94-102420 etL4.)aayaa
300FirstF DEWay South RAL WAY BU I LD I NG P P`RI4SSUED: 0iIT NO: /17/9509
deral Way, WA 98003 Building Inspection Requests 661 -4140 BY: JTH
661 -4000 EXPIRES: 07/16/95
ADDRESS: 30619 28TH AVE S
NO. : 092104-9264
PROJECT DESCRIPTION:RESIDENTIAL ADDITION - ADDITION (family room) TO EXISTING SFR.
= OWNER CONTRACTOR F. LENDER
ABLE REMODELING INC. ABLE REMODELING INC.
3915 S. 12TH ST 3915 S 12TH I
TACOMA WA 98405 TACOMA WA 98405
.9-5733 159-5133
ABLEA1010706
BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN •SR FEES:
TYPE OF WORK:ALT USE:RES 1ST.: 0: 282:sf STORIES • 2 REQUIRED PARKING..: 2 SPRINKLERS/ •? PLAN CHECK DEPOSIT.= $ 184.93
CENSUS CATEGORY •434 2ND.: 0: 0:sf HEIGHT • 0.00 ft HAZARD CLASS •? BUILDING PERMIT....* $ 284.50
OCCUPANCY GROUP 3RD.: 0: O:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm 58CC SURCHARGE $ $ 4.50
:R3 : : : : OTHR: 0: O:sf EXIST..$: 162100 FRONT • 20.00 ft MEC APPLIANCE FEES.* $ 6.50
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 30000 SIDE • 5.00 ft WATER SERVICE..:FED
:5N : : : : DECK: 0: 0:sf REAR • 25.00:ft SEWER SERVICE..:FED
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:12/20/94
0: 0: 0: 0: TOIL: 0: 282:sf IMPERV SURFACE: 7432 sf SENSITIVE AREAS?.:Y
FUEL TYPES.: FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 480.43
AilliPIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
<100K..: 0 DUCT WORK • 1 3-15 HP • 0 SHOWERS • 0 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 • 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
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 INFORM ION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
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•
• City of Federal Way • RECEIVED
-c-7S- 3.,...__
F
APPLICATION FOR BUILDING PERMIT DEC 2 01994 .
CITY OF FEDERAL WAY
BUILDING DEPT.
PLEASE PRINT APPLICATION #:5 CH el. 1 DO
SITE LOCATION Address '06)/g t�A v
Tenant (if known) Lot # Assessor's Tax #
q_a off- - CI g(2 LI
Building Owner Name / Address
g711) A4 // /44; 1---;."7/'S .30 /q 141 S
City 74------E6,72://_ State ' Zip g 5 Phone q1-#--5k)! ,J
Nature of Work _.r.‘/..6# -4..)774 .- I'
APPLICANT
Name (F,M,L) /%����,iJyJ )`'// p' //
Address /
City —7-Ale-714- �2 /1_2)1. �,i#L/n-5' State �. Zip gZ/Q '.'
Contact Person Day Phone . e ' Other Phone Fax
�,� a,� �?-S"75 a i4- 73-2 -- ZG 5
outtilNG coN tAeTo .:
Company Name
A. L., ry6?- )
Address
City State Zip
Contact Person Phone Fax
Contractor's #(card must be presented) Expiration Date Verified 0 Yes 0 No
/4&41
............. ................... ... ............. ... ........................
Y RCI ITECT
Name „er-aS , 12-)-7-601
Address V ►(i, ` , , Nov,
a v,
lJ ' \ r/
City �P S °C " Zi
I P
Contact Person -1• "�'� �� 1 f 111-,44,,_�. % Fax
LEGAL DESCRIPTION
....-/'. e Cfi I ,92/61-9z d
Please Complete Reverse Side
CD0492(Rev 4/93)
i
STRUCTURELx g Use lj/h/C7 Z,e /;.---o'l, r' •sed Use ,...----/ . - -./.
Permit includes: U wilding ❑ Plumbing l_I Mechanical ❑ Other
Type of Work: "` Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck
❑ Commercial I] Addition ❑ Garage ❑ Shed ❑ Other
Enter 1st Door sq ft 2nd Floor 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 X Sewer Availability,$ On-Site Septic System Availability ❑ Project Valuation $ 30, 0--e
Zoning Rs" 7. r. Lot Size ZA/UD /2_, 5 2 , Existing Bldg Valuation $ (62 ACV
kVt-yz lr: 2-372-06,
ILENDER33 7 �
Name f /,�I Address
City /1/4_
/l/ JState Zip
MECHANICAL COI TRACTO
Contractor Name Address
/4„,
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
.................................... .................... ............... ...........
.............................................................................. .......
PLU DN'G.t ONTRACTO t > ::::
........................................................ . .............. ................
........................................................................................
Contractor Name / 4 Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE C14 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
Fuel Type (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
44
Cony Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons
................................................................
otaI a3tlft 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 cla' s out of t , r- ance of the City,including its officers and employees,upon the accuracy of the information supplied to the City as a part of this
application. Ar
Owner/Agent. V.( / t� Date: / !/w �—`
i