96-103682CITY OF FEDERAL WAY PERMIT NO: BL.D96 -0421
33530 First way South DU L :D114, 0 Fc"" „': #1 #41 "T' ISSUED: 10/03/96
Federal !day, WA 98003 }wilding Inspection Requests 661 -4140 BY: FC
661 -4000 EXPIRES: 04/01/97
ADDRESS:28623 8TH PL. S
NO.: 515296 -0030
PROJECT DESCRIPTION:REROOF ONLY.
r= OWNER ___ _________________ __________________ _______ = - = =z= CONTRACTOR LENDER
PAT COREY TEDRICK'S ROOFING INC
28623 8TH PL SO 37220 188TH AVE SE
FEDERAL WAY WA 98003 AUBURN WA 98092
� 941-1278 824-3440 800 - 707-2606
TEIRIRI121NC 6
Us CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE = 8.2% Us
BLD ?:X MEC ?: PLM ?:
TYPE OF WORK:ALT USE:RES
CENSUS CATEGORY ..... :555
OCCUPANCY GROUP--------- -
:? :? :? :?
TYPE OF CONSTRUCTION--- --
:? :? :? :?
OCCUPANT LOAD ------------
. 0: 0: 0: 0:
FLR -- EXIST -- PROP- --
1ST.:
0:
O:sf
2ND.:
0:
O:sf
3RD.:
0:
O:sf
OTHR:
0:
O:sf
BSMT:
0:
O:sf
DECK:
0:
O :sf
GAR.:
0:
0:Sf
TOTL:
0:
O :sf
FUEL TYPES.:?
?
FANS........... 0
GAS PIPING.:
0 ft
HOOD..........: 0
N<100K..:
0
DUCT WORK.....: 0
HWT .... :
0
WOOD STOVES...: 0
CONV BURNER:
0
FURN>100K .... .: 0
BBQ ........ :
0
MISC..........: 0
GAS DRYER..:
0
AIR HANDLING UNITS
RANGE......:
0
<= 10,000 CFM: 0
GAS TOGS...:
0
> 10,000 CFM: 0
PERMITS EXPIRE 180 DAYS
I CERTIFY THAT THE INFO
OWNEKR AGENT
DWELLING UNITS: 0
STORIES......... 0
HEIGHT.....: 0.00 ft
VALUATION ----------
EXIST..$: 0
PROP ... $: 14000
RECEIVED.:10 /03/96
BOILERS /COMPRESSORS
0 -3 HP....... 0
3-15 HP...... 0
15-30 HP....: 0
30-50 HP....: 0
5+ HP.......: 0
FUEL TANKS-------- -
ABOVE GROUND: 0
UNDERGROUND.: 0
COMP PLAN ......... :SFHD
REQUIRED PARKING..: 0
REQUIRED SETBACKS -------
FRONT ......... . 0.00 ft
SIDE........... 0.00 ft
REAR........... 0.00:ft
FEES:
SPRINKLERS ?:.....:? BUILDING PERMIT.... $ 153.00
HAZARD CLASS...:? SBCC SURCHARGE..... $ 4.50
FIRE FLOW....: 0 gPm 1 g
WATER SERVICE..:? !
SEWER SERVICE..:?
I
IMPERV SURFACE: 0 sf SENSITIVE AREAS ?.:? I I
WATER CLOSETS......: 0
BATH TUBS........... 0
SHOWERS ............. 0
LAVATORIES.........: 0
SINKS ............... 0
DISH WASHERS.......: 0
ELEC WTR HEATERS...: 0
LAUN WSHR OUTLTS...: 0
URINALS........: 0 TOTAL FEES $ 157.50
DRINKING FOUNT.: 0
SUMPS........... 0
VAC BREAKERS...: 0
DRAINS.......... 0
LAWN SPRINKLERS: 0
OTHER FIXTURES.: 0
ISSUANCE IF NO WORK IS STARTED: /RESI *'NTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
FURNISHED BY T EC TAO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE ITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
_ ----------- ---------------- DATEU_____
FILE COPY
9t -/63,4 3.)
(.'ITY OF FFf)FF�Al- WA`1*' PERMIT NO: bLL)96-042-'1
33530 First Way South DU T" L PT H(wl F% C m H IT I S t; LJ F., 1): 101/03 96
Federal Way, WA 9►00'3 I"Lli 11('fi 0'-4 ftvl..pect,ion 11c 661 -4140 BY: F(
66f--4000 [-XPIRE 3: 01,10,119-1
ADDRESS:'28623 Of 1-1 P1,
NO. . 515'296--0030
PPOJECT t)ESCRIPTION.REPOOF ONLY.
OWNER
PAT COREY
28623 8TH PL SO
FEDERAL WAY VA 98003
CONTRACTOR
TEDRIW ROOFING INC
37220 188TH AVE SE
AUBURN WA 98,092
824-3440 800-707- ?606
TEDRIFI121N(
. r iint n
*Is CONIRKTORS, Oil"[ USE LKAIJON (O.t I *ka xLY091ING SALES TAX FOR FWWS III (All INE Cl IY Of FIKKAt
NAY. TAX NMI = H.A fff
00T�7: 0 (Omp PtAH ......... :SFHD
ot D?: 9 mtc?: PLO?: aww4on S P I'A I 11, FEES:
TYPE OF WORE'ALI (ISE:RES 1ST.: 1)6(ouipu PARKING..: 0 SPRINKIERS? ...... :? BIjILDING PERNIT....* 153.00
L
CENSUS CATEGORY...... 555 2ND .: O:st- !10011 rf A" f f HAZAR-D CLASS...:" SW-( SUR(HARGE ..... 4.50
M
OCCUPANCY GROUP ---------- 3RD.: • U."Ll it
..........
:? f
TYPE OF C(INSIRUCTION----- siV 14u0i]) 'Al" .... .... . w ATE
1
• ? ,WE Sow.?
OCCUPANT LOAD--- - - - --- -- LIVFA I
0: 0: 0: 0-, 0 Sf SENSITIVE AREAS,.:'
IN06V SURFACE:
ruft TYPES.:^ [A BOILERWOMPRLSSORS WATER CLOSETS......: 0 URINALS........: 0 1 (11 AL It ILS S 157.50
GAS PIPING.! 0 ft NO D... 0-3 HP......: 0 BAIN TUBS...,......: 0 DRINKING FOUNT.: 0
mIlloor'.. u DUCT WORK.....: 0 3-15 HP ..... : 0 SHOWERS .............. 0 SUMPS........... 0
HWT....- 0 WOOD STOVES...: 0 15-30 HP....: 0 LAVATORIES.........: 0 VAC BREAKERS—: 0
(00V BURNER: 0 IURH>100K ..... 0 30-50 HP..... 1) SINKS .............. 0 DRAINS.......... 0
880........: 0 "IS(..........: 0 5t NT'.......: 0 DISH WASHERS.......: 0 tAWH SPRINKLERS: 0
GAS DRYER..- 0 AIR HANDLING UNITS FUEL T;NKS --------- RE( WIR HEATERS ... 0 OTHER FIXTURES.: 0
RAKE ...... : 0 <:10,000 CF": 0 ABOVE GROUND: 0 LAUII WSHP OUTLIS ... 0
GAS LOGS—: 0 10,000 CFO: 0 UNDERGROUND.: 0
% er.. 1�-- 11,--zr-.-- -M--,
PERMITS EXPIRE too SAYS ArIfIl ISSININCE If No NORK IS STAIR). SIS14111AL AND GMNX PERNIIS EXPIRE ONE YEAR 4111 001 01 ISSIUAKE.
I CERTIFY THAI IN[ 111101" FURNISHED VY M E T �%J
fflk-M CMLC"O TR KSI Of NY KNONLEKt, ARb THE APPLICABLE 011Y Of 119[kht. NAY REQUIREMENTS VILE BE HIT.
FIELD COPY
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C
C
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Em
ANk
Ank
SETBACKS::' FOOTINGS
Date By
FOUNDATION WALLS
Date By
PLUMBING GROUNDWORK
Date By
UNDERFLOOR FRAMING
Date By
v
s I 4�
Date D— ) By
PLUMBING ROUGH -IN
Date By
GAS PIPING
Date By
ME..CHANICAL RO.. jGH -1N
Date By
MECHANICAL (OTHER)
Date By
FRAMING
Date By
INSULATION
Date By
GWB - 1ST 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
Date2 11_
J BY
OTHER
Date By
OTHER
Date By
CDO193
4&4 G 0 City of Federal Way •
A'' �IVHLICATION FOR BUILDING PERMIT
OCT 63 1996
PLEASE PR /NT APPL /CAT /ON #: _
SITE T:OCATION >
Tenant (if known)
Building Owner Name ,
-.,
City
Nature of Work .#jz%i,
Lot #
Zip
Phone
Name (F,M,L)
Address
City
State Zip
Contact Person Day Phone Other Phone Fax
1 u=
Tax #
9Cl %n-
Company Nar.qg__-
Address ke
2 f
City ". State Zip
Contact Person _ Phone
Contractor's # (card must be presented)
Expiration Date Verified ❑ Yes ❑ No
Name
Address
City
Contact Person
LEGAL DESCRIPTION
Please Complete Reverse Side
State
Phone
Zip
Fax
CD0492 (Rev 4/93)
{
.................... ...............................
Name
Address
City
State
Zip
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
..::.
PLUMBING CQNTRAGTOR
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
Water Closets
Sinks
Urinals
Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains
Other
Showers
Electric Water Heaters
Sumps
50+ Tons
Lavatories
Washing Machine
Drains
To...... z tyre' Caurit [ [
MEC%�1TICAL UNIT C0Y11T
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 >I 00 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
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 the reliance the City, includA its offers and employees, upon the accuracy of the information supplied to the City as a part of this
application.
rJw g, nt: / Date: ,