96-104114CI;i Y OF FEDERAL.. WAY
33530 F i rs i Way South vi'm, c' Nr`'rN
Fedra 1. gay WA 98003 E t.�::i :1=. i ocj Inspection Recjue0 Ls 661, - 4�a '�«Q
661--4000
ADDRESS:I33 S 295 fFl Sl'
NO.- 54,3721-0050
PROJECT DESCRIPTION:RE-ROOF - TEAR OFF SHAKES, PUT DOWN PLYWOOD & RE -ROOF W/LIGHT WEIGHT TILE.
OWNER ========
MARILYN MAILER
133 S 295TH PL
FEDERAL WAY WA
839-2432
98032
CONTRACTOR .--=-==_::--_
JENSEN ROOFING COMPANY
23641 7TH AVE S #18
DES MOINEES WA 98198
824-6210
JENSERC053L8
INC
�4
PERMIT NO:
ISSUED:
BY :
EXPIRES:
IoN//y
BLD96-0488
1:1/07/96
F CZ
05/06/97
LENDER
US CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.2% Ut
BLD?:X MEC?:
PLM?:
FLR--EXIST--PROP---
0 TOTAL FEES $ 121.50
TYPE OF WORK:ALT
USE:RES
1ST.:
0:
O:sf
CENSUS CATEGORY .....
:434
2ND,:
0:
O:sf
OCCUPANCY GROUP----------
3RD.:
0:
O:sf
:R4 :? :?
:?
OTHR:
0:
O:Sf
TYPE OF CONSTRUCTION-----
BSMT:
0:
O:sf
:5N :? :?
:?
DECK:
0:
O:Sf
OCCUPANT LOAD------------
GAR.:
0:
O:sf
f . 0: 0:
0: 0:
TOIL:
0:
O:Sf
FUEL TYPES.:? ?
GAS PIPING.: 0 ft
j(RN<100K..: 0
WS HWT..... 0
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE....... 0
1 GAS LOGS...: 0
PERMITS EXPIRE 180 DAYS AFTER
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
VALUATION ----------
EXIST..$: 0
PROP ... $: 9200
RECEIVED.:11/01/96
BOILERS/COMPRESSORS
0-3 HP....... 0
3-15 HP.....: 0
15-30 HP....: 0
30-50 HP....: 0
5t HP........ 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
COMP PLAN.........:? FEES: 6
REQUIRED PARKING..: 0 SPRINKLERS?......:? BUILDING PERMIT.... $ 117.00
ft l HAZARD CLASS...:? SBCC SURCHARGE.....* $ 4.50
REQUIRED SETBACKS------- FIRE FLOW....: 0 qpm
FRONT.......... 0.00 ft
SIDE.....,....: 0.00 ft WATER SERVICE,,:?
REAR..........: 0.00:ft SEWER SERVICE..:'? �
IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:? j
WATER CLOSETS......:
0
URINALS........:
0 TOTAL FEES $ 121.50
BATH TUBS..........:
0
DRINKING FOUNT.:
0
SHOWERS .............
0
SUMPS...........
0
LAVATORIES.........:
0
VAC BREAKERS...:
0
SINKS ...............
0
DRAINS..........
0
DISH WASHERS.......:
0
LAWN SPRINKLERS:
0
ELEC WTR HEATERS...:
0
OTHER FIXTURES.:
0
LAUN WSHR OUTLTS...:
0
I
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 COPY
DATE
Tenant (if known)
Building Owner's Name
Nature of Work
Lot # Assessor's Tax #
ib
Address T
llkr3 _J-
State Zip I Phone ` -
6 Gn 4- 0a0�-
Name (F,M,L) --
d
City
State
Address
Contact Person
Citv QeS1
Fax
State /
Zi
Contact Pers
7
Day Phone
��-
Other Phone
Fax
si
-6
c r nrrr ...
Company Name
Address
City
State
Zi
Contact Person
Phone
Fax
Contractor's # (card must be presented)
Expiration Date
Verified ❑ Yes ❑ No
Name
Address
City
State
Zi
Contact Person
Phone
Fax
LEGAL DESCRIPTION
u
............................................
ti n Use
9
State Zi
posed Use
P e
Contact
Permit includes:
Fax
k'Building
❑ Plumbing
❑ Mechanical
❑ Other
Type of Work:
❑ Residential
❑ Commercial
❑ New
❑ Addition
❑ Remodel
❑ Garage
❑ Number of Units _
❑ Shed
❑ Deck
❑ Other
Enter 1 st 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 Availability
❑ On -Site Septic System Availability ❑
Project Valuation
$
Zoning
Lot Size
Wood Stoves
Existing Bldg Valuation
$
- 1 f
ac......................................................
Name dd �
I�
Address
Cit
State Zi
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................................................................................... .........
.............�y...t..�..�..y. �......t..}.�.��.�.�./..y................�.�i.�............y.y..................
...........................................................................................
Contractor Name
Address
City
State
Zi
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
............................................................................................
...........................................................................................
............................................................................................
...........................................................................................
............................................................................................
............................................................................................
PLUI W&C. 01Sd' R`A�T 3� >< >[> >[ <? [
...........................................................................................
Contractor Name
Address
City
State
Zi
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
............................................................................................
...........................................................................................
............................................................................................
...........................................................................................
............................................................................................
...........................................................................................
............................................................................................
Eff
............................................................................................
Water Closets
Sinks
Urinals Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains Other
Showers
Electric Water Heaters
Sumps
Lavatories
Washing Machine
Drains TotalFrxture.ovnt
MECHANICAL EVALUATION ONLY
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 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/Agent: AMC /L( �� LV j�Lt 'Ile C - Date:
BUILo- A,
R-11.8121196 8121196
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 Caurt
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 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/Agent: AMC /L( �� LV j�Lt 'Ile C - Date:
BUILo- A,
R-11.8121196 8121196
".1 I'I-e of, woy VERMII NO: !3t -W66-0488
'-iL45' I., L fl T H C$ FA C m ri
30 First Wa-)., Souih 1,1/07/96
lecieral watyt, Wt) ", "18011.1'43 1-
J
661-4000
NO. : 5437�11 00*-)()
I)ROJEC f I)LcX'R1Vf 10H. -RE -ROOF TEAR Off SHAKE'S, PUT DOWN PLYWOOD S RL-ROOf W/LIGHI WEIGHT TILE.
OWNER CONTRACTOR LINDO
I MARILYN NAILER JENSEN ROOFING COMPANY INC
133 S 215111 PL 23641 IN AVE S 118
FEDERAL WAY WA 98032 DES NOIHEES NA 9808
-6210
839 '1143 824
JINSERCOSA8
its Cmw1oh. K[AS1 USE LOCATION C 11K SALES TAX f9k PROJECTS 111111111 1111 04 tit f I DERAL VAY. TAX RATE 8.2 Ut
KV:X ME(?: PLO?: z6ws COMP PLAN. ........ :? FEES:
4-( OU I R E P PAP I`0 G. . 0 SPRINKLERS? ...... :? BUILDING PfRmjl� ... s I i (jo
TYPE Of WORK:ALT USE:R[S IST.: 0:01
CENSUS CATEGORY ..... :434 2 0 P. O:s4.50
HAIARD CLASS—: SUR(HARGE .....
OCCUPANCY GROUP -------- — 3PO.: O:s UAt SES
-R4 :? :1 :? ST fpoN
vd&P.'c DE
TYPE or CONSTRUCTION— fql:s
511 ?
m cl
OCCUPANT LOAD_.-.--_-- -
14 .
0: 0: 0: 0:1. , t, RY SURFACE: 0 sf SENSITIVE AREAS.".:?
......... =--l— -1 11,1on..M .... ... Mmw-mrl"-= .....
FUEL iYPES.:'? ? FANS.*ILERS/COMPRESSORS WATER CLOSETS...... 0 URINALS.... ...: 0 j Tout FEES
GAS PIPING.: 0 ft ROO . . , 0-3 HP ...... : 0 PATH TUBS........... 0 DRWING roufll.: 0
0/100f..* 0 D1,10 WON, 0 3-15 HP...... 0 m1OWERS ............ 0 SUMPS........... 0
R41..... 0 WOOD SIOVES... 0 15-30 IIP ... .: 0 LAVATORIES.......... 0 VA( BREAKERS.... 0
(ONV BQP"Fp- 0 FURH,1oot—..: 0 30-50 HP—.: 0 SINKS .............. 0 DRAINS.........: 0
Ho ..... —.: 0 HIS( .......... : 0 4 NP..... .: 0 DISH WASHER;.......: 0 LAWN" SPRINKLERS: o
GAS DRYER—: 0 AIR HANDLING UNITS FUEL TANKS-- -— ELV WIR HFAIERS...: 0 OTHER FIXTURES.: 0
RANGE.. ... 0 <10,000 ffm: 0 AROYL GROUND: 0 1AUH WSHP 0Y(LfS—: 0
Gk LOGS.. 0 10.000 (F": 0 UNDIKPOUND.: 0
PERMIT 1014 130 DAYS At I all 159141110 It 0 V(ft IS SIARIH1. KISIDINItAt I& GRADING PI -RHOS EXPIRE Oki YEAR Atilt! Dhit Of I's swdK I .
(11tilly fliill tiff 111109401011 HipiIIA111 Vt Ni J' 190t AND (ONX1.0 10 INIL IV;1 (It NY K#O'4I104t AND fill. APKI011tt (11Y Of 101,01. MAY RL0119111fNIS 41ti III All.
-
4WHER OR AGEmj A f L / - 7-
D
FIELD COPY
SE`TEIAI 1fS &FOOTINGS
CDO193
Date
By
FOUNDATION WALLS
Date
By
PLUMBING:: G OUNDW0RK
Date
By
UNDERFLOOR FRAMING:
Date
By
SHEAR WALLS...
............
Date
By
PLUM BINGit7UGFi-111I
Date
By
GAS PIPING
Date
By
MECHANICAL ROUGH -IN
Date
By
MECHANICAI,'IOTHER)
Date
By
FRAMING
Date
By
INSULATION
Date
By
GWB - 1 ST LAYER
Date
By
7
GWB - 2ND LAYER
Date
By
SUSPENDED CEILING
Date
By
PLANNING` FINAL'
Date
By
ENGINEERING FINAL
Date
By
7
FIRE.: FINAL
1.1'..........,_
Date
By
BU,ILDIN I AL
Date a.
B_
OTHER
Date (
By
OTHER
Date
By
CDO193