93-100688 �
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CITY OF FEDERAL WAY B lJ I L D I N G P E R M I T PERM�� No.: BLD93�0303
3.^•.5::0 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 03/24/93
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 35359 13TH PL SW
PARCEL NO.: 502860-0290
PROJECT DESCRIPTION: RESIDENTYAL ADDITION — AWNINGo 280 SQIII�RE F�ET
OWNER CONTRACTOR LENDER
KHFNH LE *OWNER IS CONTRACTOR*
35359 13TH PL SW
FEDERAL NAY WA 98023
-9374
*OWNER*
BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN.........:SR FEES:
TYPE OF WORK:ADD USE:RES 1ST.: 0: 280:sf STORIES........: 0 REQUIRED PARKING..: 2 SPRINKLERS?......:? FINAL PLAN CHECK...* S 22.75
CENSUS CATEGORY.....:434 2ND.: 0: O:sf HEIGHT.....: 0.00 ft HAZARD CLASS...:? BUILDING PERMIT....* S 35.00
OCCUPANCY GRWP---------- 3RD.: 0: O:sf VALUATION---------- REQUIRED SETBACKS------- FIRE FLON....: 0 gpn SBCC SURCHARGEo....* S 4.50
:M1 :? :? :? : OTHR: 0: O:sf EXIST..E: 59600 FRONT.........: 20.00 ft
TYPE OF CONSTRUCTION----- BSMT: 0: O:sf PROP...S: 1500 SIDE..........: 5.00 ft WATER SERVICE..:FED
:5N :? :? :T : DECK: 0: O:sf REAR..........: S.00:ft SENER SERVICE..:FED
OCCUPANT LOAD------------ GAR.: 0: O:sf RECEIVED.:03/22/93
. 0: 0: 0: 0: TOTL: 0: 280:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
FUEL TVPES.: FANS..........: 0 BOILERS/COMPRESSORS WATER CLOSETS......: 0 URINALS........: 0 TOTAL FEES S 62.25
GAS PIPING.: 0 ft HOOD..........: 0 0-3 HP......: 0 BATH TUBS..........: 0 DRINKING fOUNT.: 0
FURN<100K..: 0 DUCT 410RK.....: 0 3-15 NP.....: 0 SHONERS............: 0 SUMPS..........: 0
GAS HWT....: 0 W000 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+ NP.......: 0 D1SH WASHERS.......: 0 LANN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS--------- ELEC WTR NEATERS...: 0 OTNER FIXTURES.: 0
�""GE......: O <=10,000 CFM: O ABOVE GRWND: O LAUN WSHR WTLTS...: O
_OGS...: 0 > 10,000 CFM: 0 UNDERGRWND.: 0
ALL 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 INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
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CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
—Please Print—
BOX 1 TENANT NAME:
OWNER -�- SITE LOCATION S`���` "
OWNER'S ADDRESS �� 3 � .` (�' CITY i��� �. �'.c.� PHONE
DESCRIBE JOB�G�E��L'1 ��'�1 0
THE PROPERTY IS OWNED BY: SINGLE/MARRIED �' PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME `'� �'�� ��'�"7� �" CONTRACTOR'S REG. #
Card MUST be presented
CONTRACTOR'S ADDRESS CITY PHONE
EXPIRATION DATE
— OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS fSSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON PHONE
BOX 4 SEWER DISTRICT t�CLt.'Yr�� �/tx-�-t C'�'.�-�-�Z'� WATER DISTRICT ��tl Pf/�z I,l.��•�� �'<'� ���
BOX 5 ESTIMATED PROJECT COST /-�dU, O� EXISTING BUILDING VALUATION�«6� ��)�? - ��V
BOX 6 PROPERTY TAX ACCOUNT NUMBER �`� � �l� c� �- �� �- �� �� � � �
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR�_�� 2ND FLOOR /
3RD FLOOR / BASEMENT / __Z`a_��_ GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
OX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
N0. WATERCLOSETS GA tPING, FEET $
--- BATHTUBS � N . FURNACE, ELEC. GAS $
SHOWERS � � GAS HOT WATER HEATER $
. LAVATORIES ; CONVERSION BURNER.._ $
SINKS � i BOILER, SIZE BTU $
� DISHWASHERS AIR HANDLING UNITS $
� ELECTRIC HOT WATER HEATER --H���-Pti SIZE $
� UNDRY WASHER OUTLET UNIT HEATERS $
U LS AIR COOLING UNITS, IZE $
DRINKI OUNTAINS COMMERCIAL HOOD $
SUMPS, SPR KLER VACUUM BREAKERS OTHER $
DRAINS $
OTHER $
TOTAL FIXTURES $
~� TOTAL MECNANICAL FEE ,,_ $
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 A6REE 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: C1/'G�l�-��, /� ( LI G�
ANV-008 7i90
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