96-101598 -i q6�/015 90
CITY OF FEDERAL WAYPERMIT NO: BL196-0220
33530 First Way South ,`n.)w,,",,w .:,::. 1 ',,:":.:,. He„f p► :;, .,11,1 ::I,:. lI" ISSUED: 06/11/96
Federal Way , WA 98003 Building Inspection Requests 661--4140 BY : JTH
661-4000 EXPIRES: 12/08/96
ADDRESS :3481.5 PACIFIC f IWY S
NO. : 202104-9423
PROJECT DESCRI PT ION TI - DEMISE WALL AND ADD WALL
r OWNER _ - - -------•-•- .------.- ------.,- CONTRACTOR =r,
--=------�-�=}-- LENDER -- ---- - ---:: _....__T
MORTGAGE MARKET, INC. ' OWNER IS CONTRACTOR 4
34815 PACIFIC HWY S #104
FEDERAL WAY WA 98003
939-1117 I
0 ________....________..........._____________.....______________________ ___________________________________________ ______________________________________
•*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE = 8.2% ***
_.._.z-w:.-= . _.._:• .:___ __- -- _.... _---- -------..-.-_.-_-_---._. - :._ __
BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 0 ` COMP PLAN .? -
FEES:
TYPE OF WORK:TEN USE:COM 1ST.: 0: 0:sf STORIES • 0 ! REQUIRED PARKING..: 0 SPRINKLERS? .? iPLAN CHECK FEE $ 52.65
CENSUS CATEGORY •437 2ND.: 0: 0:sf HEIGHT., . . 0.00 ft HAZARD CLASS .? PLCK-FIR comml only* $ 4.05
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATIONREQUIRED SETBACKS FIRE FLOW 0 gpm BUILDING PERMIT....* $ 81.00
:? :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 0.00 ft SBCC SURCHARGE * $ 4.50
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 6000 SIDE 0.00 ft WATER SERVICE..:?
:? :? :? :? DECK: 0: 0:sf REAR • 0.00:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: O:sf RECEIVED.:06/11/96
: 0: 0: 0: 0: TOIL: 0: O:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
.. -a
FUEL TYPES.:? ? FANS ' 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 $ TOTAL FEES $ 142.20
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 0 ? 8
1 N<100K..: 0 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 0 SUMPS • 0
HWT • 0 WOOD STOVES...: 0 15-30 HP • 0 ' LAVATORIES • 0 VAC BREAKERS...: 0
CONY 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
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 1
PERMITS EXPIRE 180 DAYS AF ISSUANCE NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT 1HE INFO' ON FURNIS ' BY ME IS t E AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT 111P' _-. DAT _czefk ___
FILE COPY
-ttUE1VED
�,� G • City of Federal Way 1 JUN 6 1996
APPLICATION FOR BUILDING PERNIrru[o(NG A- AY
PLEASE PRINT APPLICATION #:EU)q " ' 0 2-2--0
SITE LOCATION Address . . \ �e`k( �� S' .-r' 'c �jt1
Tenant(if known) i � Lot # Assessor's Tax #
G'T 0,a ,- -kcs-.1�FE_T v 1\C. . -----L--___€_ 3
Building Owner . e Address \KZ:4
t...1. __ '\ic-C..)\- ‘ _ '?--&\C -c7 c�: \C C-;C:.
Cityv ; Vic' State ..3" - Zip I Phone '---e-e:- -
Nature of Work h\
eiv \ 1--‘'NcL :,\� cic- c�
APPLICANT
Name (F,M,L)
Address
City State Zip
Contact Person Day Phone Other Phone Fax
BUILDING CONTRACTOR
Company Name \
k'&•:::)'N-
`....3c\-3-e. ` k.Q N L .
Address
\/ City-'� �r.a--A State Zip ��Z''Z-3
Contact�er� Phone Fax kz>
�--�'c\ 7\evl At--• -bczis„-\\\---,‘ `'V3c\-\\\
Contractor's # (card must be presented). Expiration Date Verified ❑ Yes ❑ No
ARCHITECT
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492(Rev 4/93)
ST.RUCTURE ting Use' , \ posed Use��7--
Permit includes: ! Building ❑ Plumbing ❑ Mechanical ■ ether
Type of Work: ❑ esidential CINew 'Remodel ❑ Number of Units ❑ Deck
Commercial ID Addition CI Garage 171 Shed ❑ Other
Enter 1st Floor //'7�][�Ci sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area 7c-a- j sq ft
Area Basement t ')(,..c4‘ sq ft Decks sq ft Garage sq ft Proposed Total Area' -) sq ft
Water Availability Sewer Availability' On-Site Septic System Availability ❑ Project Valuation $L ,
Zoning C_ Lot Size Existing Bldg Valuation L\ •)
LENDER
7
Name Address
///
City State / Zip
,
/ .
MECHANICAL CONTRACTOR
/
Contractor Name tress
/
City ./— State Zip
/
Contact / Phone Fax
n
\..i /
License # f Expiration Date Verified ❑ Yes 0 No
/
;
PLUMBING CONTRACTOR / /
Contractor Name * Address
/
City 7 State Zip
i
Contact Phone Fax
License # ,' Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE COUNT
t
Water Closets , ' 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 MECHANICAL VALUATION ONLY $
/
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas ng Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <10010TUs Gas Log Unit Heater 50+ Tons
Furn >1 BTUs Fans Miscellaneous Fuel Tanks
Gas H t Hood Boilers Above Ground
Co Burner Duct Work 0-3 Tons Underground
O's Wood Stoves 3-15 Tons Total Unit Count
DISCLAIMER: I certify under penal 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/'e work for which permit plication is mad- urther agree to save harmless the City of Federal Way as to any claim(including costs,expenses,
and attorneys'fees incurred in i' estigation and defense f such claim),w.c may be made by any person,including the undersigned,and filed against the City of Federal Way,
but only where such claim ari-•.. out of the reliance of e City,includin. it officers and employees,upon the accuracy of the information supplied to the City as a part of this
application.
Owner/Agent: Date: (::=,1(:=)(Cki ct:LI.