95-101113 9�� �zs1�13
CITY OF FEDERAL WAY PERMIT N0: BLD95-04p8
33530 Fi rst Way 5outh ,�� � �...�'� r"��i � ���"� I � ISSUED: 07/11/95
Federal Way, WA 480p3 Huilding Inspection Requests 661-4140 BY: FC
661-4Q00 EXPIRES: Ol/07/96
ADDRE55:30243 2ND AVE S
NO. : 339180-0230
PROJECT DESCRIP7ION:SFR-ADD - ADDIN6 ROOM (168 Sf), DECK (140 SF) 6 BUMP OUT 6ARA6E (156 Sf)
ONNERsxsams�ae=xa3__esasa¢es�ma�saaaamssaaxaaa__=�rsa=�_ a COHTRACTOR rasam���m�a=amsaes:seea=smaa_v_asm�sax�same x LENDER eesoass=aa�aaa�m�a�s�a�samaax�as_xsa_msas_masa
ILA LAXSON VODRY'S HOME IMPROVEMENT INC
30243 2ND AVE 23830 PAfIFIC HMY S
fEDERAI NAY WA 9B003 KEHT MA 98032 �
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854-8618 852-3613• 854-8678
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� COMTRACTORS, PLEASE USE LOfATION CODE 1732 I�IfM REPORTIN6 SALES TAX FOR PROJECTS NITNIM THE CIT1 OF FEDERAL YAY. TAX RATE = B.2� ;:s
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BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN.........:SR FEES:
TYPE OF MORK:ADD USE:RES 1ST.: 1032: 168:sf STORIES........: 1 REQUIRED PARKIN6..: 2 SPRINKLERS?......:? PLAN CHECK FEE E 111.15
CENSUS CATEGORY.....:434 2ND.: 0: O:sf NEIGHT.....: O.UO ft HAZARD CLASS...:? FINAI PLAH CHECK...# S 0.00
OCCUPANCY 6ROUP---------- 3RD.: 0: O:sf VALURTION---------- REQUIRED SETBACKS------- FIRE FLON....: 0 gpp� BUILDIHG PERMIT....� = 111.00
:R3 :M1 : : : OTHR: 0: O:sf EXIST..a: 480tl0 FRONT.,.......: 20.00 ft SBCC SUACHARGE.....# S 4.50
TYPE OF CONSTRUCTION----- BSMT: 0: O:sf PROP...=: 15434 SIDE..........: 5.00 ft IIATER SERVICE..:fED PW PLAN CHECK = 0.00
:5A :5H : : : DECK: 0: 140:sf REAR..........: S.00:ft SEIiER SERVICE..:SEP PUB WKS PLCK(SF)..93 S 40.00
OCCUPAHT LOAD------------ 6AR.: 338: 156:sf RECEIVED.:05/31�95
. 0: 0: 0: 0: TOTI: 1310: 464:sf IMPERV SURfACE: 2267 sf SENSITIVE AREAS?.:N �
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-UEL TYPES.: FANS..........: 0 BOILERS/COMPRESSORS WATER CLOSETS......: 0 URINALS........: 0 TOTAL ffES S 326.65
S PIPING.: 0 ft HOOD..........: 0 0-3 HP......: 0 BATH TUBS..........: 0 DRINKIN6 FOUNT.: 0
FURN<100K..: 0 DUCT MORK.....: 0 3-15 HP.....: 0 SHOWERS............: 0 SUMPS..........: 0
6AS NNT....: 0 WOOD STOVES...: 0 15-30 HP....: 0 IAVATORIES.........: 0 VAC BAEAKERS...: 0
CONV BUANEA: 0 fURN>100K.....: 0 30-50 HP....: 0 SIHKS..............: 0 DRAINS.....,...: 0
BBQ......... 0 MISC........... 0 5+ HP........ 0 DISH NASHERS........ 0 LANN SPRINKLERS: 0
6AS DRYER..: 0 AIR HAHDLIN6 UNITS fUEI TANKS--------- EIEC NTR NEATERS...: 0 OTHER FIXTURES.: 0
RAH6E......: 0 <=10,000 CFM: 0 ABOVE 6ROUND: 0 LAUN WSHR OUTLTS...: 0
6AS L06S...: 0 > 10,000 CfM: 0 UHDER6ROUHD.: 0
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�ERMITS EXPIRE 180 BAYS AFTER ISSUAIKE IF NO YORC IS STARTED. RESIDENTIAL AND qtADIN6 PERMITS EXPIRE ONE 1EAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT TNE INFORMATI FIIRNISH BY ME IS TRUE AN6 CORRECT TO TIIE 1EST OF MY CNOIILED6E AND TNE APPLICA�E CITY OF FEDERAL MAY REQUIREMEMTS YILL 1E MET.
OMNER OR A6ENT � ,�,- _ �__� ��_w���__ __�__�_ DATE �_l��
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�'��leral Way, 4JA 98(�03 Buildi.nq rnspection R�que�ts 6e1-41�0 BY: F'C •
661-4000 �-���t-�r r?j. ��; - ����1 ,'r��� ,/���,
ADDRESS:3Q243 2PJ1� ra'.'I�
NO. : 3�9180-0231�
PRO,7ECT DESCRTPTT�'_�h� :SFQ-�D�! �UC�ING R`a�JM II�8 SF}, DECk� {140 SF} � g11MQ 0�1 GAR;+GE (ISf� 5�;
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IlA LAXSQN V4iNtY'S HOME IMPRO�+EMEMT I64C
34243 ?fiD AVE 23830 PACIFIC HMY S
'����-��dl YAY YA 48003 KENT MA 4B032
i ''67B ' 852-3613 854-9618
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�;= tONTRACTORS,PLEASE USE 1.00ATIlNI C91i�'17'� i�tE� R�FORTII� SAIES TAX FOIt MtOdECTS MITNIN TI� CIT11 OF FEDERM. MAY. TAX tATE = 8.2= �
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BLD?:% MEC?: PlM?: FLR--ExIST--PROP--- �#IfLt,ii� UMiT�: l COMP PLAN.........:SR iEES:
TYPE Of MORK:ADD 11SE:RE5 2ST.: �U32;� 168:s#°,. �lO�IES........: 1 �€€QUTAED PARKIWG..: 2 SDRINKLERS?......:? PIAH CHECK FEE E 111.15
CEIISUS CATE60RY.....:434 2AD.° 0: O:sf �I6N1.....: 0.�4 f#� �l;�,,',���C tLASS..fi�?,_ � FINAL PLAN CNECK...� S 0.00
OtCUPANCY 6ROUP---------- �RA.; �;, Q;si' YAtUATttlN-'-------=� REOUTRE� SETBHiKr_.----- �i�,;. Flt��'...: ` � ��M � BUIIDIMG PfRMIT...,x S 111.00
:N3 :M1 : : : 4rNR: U: O:sf' �XIST..�: ' 48000 FR��t1...,. ...� '�.nn ft SBCC SURCHAR6E.....# = t.50
�YPE Of COMSTRUCTION- --,- �Mi: fl, �t:���. �(tOP...3' �5439 ` �SI�►E... ..`� S.(i{� �t '+�' P {fi�VTfE< . 'rEU P�► Rf�'CHECK S 0.00
:SM :5N : : : 1���' '`"�' t . ld ; f .. . .. 5 :!t :E�:ER S =;V C. .:SEP �UA WKS P K .9
, � : t� s !� . . ...: .u�� a; E, l �. lt (SF�. 3 S f0.00
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OCCUPANT lOAD------------ �R ; ;� l56 �f AE��I1��6.:U5/�1,`�5 � ���``
: 0: 0: 0: 0: t�� ���fQ� 4�;+5f„ IMDERV SURFACE: 22b7 sf SENSITIYE f�tEAS?.:N
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fUEI TYPES.: fAMS ���� � .j����� "� BOIlERS/COMPRESSORS MAIER CL4SETS......: 0 URINAIS........: 0 TOTAI FfES i 326.65
AS PIPIN6.: 0 ft HOOP..:.......: D 0-3 NP......: 0 BATN TUBS..........: 4 DRIMKIM6 FOilNT.: 0
.URN<100K... 0 WCT WORK.....: 0 3-IS HP.....: 0 SH6NERS............: Q SUMPS..........: 0 -
6AS NMT....: 0 NOOD STOVES�..: 0 15-30 NP....: 0 IAYATORIES.........: 0 VAC BREAKERS...: 0
CONV BURNER: 0 fURN>100K.....: 0 30-50 NP....: 0 SINKS..............: 0 GRAINS.........: 0 ,
.
$BQ........: 0 MISt..........: 0 5+ NP.......: 0 DISIT YASNERS.......: 0 lAMN SPRIMKIERS: 0 \
6AS DRYEA..: 0 AIR NANDlTM6 UNTTS FtfEl TANKS--------- EIEt MTR HEpTERS...: 0 OTHfR FIXTURES.: 0 � r(�,
RAM6E......: 0 <:l0,OQ0 CFM; 0 ABOVE 6ROUMD: 0 IAUM YSHR OUTLTS...: 0 �\�
fiAS 106S...: 0 > 10,Q00 CFM: 0 URDER6ROUMD.: 0 1
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�IITS D(PIRE 189 9A1�5 I�TER ISStMMCE IF NO 1lORC IS STARTE9. RESIIEMTIAL INI� 6'RA9III� ff.R�IITS EXlIRE AME 1EIYt AfTER BATE Qf IS�It�ICE. � �
I CEItTIFY T�IIT Ti� IMfORMATI F�tRMISNEO DY ME IS TRUE IIMI CO�ItECT TO il� �EST OF NY [M�.EDI� AI� TNE IM1LI(A1LE CITY OF fE� NAY tEWIREMENT� Mlll �E \ ,
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ONMER OR A6ENT .�,__---�.'�� ----L,c�.1�',<:_:____._____.___�.._________.__.__...._----_..______.__.____. DATE _�:�!___..,�� rn�
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�� G City of Federal Way �ECEIVED
•
� �� APPLICATION F(JR BUILDING PERMIT i��AY 3 1 1995
CITY OF�EDERAL WAY
BUIL.DING �EPT.
PLEASE PR/NT APPL/CAT/ON #: �
SITE LOCATION Address ' (� - �
Tenant (if known) lot Jt As es r' Ta #
Building Owner Name / Address
r-� L. ���v � �`
� �G�L
City ���� , . State (,!� ZiP � ;� '1 � Phone 5�—'
Nature of Work
� ��
APPLICANT
Name (F,M,L) �� f
l/ 1 �% � 1 C� :.�� .�
Address
, S c- " � '�� ,,,,�' S Cl
CitY �it,.t r' State ;.f`} Zi '�
C P �ci .s L
Contact Person Day Phone Other Phone Fax
� �, ��� , � S� L/ — :� � J':�' s S 2- �S / 3 :��:� f � �� �
BUILDING CONTRACTOR
Company Name
�
n � ,� /
Address
-3� ' " v
City State
G+/ ,(� Zip � �sa} Z
Contact Person Phone � Fax
�' S� �,� 7�Y �7�- �C C� /
Contractor's # (card must be presented) J Expiration Date Verified ❑ Yes ❑ No
/� . ^ . .1 � � ,� '_ ,�f._
ARCHITECT ` �
Na m e ---"'�
.,,,,,,�....--�'..--^'�
Address
City State Zip
Contact Person � Phone Fax
LEGAL DESCRIPTION �
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Please Comp/ete Reveise Side
CD0492 IRev 4/991
,
STRUCTURE Existing Use �!, , Proposed Use �
(
Permit includes: �` Building ❑ Plumbing ❑ Mechanical ❑ Other
Type of Work: ❑ 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 ) �/;i sq ft Garage ;�_� sq ft Proposed Total Area—�— sq ft
Water Availability � Sewer Availability ❑ On-Site Septic System Availability E� Project Valuation $ �5��''J �j
Zoning .;'�•-L' �j'j, Lot Size ;�'�4jf ' ,:� Existing Bldg Valuation $ �<-
L�ND�R
Name Address
City State Zip
MECHANICAL CONTRACTOR
Contractor Name Address
City --� �- ' ' State Zip
Contact Phone
Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name __.fkcidr S�-s`�"'""
City State Zip
Contact - Phone Fax
License.#- '" Expiration Date Verified ❑ Yes ❑ No
PLUMBING FII�TURE COUNT
Water Closets Sinks Urinals Lawn Sprinklers
..._.
__ ,.....
Bathtubs Dish Was.hers - Drinking Fountains Other
Showers - Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total'Fixture Count
MECHANICAL'iINIT COUNT '
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
....,.... ..
ength of Gas Piping Range Air Handling > = 10,000 CFM _.,3D..�p-i'�5ns�
__._.
,..__
Fum <100K BTUs Gas Log Unit Heat�.�..,...-.-----�"�`� 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
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: 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"�o�it of the reiiance 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: �'�'��- �✓� �j � 5���
_ Date: �/ �-
�
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SITE PLAN APPROVAG
pettnit 1�umber. ���� " �`f�'�
Approved By: 72��."_,..... -
�• �5.oc�' °� � Date: �-
I Cotnments: S�-� .�/oi�7d-�'/1
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REViSION DATE
JUH���'19 1995