98-1029514
CITY OF FEDERAL. WAY � q pp p jpR'1f �Up ,�tt u
33530 F i rs t Way South ,il;;d ,,,,.,� ,.p.,,. !l,,.n, .,il..,;h..,u,.. Ilw' 1 �,w7i ii,...:� !I,�;;,. II_"`�� ��'l .�li,."I,,,.
Federal Way, WA 98003 Building Inspection Requests 253--661--4140
253-661-4000
ADDRESS:33.838 25TH AVE SW
NO.: 193840--0590
PROJECT DESCRIPTION: TEAR OFF SHAKES, INSTALL 1/2° CDX, REROOF WITH LIGHT WEIGHT TILE 590 LBS PER SQUARE
OWNER__________________________________________________�= CONTRACTOR =__=_____-=_________________ _=__=_____=_ =_= LENDER
AL SHAMED JENSEN ROOFING COMPANY INC
31838 25TH AVE SW 17321 MILITARY RD S
FEDERAL WAY WA 98023 SEATAC WA 98188
s
3/838-4855
206-241-5774
JENSERC053L8
PERMIT NO: BL.D98-0538
ISSUED: 08/05/98
BY: FCD
EXPIRES: 02/01/99
st: CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8A sts
BLD?:X MEC?: PLM?:
TYPE OF WORK:REP USE:RES
CENSUS CATEGORY ..... :555
OCCUPANCY GROUP ----------
:?
TYPE OF CONSTRUCTION -----
.,
OCCUPANT LOAD ------------
0: 0: 0: 0:
FUEL TYPES.:? ?
RS PIPING.: 0 ft
RN<100K..: 0
1AAS 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:
O:Sf
OTHR:
0:
O:Sf
BSMT:
0:
O:Sf
DECK:
0:
O:Sf
GAR.:
0:
O:Sf
TOTL;
0:
O:Sf
FANS........... 0
HOOD........... 0
DUCT WORK.....: 0
WOOD STOVES...: 0
FURN>100K.....; 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 ... $: 9975
RECEIVED.:08/05/98
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.........:? FEES:
REQUIRED PARKING..: 0 SPRINKLERS?......:? BUILDING PERMIT....* $ 117.00
HAZARD CLASS...:? SBCC SURCHARGE ..... $ $ 4.50
REQUIRED SETBACKS------- FIRE FLOW....: 0 Spm
FRONT.........: 0.00 ft
SIDE..........: 0.00 ft WATER SERVICE..:?
REAR..........: O.00:ft SEWER SERVICE..:?
IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
WATER CLOSETS......:
BATH TUBS...........
SHOWERS .............
LAVATORIES.........:
SINKS ...............
DISH WASHERS.......:
ELIC WTR HEATERS...:
LAUN WSHR OUTLTS...:
0 URINALS........: 0
0 DRINKING FOUNT.: 0
0 SUMPS........... 0
0 VAC BREAKERS...: 0
0 DRAINS.......... 0
0 LAWN SPRINKLERS: 0
0 OTHER FIXTURES.: 0
0
TOTAL FEES $ 121.50
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
FILE COPi'
DATE --- ----11-J _-
crtroFG
----.- F�E�ZFIL
uV
9 •
APPLICATION FOR BUILDING PERMIT
BUILDING DIVISION
33530 Fust Way South
Federal Way, WA 98003
(253) 661-4000
Fax (253) 661-4129
PLEASE PR/NT APPLICATION # -
`' Address
Tenant (if known) Lot # Assessor's Tax #
State
T
d4^
Phone '0 J
p -fie
Name (F,M,L)
Address
City
State
Zi
Contact Person
Day Phone
Other Phone
Fax
FEDERAL WAY BUSINESS LICENSE #
'L
State°J}
Phone
Expiration Date
r " 1<� a c
Fa ,I / _ G"'f r7" l � � J
Verified X Yes ❑ No
Name
Address
City
State
Zi
Contact Person
Phone
Fax
LEGAL DESCRIPTION
Hease Coma/ete Reverse Side
iNwk1Si`II
L
Contractor Name
Address
xisting Use
State
Pro osed Use
Contact
Permit includes:
Fax
Building
❑ Plumbing
❑ Mechanical
❑ Other
Type of Work:
i. Residential
❑ Commercial
❑ New
❑ Addition
❑ Remodel
❑ Garage
❑ Number of Units _
❑ 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
Proposed Total Area
sq ft
sq ft
Water Availability
❑ Sewer Availabilit ❑ On -Site Septic System Availability ❑
Project Valuation
$
Zoning
3-15 Tons
I Lot Size
Existing Bldg Valuation
$
iNwk1Si`II
L
Contractor Name
Address
City
State
Zi
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
U
Contractor Name
Address
City
State
Zi
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
Lavatories
Washin Machine
Drains Total; Fi..... _.....
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
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 ofthis application.
Owner/Agent: i,�/L^ J� �- Date: I rov
BUILD—Aw
REUSED 0126197
EVALUATION ONLY $
EVAL
MECHANICAL U
Fuel Type (electric/other)
Gas Dryer
Air Handlin < = 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 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
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 ofthis application.
Owner/Agent: i,�/L^ J� �- Date: I rov
BUILD—Aw
REUSED 0126197
Cl'fY OF- FEDERAL Wf.)YPERMIT NO: ULD98-0538
,
kl
3J530 First Way BU I LD I N(3 f J" E F, Pml t
Veder-al Way, WA 98(0:`1 f3ui din ._'Inspect ion Requestp �'IbJ-66t 4140 BY: FC2
253 -661.- -4000 LXPIPES: 02/01/99
ADMCC'S :J1,838 25141 AVE E','�W
NO. : l)3840-0590
PROJECT DESCRI P I 10N: TEAR Off SHAKES, INSTALL 1/2' CDX, RIROOF WITH L160T WEIGHT TILE 590 LOS PER SQUARE
OWNER (ORIVA(lop
AL SHARED JENSEN ROOFING (OhPARY INC
31838 2519 AVE SIR 17321 MILITARY RD S
FEDERAL WAY WA 98023 S'LATAC WA 48108
/838-4855
206-241-5774
]LASIRC0191.8
LENDER
IMMItift"WING SALES TAX M PROJECTS VITNIN THE O!Y Of FEDERAL NAY.
Lith 091 0 .,IP PLAN..........?
0 PARKING..: 0 SPRINKLERS?.......?
ot HAZARD CLASS...:?
"SAC
0.00 ft
TER SOY
-,tAR .......... 0.00:ft SEWER SERVICE
BOILERS/COMPRESSORS
0-3 TON--: 0
3-15 TON...., 0
15-30 TON...: 0
10-50 TON...: 0
50+ TON.....: 0
FUEL IANKS ---------
AllOVE GROUND: 0
UNDERGROUND.: 0
V SURFACE:
WATER CLOSETS......:
BATH TUBS`..........,
SHOWERS,.. ........
LAVATORIES..........
SINrS ..... ........
DISH WASHERS.......:
[t[( MIR HEATERS...:
LAVH WSHR OYTLTS ...
0 Sf SENSITIVE AREAS?.:?
0 URINALS......... 0
0 DRINKING FOUNT.: 0
0 SUMP, .. ... : 0
0 VAC MAKERS—: 0
0 DRAINS.......... 0
0 1,400 SPRINKLERS: 0
0 OTHER FIXTURES.: 0
0
TAX RATE : 8.6% sts
FEES:
BUILDING PERMIT.... 117.00
Illocc SURCHARGE.....* 4.50
TOTAL FEES t 121.50
PERNITS EXPIRE lati DAYS AFTER ISSUANCE if No Nag IS STARTED. RESIDENTIAL 00 GRPI#G PERNITS EXPIRE ONE YLtel AFTER PAT[ Of ISSUANCE.
1 CERTIFY INAI tHl liff'ORNA11011 FURNISNFI By NE IS IRK AND CORRECT TO THE KSI Of fly KNOWLEDGE NO INt APPLIC.1111 CITY if f[DERAt WAY 1111111KIMENtS Vitt RE NET.
OWNER 0 AGERT L
FIELD COPY
*tl CONTRNJORS, PLEAS[ USE
LOCATION
BLD?:X' NEC?:
PLO?;
fL#'
TYPE Of WORK:REP
USI:R[ll'
ISI.:
0 S
CENSUS CAJIG Y .....
:555
2ND.:
0 s
OCCUPANCY GROUP -------•
3RD "it"',
O-Sf
? ?
TYPE OF CONSTRU(TION--
ISO
:? :? :?
:?
OAD------------
OCCUPANT LOAD--__--.----_
:,':,
0:
0: U.
0: 0:Tett:
FUEL TYPES.:?
?
FANS ...
GAO. PIPING.: 0
ft
HoOD ...........
0
kN! loof. . 1 0
DUCT WoRk .....
0
WT., -:' 0
WOOD STOVES—:
0
CONV OUPHIR: 0
FURN>100K .....
0
66+3......... 0
HIS(...........
0
GAS DRYER-: 0
AIR HANDLING UNITS
RANGE....,.: 0
10,000 CFM:
a
GAS tOGS ... : 0
10,000 (Fm:
0
206-241-5774
]LASIRC0191.8
LENDER
IMMItift"WING SALES TAX M PROJECTS VITNIN THE O!Y Of FEDERAL NAY.
Lith 091 0 .,IP PLAN..........?
0 PARKING..: 0 SPRINKLERS?.......?
ot HAZARD CLASS...:?
"SAC
0.00 ft
TER SOY
-,tAR .......... 0.00:ft SEWER SERVICE
BOILERS/COMPRESSORS
0-3 TON--: 0
3-15 TON...., 0
15-30 TON...: 0
10-50 TON...: 0
50+ TON.....: 0
FUEL IANKS ---------
AllOVE GROUND: 0
UNDERGROUND.: 0
V SURFACE:
WATER CLOSETS......:
BATH TUBS`..........,
SHOWERS,.. ........
LAVATORIES..........
SINrS ..... ........
DISH WASHERS.......:
[t[( MIR HEATERS...:
LAVH WSHR OYTLTS ...
0 Sf SENSITIVE AREAS?.:?
0 URINALS......... 0
0 DRINKING FOUNT.: 0
0 SUMP, .. ... : 0
0 VAC MAKERS—: 0
0 DRAINS.......... 0
0 1,400 SPRINKLERS: 0
0 OTHER FIXTURES.: 0
0
TAX RATE : 8.6% sts
FEES:
BUILDING PERMIT.... 117.00
Illocc SURCHARGE.....* 4.50
TOTAL FEES t 121.50
PERNITS EXPIRE lati DAYS AFTER ISSUANCE if No Nag IS STARTED. RESIDENTIAL 00 GRPI#G PERNITS EXPIRE ONE YLtel AFTER PAT[ Of ISSUANCE.
1 CERTIFY INAI tHl liff'ORNA11011 FURNISNFI By NE IS IRK AND CORRECT TO THE KSI Of fly KNOWLEDGE NO INt APPLIC.1111 CITY if f[DERAt WAY 1111111KIMENtS Vitt RE NET.
OWNER 0 AGERT L
FIELD COPY
CDO193 (Rev 4197)