95-101251 Ss- 1DI�S�
CI7Y OF FEDERAL WAY PERMIT N0: 8LD95-0454
33530 Fi rst Way South ��.� �,,..�'.� �� �'���� � ISSUED: 06/29/95
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2 �
661-4000 EXPIRES. 12/26/95 ;
�
ADDRESS:29611 1ST AVE S �
NO. : 062104-9093 x
PROJECT DESCRIPTION:RES ADD - CONVERSION OF CARVORT TO 6ARA6E, w
= OiiNER =_�__=�-----����__�.��..�.. = CONTAACTOR =a �=_��_���_�_ = LENDER m=---------_-�=_�_���_��_�_=���
AHDREM 60RDOH AMERICAN AWARD CONTRACTORS ,�
29611 1ST AVE S 32200 27TN AVE SM
� FEDERAL YAY MA 98003 FEDERAL MAY MA 98023
I 946-1155 654-1243
AMERIAC094B5
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i� CONTIlACTdtS, PLEASE USE LOCATION CODE 1732 II�N REPORTTN6 SALES TAX FOR PROJECTS YITNIM TNE CITY OF FEDERAL NAr. TAX RATE = 8.2� i� �
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BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- AWELlIN6 UNITS: 1 COMP PLAN.........:SR FEES: �
TYPE OF YORK:ADD USE:RES iST.: 0: O:sf STORIfS........: 2 REQUIRED PARKIN6..: 2 SPRINKLERS?......:? PLAM CHECK FEE s 46.80 '
fENSUS CATE60RY.....:434 2AD.: 0: O:sf HEI6HT.....: 0.00 ft HAZARD CLASS...:? FIMAL PLAN CNECK...# = 0.00 '
OCCUPANCY 6ROUP---------- 3RD.: 0: O:sf VALUATIQH---------- REQUIRfD SETBACKS------- fIRE FLOM....: 0 gp� BUILDIN6 PERMIT....� = 72.00 `'
:M1 : : : : OTHR: 0: O:sf EXIST..S: 95500 FRONT.........: 20.0� ft SBCC SURCHAR6E.....; S 4.50
TYPE OF CONSTRUCTION----- BSMT: 0: O:sf PROP...S: 4200 SIDE.....,....: 5.OfJ ft WATER SERVICE..:FED
:SN : : : : DECK: 0: O:sf REAR..........: S.00:ft SENER SERVICE..:FED
OCCUPAHT LOAD------------ 6AR.: 0: 400:sf RECEIVED.:O6/12/95
. 0: 0: 0: 0: TOTL: 0: 400:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:Y
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FUEL TYPES.: FANS..........: 0 BOILERS/COMPRESSORS MATER CLOSETS......: 0 URINAIS........: 0 TOTAL FEES = 123.30
GAS PIPIN6.: 0 ft HOOD..........: 0 0-3 HP......: 0 BATH TUBS..........: 0 DRINKIN6 fOUNT.: 0
URM<100K..: 0 DUCT iiORK.....: 0 3-15 HP.....: 0 SHOiIERS............: 0 SUMPS..........: 0
, _AS HMT....: 0 MOOD STOVES...: 0 15-30 HP....: 0 LAVATORIES.........: 0 VAC BREAKERS...: 0
CONV BURHER: 0 FURII>100K.....: 0 30-50 NP....: 0 SINKS..............: 0 DRAINS.........: 0
BBO........: 0 MISC..........: 0 5+ HP.......: 0 DISH WASHERS.......: 0 LANN SPRINKLERS: 0
GAS DRYER..: D AIR HANDLIN6 UMITS FUEL TANKS--------- ELEC MTR HEATERS...: 0 OTHER FIXTURES.: 0
RAN6E......: 0 <=10,000 CfM: 0 ABOVE 6ROUND: 0 LAUN MSHR OUTLTS...: 0
GAS 106S...: 0 > 10,000 CfM: 0 UNDER6ROUHD.: 0
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PERMITS p(PIRE 180 BAYS AFTER ISSIIANCE IF NO YOltt IS STARTED. tESIDENTIAI AND 6RADIM6 PERMITS EXPIRE ONE 1EAIl AfTER DATE OF ISSIIANCE.
I CERTIFT TNAT TNE I�TI�NISNED Br I� IS Tat� fIND CORRECT TO TI� 9EST OF MY CMOIILEl6E AID TNE APPLICABLE CIT1 OF FEDERAL YAY REQUIREMENTS YILL BE NET.
OYNER OR A6ENT _��-w_�_ ________w� DATE �Z-� �'S
� ----���_ �_____�__M���____�_
FILE COPY I
� �: �TY�OF �ED�R��L W�+Y P�RMIT NC�: Bl�D`�5-0454
: ., .t��� Fi r�t W�y South ,��,.�.,� �..�.� �� ��,.�+�.� � ISSU�D: 06/29J9.5
.f ��!�eral Way, WA 98003 Huilding Inspection Requ�sts 6f1-4140 BY: FC2
661.--4000 EXPIRES: 12/26/95
ADDFtE�5:29611 1ST AVE 5
NO. : 062104-9q93
PF20JECT DESCRIpTION:RES ADD - C4NVERSION OF CARPORT TO 6ARA6E.
OMMERmm=••=�-�--�_--�����--�-���-�ffi= C4NTRACTOR +�sseia�aassass�naasa�wsanse�samo:ate��sra�ae=m . LENDER Kaaasaaasieaeaawaaaaa1secsa�axsmzm�aasauasa�asexeeaaa
ANDREN 60RDON AMERICAN AMARD COMTAACIORS
24612 1ST AVE S 32200 21TH AVE SM
iEDERAI YAV IfA 98003 fEDERAI MAY YA 98023
�155 654-1243
� AMERIAC09<BS
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_�= COMT1tAtTORS. 1tEASE USE LOtAT10N GQl� 1732 �tIN6 ".�ILES TAX F6t Nl07ECTS MIT/IN TlIEE CITY OF FE1ERAl MAr. TAIf RpTE = 8.2� =n
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BlD?:X MEC?: PLM?: flR•-€XIST--t�tOP--- DNELLING UNITS: 1 COMP PLAN.........:SR FEES:
TYPE OF kORK:ADO USE:RES 1ST.: 0: O:sf STQRIES......�.: 2 REQUIRED PARKIN6..: 2 SPRTNKLERS?......:? PLAM CNECK FEE = 46.80
CEMSUS CATE60RY.....:434 2ND.: 0. O:sf NEtfitt�...... 4.� ft HAtARD CLASS .:? FINAI PIAN CNECK...# S 0.00
OCCUPANfY 6ROUP-----•---- 3RD.: 0� O:sf YALUATiON---------- REQUiR�I� SETt�i(�5�----`-- FIRE flOM....* 0 gp� � F BUILDIM6 PERMIT....t = 72.00
:M1 : : : : OTHR: 0� O:st EXIST..�. 9�St10 F40H�, „ 20,�0 ft ; } S�C SI�tCHAR6E.....� = 4.50
TYPE Of CONSTRUfTIOM----- �SMT: 0: Q:sf RROP...�; 4140 SiAE,.......,�� S�,QQ fit NATER ��AVI��j.:FED � �t
:5M : : : : l3�CY„ Q. O:st. AEAR a.tta:
........:: 5.O�.ft SEkER SERVItE.��.:fED ���
OCCUVANT lOAD------------ GAR.: 0. 4(l�:st Rfi.El�f�:�(lb/��J��
: 0: 0: 0: 0: T�4TL, �: �t0:�f IMPERV SURFACE: 0 s# SENSITIVE AREAS?.:Y �
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FUEI 1YPES.: F�MS...,�.....: 4 BOIIERS/COMPRESSOAS NATER CLOSEIS......: 0 URINALS........: 0 TOTAL fEES S 113.30
6AS PIPIM6.: 0 ft NDOD.. ,......: �t` 0-3 NP......: 0 BATH TUBS..........: 0 �INKIN6 FOUMT.: 0
'URMt100K..: 0 DUCT MIORK.....: 0 3-15 HP.....: 0 SHOiIERS............: 0 Si1MPS..........: 0
, �S HM1....: 0 WOOD St4YES...: 0 15-30 HP....: 0 IAVATOAIES.........: 0 VAC BREAKERS...: 0
u.
CONV BURMEA: 0 FURN>1QOK.....: 0 30-50 HP....: 0 SINKS..............: 0 DRAINS.........: 0
� BBQ........: Q MISC..........: 0 5+ HP.......: 0 DISN MASNERS.......: 0 LAMN SRRINKLERS: 0
6AS DRYER..: 0 AIR HANDlIN6 UNITS FUEL TAtIKS--------- EIEC MtR NEATERS...: 0 OTHfR FIXTURES.: 0
RAM6E......: 0 t=10,000 CfM: 0 ABOVE 6AOUND: 0 LAUN MSHR WTLTS...; Q
�6AS L06S...: 0 > 10,000 ffM: 0 Ui1DEA6R0UND.: 0
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PEMIITS EXPIItE 180 lAYS AFTpt ISSI�ANff IF Il0 UORC I5 STAItTE@. RESIIENTIAL AND 6RADIII� 1ERMITS EXPIRE 9NE YENR AfiEt 1ATE OF IS511AlIfE.
I CE�TIiY TIMT TME II�ORMATIO�FURNISNED �'If 1� IS TRUE 1� CORIIECT TO Ti� 1EST OF MY KiIOMt.El6E AMD Ti� i�PIICA�IE CITY � fEBERAI MA1 pEp1IREl�NTS Mlll BE I�T.
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FIELD COPY
�a� �
_
SE7BACKS & FOOtINGS
' Date By
FOUNDATION WALL$
Date By
PLUMBING GROUNDWORK
Date By
UNDERFLQOR FRAMING
Date By
SHEAR WALLS
Date ,, �';��-,' > By {�//�
PLUMBING ROUGH-IN
Date By
GAS PIPING
Date By
MEGHANICAL ROUGH-IN
Date By
MECHANICAL (OTHER)
Date By
FRAMING
Date - / %- �= S By ``'%�
INSUTATION
Date By
GWB - 1 ST LAYER
Date ` � S By � ,�
GWB - 2ND LAYER
Date By
SUSPENDED CEIUNG
Date By
PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL '
Date By
BUILDING FINAL
Date � - - By �
OTHER
Date By
OTHER
Date By
C00183
,
. �„� ,� @ City of Federal Way
�P "9 t b"�.:_��t..
L � �� ���i�►PPLICATION FOR BUILDING PERMIT
��y y►� �� ��,. /���51
��@8 E�
' . 1�C�A�..�1'�4� � �
PLEASE PR/NT s' " j1�P�
jii � APPL/CAT/ON #: �
SITE LOCATION Address �%��'w, - '-� ` ,,__,
Tenant (if known) Lot # Assessor's Tax #
� ��' �-�- ,� _ q ,9.,
Building Owner Name Address
�
�N��- �`� c'vt / /`''' 4v� ��.5 .
City '` 1��� State (J!�. Zip � �� Phone l' (�` i a. - -
NatureofWork ; j' �CI��T��IU �,41�-/�� �7� (>�-�,4 ,�j
APPLICANT'
Name (F,M,L)
,r L�L
Address
City State Zip
Contact Person Day Phone Other Phone Fax
BUILDING CONTRACTOR
Company Name
. �E�l ��� � A _ �c..i'Tk,a C�tFJ � -S .�,�L-
Address
7iC�CJ � •
City State /,.� _ Zip �" )�
Contact Person�Q ��u�`�� i P�o�`�` / �� � Fax�Z.� — ��`�C�
GJ '� ��-
Contractor's # (card must pe presented) Expiration Date Verified ❑ Yes ❑ No
N ;1�1 � � L- C�(� � ,�1,'l � - c�, - c�
ARCHITECT �
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
P/ease Comp/ete Reverse Side
CD0492(Rev 4l93)
��Y;t._.. ,
STRUCTUR.E isting Use _ ��/f'���� �, " roposed Use �.�p� '
F-� ✓'
Permit includes Building ❑ Plumbing ❑ Mechanical ❑ Other , '
Type of Work: ❑ Residential ❑ New ��Remodel ❑ Number of Units ❑ Deck �
❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Enter 1 st Floor sq ft 2nd Floor sq ft 3rd Floor _ sq fT'{�!! Existing Floor Area 1� sq ft
Area Basement sq ft - Deck sq ft Garage sq ft Proposed Total Area ,l.(� sq ft
Water Availability ,Sewer Availability On-Site Septic System Availability ❑ Project Valuation S �F� —
Zoning /,} �� `' ;� � Lot Size . Existing Bldg Valuation $� ' ,;:,
1.��1.J�c:'� .
L�NDER
,�;L�`� c' .
Name Address
City State Zip
MMECHANICAL'CONTRACTOR
Contractor Name Address
City State Zip
Coniact Phone Fax
License Jt Expiration Date Verified ❑ Yes ❑ No
/
PLUMBING CONTRACTOR'
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE COUNT
Water C�osets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fixtu�e Count
MECHANICAL'ITNIT:COLTNT
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
le�gth 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
Conv Bur r Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Total Unit Cou�t
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:� ���'Di Date: � ' � L'� �S