93-100204 =10 ' . I: 9;400 o v
TY OF FEDERAL WAY •. BUILDING PERMIT
PERMIT NO.: BLD93-0074
530aa First Way South BUILDING INSPECTION - 661-4140 ISSUED: / /
rederal Way, WA 98003 BY: FC
661-4x000
SITE ADDRESS: 30659. 3RD AVE SW
PARCEL NO.: 556000-0400
PROJECT DESCRIPTION: RESIDENTIAL ALTERATION — ENCLOSE CARPORT
OWNER — CONTRACTOR
LENDER
JOSEPH WHITE *OWNER IS CONTRACTOR*
30659 - 3RD AVE SW .
FEDERAL WAY WA 98023
941-2797 995-5200(PGR)
4111/ *OWNER*
BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN •SR FEES:
TYPE OF WORK:ALT USE:RES 1ST.: 0: 252:sf STORIES • 1 REQUIRED PARKING..: 2 SPRINKLERS? •7 PLAN CHECK DEPOSIT.* $ 70.20
CENSUS CATEGORY •434 2ND.: 0: 0:sf HEIGHT • 0.00 ft HAZARD CLASS...:? FINAL PLAN CHECK...* E 0.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm BUILDING PERMIT....* $ 108.00
:R3 :7 :? :? OTHR: 0: 0:sf EXIST..S: 79000 FRONT • 20.00 ft SBCC SURCHARGE * $ 4.50
-TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...5: 8500 SIDE • 5.00 ft WATER SERVICE..:FED MEC APPLIANCE FEES.* $ 9.00
:5N :7 :7 :? DECK: 0: 0:sf REAR • 5.00:ft SEWER SERVICE..:SEP PLUMBING FIXT....93* $ 28.00
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:01/26/93
0: 0: 0: Os TOTL: 0: 252:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS7.:N
FUEL TYPES.:ELE 7 FANS • 2 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 219.70
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 1 DRINKING FOUNT.: 0
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 1 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 • 2 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
•
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 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.
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OWNER OR AGENT ' ,L, 1,'t., -i(/L-CDATE r2l °I:5 L
bld_prmt 10/23/92
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SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PL-tA147111T,R4Rag11116,.. af,416,4,0",--,
DATE_ y 7 y3 , _ 7YJ V p
_ BY_... � DATE y' BYAff
DATE ..- �� . ,7 BY. ....
PLUMBING RO H IN WATER LINE O.K. _ .e("2-_520.. MECHANICAL INSPECTION k-r-"
DATE . g BY GAS PIPING O.K. /�-
DATE 1....... f. BY
O.K. TO ENCLOSE FRAMIN INSULATION /fin 'UI WALL BOARD AND FIRE WALL
DATE`'/-/0-1 BY i l / DATE I VJ4t. ..._..BY _ `.. DATE BY
I
FINAL O.K. TO
OCCUPYii
DCD PSD FD
DATE i
/7-S'3 c sWi' Ci.//._
CITY OF FEDERAL WAY B U I L D I N G PER M I T PERMIT NO.: BLD93-0074
rst Way South
JBUILDING INSPECTION - 661-4140 ISSUED: / /
Nay, WA 98003 BY: FC
0 REVISION
I E ADDRESS: 30659 3RD AVE SW
PARCEL NO.: 556000-0400
PROJECT DESCRIPTION: RESIDENTIAL ALTERATION — ENCLOSE CARPORT
REVISIONS SUBMITTED 3/23/93 FOR EXTENSION OF CARPORT IN REAR SIDE
OWNER — CONTRACTOR -- LENDER
JOSEPH WHITE *OWNER IS CONTRACTOR*
30659 - 3RD AVE SW
FEDERAL WAY WA 98023
-2797 995-5200(PGR)
*OWNER*
I
BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN •SR FEES:
TYPE OF WORK:ALT USE:RES 1ST.: 0: 252:sf STORIES • 1 REQUIRED PARKING..: 2 SPRINKLERS? •? PLAN CHECK DEPOSIT.* $ 70.20
CENSUS CATEGORY •434 2ND.: 0: 0:sf HEIGHT • 0.00 ft HAZARD CLASS •7 FINAL PLAN CHECK...* $ 0.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm BUILDING PERMIT....* $ 108.00
:R3 :? :? :? OTHR: 0: 0:sf EXIST..S: 79000 FRONT • 20.00 ft SBCC SURCHARGE * $ 4.50
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...S: 11756 SIDE • 5.00 ft WATER SERVICE..:FED MEC APPLIANCE FEES.* $ 9.00
:5N :? :? :? DECK: 0: 0:sf REAR • 5.O0:ft SEWER SERVICE..:SEP PLUMBING FIXT....93* $ 28.00
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:01/26/93 FINAL PLAN CHECK...* $ 41.00
0: 0: 0: 0: TOTL: 0: 252:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N PUB WORKS-PLAN CHECK $ 40.00
FUEL TYPES.:ELE ? FANS • 2 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 300.70
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 1 DRINKING FOUNT.: 0
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 1 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 • 2 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
E • 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0
.OGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
1
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 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.
OWNER OR AGENT /.,76` DATE (f - Z,
bld_prmt 10/23/92
J
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OTTLE-FING COUNT/ DEPARTMENT OF PUBLIC HEALTH
•
ENViROfKNTAL HEALTH SERVICES
Tote) Fee: $75.00 APPLICATIDN FOR HEALTH DEPARTiENT
APPROVAL OF BUILDING PERMIT
Submit application, route map, building permit plot plans, and other required documents in triplicate.
The following must be completed and the fee must accompany this application;
Note: If the property is located in unincorporated King County, make direct application to the King
County Building and Land Development Division (3.A.L.D.). Properties in incorporated cities apply
to local building departments.
PROPERTY INFORMATION
House/structure is served by an on-site sewage (septic) system
Distance to the nearest public sewer
Address of property C C.,�'5`�' j-f' S , '� �_ .01
Parcel Number (Tax Lot Account #) / (.)7 /1 e l.t>c7s- 7)1/R! /C IAtC L'/CL.4?--
Applicant's name AFi 3 c pt, (n�lw.r'y-e Day Phone )ell
Applicant's mailing address ‘,, .'
Owner's name J s, b. (-c.kti r Day Phone
Age of house . r Number of existing bedrooms Existing square footage of house
Are additional bedrooms being constructed or created? —EG=
Description of proposed changes/remodeling (attach plot plans, showing existing structure, remodeling
and septic system):
4 tt4 car z? 17i l U.,l,c'y
New square footage after construction, /CC)() //preyr
SEWAGE *STEN INFORNSATION
Approximate dates septic tank was pumped (attached receipts) )?(A-7
Additions or major landscape changes since house was constructed (examples: add family room, bed-
rooms, garage, patio, deck, pool, etc.; major fills or excavations done 1n landscaping):
Additions or repairs to sewage system (give date and describe briefly) L'T kcZU)L)
Other information which would be helpful in evaluating the sewage system (ie. drainfieid easements, •
covenants, etc.):
WATER SUPPLY INFORMATION
E:1 Public system (2 or more connections) ED Private (well, spring, etc.)
r Attach copies of well log, well
Name of Public Supply /R� CL947q covenants, chemical/bacteriological
sample reports
FOR HEAL DEPARTMENT USE ONLY
fl APPROVED BY: ��� Date Received
Data 5t`/CG✓ RE=CEIV D
n DISAPPROVED B Y:
Date APR - 1 1993
Comments/Conditions: ALDER SQUARE .
Any person aggrieved by any decision or final order of the Health Officer may make written application for
appeal to the King County Board of Sewage Review if done so within 60 days of the above decision.
FILE
/hd/sewage/forms/form37/6-3-9:
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