94-101587CITY OF FEDERAL WAY BUILDING PERMIT PERI�ASSUED: 09/113/9449
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 09/13/95
ADDRESS:3756 SW 332ND PL
NO.: 109961-0140
PROJECT DESCRIPTION:RES ADDITION - CONVERTING DECK AREA TO KITCHEN/FAWILY ROOM.
ALSO, PLURBING A DUCTING.
r OWNER CONTRACTOR
STEVEN I GOLLIET,PAWLA ASSISTED BUILDER ENT
3756 SI 33218 PL 25418 - 20470 AVE SE
FEDERAL VAY IA 98023 KEN IA M042
INC
LENDER
874-0276
631-6006
AUISRE121MA
BLD?:X NEC?:X PLN?:X
FLR--EXIST--PROP---
DWELLING WITS: 1
COUP FUN ......... :SR
FEES:
TYPE OF NORK:ADD USEAES
1ST.: 0:
O:sf
STORIES........: 2
REQUIRED PARKING..: I
SPRINKLERS? ...... :1
PLAN CHECK DEPOSIT.;
$
163.90
CENSUS CATEGORY ..... :434
21D.: 0:
O:sf
HEINNT..... : 0.6 ft
HAZARD CLASS...:?
PUB WKS PLCK(SF)..93
i
40.00
OCCUPANCY GROUP----------
3RD.: 0:
O:sf
VALUATION----------
REQUIRED SETBACKS-------
FIRE FLOW....: 0 9111111
NEC APPLIANCE FEES.S
17.50
:R3 :
OTNR: 0:
O:sf
EXIST..#: 76800
FRONT.........: 20.00 ft
Pi.UMBING FIXT.... US
=
21.00
TYPE OF CONSTRUCTION-----
BSNT: 0:
0:sf
PROP ... 1): 20849
SIDE..........: 5.00 ft
WATER SERVICE..:FED
SBCC SURCHARGE ..... 4
4.50
:5N :
DECK: 0:
0:8f
NEAR..........: 5.00:ft
SEWER SERVICE..:FED
BUILDING PEIIIT.... 8
216.00
OCCUPANT LOAD------------
GAR.: 0:
O:sf
RECEIVED.:08/18/94
FINAL PUN CHECK ... 8
-23.40
. 0: 0: 0: 0:
TOTL: 0:
D:Sf
IMPERY SURFACE: 0 sf
SENSITIVE AREAS?.:N
FUEL TYPES.:GAS ?
FANS..........:
3
BOILERS/CONPRESSONS
WATER CLOSETS......: 0
URINALS........: 0
TOTAL FEES
1
439.40
GAS PIPING.: 0 ft
HOOD..........:
1
0-3 NP......: 0
BATH TUBS..........: 0
DRINKING FOUNT.: 0
FURN(IOOK..: 0
DUCT WORK.....:
1
3-15 IF.....: 0
SNOVERS............: 0
SUMPS..........: 0
GAS HIT....: 0
WOOD STOVES...:
0
15-30 HP....: 0
LAVATORIES.........: 0
VAC BREAKERS...: 0
CONY BURNER: 0
FURN>160K.....:
0
30-50 NP....: 0
SINKS ..............: 1
BRAINS.........: 0
BBQ........ : 0
NISC..........:
0
5+ HP.......: 0
DISH WASHERS.......: i
LAIN SPRINKLERS: 0
GAS DRYER—: 0
AIR HANDLING UNITS
FUEL TANKS---------
ELEC ITR HEATERS...: 0
OTHER FIXTURES.: 1
RANGE......: 0
<-10,000 CFN:
0
ABOVE GROUND: 0
UUN WSHR OUTLTS... : 0
GAS LOGS...: 0
> 10,000 CFN:
0
UNDERGROUND.: 0
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS
STARTED. RESIDENTIAL AND GRADING PERNITS EXPIRE ONE
YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE ILNFQ#VATIDN
USED Y E
S TR
AND CORRECT TO THE BEST
OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE NET.
OWNER OR AGENT
____._,.._____
DATE V
FILE COPY
OF FEDERAL WAY
CITY3353 B U I LD I N(2� PERMIT
33530 First Way Sout h
Federal Way, WA 98003 Building Inspection -Requests 661-4140
661-4000 +
ADDRESS-3756 SW 332ND PL
NO.: 109961-0140
PROJECT DESCRIPTION : RES ADDITION - CONVERTING DECK ANEA TO KITCHEN; FANILY ROOM.
ALSO, PLUMBING 1 DUCTIRG.
A OINER =- CONTRACTOR
STEVEN l GOLLIFT,PANELA ASSISTED BUILDER ENT INC `J
G
3756 SW 33200 PL 25418 - 204TH AVE SE
FEDERAL NAY NA 98023 4-v#A 98041
874-0278 631"6@05
Aaasai�itiiFA
PERMIT NO: BLD94-0649
ISSUED: 09/13/94
BY: FC
EXPIRES- 09/13/95
P�Fv
LENDER — --- -- --- -- _
BLD?:X MEC?:X Pl3l 'X "IB--I><i'S*--Pi�4F--- 41IN!? rT�: I ! crw.p P,4N' � ..:C9FEES: - -
TYPE OF WORD ADO USE* 4ST.: u. O:>t' STOPIFS........ : 2 ...... ? PLAN CHECK DEPOSIT.$ 1 163.80
CENSUS CATEGORY.....:4, 4 111D.: U: C-:Sf HEIM...... 0.00 ft - 3AZARD CLAII...:? - NO INS PLCK(SF)..93 T 40.00
OCCUPANCY 6ROlP----- {}.^ a V?+iUAi1411 RF UiRff SETBACKS------- FIRE FLOW....: 0 SPS NEC APPLIANCE FEES.* $ 17.50
:R3 ;SiW@ FRONT .......... 20.00 ft PLUMBING FIXT.... 93S f 21.00
TYPE OF CO1STRUCTT0 -1 G 1PT:. ;..I 20841-:_. SIDE........... 5.00 ft WATER SERVICE- 1ED SBCC SURCHARGE..... = 4.50
:5N ; ; Doi[: REAR..........: 5.00:ft SEVER SERVICE..:FED BUILDING PERMIT.... ; 216.00
OCCUPANT LOAD------------R=,` 0: .Sf RECEIVED.:08/18/94 FINAL PLAN CHECK... i -23.40
0: 0: 0: 0: TOTL' 0: O:Sf IMPERV SURFACE: 0 Sf SENSITIVE AREAS?.:N N C. App�tan lo.So
FUEL TYPES.:GAS ? FANS..........: I BOILERS/COMPRESSORS WATER CLOSETS......: 0 URINALS........: 0 TOTAL FEES { 43^ 9.40
GAS PIPING.: 0 ft HOOD..........f 1 0-3 HP......: 0 BATH TUBS..........: 0 DRINKING FOUNT.: 0 y145 .q
FUR10 0OK..: 0 DUCT WORK..s..: 1 3-15 HP.....: 0 SHOVERS ............: 0 SUMPS..........: 0
GAS HIT....: 0 WOOD STOVES,..: 0 15-30 OP—.: 0 LAVATORIES.........: 0 VAC BREAKERS...: 0
CONY BURNER: 0 FURN>100K..:..: 0 30-50 NP.... : 0 SINKS ..............: I DRAINS.........: 0
BBQ........ : 0 MISC..........: 0 S+ HP.......: 0 DISH WASHERS.......: 1 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS--------- ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 1
RANGE......: 1 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSAR OUTLTS...: 0
GAS LOGS...: 0 > 10,000 CFN: 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 THAT THE :NIF�NATION �0111ED�1Y F 5 TR AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERER L WAY REQUIREMENTS WILL BE MET.
Z-e
OWNER OR AGENT -= l DATE
FIELD COPY
SECBAC4(S & FOOTINGS
Date , .. TVBy
FOUNDATION WALLS
Date -ff f
PLUMBING GROUNDW
K
Date
By
UNDERFLOOR FRAMING
Date
By
SHEAR WALLS
I'
Date —
By
PLUMBING ROUGH -IN
Date - —
By
GAS PIPING
Date
By
MECHANICAL ROUGH -IN
Date -- -2 —
By
MECHANICAL IOTHER]
Date
By
FRAMING
Date
INSULATION
Date
By
GWB - 1 ST LAYER
Date
By
GWB - 2ND LAYER
Date
By
SUSPENDED CEILING
Date
By
PLANNING FINAL
Date
By
ENGINEERING FINAL
Date
By
FIRE FINAL,
Date
By
BUILDING FINAL
Date -
OTHER
Date
By
OTHER
Date
By
CDO193
City of Federal Way
APPLICATION FOR BUILDING PERMIT
b:
AUG 18199�. +
PLEASE PRINT APPLICATION #:
SITF`:GaC9TX4N''�
0 P L_a�e
Tenant (if known)
N/A
Lot #
(9
Assessor's Tax #
1
Building Owner Name
Address
City F— State W A
Zip q Q Z
Phone --p
Nature of Work
_yef-hm a
1-1
mo
. .......:..... ... .....
APPLICANT:
{uo-Vnbeny f-nuctrj.
Name (F, ,L)
fi a c—
Address
City
State
Zip
Contact Person
Day Phone
Other Phone
Fax
[BUILDING CONTRACTOR
Co pant. Sme
f
-1"C�I
A rass r
City
State
Zip
CopMot Person
_ �D
hone — /ryA ^�
Fax
�
Contractor's # (card must be presented)
� �
Ex iretion Date
7--9
Verified ❑ Yes ❑ No
.
-41
(i
Addr ' Y
City 44 _
State
Zip q� -
Cont7qt Person,
IL.[
Ph na
�1
Fex
LEGAL DESCRIPTION
`s F,� 0
Please Comptete Reverse Side
CD0492 (Rev 4/93)
... ....... ........
;sting Use!
�i -
IKe`l-^C�
roosad Use
p
Permit includes:
_
[wilding
_
13"'Plumbing
®`Mechanical
❑
Other
Type of Work:
❑ Residential
New
❑ Remodel
❑ Number of Units
❑
Deck
❑ Commercial
Addition
❑ Garage
_
❑ Shed
❑
Other
Enter 1st Floor
sq ft
2nd Floor
sq ft
3rd Floor sq ft
Existing Floor Area
sq ft
Area Basement
sq ft
Decks
sq ft
Garage aq ft
Proposed Total Area
sq ft
Water Availability
Sewer Availability On -Site
Septic System Availability ❑
Project Valusi)on
:$
. ' ;: •:bc
Zoning
(5k 1
Lot Size rZ
„AI)
Fxictirtrt:Rlrfn-1lssli eifinn.
A
Name 6F1 i 1
r Name
City
Contact
License #
.r
rf•
TRACTOR
C0NTRACTf3R
onpctor Nyme
City
License # V L 4- /fir L-1a „ i 1 I
Water Closets Sinks
Bathtubs Dish Washers
Showers Electric Water Heaters
Lavatories Washing Machine
Uivairr �iv�vt .:. .
Fuel Type (electric/other)
Gas Dryer
Length of Gas Piping
Range
Furn <100K BTUs
Gas Log
Furn > 100 BTUs
Fans
Gas Hwt
Hood
Conv Burner
Duct Work
BBQ's
Wood Stoves
Address
State /
c�
State 6t)
Ph bQ -Dui
Expiration Date 2
State
Expiration Date
Urinals
Drinking Fountains
Sumps
Drains
Air Handling < = 10,000 CFM
Air Handling > — 10,000 CFM
Unit Heater
Miscellaneous
Boilers
0-3 Tons
3-15 Tons
��11C ,
J� T J 56-551 r 1 S
Fax
Verified ❑ Yes ❑ No
vl t'
Fax
Verified ❑ Yes ❑ No
Lawn Sprinklers
Other
15-30 Tons
30-50 Tons
50+ Tons
Fuel Tanks
Above Ground
Underground
'I ot�,l Unit: �Ccunt:
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 wh�ch 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 ■ efense 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 a es a of the Ipnce 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: ❑ntn: �1
REC51VE . D
t
CiTy Qr R LAY
13011-01t4t`
t r
icy/,00;
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