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97-104015ql - MOK9 - 0 l"01 wl VLRHl I L BUILDING FIERMI r I' �il Vi lc� 9T1001-4 I d i ng I ri s pc`-,- f -i c,;o 1-1 (,�q ue s Us 2 5-1— 61 -414 0 -4000 1003 J()8 I thi rwoju f)v I 1' I I ()N RES ALT REPAIR Of WAAlt DAMAGE FOREST LAKE CONDO'S "p, CONTRACTOR IOLEM KOBIt 1 3 FARMAN COASIP9019" 1003 04 3"Iff Of 133 19004 4711" AVE s FEDERAL WAY VA 98003 SCATAC WA 'Y.188 0 1.146-60,10 206-248-2003 (811witm Sal f OF f'lT Of [IRK MAY. E = 8.2% It V:X Nt('- PLN?: f LR- AX 1�114�wp - TYPE Or WOO US(:R(S IST.: 0 s itt BUILDING PERMIT.... S 54,00 SR 4.50 CENSUS (AltGORY—..:434 )R cc SORCHAR�E ..... q44.0 VA' AT OCCUPANCY :R3 :? :? :? TYPE OF CONSTRUCTION--- 1351ft- :50 IT Opt At Cwwl LOAD GAP, 0- 0: 0: 0: IJIVE AREAS?. L TYPES.:? FANS., 0 URINALS......... 0 TOTAL FEES PJPING.: 0 ft HOOD.....,,.. 0 0 DRINKING FOUNT.: 0 01R,mlook..: 0 tilf 1 0 ....... 0 sumps. ......... : 0 GAS 0 ;0 TOM—: 0 L' 0 VA( f9t[AXERS ... : 0 COXV BI#PH[R- 0 0-50 TON.... 0 SINKS. ........... -: 0 DRAINS.......... 0 BBQ........: 0 50f 0 DISH WASHLRS ...... 0 LAWN 991#tl.LRS- 0 GAS DRYER-. 0 e FUEL TANKS--------- ELEC NIR HEATER"...: 0 0HIR FIXTURES.: 0 R4KE ...... 0 s ANY( 6peuRD: 0 1AUN WSHR 01JILIS ... 0 0S LOGS.. 0 M. 0 UNDERGROUND.: 0 -'=' ... =,-1 V PIMITS LXPIK 190 DAri Rf Ito aIt III) wRf IS StAR110. RlslefliflAt 01 W�Olm f4ft"lls LIPIRF ON! YEW Aflfl "Ir Of Issum. I (L-1.1ify IN] jut Imoklifil dkki'AD py Nf Is ]Rot fto toRat(l to IN! RES( of MY (11011t[Ml. AP 101. AllniCiAl (ITY 1 fiDt'944. V0 MOIRENEVIS VILL K IK). 04HER OP. AG(3T DATE FIELD COPY CDO193 (Rev 4/97) . r Adm 1 ....... ..... _..... ..... _ 1111.._ 1111__ _ ....... .............................1111........................... ......... .... .......... ......... ........... ........BAC & I=Gt�T[NfiiiS....:.::.:. .. : Date By 2 FOUNDATION 1lI/ALLS :> ..............._ ... _..... Date By 3 ................................................................................................. ................................................................................................. ........................................................................ ................................................................................................. PLUMS ................................................................................................. ................................................................... I .............................. ................................................................................................. Date By 4 ............................................................................11.1.1............... .........................................................................111....................1 .........................................................................1111.................... SHAH ...ISi A [<3�N ........ Date By 5 ................... 1.11.1. .......................................................................................... FOOTING/DOWNSPOUT DRAINS »'> Date By 6 _.. ......... ..1111... _ _ _ _ _ __ ................................................................................................. ................................................................................................. ................................................................................................. UNDERfC 00R FRAMING Date By 7 ................................................................................................. ................................................................................................. ........................................................................1111..................... ................................................................................................. SHE' `R>SI1f' 'tLS>€>>>>>€>>>€€>>>>><> A 1111 A................................................................... ......::....................................... ............... ................................................................................................. ...................................... Date By 8 ................................................................................................. ................................................................................................. ................................................................................................. ................................................................................................. PLUMBING ROUGH=IN:: <': ................................................................................111.1............ ................................................................................................. .............................................................................................1111 < <' <': ? ? ...---- - <;>'>' Date By ................................................................................................. ................................................................................................. ................................................................................................. ING, Cip► ............................................................................... ................................................................................................. ........................................1.....11..1....... Date By ................................................................................................. ................................................................................................. ................................................................................................. MEGHAI+ICC1l1:::OUGJ�t-............:::::::..-.:::::::...........: . ................................................................................................. ................................................................................................. .................................................................................................. Date By 11 ..................................................................... _.................................... _............... ................................................................................................. F I ........................... _........... _....................... Date By ................................................................................................. ................................................................................................. ................................................................................................. ................................................................................................. IATI ................................................................................................. ............................................................................................... .............................................................................................. Date By X............1.....1...1....1...3.....................>........ ............. ........... C4*> ............................................................... . .. .................>........>............>..........< ...........>........1..........................>... ...........< ........ ..... >....... ..3..... Date By 14 G1N8 - 2ND YJFC 1111 .........................................................................._.._ .........................................................................I........ _.......... _ .. Date By 15 ................................................................................................. ................................................................................................. ................................................................................................. ................................................................................................. SUSFEC+ItED>. GEILING''> ................................................................................................ ................................................................................................. ................................................................................................. Date By is ................................................................................................. ................................................................................................. ................................................................................................. ................................................................................................. 'PL :NNINO: L < ><< A _ _ _ _[�fA ................................................................................................. ....................................................................................1111......... » > «<„<;;;; ;;;> < > >> _.......... _. Date By 17 ................................................................................................. ................................................................................................. ................................................................................................. PUB EICWQRICSFINAI>»>>><>>i>;;i ..................................................................1111........................... ................................................................................................. ................................................................................................. Date By 18 ................................................................................................. ................................................................................................. ................................................................................................. ?> SIA..INA�..................................................................... ................................................................................................. .............................................................................1.......11.......1.. . Date By 19 MUM Q:F.CNAC::«<>:::::>::::>::::>::::>:>::::> ................................................................................................. ................................................................................................. ................................................................................................. ::::::::.::::>:<:>:::<:>:<:>:>:::: Date By 20 ............ ........................ ................................... OTHER ......................................... .... ....... . Date By CDO193 (Rev 4/97) BUILDING DI'VISION C"''OF G 33530 First Way South Federal Way, WA 98003 (253) 661-4000 Fax (253) 661-4129 Mi CITY OFI FEDERAL DEPAY APPLICATION FOR BUILDING PERMIT BUILPLEASE PR/NT APPLICATION # »: Address Tenant (if known) Lot # Assessor's Tax # -�( e i-) Buildin Ow is Name / Address Z' tti>�G` • '�L c��lr=�i"�:� �. / %!1 C) )Fi r3-( -�// S,( �C> Cit—?4j 24Z State Lt/ Nature of Work Name (F,M,L) ' I C & QCCi Address City State (/,) Cit Contact Person t` S k?a hone �� c_J 2 y 8-Z v v State Zi Co tact Parse nCu � r (t'L, l Verified ❑ Yes ❑ No Da�P`one _ J �o Other Phone Fax I..:..:. NCS: CtIITFiTR Comp anNam ' Address 1 C) v S State City State (/,) Zip CIFY Fol Contact Person t` S k?a hone �� c_J 2 y 8-Z v v Fax Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No R..: kf i G .....::.::::::.::::.::::::::.:::::::.::::::.::::::::::. Name Address City State Zi Contact Person Phone Fax LEGAL DESCRIPTION Please Complete Reverse Side ........................ .......f...................:.................................. .:::::.:::::::. ::>: ......... .... luting Use State posed se Contact Permit includes: Fax G1 Building ❑ Plumbing ❑ Mechanical ❑ Other Type of Work: •❑ Residential ❑ Commercial ❑ New ❑ Addition ❑ Remodel ❑ Garage ❑ Number of Units 1 ❑ Shed ❑ Deck ❑ Other Enter 1st Floor Area Basement sq ft sq ft 2nd Floor Decks sq ft 3rd Floor sq ft sq ft Garage sq ft Existing Floor Area sq ft Proposed Total Area > sq ft Water Availability ❑ Sewer Availabilit ❑ On -Site Septic System Availability ❑ Project Valuation $ Z l Zonina Conv Burner Lot Size 0-3 Tons Existing Bldg Valuation S Name I Address Citv State ........................................................................................ ........................................................................................... ............................................................................................ ........................................................................................... ............................................................................................ N. 1D T ................................................. ...... .... ................. Contractor Name Address City State Zi Contact Phone Fax License # Expiration Date Verified ❑ Yes ❑ No ........................................................................................... ............................................................................................ ........................................................................................... ............................................................................................ ........................................................................................... Contractor Name Address City State Zi Contact Phone Fax License # Expiration Date Verified ❑ Yes ❑ No ............................................................................................ ................................................................. ............................................................................................ ............................................................................................ ............................................................................................ ........................................................................................... ............................................................................................ ........................................................................................... ............................................................................................ ........................................................................................... k1#IC'l)NI ('(J# ......................................:....:..............:................................ Water Closets Sinks Urinals Lawn Sprinklers Fuel Type (electric/other) Bathtubs Dish Washers Drinking Fountains Other Showers Electric Water Heaters Sumps 30-50 Tons Lavatories Washing Machine Drains Total Fiatture;C�iunt Unit Heater 50+ Tons ........................................................................................... ............................................................................................ ........................................................................................... ............................................................................................ ........................................................................................... k1#IC'l)NI ('(J# ......................................:....:..............:................................ MECHANICAL EVALUATION 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 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 C66. DISCLAIMER: I certify under penalty of perjury that the information fumished 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 attomeys' 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/Anent: `" tom I ZccX,�, Date: _ /(" / S C) / 9 BN DING. AP Ren 6/26197 (-ITY OF FEDERAL. WAY � � y PERMIT NO: BLD97-0651 33530 Firs t Way South . ' �,..,� .»�.. !L... ,.; h .,,If,. II""� �., ;ai 11�;) w,. II"'�, 'w"' „N�. ,..u,.,. ISSUED: 10/8 Q/97 Federal Way, WA 98003 Building Inspectipn Requests 253-661-4140 BY: FC2 253-661-4000 EXPIRES: 04/28/98 ADDRESS:1003 S 308TH ST Unit: 33 NO.: 259550--0330 PROJECT DESCRIPT'ION:RES ALT - REPAIR OF WATER DAMAGE FOREST LAKE CONDO'S = OWNER ____________________:__________._________::___-__-=_= CONTRACTOR HELEN KUBIK T J FARNAM CONSTRUCTION 1003 S 308TH ST #33 19004 47TH AVE S FEDERAL WAY WA 98003 SEATAC WA 98188 46-6030 206-248-2003 TJFARC*178J6 LENDER *** CONTRACTORS, PLEASE USE LOCATION CODE 2732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.2% *** BLD?:X MEC?: PLM?: TYPE OF WORK:ALT USE:RES CENSUS CATEGORY ..... :434 OCCUPANCY GROUP ---------- :R3 :? :? :? TYPE OF CONSTRUCTION ----- :5N :? :? :? OCCUPANT LOAD ------------ 0: 0: 0: 0: FUEL TYPES.:? ? 0PIPING.: 0 ft N<100K..: 0 GAS HWT....: 0 CONV BURNER: 0 BBQ......... 0 GAS DRYER..: 0 RANGE......: 0 GAS LOGS...: 0 FLR--EXIST--PROP--- 1ST.: 0: O:sf 2ND.: 0: O:Sf 3RD.: 0: 630:sf OTHR: 0: O:Sf BSMT: 0: O:Sf DECK: 0: O:Sf GAR.: 0: O:Sf TOIL: 0: 630:sf FANS.........., 0 HOOD,,......... 0 DUCT WORK—'-: 0 WOOD STOVES...: 0 FURN>10OK.....: 0 MISC........... 0 AIR HANDLING UNITS <:10,000 CFM: 0 > 10,000 CFM: 0 DWELLING UNITS: 0 STORIES......... 0 HEIGHT.....: 0.00 ft VALUATION ---------- EXIST..$: 0 PROP ... $: 2878 RECEIVED.:10/30/97 BOILERS/COMPRESSORS 0-3 TON...... 0 3-15 TON....: 0 15-30 TON...: 0 30-50 TON...: 0 50+ TON...... 0 FUEL TANKS --------- ABOVE GROUND: 0 UNDERGROUND.: 0 COMP PLAN.........:? REQUIRED PARKING..: 0 REQUIRED SETBACKS ------- FRONT ... ...... . 0.00 ft SIDE........... 0.00 ft REAR........... O.00:ft SPRINKLERS?....- :? HAZARD CLASS...:? FIRE FLOW....: 0 gPm WATER SERVICE..:? SEWER SERVICE..:? IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:? WATER CLOSETS......: 0 URINALS........: 0 BATH TUBS........... 0 DRINKING FOUNT.: 0 SHOWERS......... . 0 SUMPS........... 0 LAVATORIES.........; 0 UAC BREAKERS...: 0 SINKS ............... 0 DRAINS.......... 0 DISH WASHERS.......; 0 LAWN SPRINKLERS: 0 ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0 LAUN WSHR OUTLTS...: 0 FEES: BUILDING PERMIT....* SBCC SURCHARGE....,* TOTAL FEES 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. OWNER OR AGENT `�^' ----� �%?!.1------------------ / DATE FILE COPY $ 54.00 $ 4.50 $ 58.50