95-101866 _ 9�'/OJ8'(,�
CITY OF FEDERAL WAY r� i�t� �l�TT P�RMIT IVO: BLD95-0611
33530 Fi rst Way �outh .���� ��� �+�'� � !C:.1'�1 � 1. t ISSUED: 09/06J95
Federal Way, WA 9800� Building Inspection Requests d61-4140 BY: FC2
661-4000 EXPIRES: OR/p6/9E
ADDRES5:3082� 22ND AVE S
NO. : 053700-OSSO
PROJECT DESCRIPTIQN:REM-ADD - ADDIN6 88SF DECK, SMALI NOOK, � OTHER INTERIOR REMODELlIN6 M/PLUMBIN6. adding 576sf garage
= OYNER =@=a��===______�__�=__�______=_�_�_�______= = CONTRACTOR ��amammac�aea�mmsasammeamsms�aeam__asaa�sa� m LENDER ��==aas�mmstamasaoassaassssmees_emsaa=samraaasaj
CLAIRE SMENSEN STAfFORD COHSTRUCTION INC �
30823 22HD AVE S 16016 118TH PL NE ( �
f FEDERAL NAY WA 98023 BOTHELL kA 98011 i
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206-488-2222 � �
� STAFfCI134JC � �
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� CONTRACTORS, PLEASE USE LOCATIAN CODE 1732 WIEN REPONTIM6 SALES TAX FOR �ROJECTS YITHIM TbE CITY OF FEDERAL YAY. TAX RATE = 8.2� �
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BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DMELLING UNI1S: 1 COMP PLAH.........:? � FEES: �
TYPE Of MORK:ALT USE:RES 1ST.: 1517: O:sf STORIES........: 1 REQUiRED PARKING..: 0 SPRINKLERS?......:? PLAN CHECK FEE = 176.48
CENSUS CAtE60RY.....:434 2ND.: 0: O:sf HfIGHT.....: 0.00 ft HAIARD CLASS...:? SBCC SURCNAR6E.....� S 4.50
OCCUPANCY 6AOUP---------- 3RD.: 0: O:sf VAIUATION---------- REQUIRED SETBACKS------- FIRE FLOM....: � gpM PUB WKS PLCK(SF)..93 S 40.00
:R3 :U1 :? :? : OTHR: 0: O:sf EXIST..S: 0 FROHT.........: 0.00 ft MEC APPLIANCE FEES.$ S 28.50
iYPE OF CONSTRUfTION----- BSMT: 0: O:sf PROP...S: 11934 SIDE..........: 0.00 ft NATER SERVICE..:? PLUMBIN6 FIIfT....93# $ 28.00
:5N :5H :? :? : DECK: 0; O:sf REAR..........: O.00:ft SEIiER SERVICE..:? BUILDING PERMIT....$ = 135.00
OCCUPAMT LOAD------------ 6AR.: 0: 516:sf RECEIYED.:08/09/95 FIHAL PLAN CHECK...x $ -88.73
. 0: 0: 0: 0: TOTL: 1517: 516:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
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fUEI TYPES.:6AS ? FANS..........: 2 BOILERS/COMPRESSORS NATER CLOSETS......: 1 URINALS........: 0 TOTAL FEES S 323.15
PIPING.: 49 ft HOOD..........: 0 0-3 HP......: 0 BATH TUBS..........: 1 DKINKIH6 FOUNT.: 0 �
N<100K... 1 DUCT WORK...... 0 3-15 HP...... 0 SHONERS............. 0 SUMPS........... 0 �
6AS HNT....: 1 MOOD STOVES...: 0 15-30 HP....: 0 LAVATORIES.........: 1 VAC BREAKERS...: 0 ( �
CONV BURMER: 0 FURH>100K...... 0 30-50 HP..... 0 SINKS............... 0 DRAIHS.........: 0 I (
BBQ......... 0 MISf........... 0 5+ HP........ 0 DISH NASHERS....,... 1 LANN SPRINKLERS: 0 (
6AS DRYER..: 0 AIR HANDlIN6 UNITS FUEI TAHKS--------- ELEC NTR HEATERS...: 0 OTHER fIXTURES.: 0 � �
RAN6E......: 0 <=10,000 CFM: 0 ABOVE 6ROUND: 0 LAUN YISHR OUTLTS...: 0 �
6AS L06S...: 0 > 10,000 CFM: 0 UNDER6ROUND.: 0
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PE�IIITS EXPIRE 180 DAYS Af ISSUANCE IF NO C IS STARTED. RESIDENTIAL AkB 6RADIN6 �ERlIITS EXPIRE ONE YEAR AFTER DATE Of ISSUANCE.
I CERTIFY THRT TNE I TION B IS TRUE A ECT TA TNE �ST OF MY KIqIIlED6E AND TNE A�PIICA�E CITY OF FEBERAL IIAY REOUIRENENTS YILL BE MET.
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FIELD COPY
� � , ' a_-� �r s �1�. ,�u,� �-��.,�:� _ ,�,� . , . ,
SETBACKS &F0471NGS
Date �" j'' '�� By ,'� �
FOUNDATION WALLS
Date By
PIUMBING GROUNDWORK
Date By
UNDERFLOOR FRAMING '
Date By
SHEAR WALLS '
Date By
PIUMBING ROUGN-IN
Date By
GAS'PIPIN
Date j� �� � BY C
MECHANICAL OUGH'IN
Date By
MECHANICAL (OTHER)
Date By
FRAMING
Date By
INSULATION
Date By
GWB - 1 ST LAYER
Date By
GWB - 2ND LAYER
Date By
SUSPENDED CEIIING
Date By
PLANNIIVG FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL
Date By
BUILDING FINAL
Date By
OTHER
Date By
OTHER
Date By
CD0193
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CITY OF FEDERAL WAY
�
BUILDING PERMIT APPLICATION r�l16091995
—Please Print—
ClTY OF FEDERRL WAY
BOX 1 TENANT NAME:
OWNER C L A r rz �V/�;�J,�E:�c�' SITE LOCATION :D��-'.'- �' �"' AVE, �. � ,�r,
=��'�.�:' CITY �::"����;.. W�t�� PHONE2ot�- 5'S2�l0 500
OWNER'S ADDRESS �',!� �ox ._
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP� CORPORATION
BOX 2 CONTRACTOR'S NAME � ��� '�'i" I'�F 3�T� ' � :��,"�-. CONTRACTOR'S REG. #
Card MUST be presented
CONTRACTOR'S ADDRESS CITY PHONE�Q'�- 9.�.; -= . ��
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 T-�o��-�i �`�"�'�r;-;- � PHONE ��-: �-%.�= ���"
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST � � EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER !�.���'%`,%ti�^ - �'���:" = - �'���
LEGAL DESCRIPTION �`-�.= t+ �'�� �^�-'��=
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR - ���%' / /S�/ 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / ���� GARAGE /�`7 Co
BOX 8 ( � SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
N0. � WATERCLOSETS GAS PIPING, FEET $
1 BATHTUBS NO.�_FURNACE, ELEC. GAS_�� $
SHOWERS GAS HOT WATER HEATER $
/ LAVATORIES CONVERSION BURNER $
SINKS BOILER, SIZE BTU $
� DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
OTHER $
TOTAL FIXTURES $
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 ASTO 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 AG/�INST 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: � DATE: �r � - ��a
ANP-008 3/90
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FEDERAL WAY, WA 9BO03 66 1 �4��❑
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ADDRESS: ���� � ��'�'" �� /'/ �/ � PERMIT �, :�� /� �`C�I �
VIOLATIONS OF CITY AND/OR STATE LAWS ARE L15TED BELOW:
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YOU ARE HEREBY N❑TIFIED THAT N❑ MORE WORK SHALL BE APPROVED LJP❑N THESE PREMISES UNTIL THE
ABOVE VIOLATIONS ARE CORRECTED. WHEN C�RRECTIONS HAVE BEEN MADE� CALL 661-41 40 FOR
RE-INSPECTI❑N.
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DATE INSPECT❑R ❑R BLJILDING DEPARTMENT
DO N �T REMOVE THIS NOTICE
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CIT I OF �
"_• E� BUILDING DIVISION
�� � 33530 7 ST WAY SOUTH
FEDERAL WAY, WA 98003 66 1 -40�❑
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YOLJ ARE HEREBY NOTIFIED THAT NO M�RE WORK SHALL BE APPROVED LJPON THESE PREMISES UNTIL THE
AB�VE VI❑LATIONS ARE CORRECTED. WHEN CORRECTIONS HAVE BEEN MADE� CALL 661-41 4❑ F❑R
RE-INSPECTION.
DATE INSPECTOR FOR BUILDING DEPARTMENT
DD NOT REMOVE THIS NOTICE