98-102266T
50,/0
CITY OF FEDERAL WAY pp �, PERMIT NO: BLD98-O206
33530 F i rs t Way South II„N'i{ �I,�.,� ., .,. ±i.,...lE.,., h ., E.,. 1,' .� :i ;;;uN ,�;;:,. �I °'�.1, �� l .,.Ii....,,�.,. ISSUED: 04/13/98
Federal Way, Wt`s 98000 T3uildirg Inspection Requests 25.8-661-4140 13Y. FC2
25.8-661-4000 EXPIRES: 10/10/98
ADDRESS:02119 16TH PL SW
NO.: 010450-0580
PROJECT DESCRIPTION:REROOF- COVERING EXISTING SHINGLE WITH SHINGLE
OWNER__________________ ____________________________:= CONTRACTOR
WOODROW JOHNSON J & M ROOFING INC
32119 16TH PL SW 3425 S 146TH
FEDERAL WAY WA 98023 SEATTLE WA 98168
439-9991
JMROOI*153M9
LENDER
*st CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY
TAX RATE : 8.6% Us
BLD?:X MEC?:
PLM?:
FLR--EXIST--PROP---
DWELLING UNITS: 0
COMP PLAN......,..:?
FEES:
TYPE OF WORK:REP
USE:RES
1ST.: O:
O:sf
STORIES....,...: 0
It REQUIRED PARKING..:
0 SPRINKLERS?...,,.:?
BUILDING PERMIT..., $ 36.00
CENSUS CATEGORY ..... :555
2ND.: 0:
O:sf
HEIGHT....,: 0.00
ft
HAZARD CLASS...:?
SBCC SURCHARGE...,. $ 4.50
OCCUPANCY GROUP ----------
3RD.: 0:
O:sf
VALUATION----------
REQUIRED SETBACKS-------
FIRE FLOW....:
0 gpm,
:? :? :?
:?
OTHR: 0:
O:sf
EXIST..$: 0
FRONT........,: 0.00
ft
TYPE OF CONSTRUCTION-----
BSMT: 0:
O:sf
PROP ...$: 1200
SIDE..........; 0.00
ft WATER SERVICE....
•? •? •?
•?
DECK: 0:
O:sf
REAR.,........: 0.00:ft
SEWER SERVICE..:?
OCCUPANT LOAD------------
GAR,: 0:
O:sf
RECEIVED.:04/13/98
0: 0:
0: 0:
TOTL: 0:
Q:sf,
IMPERV SURFACE:
0 sf SENSITIVE AREAS?.:?
FUEL TYPES.:? ?
FANS....;.....:
0 BOILERS/COMPRESSORS
: WATER CLOSETS......: 0 URINALS........:
Q
TOTAL FEES $ 40.50
GAS PIPING.: 0
ft
HOOD.....,....:
0
0-3 TON.,...: 0
BATH TUBS.......,..:
0 DRINKING FOUNT.:
0
FURN<100K.., 0
DUCT WORK......
0
3-15 TON..... 0I
SHOWERS .............
0 SUMPS,..........
0
GAS HWT.... : 0
WOOD STOVES...;
0
15-30 TON...: 0
LAVATORIES.....,...:
0 VAC BREAKERS...:
0
BURNER:
?j�c�
30-50
0o�
SINKS_
DN
BBQ4'
MISC .,...
O
50+TON ...: Q
ISH:0
DWASHERS.......
0 LAWN SPRINKLERS:
Q
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS---------
ELEC WTR HEATERS...:
0 OTHER FIXTURES.:
0
RANGE......: 0<:10,0001
CFM:
0
ABOVE GROUND: 0
F LAUN WSHR OUT !TS ... :
0
GAS LOGS...: 0
> 10,000 CFM:
0
UNDERGROUND.: 0
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-';--.�.----------------------------
----------- DATE
_
FILE COPY
arroFG
-_-�--4�_.__ EDEIZAL
uV RY
PLEASEPRINT
renan, (if known)
a Owner's
0
BUILDING DIVISION
33530 First Way South
Federal Way, WA 98003
(253) 661-4000
Fax(253)661-4129
APPLICATION FOR BUILDING PERMIT
APPLICATION # Not
Address
li
3 9' i t-
Nature of Work
Lot #
Address
+/
State Zip % D%
Assessor's Tax #
6 W-02SS
S2 6-- IeM
5Z3 -- 2-�-1 Z
Name (F,M,L) JN l /�
Address
Citi State x
9
Contact Person
Day Phon Other Phone
"�
�tFi
uo
...................................................................... .
Company Name ✓
Address � •,•� �O_� ��� y�
V (
City 77. 5co1
r��
State " \
�t
Zi
Contact Personc� r
Pho 206
Fay FE6)43!E?
Contractor's # (card must be resented)
P �Ol �s3
Expir tip'Da a
�_ v, '�
Verified Yes ❑ No
AR ..
Name
Address
City State
Zi
Contact Person Phone
Fax
LEGAL DESCRIPTION
Please Comalete Reverse Side
Fps»�>�>#»>=»<::<:`:::>:s:>:>:<:<::<:':>:<>:>:.:
:<.;
Existing Use
9
P '
Zi
Proposed Use
Phone
Permit includes:
License #
Building
Verified ❑ Yes ❑ No
❑ Plumbing
❑ Mechanical
1=1 Other
Type of Work:
Residential
❑ Commercial
❑ New
❑ Addition
50+ Tons
❑ Remodel
❑ Garage
❑ Number of Units _
❑ Shed
❑ Deck
❑ Other
Enter 1 st Floor
Area Basement
sq ft
sq ft
2nd Floor
Decks
sq ft
sq ft
3rd Floor 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
Is X
Zoning
BBO's
I Lot Size
3-15 Tons
7ataEUnrt Count
Existina Blda Valuation
I $
............................................................................................
CH ANW- L {illIF. CAP: #{?> >< { <
Contractor Name
Address
City
State
Zi
Contact
Phone
Fax
License #
Ex iration Date
Verified ❑ Yes ❑ No
...........................................................................................
............................................................................................
...........................................................................................
............................................................................................
...........................................................................................
Contractor Name
Address
City
State
Zi
Contact
Phone
Fax
License #
Expiration Date
I
Verified ❑ Yes ❑ No
............................................................................................
...........................................................................................
............................................................................................
...........................................................................................
............................................................................................
NT
................................................. ..........
Water Closets
Sinks
Urinals Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains Other
Showers
Electric Water Heaters
Sumps
Lavatories
Washin Machin a
Drains 7uti3L'FafYirre:Count:>'>»>>>s<=i«
...........................................................................................
............................................................................................
...........................................................................................
............................................................................................
...........................................................................................
HA#VI.�A'...... f t 1I'
...........................................................................................
MECHANICAL EVALUATION ONLY $
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
BBO's
Wood Stoves
3-15 Tons
7ataEUnrt 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 hamiless 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 Date: C
Bum w.Ar
REVSED 8/28/97
N,
CITY OF FET)f R(41- WtiY
-,rt way �-;outh
,33 5 PO �F` i
F'6. et I WaY, WA 93003
.258--661 --4000
BUJ.LDING PER(11,1"
f -,k t i i Id I n �cj 1 n s p e i o i 1 1, orj t i e :, t F4 I ..c';61 4:l.40
PU.6MTI NO:
I IJ L 1)
F ( 2
1()/Io/gt4
f&DRES�,',:321-19 JA:-Jil PL
NO� : 01045f)-,0380
DF7�CR IF) f 10 W REAW - COMING EXISTING SHIWLl WTI H SHIRGLE
OWNER CONTRACTOR
WOODROW JOHNSON J d M Roofl#G INC
312119 WN PI, SP 3425 S 1461H
FEDERAL WAY WA q8023 SEATTLE VA 98168
439-9"1
It AFS PROJECIS VIIIII INIE CITY FFKM NAY. TAX RAIL 8A ns
i" CQNJRKIwl-1-�AM AIR Rk SALES TAX Fog
PLN?* FIR 'iP PLAN ......... :? FEES:
IM )F WORV:REP USElls Isr.: O:sf Il. 11 ....... PARMG..: 0 SPRINKLERS? ...... :? BUILDING PERMIT.... 4 36.00
Mo SPCC StIRCHARGE... 1 4.50
CENSUS CATEGORY. 555 20.1:
:? :?
a
OCCUPANCY Q019-
:?
F xt T 0
TYPE Of CONSTRUCTION -, ,T. " : AIER SERV� 6.
:?
:? .......... 0,00:f! S'MR SERVICE–:?
OCCUPANT LOAD___-___..__. eu IV" Lo. .04
0: 0: 0: 0TOM
o"I ERV
SURFACE: 0 s" SENSITIVE AREAS?.:?
:
FUEL TYPES.:? FANS.....,....: BOILERS/COMPRESSORS"TER CLOSETS......: 0 URINALS........: 0 TOIAL FEES
wPIPING.: 0 ft pp)op ...... —.: 0 0-3 0 RATH TUBS..........: 0 DRINKING FOUNT.: 0
N<look..: 0 DUCT WORK...... 0 3-15 TON..... 0 1 SHOWERS ............ 0 SUMPS........... 0
GAS
0
WOOD STOVES...: 0
15-30 TON...: 0
LAVATORIES.........:
0 VAC BREAKERS...:
0
CONY PiRRER:
0
FURN)IOOK ..... 0
30-50 TON...: 0
,i#rsl ...............
0 DRAINS ......... :
0
BBQ.........
0
MIS(........... 0
50+ TOP,..... 0
DISH WASHERS.......:
0 !AWN SPRINKLERS:
0
CAS DRYER-:
0
AIR HANDLING UNITS
FUEL IMS ---------
ELI( WIR BEATERS...:
0 OTHER FIXTURES.:
0
RANGE .......
0
<:10,000 CFH: 0
ABOVE GROUND: 0
LAUR WSHR OUILTS...:
0
AAS LOGS...:
0
> 10,000 (.'fh.- 0
UNDERGROUND,: 0
KNITS EXPIRE
in PAYS min
MAKE IF 0 wu
is SIFTED. RESIVEMIAL M
OWING KNITS EXPIRE
ONE YEARWIE1 GATE Of
IS E.
I CERTIFY To
THE ilrowlim
FORNISNED By 9 is
In[ An CORRECT 10 THE KST
Or NY KIMENCIE AND 1111 APPLICARE CITY Of FEDERAL WAY REQUIRIMIS WILL Bl' P -'l
A
OWHIP OR AGEPT
FIELD COPY
$ 40 50