96-100886 9 G- to a 8's�,
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Federal Way , WA 9f3ClCJ;� �3uilding Tns�ection Request;� 66�L-�t�.4Q BY: FC
66�.•-��00 EXPIFtES: 1�./27/9F�
ADURES5: .5Q5 �a' MAF?:CNE f�i�LLS WRY .
NQ. : 515298-Ut�6U
Pf�C�,7ECT UESCRIf�TIQN.RES ADDITION - ADDING A 286 SQFT LIVIN6 ROOM/KITCHEN ADDITION AND 420 SQFT DECK.
�Y- OWNER =_-==,_�sW�=====r���_�������.�,:����:�-_��.:��:-_-��=-==-t= CONTRACTOR =-__=�,__�-����_�-�W_�_�:�:===�,��w__:���-��-�_Y� LENDER :�_,_,��__=====y�,_�:-��m=�r�_���m====�_��_�_��
TERRY CAMPBELL ( DISCOUERY HOMES CONST INC i OWNER IS LENDER �
� 505 S MARINE HILLS WAY 433 S 289TH � �
� FEDERAL WAY WA 48003 FEDERAL WAY WA 98003 � �
i �
� 941-9474 j �
� ^ DISCOHC091LF �
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��___...__.__.__------------_•-_....__..__�_...-_..,.-----_.,.___ ....._ ,.._. �......,..�.___vs�W,�..___...____.__..------•---.__....,_____..,___.____.._______..__.____ ...._______.��._..---------------,_�-------_..------------___.___�
;x; CONTRACT�IS, PLEASE USE LOCATION CODE 1732 NHEIi REPORTIM6 SALES TAX fOR PROJECTS NITNIN THE CITY Of FEDERAL YAY. TAX RATE = 8.2� **;
�-_=��_�_=-==�::w�_�_��w�����=���_����-�,.-�..��w�.:-,��,--=_��--�.:-��:-::_::-:::--_��:::___�-�r�,�;:_:�._�.:::-���:��=�==___�=_��_-�_=_«�_��=_==_-:.���_-=��__:��-�::�=��_��,�,��_-_�_�_-=�==v=��_==;
8LD?:X MEC?;K PLM?:X FLR--EXISi--PROP--- DWfLL:NG UNTiS: 0 � COMP PLAN.........:HDSf � fEES: �
TYPE OF WORK:ADD USE:RES 1ST.: 0: 286:sf STORIz5....,,,.: 0 REOUIRED PARKING..: 2 SPRINKLERS?......:? � PLAN CNECK FEE $ 151.95 �
.
CENSUS CATEGORY.....:434 2ND.: Q: 0:5# HEIGH'.....: 0.00 ft �lflZARD CLflS5...:? ; FINflI PLAN CHECK,.,� $ 0.00 �
OCCUPANCY GROUP---------- 3RD,: 0: O:sf VALUATION---------- , � REQUIRED SETBACKS------- FIRE FLQW....: 0 gp� � BJILDING PERMIT..;,� $ 243.00 �
:R3 :? :? :? : OTNR: �; O:sf EXIST.,$: 206bOQ � fR�NT.........: 20.00 ft � Mechanical Permit� $ 32.00 �
iYPE Of CONSTRUCTION----- BSMT: p; O:sf PROP,..$: 23301 � SIDE..........: S.OD ft WATER SER'�ICE.::FED � PIUMBING FIXT....93� $ 21.Q0 �
:5N :? :? :? ; DECK: Q: 420:s# REAR..........: S.00:ft SEWER SERVICE..:FED � SBCC SURCHARGE.....� $ 4.50 �
OCCUPflNT LOAD------------ GAR,: a: 0:5f RECEIVED.:04/O1/%
: 0: 0: 0: 0: TOTt: 0: 706:sf IMPERV SUR�ACE: 0 sf SENSITIVE AREAS?.:?
----_______�_____�_-___---._.-.._._,�__�_.__..-_..._._.��_______..___.....___-.__�_.__._.._._...__i_,_�_�------------=--------------------...________..�_=�
FUEL TYPES.:GAS ? FANS..........; 0 BOILERS/COMPRESSORS � WATER CL05ETS......: 0 URINALS........: 0 TOTAL FEES $ 458.45
S PIPING.; 11 ft NOOD..........: 0 0-3 HP..,...: 0 � BATH TUBS..........: 0 DRINKING FOUNT.: 0
!N<100K... 0 DUCT WORK...... 1 3-15 HP...... 0 ; SHOWERS............. 0 SUMPS........... 0 �
GAS HWI....: 0 WOOD STOVES...: 0 15-30 HP....: 0 j LAVATORIES.........: 0 VAC BREAKERS...: 0 � �
CONV BURNER: 0 FURN>100K...... 0 30-50 HP..... 0 1 SINKS............... 2 DRAINS......,..: 0 (
BBQ......... 0 MISC........... 0 5+ NP........ 0 � DISH WASHERS........ 1 IRWN SPRINKLERS: 0 � t
6AS DRYER..: 0 AIR HANDLING UNIIS FUEL TANKS--------- � ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0 I I
, RANGE.,.,..: 1 <-10,000 CFM: 0 ABOVE GROUND: 0 � LAUN WSHR OUTLTS...: 0 � (
i^'+ .y`:Y::-^Y=^^=---T.�NyV�-:y'n-`-w;AV: 10,000 CFM: 0 UNDERGROUND.: 0 �
€ . ._ ___._.._..__.._.._.----.__._�______1 .. ,.�___.__._.._,.-----.-----___.___.__._---_..__..____�.__..!_______________________.._______.._
. �.. .
_ �..._-__-�---_..�._,.,___. ___--- --...,�__�M.. ..�.�.�..._�_.___..____�-___----- ---------�
PERMITS EXPIRE 180 YS RFTER ISSUANfE IF AO ilOR TED. RESIDENTIAL AMD 6RADIN6 PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. ^ ' ^ ^^ ' Y
I CERTIFY TNAT i IN RMATIO ISNED BY U CORRECT TU THE BEST OF MY KNOMLED6E AND THE APPLICABLE CITY OF FEDERAL I�IY REQUIREMEMTS MILL BE MfT.
OWNER OR AGENT _�,,. __ ______ DATE S__,_3_I...'��_�
,.
' FIIE COPY
p,,,� G City of Federal Way
• ��
� �-�'� ��'�LICATION FOR BUILDING PERMIT
. �`� � ���`;
�-� � ���� /'� �
ALE/JSE PR/NT ��IL ���C,[�.'J (�'�i✓� �LC1 APPLICAT/ON #: ���` \� � — �,�I�`��
SITE LOCATION ` Address 5'D CJ w1 nn�� O LUd
Tenant (if known) Lot /f
�� � 9� As�ess_pr's Tax..#
� /�,y�o Ni�C' C f� ." ('%� � ')
Buiiding Owner �� �e � � � Addres�vs �� ��W� �� / �
� ^� '', er��i��•�J
City �,y� ��� State /4, Zip Cj p Phone
�.
Nature of Work `�l M _ ! .',d, t � ;'� ;ix�, �� ���� !:,c��^�� �� �,tG�i,� � � , � �
N
t APPLICANT !j F� f L U� �
Name (F,M,L)
Address
City State Zip
Contact Person Day Phone Other Phone Fax
BUTLDING CONTRACTOR
Company Name ,D t�G�e� �� ` �� � � C
�$
Address
�t 3 3 s� . z-�t��
City State -
UJ� Zip G/� �GS
Contact Person Phone � Fax
F3r��h� 4._ c lv� ��/- �r5�
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
U — �j • ��
ARCHITECT
Name
3. 210� � . �7t L3 B v--�
Address
3 3 sv . -Z ����
City � �J p State W Y�--- Zip Cf�U �J'
Contact Person � r 7 � Phon��/_ � Fax
' 2u�
LEGAL DESCRIPTION ��
l.a-�' (o �3�.L� �-{S ���.c.�,---�
IC�.� oi �v v �'� ✓�
Please Complete Reverse Side
� CD0492 IRev n/931
STRUCTLTRE ting Use �,���,8�� � posed Use '(Z,C,3� �p�G�
Permit includes: J� Building �-Plumbin
g 1�Mechanical ❑ Other
Type of Work: ❑ Residential ❑ New � Remodel ❑ Number of Units_ � Deck
❑ Commercial � Addition ❑ Garage 0 Shed ❑ Other
Enter 1st Floor'��sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area ���j sq ft
Area Basement sq ft Decks t�.26 sq ft Garage sq ft Proposed Total Area ?¢S b sq ft
Water Availability � Sewer Availability 1� On-Site Septic System Availability ❑ Project Valuation S 2 V.-�—p
Zoning ,; — o Lot Size Existing Bldg Valuation $ �,���,
F� , - , . �__ , _ , i r ,
i:,END�R
Name � Address
T��-�, C a�. I� . vw►',�. . 5 b 5 ��rt.�•.�e ►-1.►u� �v�
c�tY _d w State �,- z�p �a�
MECIIANICAL''CONTRACTOR `
Contractor Name Address
G�-- u��n.� o►� L , ��I�un►.� S{,f Ke L
City State Zip �
Contact Phone Fax
License'N Expiration Date Verified ❑ Yes ❑ No
rLum«nvG corrruacTOR
Contractor Name ( Address
I� � J �+�1 �v
�City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE COUNI`
Water Closets Sinks Urinals Lawn Sprinklers
Batt;tubs Dish Washers Drinking Fountains Other
Stiowers Electric Water Heaters Sumps
Layszories Wastrin��/1���_� Drains Total Fixture Count '
MECHAIVICAL UNIT COUNT MECHANICAL VALUATION ONLY $ %
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping ��'F-�', Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs x� Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuei Tanks
Gas Hwt Hood / Boilers Above Ground
Conv Burner Duct Work Z'j F—+-', 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Total UnirCount
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�ederal 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 arises out of the reliance of the Ci including its officers and employees,upon the accuracy of the information supplied to the City as a part of this
r �
application. /� ,
( / � /J
Owner/Agen[: ] J(v� ` Date: �—" 1 — _` `Q