94-100490CITY OF FEDERAL
33530 First Wa-y
Federal Way, Wf
661-4000
ADDRESS:115 S i
NO-: 113780-001
PROJECT DESCRIP
OWNER
DAN/CAREY DELAPP
115 S 361ST PL
FEDERAL WAY NA 98003
874-3540
WAY South BUILDING PERMIT
98003 Building Inspection Requests 661-4140
1ST Pl_
10 N :RESIEDENTIAL ADDITION - Construct second story deck. work completed without permit, See CAR 94-0042.
CONTRACTOR LENDER
*** OWNER IS CONTRACTOR xxx
xxx NONE xxx
9 Y- is 0 �90
PERMIT NO. BLD94-0199
ISSUED:,O4/01/94
BY: FLF
EXPIRES: 09/28/94
BLD?:X NEC?:
PLM?:
FLR--EXIST--PROP---
DWELLING UNITS: 0
COMP PLAN ......... :LDR
FEES:
TYPE OF NORK:ADD
USE:RE
1ST.: 0:
O:sf
STORIES........: 0
REQUIRED PARKING..: 2
SPRINKLERS?......:?
PLAN CHECK DEPOSIT.* $ 9.75
CENSUS CATEGORY ..... :43
2NO.: 0:
O:sf
HEIGHT.....: 0.00 ft
HAIARD CLASS...:?
BUILDING PERMIT....* $ 15.00
OCCUPANCY GROUP--------
3RD.: 0:
O:sf
VALUATION----------
REQUIRED SETBACKS-------
FIRE FLOW....:
0 gpm
SBCC SURCHARGE.....* t 4.50
•? -?
•?
OTHR: 0:
O:sf
EXIST A : 148300
FRONT.........: 20.00 ft
TYPE OF CONSTRUCTION---
- BSMT: 0:
O:sf
PROP ... =: 458
SIDE..........: 5.00 ft
WATER SERVICE..:FED
• •? •?
-?
DECK: 0:
52:sf
REAR..........: 5.00:ft
SENER SERVICE..:SEP
OCCUPANT LOAD----------
GAR.: 0:
O:sf
RECEIVED.:03/14/94
0: 0:
0:
TOTL: 0:
52:sf
IMPERV SURFACE: 0 sf
SENSITIVE AREAS?.:N
TOTAL FEES $ 29.25
FUEL TYPES.:
FANS..........: 0 BOILERS/COMPRESSORS
WATER CLOSETS......: 0 URINALS........: 0
GAS PIPING.: 0
ft
HOOD..........:
0
0-3 HP......: 0
BATH TUBS...-......: 0
DRINKING FOUNT.:
0
FURN<100K.-: 0
DUCT NORK.-...:
0
3-15 HP.....: 0
SHOWERS ............: 0
SUMPS..........:
0
GAS HNT....: 0
NOOD STOVES...:
0
15-30 HP....: 0
LAVATORIES.........: 0
VAC BREAKERS...:
0
CONV BURNER: 0
FURN>100K.....:
0
30-50 HP....: 0
SINKS ..............: 0
DRAINS.........:
0
BBQ........ : 0
MISC..........:
0
5+ HP ....... : 0
DISH MASHERS.......: 0
LANK SPRINKLERS:
0
GAS DRYER_: 0
AIR HANDLING UNITS
FUEL TANKS---------
ELEC NTR HEATERS...: 0
OTHER FIXTURES-:
0
RANGE......: 0
<:10,000 CFM:
0
ABOVE GROUND: 0
LAUN NSHR OUTLTS...: 0
GAS LOGS..,: 0
> 10,000 CFM:
0
UNDERGROUND.: 0
PERMITS EXPIRE 180 DAYS A TER ISSUANCE IF NO NORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORM 'PION FNXIISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNONLEDGE AND THE APPP1L��ICABLE CITY OF FERERAL XAY REQUIREMENTS WILL BE MET.
iINER OR p6E4i aull_ + --OAT`-��
------------ I----------
FILE COPY
4U
IVED
PEAR 1 41994
CITY OF FEDERAL WAY
PLEASE PLANT BUILDING DEPT
SI
City of Federal Way
APPLICATION FOR BUILDING PERMIT
FILEAPPL/CAT/ON M 1�d 4q r
TI: LOCATION
Address f ' G 6 , 3 (pi `sr P1,
Tenant (if known)
Lot #
Assessor's Tax #
-Cx
Building Owner Name
ican'
Address
III S- ST P1.
City J--CctlelkaL VV6LO
State
zip CrROU5Phone
Nature of Work ,SCr n
Ii ' c - '-J
AFT .ICANT
Name (F,M,L)
Dan Dc
Address ) 15 :52 �I sr. P I
Jw—ao
� . City fMI
State A
Zip QjQc,��
Contact Person
TX� I,
Day Phone
� -� �-� ��
her Pho a
5IL4 �5�o
Fax
wVA-
BUILDING CONTRACTOR
Company Name /
Address
City
State
Zip
Contact Person
Phone
Fax
Contractor's # (card must be presented)
Expiration Date
Verified ❑ Yes ❑ No
ARCHITECT
Name
Address
City
State
Zip
Contact Person
Phone
Fax
LEGAL DESCRIPTION
�2Q c 5 a-- -try.) o . rec -
C& washttonf-00
Please Complete Reverse Side
CD0492 (Rev 4/931
STRUCTURE
....
E IQ Use
�osed Use
_
Permit includes:
'RJ Building ❑ Plumbing
❑ Mechanical
❑ Other
Type of Work: ❑
❑
Residential
Commercial
❑ New ❑ Remodel
❑ Addition ❑ Garage
❑ Number of Units _
❑ Shed
X Deck
❑ Other
Enter 1 at Floor
Area Basement
sq ft
sq ft
2nd Floor sq ft 3rd Floor sq ft
Decks __�sq ft Garage sq ft
Existing Floor Area
Proposed Total Area
sq ft
sq ft
Water Availability
Sewer Availability ❑ On -Site Septic System Availability
Project Valiiotion
S
Zoning aa.
Lot Size �-yr,-.
QQ�"] � Gj —��---
Existing Bldg Val uri€tan
$
LENDER
Name ^
Address
City
State
Zip
'MECiE ANIC L--CON1GRACT.OR ::
Contractor Name n)
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
PLUMING CONTRACTOR
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
PtUxO NG FIXTCIk�E COUNT'
Water Closets
Sinks
Urinals
Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains
Other
Showers
Electric Water Heaters
Sumps
Lavatories
Washing Machine
Drains
Total `Fiinure..Gount
MECHANICAL .UNrir-'COUNT
Fuel Type (electric/other)
Gas Dryer
Air Handling < = 10,000 CFM
15-30 Tons
Length of Gas Piping
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
I lnr]Arnrni inrl
BBQ's
Wood Stoves
3-15 Tons
TntaI'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 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: !:
MAR 2 1 199
GiTY
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