93-101734 93, ID I -3 V
Y OF FEDERAL WAY BUILDING PERMIT PERMIT NO.: BLD93m0757
x.30 First Way South BUILDING INSPECTION 661 4140 ISSUED: 07/27/93
,-ederal Way, WA 98003 BY: JJ
661-4000
SIITE ADDRESS: 33017 17TH CT SW
PARCEL NO.: 010457-0470
PROJECT DESCRIPTION: NSF ® W/ PLUMBING & MECHANICAL
LOT #194, DIV 8, ALDERBROOK
-= OWNER --- CONTRACTOR -- LENDER
CENTEX HOMES CORP CENTEX HOMES
2320 - 130TH AVE NE STE#E200 2320 130TH AVE NE #E-200
6EBE VUE WA 98005 BELLEVUE WA 98005
288 874-8775
CENTEH*101QA
BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN.........:HDR FEES:
TYPE OF WORK:NEW USE:RES 1ST.: 0: 1052:sf STORIES • 2 REQUIRED PARKING..: 2 SPRINKLERS?......:? PLAN CHECK DEPOSIT.* $ 600.00
CENSUS CATEGORY -101 2ND.: 0: 862: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...* $ -111.53
:R3 OTHR: 0: 0:sf EXIST..$: 0 FRONT • 20.00 ft BUILDING PERMIT....* $ 751.50
TYPE OF CONSTRUCTION BSMT: 0: O:sf PROP. .$: 131940 SIDE • 5.00 ft WATER SERVICE..:FED SBCC SURCHARGE.....* $ 4.50
:5N DECK: 0: 0:sf REAR - 5.00:ft SEWER SERVICE..:FED MEC APPLIANCE FEES.* $ 50.50
OCCUPANT LOAD GAR.: 0: 446:sf RECEIVED.:07/12/93 PLUMBING FIXT....93* $ 91.00
: 0: 0: 0: 0: TOTL: 0: 2360:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N RADON KIT.........93 $ 20.00
FUEL TYPES.:GAS ? FANS • 4 BOILERS/COMPRESSORS WATER CLOSETS • 3 URINALS........: 0 TOTAL FEES $ 1445.97
GAS PIPING.: 15 ft HOOD • 1 0-3 HP • 0 BATH TUBS • 2 DRINKING FOUNT.: 0
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 1 SUMPS • 0
GAS HWT • 1 WOOD STOVES...: 1 15-30 HP • 0 LAVATORIES • 4 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS. • 1 DRAINS • 0
BBQ • 0 MISC • 0 5+ HP • 0 DISH WASHERS • 1 LAWN SPRINKLERS: 0
GA�RYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
Rt • 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 1
GAS ,OGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
l
AIL 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.
C
OWNER OR AGENT (11-L— 6 • DATE / 2- C, 1
bIt(d_prmt 10/23/92
C�
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an,cs �, • City of Federal Way
~,�r
ms's �' =_1h, APPLICATION FOR BUILDING PERMIT
•U iL112219933
PLEASE PRINT � �+�-� `` O� 6 C 0 -
APPLICATION #: ;�
SITE LOCATION Address a/a1.-? 1113- Ca-- �i.\
T-aaat--(i kfrewn) Lot # Assessor's Tax #
1�� c)1O06-7- �4-7c0 _
Building Owner Name Address
(._ c..; x S C i, Z3ZG �,-,2)65-1N- () E2oC;) ft._
City ,,, t; �iL State Zip nnGI�G0 Phone {dZZ__cirZ
Nature of Work ; ,_\ • /P C2e-S
APPLICANT
Name (F,M,L) C5J\, :
Address
City State Zip
Contact Person • Day Phone Other Phone Fax
N. -3 , -. \. - :,, `-14- 4'l-1 74-1232 C'7_t. < < t,
BUILDING CONTRACTOR
Company Name
C...)\--1—•L
Address (� .
City
City �i "- State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration pate Verified ❑ Yes ❑ No
C, 4 VA Q 1\ is , ,,
ARCHITECT
Name CczA
Address
City State Zip
Contact PersonPhone Fax
IS�� v t:- - �_ -.T.?-t.-( -3t-t,-l`E,
L
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492(Rev 4/931
4 ft--911.7-
r ,
STRUCTURE fisting Use •roposed Use
Permit includes: `X Building A Plumbing fiLMechanical .❑ Other
Type of Work: X Residential . New 0 Remodel 0 Number of Units 0 Deck
0 Commercial 0 Addition 0 Garage 0 Shed 0 Other
Enter 1st Floor 1Oc7_,sq ft 2nd Floors ft 3rd Floor
�6� q C) sq ft Existing Floor Area N A sq ft
Area Basement C) sq ft Decks Cj sq ft Garage L\.{(, sq ft Proposed Total Area ,a1Lk sq ft
Water Availability Sewer Availability On-Site Septic System Availability 0 Project Valuation $gi'J000
,
Zoning c).. S. 0 ) Lot Size 637 LI ff Existing Bldg Valuation $ ,,.r-^""`"------ '?
-
LENDER
Name Address
City Of State Zip
MECHANICAL CONTRACTOR•
Contractor Name Addres`1 �C
City '�P.C_o`,,4!s State tAlfs, Zip q L44
ContactPhone Fax
N--. (. LN7-SC- c 5-39-142x1
License # "1LNr7C,L 13Z0N Expiration Date Verified 0 Yes 0 No
PLUMBING CONTRACTOR
Contractor NameAddress
(-1 D�.1 l•JC� '341A Q! SS 5;` r Gy
City .11u-VzA.4.) . State (,J, N Zip Q74302_
Contactk"� � - /� Phone Fax
v C: N CRY S 1L 1 91 n—t-q C)
License # pLaA 4 iik 1gLC r_ Expiration Date ZAL] Verified 0 Yes 0 No
PLUMBING FIXTURE COUNT
Water Closets 3 Sinks 1 Urinals G Lawn Sprinklers 0
Bathtubs Z Dish Washers 1 Drinking Fountains Cj Other G
Showers 1 Electric Water Heaters 0 Sumps C)
Lavatories LA Washing Machine ` Drains C) Total Fixture Count \3
MECHANICAL UNIT COUNT
Fuel Type (electric/other) GAS Gas Dryer C,) Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping tS. 1Range 0 Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs 1 Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans L{ Miscellaneous Fuel Tanks
Gas Hwt 1 Hood
i Boilers Above Ground
Cony Burner G Duct Work 0-3 Tons Underground
BBQ's U 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 de nse of a.ch claim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,
but only where such claim oris- out of the ; iance •f the Ci y, including its officers and employees,upon the accuracy of the informatio supplied to the City as a part of this
application.
4111
Owner/Agent:_ .ry Asa, Date: s., _,k_
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SITE PLAN APPROVAL
?ermit Number: GIX 9'5-0 3-4/-
A •64' i�
Approved By: i'/.► �-'3 V..
i��
Date: �'� 4'3 �°,
Comments:• � ` ' 1/6-\c-- Cr
i
17TH COURT S .W .
am 3.S.3.L. � i
NOTE: ; CEI
ymow minD• • �.. ELEV.FINIS = 3 22.3 \\ i J U L 12 1993
_____: 1' = 20' ;y's,- `• FEDERAL WA'
qt ilt Samir) •+gay
C L,EGa. DIESCRIFT1ON ALDERBROOK
LOT 194 DIV. viii CENTEX