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96-100655 96imp 65.5 CITY OF FEDERAL WAY "1".. PERMIT NO: LLD96--0077 33530 F i rs t Way South DU .1 ...�•,):1: NG P :';;;;,, M ,„".. ISSUED: 03/11/96 Federal Way, WA 98003 Building Inspection Requests 663.. -.4140 BY: FC2 661.- 4000 EXPIRES: 03/11/97 ADDRESS: 31.623 3RD PL SW NO. : 072104--9204 PROJECT DESCRIPTION:REPAIR/REBUILD FIRE DAMAGE TO APT A&C - NO PLAN REVIEW REQUIRED - ISSUED OTC HAP 7. OWNER =- _.__._ ___.. CONTRACTOR == LENDER --- - _--_ MIRROR WOODS MANOR INC . 1 9725 SE 36TH ST #10 MERCER ISLAND WA 98040 1111124-0523 • *** CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.2% *** i BLD?:X MEC?:? PLM?:? FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN •' i FEES: { i TYPE OF WORK:REP USE:RES 1ST.: 0: O:sf STORIES • 0 REQUIRED PARKING..: 0 SPRINKLERS' •N BUILDING PERMIT....* $ 117.00 I CENSUS CATEGORY '434 2ND.: 0: 0:sf HEIGHT • 0.00 ft HAZARD CLASS •' SBCC SURCHARGE * $ 4.50 1 OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gp* 1 :R1 :? :? :? OTHR: 0: O:sf EXIST..$: 0 i FRONT • 0,00 ft 1 TYPE OF CONSTRUCTION BSMT: 0: O:sf PROP...$: 10000 SIDE • 0.00 ft WATER SERVICE..:FED I :5-1HR:? :? :? : DECK: 0: O:sf ; REAR • 0.00:ft SEWER SERVICE..:FED .OCCUPANT LOAD GAR.: 0: O:sf RECEIVED.:03/11/96 I : 0: 0: 0: 0: TOTL: 0: 0:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:? ^ FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 1 TOTAL FEES $ 121.50 S PIPING.: 0 ft HOOD • 0 0-3 HP • 0 ; BATH TUBS • 0 DRINKING FOUNT.: 0 N<100K..: 0 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 0 SUMPS • 0 `s GAS NWT • 0 WOOD STOVES...: 0 15-30 HP • 0 ( LAVATORIES • 0 VAC BREAKERS...: 0 CONY BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 0 DRAINS • 0 BBQ • 0 MISC • 0 5+ HP • 0 DISH WASHERS • 0 LAWN SPRINKLERS: 0 GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0 RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0 ; 1 GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 �.=a--..a>...--__ »a=-----..__._-:- _ _.:_:: __:_= a:- .:=-a» aa-at=------.:: a-=aaaal===_:. aaaa=as-aa- =-a::_-..--._ __:_._.__._ =»__=a=::=a===:: :,a-i._- •- . aaaaaa-a==as=aaa=d *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 INFORM• ION FURNI HED BY ME IS TRUE AND CORRECT TO THE BEST OF NY KNOWLEDGE AND THE APPLICABLE C TY OF FEDERAL WAY REQUIREMENTS WILL BE MET. 1 Af OP WNER OR AGENT /. -i f1 Q°� _ DATE __ ,_ FILE COPY • City of Federal Way -10\s' APPLICATION FOR BUILDING PERMIT PLEASE PRINT W / C APPLICATION #: r3`- D 6CJ~ 77 SITE LOCATION Address 3/( 2-z 3'0 P<_ S C)...) Tenant (if known) Lot # Assessor's Tax # 6)72Lo4(- 2 c9 ( Building Owner Name ,&AaN2.,(2)F5ak c.,&& OS Address ►'YI,PsA,nR .:ic, SAME City 00( 0,-9-6---T State «Q a Zip 9 p© 2 3 PhonQ, 6)9 Lti -p04'8 Nature of Work ��/?/;,7 734, 46,,,E" f i3i7' APPLICANT Name (F,M,L) n ,�� G� . cP AA(50-rS / S ,L/tJ cc . Address q725- SPY 36it'l s >z&& 7/0 City Mrz1-3C,:r2. i,_ 0 State (A,91- Zip ?e O y O Contact Person Day P e Other Phone Fax (619iv 11- s0N (o ) 236 - 2 3zi 9 Cly- ©S,23 729 0,188 BUILDING CONTRACTOR Company Name DFvT5Z..o pM rzCo i fir=f Urxj is ZjUc Address 9725- Sg ,,t. 57- //CO City M ( _..Stf974 D State (..,......,74- Zip 963 c c/o nta tPer Coson Phone Fax 13 i r v• C 1-s OW 23G-239C/ 72C/ 0Y8C3 Contractor's # (card must be presented) Expiration Dat Verified ❑ Yes ❑ No (/! / 5 // C96AA 5• '7 / 23/ q ARCHITECT Name Al/ Address �`n �- City State Zip Contact Person Phone Fax LEGAL DESCRIPTION P/ease Complete Reverse Side CD0492(Rev 4/931 STRUCTURE *sting Use Opposed Use ! Permit includes: Tr,Building ❑ Plumbing ❑ Mechanical ❑ Other Type of Work: X, Residential ❑ New ❑ Remodel ❑ Number of Units LI 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 sq ft Proposed Total Area sq ft Water Availability ❑ Sewer Availability ❑ On-Site Septic System Availability ❑ Project Valuat• $_____/".._:") 0/IG) j Zoning Lot Size Existing Bldg Valuation $ 6 LENDER Name N/6 Address City State Zip MECHANICAL CONTRACTOR Contractor Name /t-/ Address City State Zip Contact Phone Fax License # Expiration Date Verified ❑ Yes LI No PLUMBING CONTRACTOR Contractor Name n { Address ®v City State Zip Contact Phone Fax License # Expiration Date Verified ❑ Yes ❑ No ................. ................... ................. PLUMBING FIXTURE COUNT : ,,,, Water Closets Sinks Urinals Lawn Sprinklers Bathtubs �(,9 n 9 Dish Washers Drinking Fountains Other Showers J Electric Water Heaters Sumps Lavatories Washing Machine Drains TotalUFixture Count .............................. ..... . ..................... .................................... MECHANICAL UNIT COUNT MECHANICAL VALUATION ONLY $ 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 Ay Fans Miscellaneous Fuel Tanks Gas Hwt / Hood Boilers Above Ground Cony Burner Duct Work 0-3 Tons Underground 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 aris •ut of the of the City,including its officers and employees,upon the accuracy of the information supplied to the City as a part of this application. / / (/J/� Owner/Agent: � „' -----_-- -----Date: ` li I' z ;11U1 � 5 � C � � 24 i 1 J �W aZ '►i L. ^ 1 . 0 2 rj1: 1 (.1 D a °4 1 z 2 0 4LL a 3 1, ti z U 6 w J 2 � d z I— rl v I o Q � I� 4,,.._. - ,� �- a i i Z ZW ° _ I Z < `T d. 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