92-101428Ci-1 Y OF FEDERAL WAY
33530 Firs*. Way South
Ejderal Way, WA 98003
661-4000
SITE ADDRESS: 1030 SW DASH POINT YID
PARCEL NO.: 53 5320-0441
PROJECT DESCRIPTION: RA build deck.
BUILDING PERMIT
BUILDING INSPECTION - 661-4140
PEA
OWtiER - CONTRACTOR -
CH-RLES BUTLER *OWNER IS CONTRACTOR*
�^ ^ SW DASH POINT RD
RAL WAY WA 98023
839-0741
BLD?:X MEC?:? PLM?:?
TYPE OF WORK:ADD USE:RES
CENSUS CATEGORY.....:?
OCCUPANCY GROUP ----------
:M2 :? :? :?
TYPE OF CONSTRUCTION-----
:5N :? :? :?
OCCUPANT LOAD ------------
. 0: 0: 0: 0:
FLR--EXIST--PROP---
1ST.:
0:
O:Sf
2ND.:
0:
O:Sf
3RD.:
0:
O:Sf
OTHR:
0:
O:Sf
BSMT:
0:
O:Sf
DECK:
0:
732:sf
GAR.:
0:
O:Sf
TOTL:
0:
732:sf
FUEL TYPES.:?
?
FANS..........: 0
GAS PIPING.:
0 ft
HOOD..........: 0
FURN<100K..:
0
DUCT WORK.....: 0
GAS HWT....:
0
WOOD STOVES...: 0
CONV BURNER:
0
FURN>100K..... : 0
BP,- ........
0
MISC........... 0
RY�-R..:
0
AIR HANDLING UNITS
RANuL-...... .
0
<e10,000 CFM: 0
GAS LOGS...:
0
> 10,000 CFM: 0
*OWNER*
DWELLING UNITS: 0
STORIES........: 0
HEIGHT.....: 0.00 ft
VALUATION----------
EXIST..S: 0
PROP ... S: 6442
RECEIVED.:09/02/92
BOILERS/COMPRESSORS
0-3 HP....... 0
3-15 HP...... 0
15-30 HP....: 0
30-50 HP..... 0
5¢ HP........ 0
FUEL TANKS ---------
ABOVEGROUND: 0
UNDERGROUND.: 0
COMP PLAN ......... :SR?
REQUIRED PARKING..: 2
REQUIRED SETBACKS -------
FRONT ......... . 20.00 ft
SIDE..........: 5.00 ft
REAR..........: 5.00:ft
IMPERV SURFACE:
WATER CLOSETS......:
BATH TUBS...........
SHOWERS ............:
LAVATORIES..........
SINKS ...............
DISH WASHERS.......:
ELEC WTR HEATERS...:
LAUN WSHR OUTLTS...:
LENDER
SPRINKLERS?......:?
HAZARD CLASS...:?
FIRE FLOW....: 0 gpm
WATER SERVICE..:FED
SEWER SERVICE..:FED
0 sf SENSITIVE AREAS?.:N
0 URINALS......... 0
0 DRINKING FOUNT.: 0
0 SUMPS........... 0
0 VAC BREAKERS...: 0
0 DRAINS.........: 0
0 LAWN SPRINKLERS: 0
0 OTHER FIXTURES.: 0
0
9a, /b 1 vas
PERMIT NO.: BLD92-2130
ISSUED: 10/ 09/92
BY: JJ
FEES:
FINAL PLAN CHECK...*
BUILDING PERMIT....*
SBCC SURCHARGE.....*
TOTAL FEES
$ 58.50
$ 90.00
$ 4.50
4 153.00
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
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.
DOWNER OR AGENT
bld_prmt 07/31/92
DATE -j -
SET BACKS AND FOOTINGS
DATE _-(^'�� BY
OX TO POUR FOUNDATION WALLS
DATE - BY
PLUMBING ROUGH IN
WATER LINE O.K.
DATE BY
GAS PIPING O.K.__-_
O.K. TO ENC OSE FRAMING
DATE _ . 0/ f5 •8
INSULATION
DATE
FINAL 0. 6 C
DCD
PSDCUPY
DATE _J 1- �
PLUMBING GROUNDWORK
_.. DATE ---- --_ - _ -- BY
MECHANICAL INSPECTION
- - DATE - --- - --BY - - -
WALL BOARD AND FIRE WALL
DATE
FD
/0 �12 .9 �
CITY OF FEDERAL WAY
BUILDING I L D NG PERMIT APPLICATION
— Please Print
BOX 1 TENANT NAME:
OWNER s r L, kvzu 1341:n=QQ SITE LOCATION /0 7c S. cry: 1717_5`T R-
OWNER'S ADDRESS _/ tea uo: ��.s,� Rt7� CITY.ELDF,094 LdRX PHONE S`39--121741;
DESCRIBE JOB Fc.x -
THE PROPERTY IS OWNED BY: SINGLE/MARRIED_&!2r_Je 7 v PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. #
Card MUST be presented
CONTRACTOR'S ADDRESS CITY _ PHONE_
EXPIRATION DATE
—OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON JqU 49 Q Ae 2:2�F PHONEX32-e24,1
BOX 4 SEWER DISTRICT f=F.Laisp,L idg)z _ WATER DISTRICT_P—/)4 idAy
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION !�
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION <_ .- .f7,- 41 7"ff q cc.e:- ■N *Aj rl"A z6,_'j-'s7llkAF5 ntI. IrA7 R .c'-I" Aft
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD - FLOOR_ / BASEMENT / DECK / GARAGE /
BOX 8 (,X ) SINGLE FAMILY ( ) NEW CONSTRUCTION
(- ) MULTIFAMILY (NO. OF UNITS = } ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins}
NO. _
_ WATERCLOSETS
BATHTUBS
_:,—SHOWERS
LAVATORIES
SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
_ LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
TOTAL FIXTURES
MECHANICAL APPLIANCES— BASIC FEE $
GAS PIPING, FEET $
NO. FURNACE, ELEC. GAS $
GAS HOT WATER HEATER $
CONVERSION BURNER $
BOILER, SIZE BTU $
AIR HANDLING UNITS $
HEAT PUMPS, SIZE $
UNIT HEATERS $
AIR COOLING UNITS, SIZE $
COMMERCIAL HOOD $
OTHER $
TOTAL MECHANICAL FEE $
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 EMPLOYEE , UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT:
DATE: .. ��