98-103818 98- AD1, sls:
CITY OF FEDERAL WAY ''I PERMIT NO: BLD98-0667
33530 First Way South , :'��'��.,,,,0.SII,. 1,., ,IIy.,,, .., . �w. �,;.� ,;;.�� '"��, `� .,,ti.,. .,,�,,,. ISSUED: 10/06/98
Federal Way , WA 98003 Building Inspection Requests 253-661--4140 BY : FC2
253-661-4000 EXPIRES: 04/04/99
ADDRESS : 35619 11tH AVE SW
NO. : 440560-0015
PROJECT DESCRIPTION:RES ADD - PORCH ADDITION
FMB CONTRACTOR -•-f- LENDER -- -•
VLADIMIR ZHUK & ANNA OWNER IS CONTRACTOR I
35619 11TH AVE SW I
FEDERAL WAY WA 98023 1
0-19091
iN/A
su CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.6% us
BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 0 ° COMP PLAN •URBA T FEES:
TYPE OF WORK:ADD USE:RES 1ST.: 0: O:sf STORIES • 0 REQUIRED PARKING..: 2 SPRINKLERS' •' I PLAN CHECK FEE $ 42.00
CENSUS CATEGORY •434 2ND.: 0: 0:sf HEIGHT • 0.00 ft HAZARD CLASS ., BUILDING PERMIT....* $ 52.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION ' REQUIRED SETBACKS FIRE FLOW • 0 gpm SBCC SURCHARGE * $ 4.50
:R3 :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 20.00 ft
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP. .$: 2000 SIDE • 5.00 ft WATER SERVICE..:LAK
:5N :? :? :? DECK: 0: 0:sf , REAR • 5.00:ft SEWER SERVICE..:SEP a
OCCUPANT LOAD GAR.: 0: O:sf RECEIVED.:10/06/98
: 0: 0: 0: 0: TOIL: 0: O:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 I TOTAL FEES $ 98.50
S PIPING.: 0 ft HOOD • 0
0-3 TON • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
N<100K..: 0 DUCT WORK • 0 3-15 TON • 0 SHOWERS 0 SUMPS 0
S NWT 0 WOOD STOVES...: 0
15-30 TON...: 0 LAVATORIES • 0 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 TON...: 0 SINKS • 0 DRAINS • 0
BBQ • 0 MISC • 0 50+ TON • 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 INFORMATION FURNISHED BY ME IS TRUEUE���� DATE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT
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• City of Federal Way
...AcamEgGLVED ii
APPLICATION FOR BUILDING PERMIT
0C-1 0 61998
7Y OF FEDERAL WAY •
PLEASE PR/ BUILDING DEPT.
APPLICATION #: r l DC1 C)62 _�'
SITE LOCATION Address - ;--,-6/q // 71E, 'lye sv ,e/e,?l ' J,'/ay,lcJ, ! 4G...',}`3
Tenant (if known) Lot if Assessor's Tax#
i//a d,m/f-- e 4/7/7i, G Li u,e..- 3 L.-34W / L Or/5k7,7 1#/O5'b 0-PGS-03
Building Owf yr NapT e 7 Address �$/��Kms`
City /= edera-P it.. I,L
` , State / /` 1 Zip V 3 Phone oZ5,3 -&<//9oq
Nature of Work �c`�r'GA1 �J a•6---/di /1Op-
...........................................................................................
APPLICANT
Name (F,M,L) P. : .--''.176/ k
Address
..15-P //' c Ve viler
City 7--:--e?-4 /
-e�- `L/�QGJ State 4/ Zip WOZ,3
Contac Person _-A Day Phone Other Phone Fax
B Atil:0.0 COn ACTOR
Company Name -, %
Address •
City State Zip
Contact Person Phone Fax
Contractor's it(card must be presented) Expiration Date Verified 0 Yes 0 No
RCOITECT
Name
Address
City State Trp
Contact Person Phone Fax
LEGAL DESCRIPTION n M
\ [_:7,i
g\
AFP 2 3 1998 L Ii
; 1\ iiJa-' ht-:
HEPdT; DE' " - '+^J' .n�
•
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Please Complete Reverse Side 01 '
CD0492(Rev 4/931
•
III
STRUCTURE ii fisting Use Proposed Use ,
Permit includes: " Building 0 Plumbing 0 Mechanical ❑ Other ` '
Type of Work: ❑ Residential 0 New 0 Remodel 0 Number of Units_ 0 Deck
0 Commercial X.sAddition 0 Garage 0 Shed 0 Other
Enter 1st Floor 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 ` ' Sewer Availability 0 On-Site Septic System Availability Project Valuation $
t
Zoning Lot Size -Existing Bldg Valuation $
LEND :;:``:>::>'>€ <'i> ' >i::*i<>:i:i:i: i:iii
Name _.------' Address
City State Zip
IW:ECIIA,NICAVCOISITIUCTOIV:iiii:-:.:ii::
Contractor Name Address
City State Zip
1
Contact P •ne Fax
License # Expiration Date Verified 0 Yes 0 No
IN- 111\'
PLUMBING• CONT•RACTOR;._.. . :fi
Contractor Name Adtlress
City State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes 0 No
T M R ` M.V4E:.COi1N'1` ;
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish ashers Drinking Fountains Other
Showers El,ctric Water Heaters Sumps
Lavatories 'Washing Machine Drains....i C:f. U >•:
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
Cony Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons T,,.. .O.i.t o »[<```> E:g:::M::
otal:Unft Ca1�nL::::.::.:
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge end further that I am authorized by the owner
of the above premises to perform the work for which permit application is made.1 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 arise out of the reliance of the City, includi its officers and employees,u n the accuracy of the information supplied to the City as a part of this
application.
n
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/,�OwnerlAgent: