93-100769 CITY OF FEDERAL WAY BUILDING PERIVI I T PERMIT NO.: BLD93-0340
33:)30 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 05/19/93
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 32125 9TH AVE S
PARCEL NO.: 609390-0300
PROJECT DESCRIPTION: REC ROOM, BEDROOM BATHROOM ADDN
OWNERL
CONTRACTOR LENDER
GRETA HEWLETT MERRIMAN CONSTRUCTION
32125 9TH AVE S 8308 19TH ST WEST
FEDERAL WAY WA 98003 TACOMA WA 98466
941-3687 206-564-8964
JOHNMC*121ND
BLD?:X MEC?: PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN •SR FEES:
TYPE OF WORK:ALT USE:RES 1ST.: 888: 0:sf STORIES • 2 REQUIRED PARKING..: 2 SPRINKLERS? . PLAN CHECK DEPOSIT.* $ 244.08
CENSUS CATEGORY •434 2ND.: 0: 672:sf HEIGHT • 0.00 ft HAZARD CLASS •' PUB WKS PLCK(SF)..93 $ 40.00
OCCUPANCY GROUP 3RD.: 0: O:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm ' FINAL PLAN CHECK...* $ 0.00
:R3 OTHR: 0: O:sf EXIST..$: 53600 FRONT • 20.00 ft BUILDING PERMIT....* $ 375.50
TYPE OF CONSTRUCTION BSMT: 0: O:sf PROP. .$. 43761 SIDE • 5.00 ft WATER SERVICE..:FED SBCC SURCHARGE.....* $ 4.50
:5N :? :? :? DECK: 0: O:sf REAR • 5.00:ft SEWER SERVICE..:FED MEC APPLIANCE FEES.* $ 4.50
OCCUPANT LOAD GAR.: 572: O:sf RECEIVED.:03/29/93 PLUMBING FIXT....93* $ 28.00
0: 0: 0: 0: TOTL: 1460: 672:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
FUEL TYPES.:? ? FANS • 1 BOILERS/COMPRESSORS WATER CLOSETS 1 URINALS........: 0 TOTAL FEES $ 696.58
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 1 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 • 2 DRAINS • 0 I
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
GAS LOGS...: 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 ,/ a/'. /A� ( -4. . _ DATE 0 -- L 3
bld_prmt 10/23/92
• I
SETT BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE - -.BY -........_ DATE ......._ BY DATE ..... --....- BY _
PLUMBING ROUGH IN WATER LINE O.K "21713 71.4 ...... MECHANICAL I SPECTION
DATE t'=).-0 /---q•-5 BY % 4/ GAS PIPING O.K.---. _ - DATE 06 . ..__.BY
O.K. TO ENCLOSE FRAMING INSULT N WALL BOARD AND FIRE WALL
/A
DATE /�...V9Y DATEf�'... . .. _.........BY 4 - DATE 2-. ..C,3..._ BY fir A/ .._.
FINAL O.K. TO OCCUPY
�/ DCD PSD FD
DATE 7\'/ /- ' d
BY
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APPLICATION FOR DEVELOPMENT PERMIT
PLEASE PR/NT ' I— L 1 — v 4 APPLICATION #: 61,--0 q96) 0.
SITE LOCATION Address 3 2 j 7 5 2 =4.4' 4,,,,Q c. i-P d ( ,a e.<,/
Tenant Lot # Assessor's Tax #
Building Owner Name Phone7 / '7 ,,j('
(Tre,ii4t / I c 1,ii(°- l _„(G'[�
City x,1/1 State Zip
p ,, 1 f)Ja 37/ 7C— q ActIO _ 3 . u) C;-, �g00
APPLICANT
Name (F,M,L) 1 i�
6-P ':'. It CI HP-(.41/O
Address j
3—2-4—2_ '"75—. rte” A✓e C
City State Zip
,/
Day Phone Other Phone Fax
'11
BUILDING CONTRACTOR
Company Name -
0N J`'1, Er' rtJIM'V`, roll cT _ #.
Addr ss
-?30<? / 7 f� J+ - CIL/ •
City State Zip
Contact Person Phone Fax
JOktr, PI .P ( WtCCtr, ;6ti - y
Contractor's # (card must be presented,)) Expire tion Date Verified
'J <3tLiv �" 1cylr' ) -Z-1 N ct - ❑ yes ❑ No
ARCHITECT
Name_______
� � /' ll �srjvsAcA picArl�1c ( ,� �-� L'? 6 MPrv‘ v )
Address '
City State Zip
(moi 4A,_--1 _ I.ur^.4_ G2 51--6
Contact Person Phone Fax
STRUCTURE Existing Use 7 trel / Proposed Use
Permit includes: IS Building 1g Plumbing 0 Mechanical 0 Other
Type of Work: ,I3iK Residential 0 New ›cr Remodel 0 Number of Units_ 1ilL Deck
0 Commercial , Addition ❑ Garage 0 Shed 0 Other
Enter 1st Floor ',- sq ft C,,(311,1 nd Floor -67Z sq fd 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft ecks sq ft Garage 4.-7'7 sq ft Proposed Total Area sq ft
Water Availability 0 Sewer Approval X rk 6Project Valuation $
`4._ lit.4,9„, aziaa.,,b____ P/ease Complete Reverse Side 45- CO(_
CD04921Rev 2/9_"
ENDER •
ii1Name �.
Address
City State Zip
Contact Phone Fax
MECHANICAL CONTRACTOR
Contractor Name
Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified
❑ Yes ❑ No
PLUMBD G CONTRACTOR
Contractor Name
Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified
❑ Yes ❑ No
PLUMBLNG FIXTURE COUNT
Water Closets Ii) Sinks Urinals Lawn Sprinklers
Bathtubs Dish 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 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 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.
,( /] 3 -
Owner/Agent: Q ��„'_ ['��`�'��/,Ir� Date: