94-101822 9y,io 18a-�
335300F FEDERAL WAY First Way South B U I L D I NG P ET IVI I T PERMIT NO:ISSUED: 110/25/9476
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 10/25/95
ADDRESS:3004 SW 342ND ST
NO. : 294451-0010
PROJECT DESCRIPTION:NSF - **NO MECHANICAL OR PLUMBING** APPROVED BASIC 194-1027-V91
GROUSEPOINTE, DIV II, LOT 11.
i= OWNER — CONTRACTOR — LENDER
CHAFFEY CORPORATION CHAFFEY CORPORATION
BOX 560 PO BOX 560
KIRKLAND NA 98034 KIRKLAND NA 98083
111 537-0906 206-822-5981
CHAFFC*15ONG
•
BLD?:X NEC?: PLN?: FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN -SR FEES:
TYPE OF WORK:NEW USE:RES 1ST.: 0: 1046:sf STORIES • 2 REQUIRED PARKING..: 2 SPRINKLERS') 0 PLAN CHECK DEPOSIT.* $ 506.68
CENSUS CATEGORY •101 2ND.: 0: 955:sf HEIGHT - 0.00 ft HAZARD CLASS •9 BUILDING PERMIT....* $ 6.82
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW 0 gps BUILDING PERMIT....* $ 779.50
•R3 Al - OTHR: 0: 0:sf EXIST..=: 0 FRONT • 20.00 ft SBCC SURCHARGE * $ 4.50
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...=: 139811 SIDE - 5.00 ft WATER SERVICE..:FED PUB NKS PLCK(SF)•.93 $ 40.00
-5N •5N . • - DECK: 0: 168:sf REAR • 5.00:ft SEWER SERVICE..:FED RADON KIT 93 $ 20.00
OCCUPANT LOAD GAR.: 0: 494:sf RECEIVED.:09/20/94
. 0: 0: 0: 0: TOTL: 0: 2663:sf INPERV SURFACE: 2422 sf SENSITIVE AREAS?.:N
FUEL TYPES.: FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 1357.50
GAS PIPING.: 0 ft HOOD - 0 0-3 HP . 0 BATH TUBS • 0 DRINKING FOUNT.: 0
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 SHOWERS - 0 SUMPS • 0
GAS HNT . 0 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES - 0 VAC BREAKERS...: 0
Ai CONY BURNER: 0 FURN>100K • 0 30-50 HP - 0 SINKS • 0 DRAINS • 0
RIF BBQ • 0 MISC - 0 5+ HP - 0 DISH WASHERS • 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC NTR 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
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 FURNISE BY ME IS TRUE AND CORRECT TO THE BEST/OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT ,.11,r� y .tT ',/
Lfi� DATE i0/2 V
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City of Federal Wa • RECEIVE
y
'QCT 181994 1-41k,
N.N) APPLICATION FOR BUILDING PERMIT
,4 b SK6-).9.4/
/JAO
CITY OFFDEpLTAY)4- 1C,> / v 1 f /91/ BUILDING
PLEASE PRINT �A5IC PCAN APf /G a� 'I�1:3��gPPL/CAT/ON
#::1-34PL`4-—:�676
srrI CATION Address 4, ,/} /f �U G/1 cirfyer
ra
st (if known) c `7 // Lot # Assessor's Tpv #
dry WI Zet- °1411- t 410 10
Building Owner Name Address
City // State Zip Phone
Nature of Work /��S /././67 C
<j
APPLICANT 1
Name (F,M,L)
L ON/ 6
Address
City State Zip
Contact Person Day Phone Othar Phone Fax
•
BUILDING CONTRACTOR
Company Name
Address
a�X
City State a1,4 zip ''gUB S
Contact Person Phone Fax
SAVvs /4 zz 595( 75-6�
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
ARCHITECT
Name
CON rA—c ria4
Address
City State
Zip
Contact Person Phone Fax
LEGAL DESCRIPTION 6.27
Please Complete Reverse Side
CD0492(Rev 4/93)
,ITRE> gibing Use N (1 4_Airr Posed Use S'�h�6 LM�L
!' �6���,,�;�� ' X-i Y/ft51
ermit includes: Building ` J'iltC4!$Q ir2006i6eicel CIOther --^
Type of Work: Residential ,�New CIRemodel ❑ Number of Units X Deck
❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
/- -
Enter 1st Floor/,/�f(l sq ft 2nd Floo. G�,r' sq ft 3rd Floor _sq ft Existing Floor Area sq ft
Area Basement sq ft Decks _sq ft Garage sq ft Proposed Total Area sq ft
Water Availability Sewer Availability On-Site Septic System Availability ClProject Valuation $
Zoning fes -- /- Z C56-� I Lot Size %moi.y. �`c1� / Existing Bldg Valuation $ •
LENDER
Name Address
Al71 -GT6f2 _
City State Zip
.......................... . .. ................................................................................._...
MECHANICAL CONT R ...._............
Contractor Name Address
City ) / State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING"CONTRACTOR
Contractor Name
..,`.774:
Address
City ///`l State Zip,
y
Contact Phone Fax
,/
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE COUNT
Water Closets Sinks 1 Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters 1 Sumps
Lavatories Washing Machine 1 Drains . Total Fixture Count
1 CRWCAL UNIT COUNT
_,r
Fuel Type (electric/other) Gas Dryer '4-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 C
Gas Hwt Hood Boilers Above Ground C J
Cony Burner Duct Work 0-3 Tons Underground 0-
................... . .. .......................
BBQ's 2--- Wood Stoves - 3-15 Tons Total(Jntt 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
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.
Owner/Agent: '� b r,Z e ti- C JY J(t-(�' /v 1.., 'll'--/7 Date: /
.� J