98-102090 t '�
98-idaa � a
CITY OF NEDERAL WAY PERMIT NO: BLD98-0357
33530 F'i r5t Way South .,��� �,,..�'� �� ���.�`'�� � T55UED: 06/19/98
Federal Way, WA 9�q03 Buil�ling Tnspection Requests 253-661-4140 BY: FG
253-661.-400U EXPIRES: 12/16/98
ADDRESS:�2218 27TH AVE SW
NO. : 873180-0640
PROJECT DESCRIP7TQN:RES ALT- ADD 2 BEDROOMS INSIDE EXIStIN6 6ARAGE, LAUNDRY AND STORAGE ROOM
= ONNER =--=--=======--====-======-=-=------=-=====man===-= CONTRACTOR =___=_====_===__=______________________=—�= LENDER =____=__=_===_==______=______=__=___=_____=====j
JUST LIKE HOME ONNER IS CONTRACTOR I I
32218 27TN AVE SW I
fEDERAI IiAY NA 98003 �
'S3-838-4685 !
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� COMTRACTORS, �LEASE USE LOCATIOM CODE 1732 iHIEN REP�tTIll6 SALES TAX FOR PROJECTS YITNIN TNE CITY OF FEDERAL YAY. TAX RATE = 9.6� �
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BLD?:X MEC?:? PlM?:? FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAH.........:? fEES: ;
TYDE OF MORK:ALT USE:RES 1ST.: 0: O:sf STORIES........: 0 REQUIRfD PARKIN6..: 0 SPRINKLERS?......:? PLAN CHECK FEE � 35.10 �
CENSUS CATEGORY.....:434 2ND.: 0: O:sf NEI6HT.....: 0.00 ft HAIARD CLASS...:? I BUILDIHG PERMIT....� s 54.00 �
OCCUPANCY GROUP---------- 3RD.: 0: O:sf VALUATION---------- REQUIRED SETBACKS------- FIRE FLOW....: 0 gp� SBCC SURCHAR6E.....# S 4.50
:? :? :? :? . OTHR: 0: O:sf EXIST..s: 0 FRONT.......... Q.00 ft (
TYPE OF CONSTRUCTION----- BSMT: 0: O:sf PROP...�: 3000 SIDE..........: 0.00 ft WATER SERVICE..:? �
:? :? :? :? . DECK: 0: O:sf REAR........... O.00:tt SENER SERVICE..:? �
OCCUPANT LOAD------------ GAR.: 0: O:sf RECEIVED.:06/08/98
. 0: 0: 0: 0: TOTL: 0: O:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
-------------------- ------------------- ---------------------------_ __----------==== ----- ------- -------
-----------------------------------------�__=____----------------------------s------------ - --- - - --- -
FUEL TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS WATEA CLOSETS......: 0 URINALS........: 0 TOTAL FEES S 93.60 �
GAS PIPING.: 0 ft HOOD..........: 0 0-3 TON.....: 0 BATH TUBS..........: 0 DRINKING FOUNT.: 0 I
IH<100K... 0 DUCT WORK...... 0 3-15 TOH..... 0 SHONERS............. 0 SUMPS........... 0
,.,,S NWT....: 0 IIOOD 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 LAiIN SPRINKLERS: 0
6AS DRYER..: 0 AIR HANDLING UHITS FUEL TANKS--------- ELEC MTR NEATERS...: 0 OTNER fIXTURES.: 0 ,
RANGE......: 0 <=10,000 CFM: 0 ABOVE 6ROUND: 0 LAUN iiSHR OUTLTS...: 0 ( I
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 I [
-------------------- - --------__-- =---- --------------------- ---_-_- ----------- ------ -------------------------------l------------- ------------------ -------
---------------- -----------------------=--------------------------------- - ---------------------------------------------------------------------------------------=—------�
PERMITS EXPIRE 180 BAYS TER ISSUANCE IF NO YORK IS STARTED. RESIDEIITIAL AND 6RADIN6 IERMITS EXPIRE OIIE YEAR 9FTER DATE OF ISSUAMCE.
I CERTIFI( TIIAT TN TIOM FURNISNED BY fIE IS A C�tRECT TO THE BEST OF MY KNOULED6E AMD TNE A�PLICABIf CITY OF FEDERAL WIY REqlIREMEMTS YILL � MET.
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OWNER OR AG ___� ��L.�______ �_. ��,6.,� __�____ � DATE
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BUII,DING DIVISION
ar.oF G 33530 Fust Way South
__�-.— F�Er�_ Federal Way,WA 98003
vv F7Y (253)661-4000
Fax(253)661-4129
APPLICATION FOR BUILDING PERMIT
PLEASE PR/NT APPLICATION# � ^O3�
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Tenant (if known) , Lot# �4 Assessor's Tax#
/�\ �I �Zi7 f" l-1��1lLl. ��'f'Vl� z'� �3 '�C� � C���yO �- G'i�
Building Owner's Name • �- � Address � — �1��`��
�r'a�� TE�C.� T,4 i rt 3 3 rC �>��' �x:TH �' �U/��
Cit — � State � Zi `"� �C% r3 Phone _� `)7 �j� ��2h
Nature of Wark 2-- �' S) � � �' � S
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Contact Person � Day Phone �- � , --� � Other Phone Fax
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Company Name �� �{ {_> � �`(j..� S � f 1( �
Address �
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Contact Person �
Phone Fax
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Contractor's #(card must be presented) Expiration Date Verified ❑ Yes ❑ No
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LEGAL DESCRIPTION
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:�>�..��.t���1_�..::::::::::::::::::::::::..:::.�:::::::::::::.::::::;:>:�:« 9 �rA� � Proposed Use Z �C��-G'L`C/l 15 . /
Permit includes: � Buildin ❑ Plumbin ❑ Mechanical ❑ Other l
Type of Work: �9, Residential ❑ New ,� Remodel ❑ Number of Units_ ❑ Deck
❑ Commercial ❑ Addition ❑ Gara e ❑ Shed ❑ Other
Enter 1 st Floor ��}-_ 5(�_sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area r7��� sq ft
Area Basement s ft Decks s ft Gara e r`' s ft Pro osed Total Area `�� s ft
Water Availabilit Sewer Availabilit On-Site Se tic S stem Availabili ❑ Pro'ect Valuation ��jC'�, —3��Ci_>,�
Zonin ��—`_��c��j-(��} � Lot Size i �7 !-� C C t_`� Existin Bld Valuation S ��i(� /��.�C
R� 7 �, ;,��: E-t1�1tii/y �000
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Name Address
Cit State Zi
IM�GHANIG��:�L��V'�'FtAC�'��t
Contractor Name Address
Cit Stata Zi
Contact Phone Fax
License # Ex iration Date Verified ❑ Yes ❑ No
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Contractor Name Address
, Cit State Zi
Contact Phone Fax
- License # Ex iration Date Verified ❑ Yes ❑ No
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.. .: .. .RI F�.:�t/k�fl�i;4�xR3#�...::...:....:........
Water Closets Sinks Urinals Lawn S rinklers
Bathtubs Dish Washers Drinkin Fountains Other
Showers Electric 4lrater Heaters Sum s
Lavatories Washin Machine Drains 7ota1<:Fixture.:Ctiunt
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�#��I�.N1�A�;�:�N....�':�C�i�N'1'.:::.::::.::.:.::..::..::::;.;..;:. MECHANICAL EVALUATION ONLY $
Fuel T e (electric/other) Gas D er Air Handlin < = 10,000 CFM 15-30 Tons .
Len th of Gas Pi in Ran e Air Handlin > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Lo Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Conv Burner Duct Work 0-3 Tons Under round
BBQ's Wood Stoves 3-15 Tons Tatal'Unit Coant
DISCLAIMER:I certify undet penalty of perjury that the information fumished by me is Lve and coired to the best of my knowledge,and further,that I am authorized by the owner of
the above prenvses to perfoRn the work for which pemut application is made.I fucther agree to save harmless the City of Federal Way as to any claim(including costs,expenses,and
attomeys'fees incwred in investigation and defense of such claim),which may be made by any person,including the undecsigped,and filed against the City of Federxl Way,but only
where such claim arises out ofthe reliance ofthe city,including its officers d employees,upon the accuracy of the infocmation supplied to the city as a part of this.application
�; -- � � /
Owner/Agent! Date:
&MDWO.APP
flEvsEo 8/28197
ashington State
DEPARTMENT OF
7 �OCIAL£aHEALTH
SERVICES
• •
u ��n1 � o�ne 1Ce��e
In compliance with and pursuant to the laws of the State of Washington and the Minimum Licensing Requirements
of the Department of Social and Health Services a license is hereby granted
t0 JUST LIKE HOME, INC/TERESA L. TAIT License Number 409701
to conduct and maintain at 3 2 218 - 2 7 th Avenue southwes t
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city of Federal Way � zip code 9 8�2 3 , county of King
State of Washington, an Adult Family Home for the care and supervision of adults as follows:
24-hour family care for no more than 4 adults
num6er
This license shall be in force from the 28TH ,day of APril , 19 97 , to and including
the 2 7 TH day of Apri l � 19 9 8 , subject to revocation for due cause.
Special Terms: , �,<: , .�
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censor �
Kenneth P. Kussman4� Gregory J. S 'c Licensing Authority
NOTE:This license is not transferable,and is valid only for use by the individual(s) to whom it is issued and at the location above
described. Issued by Authority of Chapter 172, Laws of 1967,and RCW 70.128. �.
'10-173(Rev.1/91)
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