95-100618 1,�,.n, —
C� b�/06 �/8
CITY OF FEDERAL WAY g U � L D I NG P E R M I T ISSUEDT 04/12/g55-0239
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: KLC
661-4000 EXPIRES: 04/12/96
ADDRESS: 2518 S 279TH PL
NO. : 757561-0630
PROJ ECT DESCR I PT I ON:RES ADD - CONSTRUCTION OF 120 SGFT DECK.
OUNER CONTRACTOR LENDER
STEYE ROZIER =tt ONNER IS CONTRACTOR ;_�
2518 S 219TH PL
FEDERAL wAY NA 98003
282-2729 581-1101 P6R
==s NONE =et
BLD?:X IIEC?: PLII?: FLR--EXIST--PROP--- DMELLING UNITS: i COMP PLAN.........:UR FEES:
TYPE OF WORK:ADD USE:RES 1ST.: 0: O:sf STURIES........: 0 REDUIRED PARKING..: 0 SPRINKLERS?......:? PLAN CHECK FEE ; 11.55
CENSUS CATEGORY.....:434 2ND.: 0: O:sf HEIGHT.....: 0.00 ft HAZARD CLASS...:? BUILDING PERIIIT....= f 21.00
6CCUPANCY GROUP---------- 3RD.: 0: O:sf VALUATION---------- REQUIRED SETBACKS------- FIRE FLOW....: 0 gp� SBCC SURCHARGE....._ = 4.56
:? :? :? :? . OTNR: 0: O:sf EXIST..�: 0 FRONT.......... 20.00 ft
TYPE OF CONSTRUCTION----- BSMT: 0: O:sf PROP...�: 1056 SI6E..........: 5.00 ft WATER SERVICE..:FED
:? :? :? :? . DECK: 0: 120:sf REAR........... S.00:ft SEYIER SERYICE..:fED
OCCUPANT LOAD------------ 6AR.: 0: O:sf RECEIVED.:03(29/95
. 0: 0: 0: 0: TOTL: 0: 126:sf IMPERY SURFACE: 0 sf SENSITIVE AREAS?.:N
Fl1EL TYPES.:? ? FANS..........: 0 BOILERS(COIIPRESSORS wATER CLOSETS......: 0 URINALS........: 0 TUTAL fEES f 49.05
GAS PIPING.: 0 ft HOOD..........: 0 0-3 HP......: 0 BATN TUBS..........: 0 DRINKIN6 FOUNT.: 0
FURN<t00K..: 0 DUCT NORK.....: 0 3-15 HP.....: 0 SHOMERS............: 0 SUMPS..........: 0
GAS HwT....: 0 w00� STOYES...: 0 15-30 HP....: 0 LAYATORIES.........: 0 VAC BREAKERS...: 0
CONV BURNER: 0 fURN>100K.....: 0 30-50 HP....: 0 SINKS..............: 0 DRAINS.........: 0
BBO........: 0 IIISC..........: 0 5+ HP.......: 0 DISH wASHERS.......: 0 LAMN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS--------- ELEC MTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE......: 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN VISHR OUTLTS...: 0
GAS LOGS...: 0 > 10,000 Cfll: 0 UHDERGAOUND.: 0
PfRMITS EXPIRE 180 QAYS AFTER ISSUANCE IF UO �ORK IS STARTED. RESIDENTIAL AND GRADING PERAITS E1(PIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORNATION FURNISHED BY ItE IS TRUE AND CORRECT TO THE BEST OF MY KNOwLED6E AND THE APPLICABLE CITY OF fEDERAL �AY REDUIREMENTS MIII 8E {IET.
OWNER OR AGENT _____. w � �
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SETBACKS & F0071NGS
Date By
FOUNDATION WALLS
Date By
PLUMBING GROUNDWORK
Date By
UNDERFLOOR FRAMING
Date By
SHEAR WALLS
Date By
PLUMBING ROUGH-IN
Date By I
GAS PIPING I
Date By II
MECHANICAL ROUGH-IN I
Date By I
MECHANICAL (OTHER) I
Date By I
FRAMING
Date By
INSULATION
Date By
GWB - 1 ST LAYER
Date By
GWB - 2ND IAVER
Date By
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL
Date By
BUILDING FINAL I
I
Date .. '—`�� BY i%��,,� I
OTHER
Date By
OTHER
Date By
CD0193
�„� G City of Federal Way
� �� ��` p►P���'�`��TION FOR BUILDING PERMIT �-
� �� � �99�
PLEASE PR/NT ;;,'.�.��'�'� APPL/CAT/ON #: ��,1�� — v�3�
SIZ'E I,�CATI�N Address
Tenani (if known) Lot # Assessor's Tax J#
� � - U(�30
Building Owner Name � ,. �? , Address
�r�c- (`o z, �2 ��1 f3 .��1-�-, :�79�` l�f 4�
City ���� � State �}- Zip ��Ob � Phone
Nature of Work ��,� G,� ����L
APPLICANT
Name (F,M,L) `'
.�TE��c' �. I�o���c2
Address 7-�r�� �q•�'C., �-UC / �
Jo4-�� r (�/
City �-t-f�� State � Zip ��/`�9
Contact Person Day Phone h1�{ ther Phone �'-1-(o�:/C Fax
5�'�� l�D 7i� L`/L ��(c�"".�-'�a�' .�'�v�-q-�(\�y" Sl��?—j7� �
BUILDING CONTRACTOR-
Company Name
�w6�� I � � z:-� ��'l� �
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified � Yes ❑ No
ARCHITECT
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRiPTION
�c��r bo r �r,�c, �, �i�" � � ,�f (� �
P/ease Comp/ete Reveise Side
� CD0492(Rev 4/931
STP �CTURE isting Use roposed Use �^
1�; �.., � M_ i\''i -Iri'��{—�/i'l_
'ermit includes: �Building ❑ Plumbing � Mechanical ❑ Other
�Type of Work: F�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 sq ft
Area Basement sq ft Decks �, k �S sq ft Garage sq ft Proposed Total Area sq ft
Water Availability� Sewer Availability � On-Site Septic System Availability ❑ Project Valuation $ .��; �—`�
Zoning � "� Lot Size Existing Bldg Valuation S
L�ND�R
Name Address
�
City State Zip
MECHA1vICAL CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expirat� n Date Verified ❑ Yes ❑ No
/
PLUMBING CONTRACTOR '�
Contractor Name Address
City State Zip
Contact Phone Fax
license # Expiration Date Verified ❑ Yes ❑ No
/
PLUMBING FIXTLJRE COUNT
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Wa r Heaters Sumps
Lavatories Washin achine Drains Total Fixture Count
MEGHANICAL;tINIT COUN`r
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping e Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log Unit Heater 50+ Tons
Furn >100 BTUs � Fans Miscelianeous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Conv Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Totai Unit Count
DISCLAIMER: I certify under penaity 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 claiml,which may be made by any person,including the undersigned,and filed against the City of Federal Way,
but only where such claim arise 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. � �
/� ._ �c ' C'c
Owner/Agent: � � ":��~' Date: �— �� �J
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� � �515 S 1?9TH Pt_ F3LD95- i123�.� SITE PLAN APpROVAL
; Permit Number: ' `.�.��:�1_ __ _ __
' a ❑EIsK APProved By: _ ,� L e�c�-�.
.�. .M._._._ . _._
� _ Date: (� ��
: +A RO�Ik hC.. STE-VE- . _ —
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� - Comments: �-��'-- �r�/.�___ `�t S
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