94-100205CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
BUILDING PERMIT
Building Inspection Requests 661-4140
ADDRESS:1927 SW 331ST PL
NO.: 010457-0155
PROJECT DESCRIPTION: NSF - N/ PLUMBING/MECHANICAL
OWNER —
CENTEX HOMES CORP
2320 130TH AVE HE 1200
BELLEVUE WA 98005
503-622-8288
BLD?:X MEC?:X PLM?:X
TYPE OF NORK:NEN USE:RES
CENSUS CATEGORY ..... :101
OCCUPANCY GROUP ----------
:R3 .
TYPE OF CONSTRUCTION-----
:5N .
OCCUPANT LOAD ------------
: 0: 0: 0: 0:
REVISION ADDING A DAYLIGHT BASEMENT AND 2 DECKS. ALDERBROOK DIV 8 LOT1155
CONTRACTOR _-- _— — - - - - LENDER
CENTEX HOMES CORPORATION *OWNER*
2320 130TH AVE NE
BELLEVUE NA 98005
874-8775
CENTEHt101QA
w-100JOG,
PERMIT NO: BLD94-0075
ISSUED: 02/15/94
BY: FC
FEES:
PLAN CHECK DEPOSIT.t $ 600.00 1
PUS WKS PLCK(SF)..93 S 40.00
FINAL PLAN CHECK ... t $-III.53
RUILbING PERMIT .... t S 751.50
SBCC SURCHARGE.....* S 4.50 {
NEC APPLIANCE FEES.* $ 74.50
PLUMBING FIXT.... 93* $ 84.00
RADON KIT ......... 93 $ 20.00
Additional fees not shorn here...
' FUEL TYPES :GAS ELE FANS • 5 BOILERS/COMPRESSORS WATER CLOSETS......: s URINALS........: 0 TOTAL FEES S 2191.97
FLR--EXIST--PROP---
1ST.:
0:
1013:sf
?ND.:
0:
888:sf
3RD.:
0:
O:sf
OTHR:
0:
O:sf
ONT:
0:
817:sf
DECK:
0:
280:sf
GAR.:
0:
447:sf
TOTL:
0:
3445:sf
DWELLING UNITS: 1 COMP PLAN ......... :SR
STORIES........: 2 REQUIRED PARKIN.;: T
HEIGHT.....: 0.00 ft 4A1APT CLASS....::
VALUATION---------- REQUIRED SETEAC%----- 7-i. F :E FLUX....: 0 Dpo
EXIST..$: 0 FRONT.........:
PROP ... $: 186778 SIDE....-. 5.00 ft WATER SERVICE.. -FED
HEAR..... ...: 25.00:ft SEWER SERVICE..:FED
RECEIVED.:01/27/94
IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
..
GAS PIPING.:
50 ft
...........
HOOD..........:
1
0-3 HP......:
0
BATH TUBS..........:
2
DRINKING FOUNT.:
0
FURN<100X..:
1
DUCT WORK.....:
0
3-15 HP.....:
0
SHOWERS ............:
0
SUMPS..........:
0
GAS HNT....:
1
WOOD STOVES...:
1
15-30 HP....:
0
LAVATORIES........,:
4
VAC BREAKERS...:
0
CONV BURNER:
0
FURN>IOOK.....:
0
30-50 HP....:
0
SINKS ..............:
I
DRAINS.........:
0
BBQ........ :
0
MISC..........:
0
5+ HP.......:
0
DISH WASHERS........
1
LANK SPRINKLERS:
0
GAS DRYER..:
1
AIR HANDLING UNITS
FUEL TANKS---------
ELEC NTR HEATERS...:
0
OTHER FIXTURES.:
0
RANGE........
1
<:10,000 CFM:
0
ABOVE GROUND:
0
LAUN NS:R OUTLTS...:
1
GAS LOGS...:
1
> 10,000 CFM:
0
UNDERGROUND.:
0
PERMITS EXPIRE 180 DAYS AFTER ISSUANC€ IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INF lMA?ION FURNTI ED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS WILL BE MET.---------- 24
FILE COPY
MIT NO:
33530First
CITY 0DEWay South BUILDING PERMIT RAL WAYPERISSUED: 02/115/9475
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FLF
661-4000 EXPIRES: 02/15/95
ADDRESS:1927 SW 331ST PL
NO.: 010457-0155
PROJECT DESCRIPTION : NSF - W/ PLUMBING/MECHANICAL
ALDERBROOK DIV 8 LOT #155
OWNER CONTRACTOR
CENTEX HOMES CORP CENTEX HOMES CORPORATION
2320 130TH AVE NE 1200 2320 130TH AVE NE
BELLEVUE WA 98005 f BELLEVUE WA 98005
503-622-8288
874-8775
CENTEH*101QA
LENDER
*OWNER*
BLD?:X NEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN ......... :SR FEES:
TYPE OF WORKAEW USP RES 1ST.: 0: 1013:sf STORIES........: 2 REQUIRED PARKING..: 2 SPRINKLERS?......:? PLAN CHECK DEPOSIT.* i 600.00
CENSUS CATEGORY ..... :101 2ND.: 0: 888:sf HEIGHT.....: 0.00 ft HAZARD CLASS...:? PUB WKS PLCK(SF)..93 f 40.00
OCCUPANCY GROUP---------- 3RD.: 0: O:sf VALUATION---------- REQUIRED SETBACKS------- FIRE FLOW....: 0 gpm FINAL PLAN CHECK...; $-111.53
:R3 • OTHR: 0: O:sf EXIST.* 0 FRONT.........: 20.00 ft BUILDING PERMIT....* i 751.50
TYPE OF CONSTRUCTION----- BSMT: 0: O:sf PROP ... $: 131111 SIDE..........: 5.00 ft WATER SERVICE..:FED SBCC SURCHARGE.....* $ 4.50
5N : DECK: 0: O:sf REAR..........: 25.00:ft SEWER SERVICE ... FED MEC APPLIANCE FEES.* $ 74.50
OCCUPANT LOAD------------ GAR.: 0: 447:sf RECEIVED.:01/27/94 PLUMBING FIXT.... 93* $ 84.00
0: 0: 0: 0: TOTL: 0: 2348:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N RADON KIT ......... 93 $ 20.00
FUEL TYPES.:GAS ELE FANS..........: 5 BOILERS/COMPRESSORS WATER CLOSETS......: 3 URINALS........: 0 TOTAL FEES $ 1462.97
1S PIPING.: 50 ft HOOD........... 1 0-3 HP....... 0 BATH TUBS........... 2 DRINKING FOUNT.: 0
.u'RN<100K... 1 DUCT WORK...... 0 3-15 HP...... 0 SHOWERS ............. 0 SUMPS........... 0
GAS HWT....: 1 WOOD STOVES...: 1 15-30 HP....: 0 LAVATORIES.........: 4 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K.....: 0 30-50 HP....: 0 SINKS ..............: i DRAINS.........: 0
j BBQ........ : 0 MISC..........: 0 5+ HP.......: 0 DISH WASHERS.......: 1 LAWN SPRINKLERS: 0
i GAS DRYER..: 1 AIR HANDLING UNITS FUEL TANKS--------- ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE......: 1 <_10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 1
GAS LOGS...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0
PERMITS EXPIRE 180 DAYPF ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INF FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET,
OWNER OR AGENT _ - --- - --- DATE�j
FILE COPY
7
CITY OF FEDERAL WAY
i3530 first Way South
FederzK Way, WA 98003
X61-4000
BUILIKING -% PPRMIT
Building Inspection Requests 661-4140-
AYDRESS:1927 SW 331ST PL
NO.: 010457-0155
PROJECT DESCRIPTION: NSF - N/ PLOPOG/NECNANICAL. REVISION ADDING A DAYLIGNT BASEMENT AND 2 DECKS.
OPEN CONTRACTOR — -
CENTEX NONNES CORP CENTEX HOMES CORPORATION
2320 130TN AVE NE 1200 2320 I30TN AVE NE
BELLEVUE NA 9B005 BELLEVUE NA 98005
503-622-OM
BLD?:X NEC?:X PLN?:X
TYPE OF NORK:NfM USE:RES
CENSUS CATEGORY.....:10.
OCCUPANCY--
:03
TYPE OF CONSTRUCT1Oil------
:5N
OCCUPANT LOAD ------------
0: 0- 0: 0:
814-9715
GEIO10191010A
fLR--EXIST--PROP- --
MKI.111K 'MITI- O
IST.:
0.
11"13:Sf
-JOUES...... ... 7
7Nl3.:
9:
8%: %f
HE fat ...... 0 q0 ft
V�iLUAT;u ---- --
arlfR:
0:
Fi:,f
E.iIaz..1 6
RUT:
0:
9I7:0
PROP...17 1R6TM
UEf3:
2W:sf
G"-:
O:
44i:5f
RECEIVECr.:01/i7(Vi
YOU:
h:
SA451sf
FUEL TYPES.:GAS Elf FANS..........: 5 BOILERS/CONPRESSORS
GAS PIPING.: 50 ft MOOD........... 1 0-3 NP...... . 0
FURN<1009..: 1 DUCT NORK..... : 0 3-15 NP..... : 0
GAS HIT....: I MOOD STOVES...: 1 15-30 "...... 0
CONY bu mlR: 0 FURN>IOOK..... : 0 30-50 NP.... : 0
BBB......... 0 NISC.......... . 0 5+ NP....... . 0
GAS DRYER—: 1 AIR HAWKING UNITS FUEL TANKS ---------
RANGE ...... : 1 <:10,000 CFN: 0 ABOVE GROUND: 0
GAS LOGS...: 1 > 10,000 CFN: 0 RNNOERGP%*.: 0
PERMIT NO: BLD94-0075
ISSUED: 02/15/94
BY: FC
EXPIRE: 02/15/95
*� REVT`
Rc-:o s 1 o P1«jRq
ALDERBROOK DIY 8 LOT1155
LENDER -
=0Mi1£Rt
CMP PLAN ......... :S?
RM10.0 PpRKiRll.. r I Sm"LENS? ......I?
siA�IRRD CLA3R...: i
"UIRLD SETA"-- - i IRE I'F,NN.,..' 0 gp�
rKp... ...... %.bbjt —
4TOE.......... : 5.00 ft NATER SERVICE..:FETO
REAR..........: 25.00:ft SEMEN SERYICE..:FED
INPERM SURFACE: 0 sf SENSITIVE AREAS?.:N
HATER CLOSETS.......
3
URINALS......... 0
BAIN TUBS..........:
2
DRINKING FOUNT.: 0
$ROVERS .............
0
SUMPS........... 0
LAVATORIES.........:
4
YAC BREAKERS...: 0
SINKS ...............
1
DRAINS.......... 4
DISH NASNERS....... :
I
LANN SPRINKLERS: 0
ELEC NTR NEATENS...:
O
OTNER FIXTURES.: 0
LAUN NSA OUTLTS... :
1
FEES:
PLAN CHECK DEPOSIT.t 1 W-00
BIB MKS PLCK(SF)..93 S 40.00
Fjl,�lAN CNECK... t t -111.53
-B 10ING PERNIT.... t 1 75L.50
SBCC SURCHARGE ..... t = 4.50
NEC APPLIANCE FEES.a 1 74.50
PLUMBING FIXT.... 93a 1 94.00
RAM KIT ......... 93 = 20.00
Additional fees not shorn here...
TOTAL FEES t 2191.97
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO NORK IS STARTED. RESIDENTIAL AND 9RAPING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
.'I CERTIFY THAT THE INFQEO BY NE IS TRUE AND CORRECT TO THE BEST OF NY KNOIILEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS MILL BE NET.
r e [INNER OP. AGERi � � l. �
.d DATE
S
- ,No f■
SETBACKS' & FOOTINGS
f
Date By
7
FOUNDATION WALLS
Date By
7PLUMBING
GROUNDWORK(
Date By
UNDERFLOOR FRAMING.
Date By
7SHEAR
WALLS
Date By
PLUMBING ROUGH -IN
Date By
GAS PIPING
Date By
7MECHANICAL
ROUGH -IN
Date By
7MECHANICAL
{OTHERI
Date By
FRAMING
Date By
71NSULATION
Date By
GWB - 7ST LAYER
Date By
GWB - 2ND LAYER
Date By
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
7ENGINEERING
FINAL
Date By
FIRE FINAL
Date By
BUILDING FINAL
Date By
7
OTHER
Date By
OTHER
Date By
CDO193
3CITY 35300FiFEDERRAL WAY AL South BUILDING PERMIT PER
I,SSUED: 02/15/9475
Federal Way, WA 98003 Building Inspection Requests 661-4140 : FLF
66-1-4000 EXPIREESS: 02/15/95
ADDRESS:1927 SW 331ST PL
NO.: 010457-0155
PROJECT DESCRIPTION : NSF - WI PLUNBINGIMECHANICAL
ALDERBROOK DIV 6 LOT i155
OWNER
CENTEX HOMES CORP
2320 130TH AVE NE t200
3ELLEVUE VA 98005
503-622-8288
BLD?:X MEC?:X PLM?:X
TYPE OF WORK AEI USE:AES
CENSUS CATEGORY ..... :101
OCCUPANCY GROUP----------
:R3
TYPE OF CONSTRUCTiON-----
:5N .
OCCUPANT LOAD ------------
0: 0: 0: 0:
"UEL TYPES.:GAS ELE
6AS PIPING.: 50 ft
FURN<IOOK..: 1
GAS HIT....: 1
CONY BURNER: 0
BBQ........ . 0
GAS DRYER..: 1
RANGE....... I
GAS LOGS...: 1
FLR--EU SI--PROP---
IS1.:
0:
Iul3:sf
21w.�
0.
988:5f
AD.:
5:
a:Sf
OTHR;
0:
00:0
TOIL:
J:
2,048. v
FANS...........
HOOD.........,. }
DUCT WORK.....: 0
WOOD STOVES...: I
FURNMOOK.....: 0
NISC........... 0
AIR HANDLING UNITS
<=10,000 CFN: 0
> 10,000 CFN: 0
CONTRACTOR
CENTEX INIYES CORPORATION
2320 130TO AVE NE
BELLEVUE WA 98005
874-8775
CFWTFII+t0IOA
LILLL11IG !�lliIS:
REI&HT......
VAU &T I01------
EX ST-1: 6
BOILERSICOMPRESSORS
0-3 HP......: O
3-15 HP--: 0
15-30 HP....: 0
30-50 HP....: 0
5+ HP.......: 0
FUEL TANKS ---------
ABOVEGROUND: 0
UNDERGROUND.: 0
COMP PLAN ......... :SR
nEQUIRED PARKINS..: 2
HLWOEI SETBACKS-------
FTtOlIT......... ; 26.0 ft
� i ik........... 5.00 ft
NP A........... 25.00:ft
LENDER
$OWNER$
SPRINKLERS?......:?
RA?AqD CL04...:1
F R1: FLEA ..... 040
WATER SERVICE..:FED
SEVER SERVICE..:FED
IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
WATER CLOSETS......:
BATH TUBS...........
SHOWERS ............:
LAVATORIES.........:
SINKS ..............:
DISH WASHERS.....:.:
ELEC VTR HEATERS...:
LAUN ISAR OUTLTS...:
3 URINALS......... 0
2 DRINKING FOUNT.: 0
0 SUMPS..........: 0
4 VAC BREAKERS...: 0
1 DRAINS.......... 0
1 LAWN SPRINKLERS: 0
0 OTHER FIXTURES.: 0
1
FEES:
PLAN CHECK DEPOSIT.' ; 600.00
PUB WKS PLCK(SF)..93 ; 40.00
fINAL PLAN CHECK...* ;-111.53
BNlOiN PERMIT .... 8 ; 151.50
SBCC SURCHARGE ..... $ ; 4.50
NEC APPLIANCE FEES.# ; 74.50
PLINIBING FIXT.... 93• ; 84.00
RADON KIT ......... 93 ; 20.00
TOTAL FEES ; 1462.97
PERMITS EXPIRE 180 DAYS ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I.CERTIFY THAT THE IMF T1� FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KN01<LEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
'10 iP AGENT r - - - - - - - - - DATE
FIELD COPY
CDO193
PLEASE PRINT
S1
City of Federal Way
APPLICATION FOR BUILDING PERMIT
�
V-� . " ,1 ( < r <> " \ APPLICATION #: (/
TE LUC LTWN
Address U7 5, W _. 0114fCE 5-W. f—C—DOIA1-- Gv W A -
Tenant (if known)
Lot # S.-
Assessor's Tax #
Building Owner Name
c c-0
Address
4- 0.
City QState LAI
ZipOt iT®p .5--
Phone g740 - C'77S
Nature of Work [ Q Q
ARELICANT
Name (F,M,L)
Address
City 1 Lj—I:- V LA
Contact Person
I3C]MDING CONTRACTOR
State Zip
Day Phone Other Phone Fax
S $7k- T77S- T7q -.;L0FCt
Company Name
Address
01?J� �T �'J /lJ• C�
City — t/ C--
State w eq-
Zip $Qp
Contact Person
63- �-o �✓ I L` � �
Phon
a� - 9 77 5
Fax
a
Contractor's # (card must be presented)
Expiration Date
Verified ❑ Yes ❑ No
GE-V r � b 1
ARCRITECT
Name
C' OVmg- I� p ✓�'l G GC)
Address _
.�1-3r-6 c�T�'' l%� ��• f�. i � D C'�
City Butz - V LA
State
Zip 0(g'pn
Contact Person
Phone
Fax
1 LL 9' eCAA—
Gi4 — 62 &P
LEGAL DESCRIPTION
f L- 1':�
MAY 10 1994
Please Complete Reverse Side
CD0402 (Rev 4/931
STRUCTURE
E; g Use
Permit includes:
❑ Building
❑ Plumbing
Type of Work:
5r Residential
❑ New
❑ Remodel
❑ Commercial
❑ Addition
❑ Garage
Enter 1 at Floor
Area Basement
sq ft
sq ft
2nd Floor
Decks ' '-1
sq ft 3rd Floor sq ft
sq ft Garage sq ft
Water Availability
❑ Sewer Availability ❑ On -Site Septic System Availability ❑
Zoning Xr-si
Ii->ew-r, a, t
I Lot Size
LENDER
Name
City
�CHANICAL CONTRACTOR
Contractor Name
City
Contact
License #
PLUMING CONTRACTOR
Contractor Name
City
Contact
License #
PLUMBING FMURE COUNT
Water Closets Sinks
Bathtubs Dish Washers
Showers Electric Water Heaters
Lavatories Washing Machine
f -)sad Use
1 r s oc L., T-, 4,.t
❑ Mechanical
❑ Other
❑ Number of Units
❑ Deck
❑ Shed
❑ Other
Existing Floor Area
sq ft
Proposed Total Area
sq ft
project. Valuation"
$ 0, 000
Existing':Bldg Valuation]:4
Address
State
Address
State
Phone
Expiration Date
Address
State
Phone
Expiration Date
Urinals
Drinking Fountains
Sumps
Drains
MECHANICAL UNIT COUNT
Fuel Type (electric/other)
Gas Dryer
Air Handling < = 10,000 CFM
Length of Gas Piping
Range
Air Handling > = 10,000 CFM
Furn <100K BTUs
Gas Log
Unit Heater
Furn > 100 BTUs
Fans
Miscellaneous
Gas Hwt
Hood
Boilers
Conv Burner
Duct Work
0-3 Tons
BBQ's
Wood Stoves
3-15 Tons
Zip
Zip
Fax
Verified ❑ Yes ❑ No
Zip
Fax
Verified ❑ Yes ❑ No
Lawn Sprinklers
Other
Total Fiktura' Count
15-30 Tons
30-50 Tons
50 + Tons
Fuel Tanks
Above Ground
Underground
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 of he reliance of the City, including its officers and employees, upon the accuracy of the information supplied to the City as a part of this
application. r / {'
Owner/Agent: /
pate:
City of Federal Way
APPL.�,ATIGN FOR BUILDING PERMIT
-ASE PRINT
I'E LOCATION
Tenant (if known)
Building Owner N
City
Nature of Work
'PLICANT .
APPLICATION #:
Address 10 �. 3� �- 4�
Lot # Assessor's Tax #
4S 7 _ 01
Address
Z3 L -
State Ji 1 Zip
qT[r,,Z�- Phone !._77
Name (F,M,L) r
Address
City
Contact Person Day Phone
(;( -741 _
1ILDINGr CONTRACTOR
Company Name
Address
�G
City
Contact Person
Contractor's # VaQ must be presented)
Sl�ln Lip
Other Phone Fax
- I Z3 Z `
State Zip
Phone Fax
ExpirationP�ste Verified ❑ Yes El No
iC /,3
tCMECT
Name
Address
City Seta Zip
Contact Person f'I,unu Frrx
AL DESCRIPTION
Please ComPI-to Roverso Side
C00492 IR— 41931
RUCTURE _ 1 Existing Use - - — - -
Permit includes: JK Iding Plumbing
Type of Work: "AResidential New ❑ Remodel
❑ Commercial ❑ Addition ❑ Garage
Enter 1 at Floor f Dj sq ft 2nd Floor e2V sq ft 3rd Floor sq ft
Area Basement eq ft Decks lO0 sq ft Garage L Lj7 sq it
Water Availability )ML Sewer Availability 'X_ On -Site Septic System Availability ❑
Zoning � � Lot Size 6 C/
UN #1N.G FIXTURE COUNT
Water Closets
Bathtubs
Showers
Lavatories
'CHANICAL UNIT COUNT
Sinks 1
Dish Washers
Electric Water Heaters
Washing Machine /
Proposed Use
lechanical
❑
Other
❑ Number of Units ❑ Deck
❑ Shed ❑ Other
Existing Floor Area y sq ft
Proposed Total Area sq ft
Project Valuation S
Existing Bldg Valuation S
Urinals l
Drinking Fountains
Sumps
,_ tJ
Drains /
JAN 2 71994
LoW..n.Sprinkleru
Other
Total Fixture Count
Fuel Type (electric/other)
Gas Dryer r
Air Handling < = 10,000 CFM
15-30 Tons
Length of Gas Piping t4--T-
Range 1
Air Handling > = 10,000 CFM
30-50 Tons
Furn <100K BTUs
Gas Log
Unit Heater
50+ Tons
Furn > 100 BTUs
Fens
Miscellaneous /
Fuel Tanks
Gas Hwt
Hood
Boilers
Above Ground
Conv Burner
Duct Work
0-3 Tons �-
Underground
BBQ'■
Wood Stoves
3-15 Tons l
Total Unit Count
:LAIMER: I certify under, penalty of perjury that the information fu(nishad by nfn is true end currect to the beat of my Mmiwlodge and hulhorthal I am authorized by the owner
a above premise& to perform the war for which permit application Is made. I further agree to save harmless the City of I ado, of Way as to any claim (including costs, expenses,
attorneys' fees Incurred 'in inve t� on and delanse of such claim), which may be made by any person, including the undersigned, and filed against the City of Federal Way,
rnly where such eWm ae1}� a reliance of the City, Including its officers and employees, upon the accuracy of the information supplied to the City as a part of this
cation.
u/ApseC Date' �F'/(��L
1
City of Federal Way
J-7
�' ON dpryCATION FOR BUILDING PERMIT
REVIS
PLEASE PRINT LUG 14 1994 APPL/CAT/ON M
SITE LOCATION Address �
Tenant (if known) Lot # // Assessor's Tax #
Building Owner Nam r&*-k Address
City r, C� CSttate 1 7,, Zip Phone
Nature of Work V r<�]! I S- rW ,�.! W.AJ X -u f 1ka aivi-S
APPLICANT .
Name (F,M,L) 7
Address
City State Zip
Contact Pe Day Phone 6-31 _ i f r7� Other Phone Fax
ILDTNG : CONTRACTOR
Company Name
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) I Expiration Date I Verified ❑ Yes ❑ No
CHITECT
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492 (Rev 4/93)
STRUCTURE
r xisting Use
T reposed Use
Permit includes:
v Building
❑ Plumbing
❑ Mechanical
❑
Other
Type of Work: V.
Residential
❑ New
❑ Remodel
❑ Number of Units
❑
Deck
Cl
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 sq ft
Proposed Total Area
sq ft
Water Availability ❑
Sewer Availability ❑ On -Site Septic System Availability ❑
Project Valuation
$
Zoning
Lot Size
Existing ::8.idg Vaivation:<
$
LENDER
Name
Address
City
State / Zip
9CHWCAL CONTRACTOR
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Al
Expiration Date
Verified ❑ Yes ❑ No
UMBINNG CQWRACTaR
Contractor Name
Address
City
Stets
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
«a €:
Water Closets
%'
Sinks
Urinals
Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains
Other
Showers
Electric Water Heaters
Sumps
Lavatories
'
Washing Machine
Drains
7at8l;Fizture;;�aiirt
Fuel Type (electric/other)
Gas Dryer
Air Handling < = 10,000 CFM
15-30 Tons
Length of Gas Piping i
Range
Air Handling > = 10,000 CFM
30-50 Tons
Furn <100K BTUs
Gas Log
Unit Heater
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
Tr t>il`-i iri r•'f?�rr�,r
DISCLAIMER: Icertify 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 premiere to perlorm the work for which pernAt 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 cleiml, 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 City, including its officers and employees, upon the accuracy of the information supplied to the City as a part of this
application.
Owner/Agent: Date:
90.00' rl
d
11
M
rfl
SrM P M APPROVAL NOTE:
FINISH PAD
Pcrn� . Nunl�er: -') ELEV_= 330.70
S.W. 331 st .0v Y01
Cmmcnts.
is 2u
LEGAL DeSiCR pnoN
LOT 155
F. .. ..N
ALDERBROOK
DIV. VIII
CENTEX
f r% .r n_ I V 1._ L-J
JAN 2 7 1994
CITY OF FEDERAL WAY
BUILDING DEPT.