97-104155CITY OF FEDERAL WAY PERMIT NO: B O- L D9 -0 7 6
33530 First Way SoutP7 ISSUED: 12 19 97 ,
Federal ;Jay, WA 018003 Building Inspection Requests 252-T661-4140 BY: FC2
253-661-4000 EXPIRES: 06/17/98
ADDRESS:2606 SW 340T'rd PL
NO.: 010920-0440
PROJECT DESCRIPTION:adding 381 sq ft to an exisiting house
Spa Tub under a Gazebo
= OWNERCONTRACTOR =---------- --- __ �_ ,=_�-7= LENDER----_--
KAREN DVORNICH GAINES CONSTRUCTION
2606 SW 340TH PL 25 RIVERVIEW DR
FEDERAL WAY WA 98023 AUBURN WA 98002
253-661-3973 253-939-6580
GAINEC242JE
CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING -SALES TAX FORPROJECTSWITHIN THE CITY OF FEDERAL NAY. TAX RATE : BA ***
BLD?:X MEC?:? PLM?:X FLR--EXIST --PROP- -- DWELLING UNITS: 1 COMP PLAN.........:? FEES:
TYPE OF WORK:ADD USE:RES 1ST.: 1248: O:sf STORIES........: 2 REQUIRED PARKING..: 0 SPRINKLERS?......:? PLAN CHECK FEE $ 128.70
CENSUS CATEGORY ..... :434 2ND.: 624: O:sf HEIGHT.....: 23.00 ft HAZARD CLASS...:? BUILDING PERMIT....* $ 198.00
t
OCCUPANCY GROUP---------- 3RD.: 0: O:sf VALUATION---------- REQUIRED SETBACKS------- FIRE FLOW....: 0 gpm SBCC SURCHARGE..... $ 4.50 i
:R3 :U1 •? :? OTHR: 0: O:sf EXIST..$: 0 FRONT..,......: 0.00 ft Mechanical Permit* $ 0.00
TYPE OF CONSTRUCTION----- BSMT: 0: O:sf PROP ... $: 19000 i SIDE........... 0.00 ft WATER SERVICE..:? PLUMBING FIXT.... 93* $ 7.00
i :5N :5N :? :? DECK: 0: 196:sf REAR..,....:..: O.00:ft SEWER SERVICE..:?
OCCUPANT LOAD------------ GAR.: 462: 1B5:sf RECEIVED.:11/12/97
. 7: 1: 0: 0: TOTL: 2334: 381:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?,:?
FUEL TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS 4 WATER CLOSETS......: 0 URINALS........: 0 TOTAL FEES $ 338.20
GAS PIPING.: 0 ft HOOD..........: 0 0-3 TON.....: 0 BATH TUBS..........: 0 DRINKING FOUNT.: 0
FURN<IQOK..: 0 DUCT WORK.....: 0 3-15 TON....: 0 SHOWERS ............: 0 SUMPS..........: 0 +'
GAS HWT.... : 0 WOOD STOVES...: 0 15-30 TON...: 0 LAVATORIES.........: 0 VAC BREAKERS...: 0 `
CONY BURNER: 0 FURN>100K.....: 0 30-50 TON...: 0 SINKS ..............: 0 DRAINS.........: 0
BBQ........ : 0 MISC..........: 0 50+ TON.....: 0 DISH WASHERS.......: 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS--------- ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 1
RANGE......: 0 <:10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS... : 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY T 7 TIO FURNI NED XY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE W1 THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS MILL BE MET.
OWNER OR AGENT _ ------ -------------------- DATE
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FIELD COPY
CDO193 (Rev 4/97)
MY OF G
PLEASE PRINT
:.
CJMMUNff DE ELO M D DEPAR M111
u0V 13 1997
APPLICATION FOR BUILDING PERMIT
APPLICATION #
BUILDING DIVISION
33530 First Way South
Federal Way, WA 98003
(253)661-4000
Fax (253) 6614129
,l; ' ` =1 1
Address
Tenant (if known)
Lot #
Assessor's Tax #
Guil ino Owner's Name
Addr ss
.City
State
zip 17,?OZ3
Phone — %
Nature of Work
Name (F,M,L)
Address
Citv
State
Zi
Contact Person
Day Phone
Other Phone
Fax
�>>
mpany Name �^
AddraptL, P,- ^.
city (
State 7 -
zi
Ca rso� � �
e _ G
Fax
Contractor's # (card rMust be presented)
E 'ration Datet
Verified ❑ Yes ❑ No
Name no 1. [A O
Address r9 � Cow r
city
State
zip
Contact Person
S X, cp ` r aOC)
Fax
LEGAL DESCRIPTION
IL
r►
t
�q
Please GAM-01ete Reverse side OW'k
-------------
Existing Use
Proposed Use
Permit includes:
❑ Building
9 Plumbing
❑ Mechanicaf
%i 01hor
Type of Work:
Residential
❑ Commercial
❑° New
'I"-1 Addition-}
Ir Remodel
0 Garage
❑ Number of Units
❑ Shed _
❑ Deck
❑ Other
Enter 1st Floor
Area Basoment
sq ft
sq ft
2nd Floor
Decks
sq ft 3rd Floor sq ft
sq ft Garage sq ft
Existing Floor Area
Proposed Total Area
sq ft
s ft
Water Availability
❑ Sewer Availabili
❑ On -Site Septic S stem Availability ❑
Project Valuation
S F
Zoning
Lot Size
—Existing Bldg Valuation
$
Name Address
-city State I Zio
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date I Verified ❑ Yes ❑ No
Contractor Na —M Address
City State Zip
Contact B o one Fax
License # Ex iration Date Verified ❑ Yes ❑ No
Water Closets
Sinks
Urinals
Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains
Other -)
Showers
Electric Water Heaters
Sumps
Lavatories
Washing Machine
Drains
Total Fixture Count .
Fuel TyRe (electric/other)
MECHANICAL EVALUATION ONLY $
Gas Dryer
Air Handlin < = 1O.O�t:FM
15-30 Tons
Length of Gas Piping
Re
Air Hamlin > = 10,000 CFM
30-50 Tons
Furn <100K BTUs
Gas Lo
trn Heater
50+ Tons
Furn > 100 BTUs
Fans
Miscellaneous
Fuel Tanks
Gas Hwt
Hood
Erollers—
Above Ground
Conv Burner
Duct Work
0-3 Tons _
llnd�r round
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 out ofthe reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part ofthis application.
Owner/Agent—Date:
BUILD w Am
REVISED 6129197