97-103013CI;FY OF FEDERAL WAY
378530 First Way South
Federal Way„ WA 98003
253-661-4000
'." 114141 k!"I yftNI 7xxx. n, V4 .xRx. ..V
Oua lding Inspect _ol-a kequests 253-661-4140
ADDRESS:301.27 29TH AVE. S
NO.: 798380-0090
PROTECT DESCRIPTION:REROOF, NEW SKYLIGHTS
OWNER CONTRACTOR
DARREL' PROVAZEK OWNER IS CONTRACTOR
30127 29TH AVE S
3 FEDERAL WAY WA 98003
946-5825 773-9750
PERMIT NO: BLD97-0487
ISSUED: 08/12/97
BY. FC
EXPIRES: 02/03/95
LENDER
t
g
tx: CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY.
TAX RATE : 8.2%
FEES: }
BUILDING PERMIT....* $ 54.00
SBCC SURCHARGE..... $ 4.50
s
E
k
1
a
_ _-______---
FUEL TYPES,:? ? FANS........,.: 0 BOILERS/COMPRESSORS�WATER CLOSETS....,.: 0 URINALS ... 0 TOTAL FEES $ 58.50
GAS PIPING.:
0
BLD?:X MEC?:? PLM?:?
FLR--EXIST--PROP---
0
DWELLING UNITS: 0
COMP PLAN.........:?
DRINKING FOUNT.:
0
TYPE OF WORK:ALT USE:RES
1ST.:
0:
O:sf
STORIES........:
0
REQUIRED PARKING..:
0
SPRINKLERS?......:?
0 CENSUS CATEGORY ..... :434
2ND.:
0:
O:sf
HEIGHT.....:
0.00 ft
0
LAVATORIES.........:
HAZARD CLASS.,.:?
OCCUPANCY GROUP----------
3RD.:
0:
O:sf
VALUATION----------
FURN>100K.....: 0
REQUIRED SETBACKS-------
0
FIRE FLOW....: 0 gpm
! :? :? :? :? :
OTHR:
0:
O:sf
EXIST..$:
0
FRONT.........:
0.00 ft
s
TYPE OF CONSTRUCTION-----
BSMT:
0:
0:sf
PROP..,$:
3000 �
SIDE..........:
0.00 ft
WATER SERVICE..:?
:? :? :? :? :
DECK:
0:
O:sf
RANGE......;
REAR..........:
0.00:ft
SEWER SERVICE..:?
OCCUPANT LOAD------------
GAR,:
0:
O:sf
RECEIVED.:08/12/97
s'
`GAS LOGS...:
0
> 10,000 CFM: 0
0: 0: 0: 0:
TOTL:
0:
O:sf
IMPERV SURFACE:
0 sf
SENSITIVE AREAS?.:?
TAX RATE : 8.2%
FEES: }
BUILDING PERMIT....* $ 54.00
SBCC SURCHARGE..... $ 4.50
s
E
k
1
a
_ _-______---
FUEL TYPES,:? ? FANS........,.: 0 BOILERS/COMPRESSORS�WATER CLOSETS....,.: 0 URINALS ... 0 TOTAL FEES $ 58.50
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....;
0
SHOWERS___ .....
0
SUMPS...,,,....:
D E
�
GAS HWi.... :
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 a
a BBQ........:
0
MISC..........: 0
50+ TON....,:
0
DISH WASHERS.......:
0
LAWN SPRINKLERS:
0
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
s'
`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
r
FILE COPY
DATE
crtroF G
VV FZYFIZF7L
PLEASE PR/NT
i
FGEIVF
AUG 12 1987
BUILDING DI6'ISION
33530 First Way South
Federal Way, WA 98003
(206) 661-4000
Fax (206) 661-4129c
APPLICATION FOR BUILDING PERMIT
APPLICATION # 1 i) 7+1 14
Name (F,M,L)
d r r l
Address
Tenant (if known)
Lot # 9
Assessor's Tax #
Building Owner's Name
�C(rr - �. ��o�'c.CZ���
Address
3-1 27 Z f�Ave- S .
Ci F�� ���
State W 4
zip I80U 3 Phone
Nature of Work eeYoc�i cin i s mac% �,'�- o� 3 s� k><s >� c c cfs
Name (F,M,L)
d r r l
j
fill R, (:, I fr-u ✓CC Z 2_
Address
3012-7
2y�� !iv'e
S.
cityFjp "« I
LJ
Fax
State 1,)A
zip `18003
Contact Person
i -r I
- �0
Day Phone `
Other Phone
Fax
Company Name
Address
Ncity
State
Zi
Contact Person
Phone
Fax
Contractor's # (card must be presented)
Expiration Date
Verified ❑ Yes ❑ No
Name
Address
city
State
zip
Contact Person
Phone --fFax
LEGAL DESCRIPTION
Please Complete Reverse s%.►P
..... 4.Fwcs.i#:Fi!'lc.�.... °•�7c:::.:.:::.:. �:::.:::.
Contractor Name
Address
City
State
Zi
Contact
Phone
Fax
1 ;''�
:?
Existing Use
Air Handling > = 10,000 CFM
30-50 Tons
Proposed Use
Furn <100K BTUs
Permit includes:
Unit Heater
❑ Building
❑ Plumbing
❑ Mechanical
❑ Other
Type of Work:
❑ Residential
❑ Commercial
❑ New
❑ Addition
ood
❑ Remodel
❑ Garage
❑ Number of Units _
❑ Shed
❑ Deck
❑ Other
Enter 1st 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 Availability
❑ On -Site Septic System Availability ❑
Project Valuation
S 3 06- 0
Zoning
Lot Size
6 92 4
s , /4
Existing Bldg Valuation
Is 68-706)
..... 4.Fwcs.i#:Fi!'lc.�.... °•�7c:::.:.:::.:. �:::.:::.
Contractor Name
Address
City
State
Zi
Contact
Phone
Fax
License #
!Expiration Date
Verified ❑ Yes ❑ No
I
Contractor Name
t
Address
city
StavQ
Zi
Contact
Ph n
Fax
License #
E it tion Date
Verified ❑Yes ❑ No
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
7atal�Yrsre<Gun� .Lavatories Washing Machine Drains ».........
»>'>
X.
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
Unit Heater
50+ Tons
Furn > 100 BTUs
F.p/.
Miscellaneous
Fuel Tanks
Gas Hwt
ood
Boilers
Above Ground
Conv Burner
Duct Work
0-3 Tons
Under round
B BQ's-
Wood Stoves
3-15 Tons
DISCLAIMER: I certify under penal/forawl-dch
ry 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 wo pemrit 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 Sled 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.
wner/Agent: !JlUU2 J �Y� Date: 8��/
RUILDINO.AW
REVGEO 12/11/98
Darrell D. Provazek
30127 29th Ave. S.
Federal Way, WA 98003
(253) 773-9750 (Work)
(253) 946-5825 (Home)
Assessor's Tax # 798380-0090
Steel Lake Glen, Lot #9
E
--CEIVED
CITY OF FEDERAL WAY
BUILDING DEPT.
The following work is planned for the above address. All work will be completed by owner/occu-
pant Darrell D. Provazek:
1) Removal/Disposal of Existing 3 -Tab Composition Roofing Material and Felt.
2) Addition of 3 Fixed (Non -Opening) Western Skylights (2 - 2'x4', 1 - 2'x2').
3) Installation of 40 year PABCO Premier Laminated Shingles over 30 lb felt.
4) Reposition of Bathroom Fan (Interferes with planned light well).
5) Reposition of Cathedral Ceiling Light Fixture (Interferes with planned light well).
Additional Info:
Pitch of Roof is 5:12
24 squares of roofing material required
The Western Skylights will be installed between existing rafters. No existing rafters are being
modified or cut.
Attachments:
(A) House Floor Plan
(B) Roof Layout illustrating Skylight, Rafter, Vent and Vent Pipe Locations
(C) Roof Layout overlaid onto the Floor Plan
(D) Skylight installation plan for cathedral ceiling (2 - 2'x4')
(E) Skylight installation plan for bathroom (1 - 2'x2')
(F) Cost Estimate Worksheet
(G) Ventilation Worksheet
(H) Directions for Application of PABCO Premier Laminated Shingles
(I) Installation Instructions for Western Skylights
CITY OF FEDERAL WAY
DEPT OF COMMUNITY DEVELOPMENT
PERMIT NUMBERS
ADDRESS 9 �u
PLANS FOR of wr,,�
OWNER •CCS lN
DATE SUBMITTED. I'111 t �- . DATE A PRO`JED" 911 7 7
APPROVED
20'-0"
20'-(
32'-0"
57'-0"
way
A M"? L 30127 f)VL"
PROJU('11' Df:SCR1JP'I'lM4'RR0Qf, HER SKYLIGHTS
fARRELI pRomir
3f1I-7 29111 AVE S
f[DERAL WAY WA 19001
946.59'' 713-1750
(4llIRAC1094, REAU USE LKAIJON (Ot
VU I 1_ 0 1, M k13 rs c r4k M 11" 'T
CONTRACTOR #
OWNER is (001PACIOR A
............
37 M11 Rf"ItTING sm fs TAX FOR
at V v W9 A 1) of MI) t 1) C141�, Ucillw-40"ft
e. It A
7 "if
TYPE Of Mt. -Oil 0SL:RI's 6:sf SWIM
(USUS MfGOAY434 '2001: z*',
O:s
OMPANG GROUP' -------- MI.: U:sf
:?OTS O:
:ffs] Ru(,[ f(mr -
TYPE of f.o
:? ?
oropw too
0. is 0 0. AT o
full TYPLS.,
qI_J�0 513
D9
BY, I
R(Pirn
.................. .
V * ftKM NAY. TAX ItAll w 9.78 Is*
U11
1
'Am! - '
IR I wiLS......... 0
(AS PJPIK,: U ft HOOD. u 0 MIR] RUM,: 0
0, loot. 0 *XI(T To". EM 0 olmp........... : 0
5-30 LA YR.111 9 VA( MAKERS ... : 0
tONV MUIR: 0 9
IF 30 �o Tok.... 0 DRAM 0
sof Too... ISH ""IRS....... Q LAWN SPRIMTHS: 0
(X CAYR u RILL TANKS-- EC 4 HLAIEFS ... : 0 OTHU, f RTMES, * 0
RAilOE... 0 AIX)Vt BUND: 0 LAUH VS_RR OURTS. 0
QS LIM ... or, i(I (r":* 0 UNURGpoupp.: 0
FFINIIS EXPIRI too
I Clafffy INAI fit
911MIR OR "THI
Svc toR(WIf
101AL ff'B % 1.18 . 110
I
Rf IF NO WK IS STMI(f. ItSIKITIAl AND FADING PUNITS MIRt OR YEAR OUR 9611 (K, tZME.-I
ORVIS9,I) 11Y At IS TM AD CMUT 10 YK VLSI 01 NY I( 161 AV, 1K (MI(AILt 01Y Of IMPAL NAY Ittwipf-MVIS mitt la oil.
34'a
FIELD COPY
1
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0193 (Rev 4/97)
r¢G2�