97-103834I ar
CITY OF FEDERAL_ WAY
33530 First Way South
Federal Way, WA 98003
2.53-661-4000
Building Inspection Requests 253--661--4140
ADDRESS:168 S 295TH ST
NO,: 543721--0100
PROJECT DESCRIPTION:REROOF WITH NEW 1/2 CDX SHEATHING OVER SKIP SHEETING
_== OWNER =:___________________________=_=== ___====:M= _-_-= CONTRACTORLENDER
OLIVER DROPPERS
BILL ZIMMER
CONSTRUCTION
168 S 295TH ST
FEDERAL WAY WA 98003
I WA
i
253-839-9005
BILLZC*032PP
US CONTRACTORS,
PLEASE USE
LOCATION
CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS
WITHIN THE CITY OF FEDERAL MAY.
- - -
- -
------------------
---------------
BLD?:X MEC?:? ALM?:?
FLR--EXIST
--PROP---
DWELLING UNITS: 0
COMP PLflN.........:?
TYPE OF WORK:ALT USE:RES
1ST.:
0:
O:sf
STORIES........: 0
REQUIRED PARKING..:
0
SPRINKLERS?......:?
CENSUS CATEGORY .... .:555
2ND.:
0:
O:sf
HEIGHT.....: 0.00
ft
HAZARD CLASS.....
OCCUPANCY GROUP----------
3RD.:
0:
O:sf
VALUA`ION----------
REQUIRED SETBACKS-------
FIRE FLOW....: 0 gpm
E :? :? :? :?
OTHR:
0:
O:sf
EXT ST..$: 0
FRONT...__:
0.00
ft
g TYPE OF CONSTRUCTION-----
BSMT:
0:
O:Sf
PROP ...$: 6000
SIDE..........:
0.00
ft
WATER SERVICE..:? i
:? :? :? :?
DECK:
0:
O:Sf
REAR...........
O.00:ft
SEWER SERVICE..:?
OCCUPANT LOAD------------
GAR.:
0:
O:sf
RECEIVED.:10/16/97
° 0: 0: 0: 0:
TOTL:
0:
O:Sf
IMPERV SURFACE:
0
sf
SENSITIVE AREAS?.:?
g -7 -to -!;>93Y
PERMIT NO: BLD97-01623
ISSUED: 10/21/97
BY: FC
EXPIRES: 04/19/98
TAX RATE : 8.2% s**
FEES:
BUILDING PERMIT....
SBCC SURCHARGE .....$
# FUEL TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS WATER CLOSETS......: 0 URINALS........: 0 TOTAL FE
GAS PIPING.: 0 ftHOOD...... ....: 0 0-3 TON.....: 0 BATH TUBS..........: 0 DRINKING FOUNT.: 0
FURN<IOOK..: C DUCT WORK.....: 0 3-15 TON....: 0 SHOWERS ............: 0 SUMPS..........: 0 �
GAS HWT.... : 0 WOOD STOVES...: 0 15-30 TON...: 0 % LAVATORIES.........: 0 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K.... .: 0 30-50 TON...: 0 ( SINKS ..............: 0 DRAINS.........: 0
BBQ........: 0MISC..... ..,..: 0 50+ TON.....: 0 DISH WASHERS.......: 0 LAWN SPRINKLERS: C
GAS DRYER.,: 0 AIR HANDLING UNITS FUEL TANKS--------- ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE,.....: 0 <:10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO NO STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFO FURNISH BY ME R E AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET
OWNER OR AGENT _
- DATE,......................
$ 81.00
$ 4.50
FILE COPY
BUILDING DIVISION
33530 First Way South
Federal Way, WA 98003
(206) 661-4000
Fax(206)661-4129c
APPLICATION FOR BUILDING PERMIT
PLEASE PR/NT APPI Ir_nTlnN it
W.
i•.
Address 142 fSco7zvl
CS'o D
Tenant (if known)
Lot #
Assessor's Tax #
Zi
Building Owner's Name
� C
Add r ss – yp
'S
Phone
city AAL IStata ,-,1-,4zip
z
Phone S, Etc)
1 r, 7 `
Nature of Work G -- 1
1
N
Name (F,M,L)
Address
City State'
CS'o D
Contact Person
Day Phone3 Other Phone
:tF.x
Zi
Contact Person
Company Name
/{
r-- / �Y 67
Address
State
City
State
Zi
Contact Person
Phone
Fax
Contractor's # (card must be presented)
1 r, 7 `
Expirat on Date �^
Verified �es ❑ No
>:.......... .
Name
Address
city
State
Zi
Contact Person
Phone
Fax
LEGAL DESCRIPTION t;y 1 11,CIER 1(�A16
Please Coma/ete Reverse Side
{iJ ....Q.
Contractor Name
:::
Existing Use
-
Pro osed Use
Contact
Permit includes:
Fax
❑ Building
❑ Plumbing
❑ Mechanical
Er Other
Type of Work:
SSI Residential
❑ Commercial
❑ New
❑ Addition
)R 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
s ft
Water Availability
❑ Sewer Availabili
❑ On -Site Septic System Availability ❑
Project Valuation
I $ Z - i
Zoning
>Tiitsl lilrifi>�ntnt%%?>»?'%E<'z<fl«z_
Lot Size_
Existing Bldg Valuation
$
{iJ ....Q.
Contractor Name
Address
City
State
Zi
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
OUSING+r� % r c� ::::..................:::::.
Contractor Name
t
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
Washing n Machine hine
Drain s
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 outthliance ofthe �city) tmcL`ing its officers and employees, upon the accuracy of the information supplied to the city as apart of this application.
Owner/Agent" Date:
i_.
&x�owc.Arr
R[vsco 12/11/98
MECHANICAL EVALUATION ONLY $
Fuel Tvpe (electric/other)
Gas DrVer
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 Loa
Unit Heater
50+ Tons
Furn > 100 BTUs
Fans
Miscellaneous
Fuel Tanks
Gas Hwt
Hood
Boilers
Above Ground
Conv Burner
Duct Work
0-3 Tons
Under round
BBQ's
Wood Stoves
3-15 Tons
>Tiitsl lilrifi>�ntnt%%?>»?'%E<'z<fl«z_
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 outthliance ofthe �city) tmcL`ing its officers and employees, upon the accuracy of the information supplied to the city as apart of this application.
Owner/Agent" Date:
i_.
&x�owc.Arr
R[vsco 12/11/98
CITY OF FEDERAL WAY
3,3530 First Way South
'Fe(ler--al Way, Wo 98003
253-661-4000
T-A.M.-DINCi PERMTT
1.41"i I(" i, rv-j I rr-- c t -i on %'_.. `;_d
ADMESS:1,68 S 2951`14 ST
NO.: 543721-0100
PROJEc-l' DESCR1 P`T'10N-.R[ROOF NIT# 919 1/2 CDX 1,111AIRING Oyff', SKIP S-0111ING
MER 1.—m—'�l (MIRA,10P — — ' =nas
OLIVER DROPPERS BILL ZIMER (IMSTRUCTION
143 S 29510 ST
FEDERAL WAY WA 98003 WA
253-8019-1005
(811MCIORS, KEAU USE tKATION
BLD?;X KCI:? PLM?:�' ft It:,°dft
TYPE OF M*f USE:R[') IST.: 0; O:sf
CENSUS CATEGORY --:555 2ND..' 0 Sf
(0,CUPAKY GROUP--___. 39D.: 0 S
:?
TYPE
? ? ?
OCCOP4111 LOAD._.__,.____-., R T. O:
o: 0:
OAD----i-------
0: 0:
FUEL TYPES.:? ?
GAS PIPING.: 0 if
FuMloor..: 9
GAS HOT....: 0
(ANV RUPHER: 0
BBQ........: 0
GAS PRYEK.: 0
RANGE....... 0
GAS LOGS—: 0
FANS, -4
PUCT WORK.....: 0
WOOD SIOVES.": 0
PIR11,400r ..... 0
"Isc— .... ... 0
AIR HANDLING UNITS
<--10,000 (f": 0
" 10,000 (F": 0
I
a1 t
KIRMIT MO: I-ILM7--0623
I1:.,SULI): 10/21/91
EXPIRES: 04/19/98
BILLZCfO32PP
V SURFACE:
0 sf
ING SALES TAX FOR PROJECTS U11 w 1 fill i. ITY Of FINKAt WAY,
TAX bit 't
BOILOS/co"Mpvzoits-
Coop PLAN.........:?
0
FEES:
0
-"of"IRED PARKING—: 0
0
BUILDING PERMIT ....
31-00
DRINKING FOUNT.:
HAZARD CLASS... :?
SB(C ";UR(HARGE .....
im
18A•:
fIRI-F1ON
SUMPS...........
0
'11,00, ft
LAVATORIES.........:
0
VA( ORMERS ...
,NATER SEMI
30.50 TON....
0
SINKS -1 .....
0
DRAINS.........:
TOM[ FEES $ 85.50
10.. no1=axsz .. ... =v: ... . ..... A .. .... ... 4gtraw"=.
K."I Is uplar 190 His Alit p ISSMKF TF
011 SLAM. MINAIM AD MIX 14.011111IS EXIIIII SK YES? ATTER MTE Of ISSWAM.
I 091IFY THAT (Of by 1111 IF Ali# C W,,;, (I of lilt REST Of 11Y MIME AND THE AMI(ABLI (TIT Of rtKRAt VAY MUIRINUITS 11111, K NEI.
'AMER 09 AGENT DATE
FIELD COPY
V SURFACE:
0 sf
SENSITIVE AREAS?.:?
BOILOS/co"Mpvzoits-
WATER CLOSETS.......
0
URINALS.........
0
0-3 TON.....:
0
BARN TUBS..........:
0
DRINKING FOUNT.:
0
3-15 TON.....
0
SHOWER"-- .......
0
SUMPS...........
0
15-30 TON...:
0
LAVATORIES.........:
0
VA( ORMERS ...
0
30.50 TON....
0
SINKS -1 .....
0
DRAINS.........:
0
504 TON.....:
0
DISH RASHERS ....... :
0
LAWN SPRINKLERS:
0
FUEL TANKS--- -----
ELEC VIP HEATERS,—:
0
OTHER FIXTURES.:
11
ABOVE GROUND:
0
LAVH WSHR OUILTS...:
0
UNDERGROUND.:
0
TOM[ FEES $ 85.50
10.. no1=axsz .. ... =v: ... . ..... A .. .... ... 4gtraw"=.
K."I Is uplar 190 His Alit p ISSMKF TF
011 SLAM. MINAIM AD MIX 14.011111IS EXIIIII SK YES? ATTER MTE Of ISSWAM.
I 091IFY THAT (Of by 1111 IF Ali# C W,,;, (I of lilt REST Of 11Y MIME AND THE AMI(ABLI (TIT Of rtKRAt VAY MUIRINUITS 11111, K NEI.
'AMER 09 AGENT DATE
FIELD COPY
CITY (3F f"ET)CRAL WAY
X3530 First Way South WILDING PERMIT
Federal Way, WA 980o3
253-661-4000
ADY*�ES'5:168 S 2951`11 13T
t,10.: 543721-(3100
PROJECT J)ESCR1PrJ0N-.REROOf #110 MEN 1/2 (DY, SHEATHING OVER SKIP SH1111r,
OWNER
OLIVER DROPPERS VDK1611001F
169 S 29519 ell
FEDERAL WAY WA 18003
251-839-9001
a',, & . . 1� M . . x..,- , .. I . — I M = . :.d ..:;.L.. . . .. _ =.t -1 —0
C"ItAclus, KfW, 'ITSI ION
BLD?:X Nf(!:? Pt"!:? fL9--EXIST7,-, P ---
TYPE OF VORrALT US1:R1S IST. 0 s
CENSUS CATE609Y.... :5'15 2mr�
O(CUPAKY
O((QPANT LOAD.----_,------ G .
0:
OAD-------------
0: 0: 0, 0: kj�
A)K4 IND
C* 1712, "'rN of iTING SALES TAX [is NOJECIS
7, 7
HUMS- O --A RI-QUIREP PARKING-: 0
-ks- ------
ft
........ uo: f t
V
0 sf
PERMIT NO: 13LI)/--0623
Issul): -i3O/3.6/97
BY: TN
LXPTRES: 04/14/98
LENDER
NITNIN INE CITY Of FEDERAL NAY. TAX PAT[ : 8.2% ns
SPRINKLERS?, ...:?
WATER SIRVI(T'.,
SEVER SERVICE..:?
SENSITIVE AREAS?.:?
FEES:
IN)RDING PERMIT.... s ot -00
SK( ;.50
1--.11-1-1-- ....... ... ....... .
FUE1 TYPES.:?. ? 0 IkiltERS1011PRESSORS MATER CLOSETS 0 (1RI#AtS ........ : 0 TOTAL FEES
GAS PIPING.: 0 ft two..........: 0 0-3 TON.....: 0 BATH TUBS ...... 0 WINKING FOUNT.: 0
FUR#4100t..: 0 W(T WORK.....: 0 3-15 TON—.: 0 SHOWERS ....... 0 SUMPS..........: 0
GAS HMT....: 0 00D STOVES-.: 0 15-30 TOA...: 0 LAVA10911S.. 0 VAC M[AKERS...: 0
(ONV VIRNEP: 0 "URN, 1OOK ..... : 0 30-50 TOM..., 0 SINts, 0 DRAINS......:..: 0
goo.... 0 "IS(.. : ....... : 0 504 TON...... 0 DISH 0 LAWN SPRINKLERS: 0
GAS DRYER-: 0 AIR HANDLING UNITS 1UEL IAOKS--- Eti' C MIR HEATERS...: 0 OTHER FIXIURLS.: 0
1:
, 10,000 crti: 0 ABOVE GROW'-: I
RANGE......: 0 It, 0 AJJ" WSHR OuItTs ... 0
GAS LOGS .... 0 10,000 crm: 0 UNDERGROUND.: 0
PERMITS EXPIRE too DAYS TER ISSPAU if NO VORK is STARTED. RESIDENTIAL AND MING KANITS 'EXPIRE ONE YEAR AFTER 1*11 OF ISS f.
I CERTIFY THAT 1K INF TION rpRNISNED 9Y.IF is UK AND CORRECT To IK ST OF NY INKIEW A* ME APPILICAILIF CITY of IEDFRAI, NAY RWR[9111S VILE K KI.
DATE
OWNER OR :IGEN.
FIELD COPY
f 85.1-10
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