97-103930 9,7,1o39,3a
CITY OF FEDERAL WAYCl-
E Q RMIT NO: BLD97-0 36
33530 First Way South B, . II: .... I) .I „ (;,:, ,;;�C P '::;,. .,,,If
� . ISSUED: 11/20/97
Fede ral Way, WA 98003 Building Inspect:ion Requests 253-661-4140 BY: FC
253--661-4000 EXPIRES : 05/19/98
ADDRESS:35214 5TH AVE SW
NO. : 066231-0490
PROJECT DESCRIPTION:NSF-PLATTED WITH PLUMBING AND MECHANICAL
BELLACARINO LOT 48 DIV 2
�= OWNER - ::________._..____- ____ --- CONTRACTOR --___. __----..__.. - - LENDER - ___.._ ___. ______ __
{ NORRIS HOMES ` NORRIS HOMES INC
10627 SE 18TH ST 1 10627 SW 18TH ST
FEDERAL WAY WA 98004 ! BELLEVUE WA 98004
5-637-0035 206-998-6739 1 637-0035 419-0125 MOB E
NORRIHI099LC
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.6% ***
BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 I COMP PLAN 'UREA i FEES:
TYPE OF WORK:NEW USE:RES 1ST.: 0: 1411:sf STORIES 2 ' REQUIRED PARKING..: 2 SPRINKLERS? •' I PLAN CHECK FEE $ 650.00
CENSUS CATEGORY 101 2ND.: 0: 1452:sf HEIGHT . 18.50 ft HAZARD CLASS ., PUB WKS PLCK(SF)..93 $ 80.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm FINAL PLAN CHECK...* $ 0.00 i
:R3 :U1 :? :? : OTHR: 0: 0:sf EXIST..$: 0 FRONT • 20.00 ft BUILDING PERMIT....* $ 1000.00
TYPE OF CONSTRUCTION BENT: 0: 0:sf PROP...$: 202454 SIDE • 5.00 ft WATER SERVICE..:FED Mechanical Permit* $ 63.00
:5N :5N :? :? DECK: 0: 0:sf REAR • 5.00:ft SEWER SERVICE. :FED SBCC SURCHARGE * $ 4.50
OCCUPANT LOAD GAR.: 0: 704:sf RECEIVED.:10/23/97 SCH IMPACT (SFR)NEW $ 2372.00
: 10: 0: 0: 0: TOTL: 0: 3567:sf IMPERV SURFACE: 2450 sf SENSITIVE AREAS?.:N PLUMBING FIXT....93* $ 91.00
FUEL TYPES.:GAS GAS FANS 4 BOILERS/COMPRESSORS WATER CLOSETS ' 3 URINALS • 0 i TOTAL FEES $ 4260.50
IRS PIPING.: 99 ft HOOD • 1 0-3 TON • 0 BATH TUBS • 2 DRINKING FOUNT.: 0
RN<100K..: 1 DUCT WORK • 1 3-15 TON • 0 1 SHOWERS • 1 SUMPS • 0
GAS HWT . 1 WOOD STOVES...: 0 15-30 TON...: 0 i LAVATORIES • 4 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 TON...: 0 SINKS • 1 DRAINS • 0
BBQ • 0 MISC : 0 50+ TON • 0 DISH WASHERS • 1 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...: 1
GAS LOGS...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0
--__._._____._.___.._.____-__.___._.__._.. . ___.___=___::_.____.--------.___.., _----------___.__. .-._- _ .- = =_1-_____ . __-_.__--_____.._____.. ____
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 T E INFO TION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLI BLE CI Y OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT -- DATE // _2O q)_
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3 PLUMBINGGfOUNQ1NQF1€>»><><»>> > >>><>>>
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4 SLAB !ISU•L&TION
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8 PLUMBING ROU H;IN
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10 MECHANICAL RO:UGH-IIS
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14 GWB 2N.D LAYER
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16 PLANNING FINAL
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17 PUf3LIC.WORFfS>FINAL... :>;.:``> :
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18
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19 BUILDING#;FINAI,< r1!%4 S—� fit.
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C00193(Rev 4/97)
V WIM
BUILDING DIVISION
.T.G 33530 First Way South
fir- E3DEJZFIL Federal Way,WA 98003
Vs> pay R E C E I V E D (253)661-4000
Fax(253)661-4129
OCT 221997
APPLICATION FORM DING PERMIT
PLEAS /NT APPLICATION # 1 — 56
Address
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IT,. nt (if known) Lot# Assessor's Tax #
Building Owner's Name Address
City State Zip Phone
Nature of Work
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MANtommummango
Name (F,M,L) LL�
NA//.f � , j ,./.________, ,
Address
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City gfig.,,,-,r Li A- State f-ri/- zip ?8c-c.
Contact Person Day Phone Other Phone 5WF L)-3S Fax�`/2'S)
-To�., �ai-z1 ) 1P 25-,3? -Oo,33 c } 3-sPtiy�. 63)- 0747__
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E3:€�(�i31NT. .R......................
Comppny Name
4/
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
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............................................................................................
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side •
IMIEM V _ ;
ExistingUseUse
_
Proposed
Permit includes: -Building S Plumbing l9 Mechanical 0 Other
\
Type of Work: . Residential la New 0 Remodel 0 Number of Units 0 Deck
l \
0 Commercial 0 Addition 0 Garage ❑ Shed 0 Other !
Enter 1st Floor /-1 i t Y1.-sq ft 2nd Floor !'1S2_sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement -- sq ft Decks ------, sq ft Garage 7041 sq ft Proposed Total Area sq ft
Water Availability 0 Sewer Availability ❑ On-Site Septic System Availability 0 Project Valuation $
Zoning I Lot Size Existing Bldg Valuation $
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Name Address
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City State Zip
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Co tractor Name Address
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City State Zip
Contact Phone Fax
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License # Expiration Date Verified ❑ Yes 0 No
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Contractor Name Address
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City State Zip
Contact Phone Fax
qac- /310
License # Expiration Date Verified 0 Yes 0 No
.........................................................................................
Water Closets 3 Sinks / Urinals Lawn Sprinklers
Bathtubs Z Dish Washers I Drinking Fountains _Other
Showers / Electric Water Heaters Sumps
Lavatories Li Washing Machine ! Drains Total>:Fizture Count
......................................................................iiiii ...............
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HANICA <>UNITCOUN ><m ? >z<> MECHANICAL EVALUATION ONLY $ 5�,:. --
3
Fuel Type (electric/other) GAS Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping 9j I Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs I Gas Log 1- Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt I Hood 1 Boilers Above Ground
Cony Burner Duct Work 4's} 0-3 Tons Underground
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. .......................................................
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BBQ's Wood Stoves 3-15 Tons TOtal: Itit:.Cntttlt....._:.:.:. _
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.
ltJ 2 3 7
Owner/Agent: >2vhvti�--� Date: /
BUILDS 8128 J •
gEvsto 8128/97
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