93-103114 ., -
q3 . �b3�i y
33530OFi rsDEWay South B U I LDING PE1�;MI T PERISSUED: B2/23/9302
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 06/21/94
ADDRESS: 1861 S 288TH ST
NO. : 042104-9102
PROJECT DESCRIPTION:ADD - ADDED 1 DOOR, 2 MINDOMS, 2 CEILIM6 FANS, 1 TOILET, 1 LAV. SIMK
(ACRYLIC MAIL SALOM/SNOP)
OMMER CONTRACTOR LENDER
TAM TRAM
1861 SOUTH 288TH STREET
FEDERAL MAII MA 98003
I529-3885
.
BLD?:X MEC?: PLM?:X FLR--EXIST--PROP--- DMELLIN6 UMITS: 0 COMP PLAM...,.....:? FEES:
TYPE OF MORK:ADD USE:RES 1ST.: 0: O:sf STORIES........: 0 RE4UIRED PARKIN6..: 0 SPRIIIKLERS?......:? PLAN CHECK DEPOSIT.; ; 26.65
CEMSUS CATE60Ry.....:434 2MD.: 0: O.sf HEI6HT.....: d.00 ft HAZARD CLASS...:? BUILDIN6 PERMIT....i = 41.00
OCCUPANCY 6RWP---------- 3RD.: 0: O:sf YALUATION---------- RE�UIRED SETBACKS------- FIRE FLOM....: 0 gp� SBCC SURCNAR6E.....� = 4.50
• •� -� •� • DTHR: 0: O:sf EXIST..=: 0 FROMT.........: 0.00 ft MEC APPLIANCE FEES.t = 9.00
TYPE DF CONSTRUCTIOM----- BSMT: 0: O:sf PROP...=: 1750 SIDE..........: 0.00 ft MATER SERVICE..:fED PLUMBIN6 FIXT....93� = 14.00
:? '? •� � DECK: 0: O:sf REAR..........: O.00:ft SEMER SfRVICE..:? MEC ARMT ISSUANCE... ; 20.00
:? .. .. .
OCCUPANT LOAD------------ 6AR.: 4: O:sf RECEIVED.:12/OB/93
. 0: 0: 0: 0: TOTL: 0: O:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
"'El TYPES.:ELE fANS..........: 2 BOILERS/COMPRESSORS MATER CLOSETS......: 1 URINALS........: 0 TOTAL FEES = 115.15
� PIPIN6.: 0 ft HOOD..........: 0 0-3 HP......: 0 BATH TUBS..........: 0 DRINKIN6 FOUMT.: 0
IFUR'�<100K..: 0 DUCT MORK.....: 0 3-15 HP.....: 0 SHOMERS............: 0 SUMPS......,...: 0
6A5 HMT....: 0 MOOD STOVES...: 0 15-30 HP....: 0 LAVATORIES.........: 0 VAC BREAKERS...: 0
I BURMER: 0 FURM>100K.....: 0 30-50 HP....: 0 SINKS..............: 1 DRAIMS.........: 0
.............: 0 MISC..........: 0 5+ HP.......: 0 DISH MASHERS.......: 0 LAMN SPRIMKLERS: 0
6AS DRYER..: 0 AIR HAMDLIN6 UNITS FUEL TAMKS--------- ELEC NTR HEATERS...: 0 OTHER fIXTURES.: 0
RAM6E......: 0 <=10,000 CFM: 0 ABOYE 6ROU1�: 0 LAUM IESNR OUTLTS...: 0
6AS L06S...: 0 > 10,000 CFM: 0 UMDER6ROUMD.: 0
PERMITS EXPIRE 180 DAYS AFTER ISSUAMCE IF NO MORK IS STARTED. RESIDEMTIAL AND 6RADIN6 PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT TNE INFORMATION fURNISED Blf ME IS TRUE AND CORRECT TO THE BEST OF MY KNOMLED6E AMD TNE APPLICABLE CITY OF fERERAI MA1f REqUIREMENTS MILL BE MET.
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OWNER OR A6ENT �- - -- cY�-------------------------------------------------------- DATE __,L������
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ALL{NSULATION MATERIALS INCLUDI�IG X
FACINGS SHALL HAVE A FLAME-SPREAD �
RATING NOT TO EXCEED 25 AND A �
SMOKE DENSITY NOT TO EXCEED 450. ,l C� C� "�
REFEfl 70 UBC S6C�ION 1714. � -�� J
� � ��� si��.
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Appr^ved numbers or addrosses s II be � � ��
pluc�;: �n all new and exisstinng buildings i, �� h � � �
a .�. ._:�n as to be plaiinty visible and �:,ala �, r'�'�
f: ..: :;;,� street or road frontin�j the pr ��::y. ? ���
: �.�mbers shall t�ptsi�t �rith their
L.,,,�ground.
le�-3 G''M �t1-�i i�1 t��`�
—�— ;'�rovide Portable Fire cmr oF FEOERa�waY j__ i -�—
i L X tin u i s h e�s P e r l l F C D E P T. O F C O M M U N I T Y D E V E L O P M E N T
���� �a"� PERMIT NUMBER /3��3-13d 2
��� R EC E 1 V E D ADDRESS ���/ S• ���� S�
; , PLANS FOR /L6'S- �/�E'��Uit/
- - - - DEC - 8 1993 OWNER ����� T 1�0 -t--�---
- ciTY oF F�o�RAt wAY DATE SUBMITfED�Z��"13 DATE APPROVED�� � —
BUILDINC3 DEPT. APPRQVED BY
...�..:
�,�,j � _
a,,,� � City of Federal `..,.;� �
'� e—`�—i�'��� �,.,,9 k�H�tlr,{..�
�,`� a'�' �LICATION FOR BUILDING PERMIT -
;�
�`��� .. .y � �F���
�,�,.Y s�F.FF,��-„_ � .'s` '�
PLEASE PR/NT APPUCAT/ON #: ����..-4��-�� � �`�,��-
SITE I.�CATI�lY � Addfe33 �v� � ��-�:. ,Z �..'`,� �' �"�"._ '� .t� � i :.� . V p1 - �� �`'C`0
Tenant (if known) ,�,,f�}'� �; ���L� Lot# Assessor's Tax
— � j '; —�:' ��� '�'i
Building Owner Name Address �
'TA-� TAt �' ''i N T, v� I�4� f `�� ��. � � -�-_ " �� W G� i,;;�
�
City -,.��. 0.• State 'A Zip c' �;`5 Phon �4 „
Nature of Work ��� �� ��-, �� r,� �
APPLICANT '
;,.. , ...
_. ,:::
Name�F dJl L)
L � �;
Address j_j
p, � �`7
5� � �+-
cicy ;�— �� scate zP � :, ,: �i
Contact Person Day Phone Other Phone Fax
� � .�o�� �7 �S _ 27 � �v
�'�/.5���� � - —�C� � - ..3��:
BUII,DING CONTRA.CTOIt;<
Company Name
Address •
N
City State Zip
Contact Person Phone Fax
Contractor's #(card must be presented) Expiration Date Verified ❑ Yes ❑ No
ARCHITECT
Name
Address
Cit
Y State Zip
Contact Person Phone Fax
�
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_ t�� �-Z4�L. �� T�i�� G.�-(�' �i in � k i� ('1�`'�C:Y �1� 'u�cL i��` LC,� �"C�-
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P/ease Comp/ete Reverse Side
C00492(Rev 4/931
STRUCTURE 'sting ��-- Z - -roposed ��se �'t'�'�'� ����������+'
� �$/O[fLT! i�" �N 1: „�"c ff��
Permit includes: Buildi�d Plumbing M ce : al ❑ li'9r `!
� —_
Type of Work: � Residential � New ❑ Remodel ❑ Number of Units_ ❑ Deck
❑ Commercial �Addition ❑ Garage O Shed ❑ Other
Enter 1 st Floor sq ft 2nd Floor sq ft 3rd Floor sq tt Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage aq ft Proposed Total Area sq ft
Water Availability ewer Availability On-Site Septic System Availability � Projecf Valuatio� S f, ,'��;; �
Zoning ot Size Eacisting Bldg Valuation � j� ZL? �
_ _ __ _ _ ____ ...
_. _ .. _.. _ __ __ __
__. _ _ _ _ _
___ _......._........__. _ ......... ___....
Y:ENDER
Name � Address
r
City State Zip
___ ____ .... _ _. ... ...........__ .
_. _. .... _ ...... __ . ............._........._.
11�CHAI�CCAY: C�NTRACI'U�2
_ ..__ _ _ _ . _ ;:
_.. _ _
_. _ _ __.... ..... ...
Contractor Name Address
City State Zip
Contact �` Y Y � � Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
__ . _ __._ _._.
__ _ __ ..
_ _ _ _ _...... _.....
_ _ ..............
PLUMBING<CONTRACTOR
Contractor Name Address
i
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes � No
PLUMBING FIXTURE COUNT <
Water Closets (;� Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories �� Washing Machine Drains Tota1 Fxture Count ; �'�
MECHANICAL UNTT COUNT
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log Unit Heater 50+ Tuns
Furn >100 BTUs Fans C L. Miscellaneous Fuel Tank6
Gas Hwt Hood Boilers Above Ground
Conv Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Total'Unit Count ��,_,
DISCLAIMER: 1 cartify under penelty of perjury that the information furnished by me ie true and correct to the best of my knowledge end furtherthat I am euthorized by the owner
of the above premises to perform the work tor which permit application is made.1 further agree to save harmless the City of Federal Way as to any cleim(including coste,expenses,
and attorneys'fees i�curred i�investigation and defenae of such claiml,which mey be made by any person,including the undersigned,and filed against the City of Federal Way,
but only where euch claim arises out of the reliance of the City,including its officers a�d employeec,upon the accuracy of the information supplied to the City es a pert of this
application.
� r, �.� L
Owner/Agent: �-(,"(,'�LL'���/ Date: � � _
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