TOTAL FEES S 207.85
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 NWT • 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
G'.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.
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OWNER OR AGENT
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City of Federal Way •
RECEIVED APPLICATION FOR BUILDING PERMIT
PLEASE PRINTOCT 2 2 1993 APPLICATION #: r"'" 173 -//4/
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SITE LOCA OSF FEDERAL WAY Address S Q Q a 3 ,L(..) , , I . r ( re,Q n4_, (.LI /4/ (,r.)/z/c ,
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Tenant (if known) Lot # Assessor's Tax #
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BuildingOwner Name Address
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City /_... „f L; 12 Il 2 `,44 / State 1.t-,/ /4 . Zip If:C) 3 Phone i 7 , 1 S/ 'i/c^., C_.
Nature of Work C• J G i! G y r (, C c `- 7 5”J--'`/ C.,c;—
APPLICANT
Name (F,M,L) j
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Address
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City f-_%.(.Y E k,44. L L 14/ State t, , Aj Zip ri t) 2 3
Contact Person Day Phone Ot r Phone Fax
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-BUILDING.CONTRACTORkrNt
Company Name •
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Address
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Contact Person / Phone Fax
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Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
ARCHITECT
Name
Address
City • State Zip
Contact -- son Phone Fax
LEGAL DESCRIPTION
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Please Complete Reverse Side
C00492(Rev 4/931
STRUCTURE Proposed Use
—
Permit includes: Building E Plumbing ❑ Mechanical E u
Type of Work: ❑ Residential L* New ❑ Remodel E Number of Units _ E Deck
Commercial 0 Addition Garage E Shed ❑ Other
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area ,'c,-:• , sq ft
Area Basement sq ft Decks sq ft Garag7e /3,,- sq ft * Proposed Total Area ----- sq ft
Water Availability :Th' Sewer Availability G On-Site Septic System Availability ❑ * Project Valuation S 00 ° CJ
Zoning Lot Size Existing Bldg Valuation S
LENDER
Name Address
Cit State Zip
MECHANICAL CONTRACTOR `
Contractor Name / Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified E Yes ❑ No
,
PLUMBING CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes 0 No
PLUMBING FIXTURE COUNT 7
Water Closets Sinks Urinals Lawn Sprinklers
BathtubsDish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fixture Count
MECHANICAL UNIT COUNT
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 1 5-30 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 BT Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Co urner Duct Work 0-3 Tons Underground
BQ'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. , a
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Owner/Agent: 1,.? Ci-'t )71: Date: _