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96-101158 oy� , t o 1 � 58� CI�I `r' UF '��EDLIi.i-tl_ b��r#'1' !'1:_f�('1T. 1 I�diJ' a�?I fJ�?f:� -C)�_'u� 7 :��s�o F i r�t G�c�v �o����, :��;w�,�,�.,�:��;:. �.,.,., .��;,::��.;;h�. h`����;,;;�a� �:�;��'::...:�`�7�,,�'"'�'.:� :.�,.. i��u��a: c��/zo/�� F'ec�eral Way, 4+1A ��30C1:� Euilcling TnSpectinn F�equests 661.-4�.4t� BY: f�C 66�-4C10U �XPIRES : 05/2U/�3�7 ADDftESS. �U8F2 22ND AVE S Nq. : QS3)OQ-1�5:3 7 PROJ�C��` DESCRIF�TTON:RES ADDITION - CONSTRUCiION OF 180 SQFT SHED OVER EXISTIHG SLAB. = OWNER =��_��====r_��=�_��=_____=�,�-�r��==========��_��-r= CONTRACTOR ------------------_-.-----�----------------�-----�= LENDER =_=------=_=--------------_---_---------__ft__-� ____........---_----________ ______ ____ __ _.._ - ------ ---------_____ ___ ___________ ___ GRACE BROWN � OWNER IS CONTRACTOR � 30862 22ND AVE S � ( � FEDERAL WAY WA 98003 ' � �� � �( 839-0439 � . � ............ � ---- -- - - - -- - - - - ,.�._ - - - - -- -- -- - ____....___.____.� ____._...._ .__.. __ _._ .._____,_._--- ____ .�..:.....,,.....__�....__,....___._.______�.. .-------_..____-- ;�� CONTRACTORS, PLEASE USE LOCATION COAE 1132 YHEN REPORTI86 SALES TAX FOR PROJECTS MITNIN TNE CITY Of FEDERAL MAY. TAX RATE = 8.2; ==x ___w.-------•----------.___. .____,._ ..____ ..----_..---->.. .._..<<_..__.._____....____..__..__..__..._..__.�-------..___.._____----------------.___..___.._--------=,�� __________..__ .. ....,.w�.._..8SA�5.»_^'^:-..'.....�«.......... .�......,�.. _...__.._.......,..:--._._._.....'__'_..._...............-_�..._...__._.,...___...-_..,.._...............__._...,_..._.._....__._.._�....i..___..._..._�....._...__�_'.._____..�,�_ 2.......�.�..�_.���..�.� ...�.._......�._._.�....._..�...._.��...�.. ... .. . BLD?;X MEC?: PLM?: FLR--EXIST--PROP--- DWE!IING UNITS: 1 COMP PLRN.,.......:SFHD FEES: � TYPE OF W�RK:ADD USE:RES 1ST.: 0: O:sf STORIES........: � � REOUIRED PARKING..: 2 SPRINKLERS?.,....:? � PLAN CHECK FEE S 40.95 I CENSUS CATEGORY.....:434 2ND,: 0: O:sf HEIGIIT.,...; 0.00 ft � HAlARD CLASS...:? � BUILDING PERMIT....� $ 63.00 � OCCUPANCY GROUP---------- 3RD.: 0: O:sf VALUATION---------- ` REQUIRED SETBRCKS------- FIRE fLOW....: 0 gp� � SBCC SURCNARGE.....� $ 4.50 � :U1 :? :? :? , OTHR: 0: 180:sf EJiIST..$: 26Q�J0 � �RONT.......... 20.Q� tt , � TYPE OF CONSTRUCTION----- BSMT: 0� O:sf PROP...$: 3105 SIDE..........; 5.00 ft �lA1ER SERVICE,.:FED � � :5N :? :? :? . DECK: 0: O:sf � REAR........... S.00:ft SEWER SERVICE,::FED f OCCUPANT LOAD------------ GAR.: Q: O:sf RECEIVED.:04/29i96 i � ,� : 0: 0: Q: 0: TQII: 0: 1BO:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N � ( ___________________..-- -.._ __.._.•_---__....____ __,__ �_..w___..__--------------------------______----___.._____ ( __________..__________�� . _._._---_.__________.._�.._--.--����_�-==���w�::-_ � _.._____._----------------------.---.-_---_.._-----_.._______ fUEI TYPES.:? ? FANS..........: 0 BOILERS/CO�IPRESSORS � WATER CLOSETS......: 0 URINAtS........: 0 TOTAL FEES $ 108,45 � '''' GAS PIPING.: 0 ft HOOD........... 0 0-3 HP....... 0 � BATH TUBS........... 0 DRINKING FOUNT.: 0 � � RN<1QOK..: 0 DUCT WORK.....: 0 3-15 HP.....: 0 � SHOWERS............: 0 SUMPS..........: 0 � ` HW?....: 0 l�OOD STOVES...: 0 15-30 HP....: 0 � LAV�ITORIES.........: 0 VAC BREflKERS...: 0 � CONU BURNER: 0 FURN>100K...... 0 30-50 HP..... 0 ( SINKS............... 0 DRAINS.......... 0 � � BBQ........; 0 MISC........... 0 5+ NP........ 0 DISN WASNER5.......; 0 LAWN SPRINKLERS; 0 � � GAS DRYER... Q AIR HANDLING UNITS FUEL TANKS--------- � ELEC WTR HEATERS.... 0 OTHER FIXTURES.. 0 � � RANGE......: 0 <-10,000 CFM: 0 ABOVE GROUND: 0 � LAUN SISHR OUTLTS...: 0 I GAS LOGS...: 0 > 10,000 CFM� 0 UNDERGROUND. 0 � ��_.__.___..__w-�__�___�_,�_.__..,__�_____�______�_.._._.._,_________.__.._._��__�_�____-=___M�=�_:.-_.����__w_�._.___._____..._..____......_:__.___�___-___�_..�_..__.__�____--�___�_.___�_�______..__.___�..;� PERMITS EXPIRE 180 DAYS AfTER ISSUAIICE IF NO MORK IS STARTED. RESIDENTIAL AMD 6RADIN6 PERMITS EXPIRE OME YEi�t AfTER DATE OF ISSUAMCf. I CERTIFY TNAT THE INfORMA1I0N fUR�IISHED B1' ME IS TRUE AMD CORRECT TO THE BEST Of MY KNONLED6E AND TNE APPLIfABIE CITY OF FEDERAL NAY REWIREMEMTS NILL BE MET. OWNER OR AGENT R�__b��!'..�_. ._ _�.�1v-�l��,G.1.1_�'t-�..____,.___._._.._..._._......._____..__._._..�..__.._____. DATE �._ . �... .-�.�---=-�y j.�'-� ' FILE COPY Y y y��l S 9� ,�` � a„� G City of Federal Way • � —�—��� APPLICATION FOR BUILDING PERMIT ��,� � � e� - , PLEASE PR/NT APPLICAT/ON #: C I��� —l.,J (J� SITE LOCATION Address�G;�r'�� ��„� Gl.Le� ./�(..p� Tenant (if known) Lot # Assessor's Tax # � v�. � Buiiding Owner Name �/� � �/fZ Address � 7 , �'(t /(1'�CC� y0' l�/./l�'-��17'L� j?�dFi��/ �/!�'.�r� Le,t-C.f1 �-p7 � City �� State � Zip �6^d-�� "� Phone ��' _(J �3 Nature of Work �,� (�(, fi� �1 C APPLICANT Name (F,M,L) Address City State Zip Contact Person Day Phone Other Phone Fax BUILDING CONTRACTOR Company Name Address v G'���� Z Z'.-�_�. �eLz..e � - �j City � - ` State � Zip � �' \ Contact Person Phone Fax �c.�1-4 �- 3/— �T'C��'Z. �3 — 1��Z Contractor's Jt (card must be presented) Expiration Date Verified ❑ Yes ❑ No ARCHITECT ' Name Address City State Zip Contact Person Phone Fax LEGAL DESCRIPTION �'�1�.� ft�c.l�. Please Complete Reverse Side - CD0492(Rev 4/93) I t, STRUCTURC sting Use oposed Use C��,r� Permit i�cludes: Building ❑ Plumbing ❑ Mechanical ❑ Other " Type of Work: Residential �( New ❑ Remodel ❑ Number of Units__ ❑ Oeck ❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other X Enter 1 st Floor sq ft 2nd Floor _ sq ft 3rd FIQor sq ft Existing Floor Area sq ft Area Basement sq ft Decks sq ft �e �".r� sq ft Proposed Total Area sq ft Water Availability Sewer Availability On-Site Septic System Availability ❑ Project Valuation S Zoning S— ; � Lot Size Existing Bldg Valuation $ L�ND�R Name Address City State Zip 'MECHt1NICAL CONTRACTOR Contractor Name Address City St e Zip Contact hone Fax License # pir ion Date Verified ❑ Yes ❑ No PLUMBING CONTRACTOR Contractor Name ddress City State Zip Contact Phone Fax License # Expiration Date Verified ❑ Yes ❑ No PLUMBING FIXTURE COUNT Water Closets inks Urinals Lawn Sprinklers Bathtubs Dish Washers Drinking Fountains Other Showers Electric Water Heaters Sumps Lavatories Washing Machine Drains 'Total Eixture Count MECHANICAL UNIT UNT MECHANICAL VALUATION ONLY $ Fuel Type (electric/ot er) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons Length of Gas Pip g Range Air Handling > = 10,000 CFM 30-50 Tons Furn <100K Us Gas Log Unit Heater 50+ Tons Furn >10 BTUs Fans Miscellaneous Fuel Tanks Gas H Hood Boilers Above Ground Co Burner Duct Work 0-3 Tons Underground BQ's Wood Stoves 3-1 5 Tons Total Unit Count 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,inc�uding its officers and employees,upon the accuracy of the information supplied to the City as a part of this application. \/ / 7 J( Owner/Agent: �Z� ,E'_ � ��0�.-C,I,.I� Date:_ ��/�11���r��- �jC'fc'� /� s.� .n,� �, �, ,a , �f. � �� , „ ��d �, �� ----__._---� - - -_:r�. \1�� r .i. � _ 1 _ . . . . . _ . _ _l.�__�-._._.__�.�.w.�__.. ..:.�{.""_':l.��xl.'1..y�.._..�.�T»�.�.�.._.......��...�..�........,r.�......w.....1� ..,_._..�...V..�.�..��.._ .. -.�.....�...�..�..._..v�.�<...�.+.. �� ..�...._�.......��._..�....,�.._.�..�.. . � �l.► _� '�— i ���� -. � � � -, �,� � !�,���_._ .. � :��5�� � � � �� � �� \�� 1 ��,�����Y' �.....A 4� I 1 i\ � i �. / ti . � � , , � � , ,_ � ',-. _ _. __... _ ...... —___! _._..__ �.. � : , � � , ; t-f ; , f _ , � , . , °4, � �. .___�__ -»--� i . _� - , , �; �'" �--.;; : i � . : - ^� � i � ; � � - I � c�: _ I . , _ ., ,� �. _ . ; ; � ku.�.. . .... ...�... . . — _ .._.. � 'i � . _ v �--�.,...._...sr��.�vv��� . 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