93-100599 CITY OF FEDERAL WAY BUILDING PERMIT 93 - 1ob�9g
PERMIT NO.: BLD93-0263
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 03/29/93
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 215 SW 292ND ST
PARCEL NO.: 119600-0557
PROJECT DESCRIPTION: RESIDENTIAL ADDITION — ADD CARPORT TO EXISTING RESIDENCE
OWNER — CONTRACTOR — LENDER
SANDY BLAKE KROUPA CONSTRUCTION
215 SW 292ND ST
FEDERAL WAY WA 98023 621 S 302ND ST
FEDERAL WAY WA 98003
602-877-0277
SKROUPC*125LF
BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN •SR FEES:
TYPE OF WORK:ADD USE:RES 1ST.: 0: 0:sf STORIES • 0 REQUIRED PARKING..: 2 SPRINKLERS? .7 PLAN CHECK DEPOSIT.* $ 46.80
CENSUS CATEGORY •438 2ND.: 0: 0:sf HEIGHT • 0.00 ft HAZARD CLASS •.2 FINAL PLAN CHECK...* $ 0.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm BUILDING PERMIT....* $ 72.00
:? :? :? :? OTHR: 0: 0:sf EXIST..$: 73700 FRONT • 20.00 ft SBCC SURCHARGE * $ 4.50
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 4914 SIDE • 5.00 ft WATER SERVICE..:FED
:? :? :? :? DECK: 0: 0:sf REAR • 5.00:ft SEWER SERVICE..:FED
OCCUPANT LOAD GAR.: 0: 420:sf RECEIVED.:03/10/93
. 0: 0: 0: 0: TOTL: 0: 420:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 123.30
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
RANGE • 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0
GASLOGS...: 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 INFORM TION 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 fi/2 AO / ,,/ , ___ ,DATE t/ 1— /
bld_prmt 10/23/92
• rmit # 13147/3—"-3
MAR 1 Q 1993 CITY OF FEDERAL WAY
fr fi�° Vtiti4 BUILDING PERMIT APPLICATION
001(rt`; — Please Print—
BOX 1 TENANT NAME:
•
OWNER -`/` SITE LOCATION • ( ^ Z
OWNER'S ADDRESS 51AJt-
0 &4 CITY M PHONE 60Z--X7
' 7- 6927?
DESCRIBE JOB r'41-Q__ J''/s`Z C)r77G„1
THE PROPERTY IS OWNED BY: SINGLE/MARRIED 5iAI(1t PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME (LOU V-A- 6/1/51, CONTRACTOR'S REG. # K .6\02 /2-.SL�
Card MUST be presented
CONTRACTOR'S ADDRESS (c2- 5 ( 9/ CITY C-8)01/1(- PHONE C- CI fir' Q?/ (
EXPIRATION DATE ( — t6i3
— 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 KT _ PHONE C j V Z-iI
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST Zc. C>,oc) EXISTING BUILDING VALUATION 'i3 1b 1
BOX 6 PROPERTY TAX ACCOUNT NUMBER i 06 `S,S
LEGAL DESCRIPTION
(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 / DECK /_ rARACRE /
BOX 8 ( K) SINGLE FAMILY ( `) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 •LUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
�. WATERCLOSETS G•. PIPING, FEET $
BATHTUBS NO. FURNACE, ELEC. GAS $
SHOWERS GAS HOT WATER HEATER $
LAVATORIES c\VERSION BURNER $
SINKS BOIL ' SIZE BTU $
HWASHERS AIR HAN I. NG UNITS $
EL ► RIC HOT WATER HEATER HEAT PUMP , IZE $
LAUND' WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLING UNITS, . IZE $
DRINKING FO► TAINS COMMERCIAL HOOD $
SUMPS, SPRIN R 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 EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
i
)WNER/AGENT: /0i) DATE:
ANP-008 3,90