93-102128 AllOP
9 -ftia)
CITY OF
3530Firstt Way South BUILDING P PERMIT22
ISSUED: 09/07/93
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FLF
461-4000 EXPIRES: 03/06/94
ADDRESS:30134 16TH AVE SW
NO. : 515320-0305
PROJECT DESCRIPTION:NSF - N/ PLUMBING & MECHANICAL
LOT 3 OF KCSP 910207901 OF MARINE VIEW ESTATES.
OWNER -- CONTRACTOR -- LENDER
MARK PALSSON ***OWNER IS CONTRACTOR***
30136 - 16TH AVE SN
EDERAL NAY NA 98023
927-1113 838-2066
NONE \ .
BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN •LDR FEES:
TYPE OF NORK:NEN USE:RES 1ST.: 0: 2661:sf STORIES • 2 REQUIRED PARKING..: 2 SPRINKLERS') 9 PLAN CHECK DEPOSIT.* $ 1029.93
CENSUS CATEGORY •101 2ND.: 0: 998:sf HEIGHT • 0.00 ft HAZARD CLASS •1 PUB NKS PLCK(SF)..93 $ 40.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gp. FINAL PLAN CHECK...* $ 18.19
:R3 : OTHR: 0: 414:sf EXIST..$: 0 FRONT • 20.00 ft BUILDING PERMIT....* $ 1612.50
TYPE OF CONSTRUCTION BSMT: 0: 1760:sf PROP...=: 317911 SIDE • 5.00 ft WATER SERVICE..:FED SBC SURCHARGE * $ 4.50
:5N : DECK: 0: 468:sf REAR • 5.00:ft SEWER SERVICE..:FED ME APPLIANCE FEES.* $ 82.50
OCCUPANT LOAD GAR.: 0: 183:sf RECEIVED.:08/20/93 PL BING FIXT....93* $ 147.00
0: 0: 0: 0: TOIL: 0: 7084:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N RADON KIT 93 $ 20.00
EL TYPES.:GAS FANS • 5 BOILERS/COMPRESSORS WATER CLOSETS • 4 URINALS • 0 TOTAL FE S 8 2954.62
S PIPING.: 100 ft HOOD • 2 0-3 HP • 0 BATH TUBS • 3 DRINKING FOUNT.: 0
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 1 SUMPS • 0
GAS HNT • 2 MOOD STOVES...: 0 15-30 HP - 0 LAVATORIES • 5 VAC BREAKERS...: 0
CONY BURNER: 0 FURN>100K - 0 30-50 HP • 0 SINKS • 4 DRAINS • 0
BBQ • 1 MISC - 0 5+ HP • 0 DISH WASHERS • 2 LAWN SPRINKLERS: 1
GAS DRYER..: 1 AIR HANDLING UNITS FUEL TANKS ELEC NTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE • 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN NSHR OUTLTS...: 1
GAS LOGS...: 1 > 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 INF RATION FURNIS D BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS LL BE MET.
OWNER OR AGENT -__ (�'�C_. ems' DATE CIA/1
(PI V 0 9 3 880 d
FILE COPY
• Cityof Federal Way •
jAi:w > VEii.
APPLICATION FOR BUILDING PERMIT
AUG 2 01993
CITY OF FEDERAL WAY 7C/
PLEASE PRINPUILDING DEPT. ! / APPLICATION #: /} C/q 2-
SITE LOCATION Address , - p /j It" am, ..S.tkv F?cj£ftj./ Li- \I tk 4-
Tenant (if known) Lot # Assessor's Tax #
5-'75370- C3os
Building Owner Name Address
City toClf'Pctj LI.Ay State Vjt„, Zip g 2..3 Phone Ci ./7— /r( 3
Nature of Work lkifsLJ 0-tore eecs'1I2v C,TICh1
APPLICANT
Name (F,M,L)
AR.K PA S561/1/4)
Address
3,IS 333r,d
City Fed P( I et State `,i'/t Zip 9 ;S J L,
Contact Person Day Phone Other Phone ( 0-1:,Jf Fax
LA; 09_ ►l/`'1f?L _ 9 1i -11 i 3 c1_ 338- 20&& 4ua>21< 9,44-417 1.27-II i
BUILDING CONTRACTOR
Company Name pp
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
ARCHITECT fkm e- Pes c E N r 1
Name
14 e7A ri t-W Peek IL) Terry !vett . PC,.
Address }'-("i. Box. 90 7772 pili..✓ 6 . W
6-i4 1-1,P goi -tht 5-?- 7777
City '10I` £S3 ?j State Zip Fy' gS?- 7777
Contact Person Phone Fax
LEGAL DESCRIPTION
Lot 3, as delineated a City of Federal Way Short Plat No. S88S-0014
recorded under Recording Numher 910207901 being a portion of Lot 1,
Block 4, Marine View Estates Addition according to the plat recorded
in Volume 44 of Plats, page 19, records of King County, Washington.
Please Complete Reverse Side
CD0492(Rev 4/931
STRUCTURE Existing Use UAci\vQ.o Proposed Use s F p–
Permit includes: LIS Building []\Plumbing 'J Mechanical ❑ Other Hf
Type of Work: 'Al Residential 1. New ❑ Remodel ❑ Number of Units 1 N Deck l
❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Enter 1st Floor --){4// sq ft "'I(4 °''OS2nd Floor C/e0? sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement_(?6,0 99 ft(04.1) ' Decks 4-i, ' sq ft Garage 73 sq ft Proposed Total Area sq ft
Water Availability 0 Sewer Availability ,' On-Site Septic System Availability ❑ Project Valuation $ _2/0, ono
Zoning Lot Size /,(97O Existing Bldg Valuation S
i
LENDS Wit
Name Off' • mit uffL- Address
I N-TEg-W EST — Gf 4 i c E ?e T e `1
City KENT state yL14- Zip
MECHANICAL CONTRACTOR
Contractor Name eornrjr„r Address
Fep 2 -1F L ouitY i A 77 Mei or INJ P Celiraf - rem
City i:--EP-AL, tik: \/ r�ccfvIA— State Zip
Contact Al Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name Address
K I Irl 91,Um6 iIN;e
City TV--Ct IA t w P S 1-i– State O Irl(i' Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE COUNT I k;CA.AX cl u ft -- f 1v :.=
Water Closets 4- Sinks 4- Urinals 0 Lawn Sprinklers I
Bathtubs 3 Dish Washers 2- Drinking Fountains 0 Other
Showers I Electric Water Heaters ' Sumps 0
Lavatories 5' Washing Machine 1 Drains it3 Total Fixture Count Z1
MECHANICAL UNIT COUNT
Fuel Type (electric/other) 6-AS Gas Dryer v ! Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping Of +- Range de Air Handling > = 10,000 CFM 30-50 Tons 1
Furn <100K BTUs i k 000' r reekGas Log V a Unit Heater 50+ Tons ,
Furn >100 BTUs CTU=iap--- Fans A t (km cie I"/Ct542_ Miscellaneous Fuel Tanks WC
Gas Hwt -7_, Hood j, Boilers .14c Above Ground
Cony Burner — Duct Work It3S (!) 0-3 Tons Underground
BBQ's , Wood Stoves tiic> 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. {{ ,,
Owner/Agent: /07
J-44--v _ ___ Date: /2 / __