03-104476 �
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Comn un tyeDevelcp ent Services Building - Single Family Permit #:03 - 104476 - 00 � SF
33530 lst�Vay S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: BRICKELL
Project Address: 32410 7TH PL S Parcel Number: 150241 0260
Project Description: DEMO PERMIT ONLY-Taking out non-load bearing kitchen wall
Owner Applicant Contractor Lender
RANDY&DIANE BRICKELL RANDY&DIANF BRICKELL RANDY&DIANE BRICKELL NONE
715 S 294TH YL 715 S 294TH PL
FEDERA�WAY WA 98003 FEDERAL WAY WA 98003 715 S 294TH PL
FEDERAL WAY WA 98003 NONE
Includes:
Census category: 434-Reside #1 #2 #3 #4
Occupancy Group: R-3
Construction Type: Type V-N
O� ccupancy Load:
Floor Area(Sq.Ft.): �
Census Category.................................................434 c;Residential alUadd-no� Mechanical................................................. No
Occupancy Group#1..... ...............................R-3 Plumbing .......:: ........:- ................. No
PERMIT EXPIRES March 28,2004.
Permit issued on September 30,2003
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws,rules and regularions of the State of Washington and
the City of Federal Way.
Owner or agent:�,�,hl lLJ � Date:
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` CONSTRUCT ,� PERMIT APPLICATION
GTY OF �.� pp���ON NUMBER: .� - � �/1 - Q '(�`�
Federal Way PPL.ICATION NUMBER: _ _ - _ _ _ _ -
5�����TTQFp��� l � MBER: - - - - - - - - - - -
`�The following is required information-Please print(in ink)or type*'
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' Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. ��
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` SITE ADDRESS: �a�'�� 7� �/� S ASSESSOR'S TAX/PARCEL #: -
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F'Eb�K/-�l I���, �t q, oa3
LEGAL DESCRIPTION OF SUBJECT PROPE TY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
�� • � � • •
� TYPE OF PROJECT(This application): ❑ BUILDING o PLUMBI►dG ❑ MECHANICAL o DEMOLITION
! o ELECTRICAL �7 ENGINEERING ❑ FIRE PREVENTION SYSTEM
!.
� PROJECT DESCRIPTION(Provide detailed description): �J�►� ����� I t�C_ � "�(�u e � 1,��@„ � S
I ���v n -� ���� n t�� --I-� K�`+['�v n C�R er�,
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'; PROJECT NAME: KI T C�I! e,/V� 6� V/�'/I �
• • • • •
t PROPERTY OWNER: N^ME: ,� ., _ �� ' ; OAYTIME OHONE'
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, ��naC�' ,� L�,��t � ��/ � �CE,Cr�.. 1 i�.5_3) �5�-5 - CQ!(�� ;
� MAIIING ADDRE55(STREET ADORES ,CITY,STATE,ZIP):�
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� /5 ��9 � fe�e,c,¢/ Q . 9�'��� '
� CONTRACTOR: NaME: ; DAYTIME PHONe:
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� MAILING ADDRE55(STREET ADDRESS;CI1Y,STATE.ZIP): I. EVENING PHONE �
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C7TY OF FEDERAI WAY BUSINESS LICENSE NUMBER: , FAX NUMBER: I
- - I ( ) - I
CONTRACTOR'S REGISTRATION NUMBER: � DCpIRATION DATE:
- (Copy of Wrd rEquired) I % /
APPLICANT: NAME: aqrnME vHONE: ,
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MAILING ADORESS(STREEf ADDRESS;CITY,STATE,ZIF): � EVENING PHONE� I
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I RELAT70NSHIP TO PROJECT: � FAX NUMBER:
l ❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): i � � - !
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� E-MAIL ADDRE55: I
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CONTACT PERSON FOR THIS PROJECT: �PROPERTY OWNER p APPUCANT ❑ CONTRACTOR �
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EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION �
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: � IOD
SPRINKLERED BUILDING? ❑YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES O NO
WATER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE o TACOMA O PRIVATE(WELLj
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN O HIGHLINE Ci PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION O *
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: �
• • • • •
FLOOR EXISTING S .FT. PROPOSED S .Ff. TOTAL
BASEMENT
FIRST �
SECOND
�,
THIRD +
FOURTH �
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OTHER FLOORS(DESCRIBE)
DECK
GARAGE �
NOW MANY FLOORS?
TOTAL:
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Indicate number of each type of fixture ;
MECHANICAL Value of Mechanical Work: $
AIR NANDLING UNIT(5) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S) �
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) �
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S) �
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC o GAS
PLUNiBYIdG
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASNER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC o GAS
DRINfQNG FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLEf
GAS PIPE OUTLET(S) SINK(S) WATER CLOSEi(S) MISC.( )
I(YTERCEPTOR(S) SUMP(S) a
. •
I certify under penalty of perjury that the information fumished by me(s true and correct to ti�e best of my knowledge,and
fu�ther,tliat I am authorized by the ow�er of the above premises to perform the worfc for which the permit appiication is made. I
furthe�agree to hold harmless the Clty of Federai Way as to any claim(inciuding costs,expenses,and attorneys'fees incurred in the
investigation and defense of such claim),which may be made by any person,induding the undersigned,and filed against the City of '
Federal Way,but only where such daim arises out of the reliance of the dty,induding its o�cers and employees,upon the accuracy
of the Information su ied to the city as a part of this appiication.
NAME/7ITLE: w . DATE: 30 _ �oa�
❑ PROPERTY OWNER APPUCANT ❑CONTRACTOR
...FORAFFICE.USE:ONLY :r'.
';p`�NEW��; �'p�ADUITIUN�,-�-�[l AL'fERA'I'ION���?o REPAIR����xTENAIYT IMPROVENIENT��',4.x.
:CENSUS,`CODE�.#�sy���:�_��-.�-�.��F�-�s�� �r*s,��,w�'�+� �LOTSIZE ��a;,`�'s�;��i��.��;���,� . ,��,. �`„3 -
'ZONINGTDESIGNATION._�_.,..,;.. ,�� `.x'.� �``
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� „ �.�BUILDING SHELL'�ONLY?�a YES�`;a N0 '� :�
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�COMP PLAN UESIGIVi4TIUN ,_; , _, , .-�-�;;° �BIISIC PU1N7�-�YES ' t] NO_: - --
�SECTION=x�.��s.-�,�TOWNSNIP.x,:; `RANGE �?iF�� .IVEW ADDRESS RE UIRED?, _ �.�_o YES.. �'NO �� '
PIATTED'iLOT? ;:a YES�r�o.NO ,�"�z��` ��==��� :CHANGE�OF USE?:`.`� , -- n YES�:�'`'=a,N0 ,�` '
COMMUNCTY DEV�LOPMENT SERVICES•33530 F[RST WAY SOUT}1•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253�61-4000�FAX:253-661�129
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