00-100588 — " w
•
Community Develop City of deralan Services Building - Single Family Permit #:00 - 100588 - 00 - SF
33530 1st Way S
Federal Way,WA 98003-6210 Inspection request line: 253.661.4140
Ph:253.661.4000 Fax:253.661.4129
(3:30pm cut-off for next day inspections)
Project Name: MOEHLMAN(RES ADD)
Project Address: 32322 44TH PL SW Parcel Number: 873202 0610
Project Description: RES ALT-ENLARGING TWO ROOMS AND ADDING A DECK **FINAL INSPECTION
PERMIT**
Owner Applicant Contractor Lender
Thomas J Moehlman T.J.MOEHLMAN OWNER IS CONTRACTOR NONE
33941 28TH PL SW 32322 44TH PL SW CONDITIONS:
FEDERAL WAY WA FEDERAL WAY WA 98023
98023-7716 NONE
Includes:
Census category: 434-ResidePERMIT EXPIRE August 13,2000,if NO WORK IS STARTED. #4
Occupancy Group: Pefh t issued on February 15,200D
Construction Type: Type V-N
here. cot1nf,:that the above information i correct and that the construction on the abbve described .ro.e 'h and
heiax¢trpm > d the use will be in accord4nce with the laws,rules and regulations of the State of Washin_ on and
tl.,,City .,f FL1,4a1 Way.
Census Category 434-Residential alt/add-no Mechanical No
®tiaCd #1 R-3 Plumbing Date No
Plumbing Fixtures
Description Quantity Description Quantity Description Quantity
Sinks
Sinks 1
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity
Ducts 1 Ranges 1
3Aa
in(A.
-,�- Z_l 5 - 00
• BUILDING DIVISION
an of 33530 First Way South
E - _____ Ai_ Federal Way,WA 98003
vv Fiy (253)661-4000
Fax(253)661-4129
" -YC
APPLICATION FOR BUILDING PERMIT
O0-0O Q
PLEASE PRINT APPLICATION # C(21 95 8 U
#szz< Site ad
dress
i
7
Tenant name Lot # Assessor's Tax #
Building Owner's Name -6,1 u Address p sui
City C'‘-te" i �.�„i�,�j State 1 Zip G � Phone L O '— IE)- it`"rj,/
Description of Work r' -g,. r-t
............................................................................................
Name (F,M,L) „r,�. (.� I
iU '4-1 1 1 dC l
Address
City .-eC.{1/ i ✓-. State i„ J Zip 5 SJ L3
Contact Person Day Phone Other Phone Fax
711
...........................................................................................
...........................................................................................
...........................................................................................
.....:.........:.....
Federal Way Business License #
Y
Company Name <,
5 =oF
Address
City State Zip
Contact Person Phone Fax
Contractor's #(card must be presented) Expiration Date Verified 0 Yes 0 No
............................................................................................
Name S ef f
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
STRUCTURE;i \xisting Use4.,..,.-,5 ,, c- t' c.-1--t-cc--r I Proposed Use i---1<_
Permit includes: ❑ Building ❑ Plumbing ❑ Mechanical ❑ Other
Type of Work: Residential ❑ New l (Remodel ❑ #of bedrooms Deck
Commercial XAddition ❑ Repair ❑ Garage 0 Shed
Enter 1st Floor 1 L? sq ft 2nd Floor N 4 sq ft 3rd Floor IL,A-sq ft Existing Floor Area 1 :5-2.-e...;; sq ft
Area Basement i .)JL%.-sq ft Decks L )_ sq ft Garage tj A. sq ft Proposed Total Area (C.2(71-- sq ft
Water Availability,l Sewer Availability/ On-Site Septic System Availability R�/tA Project Valuation $ 'l5 We)
Zoning �: ✓t.,J , h_ 1./.1; L Lot Size ( 2L) p--7 y-- Existing Bldg Valuation S I (G'' �tCACI"
I
P sed se
Ilin
Cost: $
" / n/ ro 0
r i en o
or new SENDER>«< > <<«� < «< >>> < < «<` < > Fo e
Name `1 /
(t }1 ^ Address
City State Zip
MECHANOACOONTMOTORMEEM
Contractor Name i Address
mac' l
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
#?1LJ11AR:(MdCON..ELA
Contractor Name L, , v Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes 0 No
TLUAtI B11�G<FI3tTJR1~':>Gt�.
»> `<` _
Water Closets Sinks %� Urinals Lawn Sprinklers
Bathtubs Dish Washers I Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains •T4Yel =ixtUr`e OU ft
L
MECHANICAL EVAU
ATION ONLY $
Fuel Type (gas/electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 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 1 0-3 Tons Undeiground
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.
y Date: L
Owner/Agent: N ,)- -�t�._
13.oiac.Aav
RFvnto 5/18199