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97-104137CITY OF FEDERAL WAY 33530 F i rs t W a Y' South Federal Way, WA 98003 Building Inspection Requests 253--661-4140 253--661--4000 ADDRESS. x.123 SW :318TH PL_ NO.: 193820--0005 PROJECT DESCRI P TION : REROOF PERMIT REMOVE SHAKES, INSTALL PLYWOOD OVER SHEETING AND REPLACE WITH SHINGLES = OWNER=_.__.:___________________________=_______-_______,.__._= CONTRACTOR -___________::_______..__-__:•____:_____ __====3= LENDER DECATUR GARDENS SUCCESS ROOFING INC. 2123 SW 318TH ST 23605 156TH AVE SE FEDERAL WAY WA 98023 KENT WA 98042 -824-0913 631-1400 SUCCERI15317 ttt CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY PERMIT NO: BLD97-0668 ISSUED: 11/10/97 ,BY: FC2 EXPIRES: 05/09/98 BLD?:X MEC?:? PLM?:? TYPE OF WORK:REP USE:COM CENSUS CATEGORY., ... :437 OCCUPANCY GROUP ---------- :? TYPE OF CONSTRUCTION ----- :? OCCUPANT LOAD ------------ 0: 0: 0: 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: 0:sf GAR,: 0: O:sf TOTL: 0: O:sf DWELLING UNITS: 0 STORIES......... 0 HEIGHT.....: 0.00 ft VALUATION ---------- EXIST.,$: 0 PROP -3: 14095 RECEIVED.:11/10/97 L TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS PIPING.: 0 ft HOOD..........: 0 0-3 TON.....: 0 N<100K.,; 0 DUCT WORK.....: 0 3-15 TON....: 0 GAS HWT.... : 0 WOOD STOVES...: 0 15-30 TON...: 0 CONV BURNER: O FURN>10OK.....: 0 30-5G TON...: 0 BBQ......,.. 0 MISC........... 0 50+ TON...... 0 GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS --------- RANGE ..... .: 0 <:10,000 CFM: 0 ABOVE GROUND: 0 GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND,: 0 COMP PLAN.........:? REQUIRED PARKING.., 0 REQUIRED SETBACKS ------- FRONT ......... . 01.00 ft SIDE....,...... 0.00 ft REAR.....,..... O.00:ft SPRINKLERS?......:? HAZARD CLASS...:? FIRE FLOW....: 0 gpm WATER SERVICE..:? SEWER SERVICE,.:? IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:? WATER CLOSETS.....,. BATH TUBS........... SHOWERS ............. LAVATORIES........., SINKS ............... DISH WASHERS...,...; ELEC 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 . TAX RATE : 8.6% ttt FEES: BUILDING PERMIT....* $ 162.00 SBCC SURCHARGE.....* $ 4,50 TOTAL FEES $ 166.50 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. � `" DATE ---------------------- —-------------------------�-_ ------ � FILE COPY SurLDtNG DIvIMON an..� C; 33530 First Way south �}Y Federal Way, WA 9$003 (253) 661-4000 Fax (253) 661-4129 APPLICATION FOR BUILDINGPERMIT ED PLEASE PRINT NOV i9 APPLICATION L.D—7' Address ioc� hSf L U,�i�AL WAa Tenant [rf known? Lot 0 Assessor's Tax # n � Od©5Q Building pwner's Nems j� Address �O CI 'S"eW i`) E� state '.+} � r zip 8 o Phon �6 � c��t'�" L g t . __. . I _ �. _ . Name (F,M,L1 Address Contact Person Day Phone 0 Company Name ytlae e S.S �CO f"'), Address Cityf- Contact Person /V# Contrsator's t (card must be preeente¢) e , y Name Address Contact Person .EGAL DESCRIPTION P/e�s� ComatFle Re �•�a �;� Other Phone IFax ,a Fax scion D e Verified ❑ Yes O NoD� e Verified ❑ Yes O No Phone 'Fax 11:10;97 MON 09:05 FAX 2536614129 CITY OF FEDERAL WAY 16 002 Name I Address Contractor Name, Address City State Zi Contact Phone fax License Ar _ Expiration Date Verified ❑ Yes ❑ No Contractor Name Address city State xi Contact Phone Fax License ar Expiration Dote Verified ❑ Yes O No Sinks Urinals Dish Washers Drinking Fountains Electric Water Heaters Sumps Washing Machine Drains Air Handlin > = 10,000 CFM 30-50 Tons Furn <100K BTUe DISCLAIMER: I oertaly under penalty ofperjury $tat the infomuiion furnished by me is true and ovtrect to the belt of my knowledge, and further, that 1 am authorized by the owner of the above premiers to perfotnr the work for which permit applieattion is trade. I further agree to save harmless the City of Fedcmi Way as to any claim (including costa, e..Verues, and attomeW foes incurred in mvestigabon and defense of such claiar), which may be made by any person, includuig the undersigned, and filed against the City of Federal Way, but only where such claim arises out of.the rdiance of the city, including its officers and employees, upon the aaoaracy of the information supplied to the city as a part of this application, Owner/Agent:Date,: aynono.Aw / p neoaRONt .^ MECHANICAL EVALUATION ONLY $ Fuel Type (electrlc/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons Length of Gas Piping Rana Air Handlin > = 10,000 CFM 30-50 Tons Furn <100K BTUe Gas Log Unit Hester 5o+ Tone Furn >100 BTUe Fens Miscellaneous Fuel Tanks Gas Hwt Hood Boilers Above Ground Conv Burner Duct Work 0-3 Tons Under round 88Q's Wood Stoves >r+': 3-15 lone T4tpt31nWcaun1 DISCLAIMER: I oertaly under penalty ofperjury $tat the infomuiion furnished by me is true and ovtrect to the belt of my knowledge, and further, that 1 am authorized by the owner of the above premiers to perfotnr the work for which permit applieattion is trade. I further agree to save harmless the City of Fedcmi Way as to any claim (including costa, e..Verues, and attomeW foes incurred in mvestigabon and defense of such claiar), which may be made by any person, includuig the undersigned, and filed against the City of Federal Way, but only where such claim arises out of.the rdiance of the city, including its officers and employees, upon the aaoaracy of the information supplied to the city as a part of this application, Owner/Agent:Date,: aynono.Aw / p neoaRONt .^ ('44Y M, FFDE€:At, WAY rirs�. Way 5;outli JI L D I NG PERMf Way, WA 9nOO'j 'B'(6 R.eque!,sts 253-6,1,I, 4000 212-,A l,_,W 31811-1 PL I P T I 0h1 . REROOF PERM I REMOVE SOAKES, INSTAL( PtYROOD OVER SHEETING AND PEPLA(t WITH SHIKL[t OERMT I NO: 131..tY-�7 - 0668 ON R -CONTRACTOR DECATUR GARDENS SUCCESS ROOFIRG INC. 2123 SW 31 al 0 ST 23605 MIN AVE SE M)IRAL WAY WA 98023 MT WA 98042 10-824-013 x,31.1400 sr*t CoNfucift,,fAta .ice I SALES Im To# ftwicls, 11?411 Tiff city OF FE KM NAT. TAX RATE = 8.6% u* BLI)?:X K(?:? PLN?:? f Lp -EXIST PROP "' tIP PLAN .......... FEES: ME Of WoRk*p USE:COM ISTsj#wei;, i OWNRED PARKING..: 0 SPRIMIRS?.... BUILDING PLRMIT_.* 162,00 .: O:sf Y 513S CATEGORY .... :437 291). :sf HE 4111. nlaz� 'k, V"Al OCCUPANCY (AOUP ------------ 3M f t* E�Tf R 0 N Irl, *li ? ? ? f `*TER TYPE OF (OrSTRUCT1411- PFSERV RE ... OM:tt SEWER SERVICE-:? :? :? .... ........... OCCUPANT L040 G 0: 0 0: Tolt Ott "PERV SURFACE: 0 sf SENSITIVE 4REAl,?.:? : -q, 4" FUEL TYPES.;? .? FANS... BOILERS/CONPRESSORS WATER CLOSE.....; ..... 0 UPINALS.- ..... 0 TOTAL FEES 166 50 PIPING.: 0 ft POOD... 0 0-3 TOW.....: 0 RAIN TUBS .......... 0 DRIffING FOUNT.: 0 DUCT NOOK....., 0 1. 15 TON..... 0 SHOWERS......,...... 0 SUMPS.......,... 0 GAS #000 STOVES...: 0 15-30 ION—: 0 tAVATOPIES ......... 0 VAC HREAKRS_,- 0 CORV WOOER: 0 FURN)IOOk ..... 0 30-50 TON.... 0 simn ............... 0 DRAINS.......... 0 880. . ... _.: 0 MIS(.....,..... 0 504 TON...... 0 DISH WASHERS........ 0 LAVII SPRINKLERS: 0 GAS COYER..: 6 AIR HANDLING 911M FULL TANKS- -- - , CLEC NIP HEATERS...: 0 OTHER FIXTURES.: 0 RAN61—.- 0 <10,000 (f": 0 ABOVE GROUND: 0 LAUK VSHR OUMS ... 0 GAS LOGS... 0 F 10,000 (F": 0 UNDERGROUND.: 19 sS ellmlls EXPIRE 180 DAYS Affift ISSIJAKE (F NO out Is STARTED. k(SYKIIIAt AND (MOIS KNITS MIRE ONE Vb* AFTER DATE Of ISWAK(. I CERTIFY IMT M IflromIloN FuRvISKS K NE Is IMF An CM(I to IK BEST Of NY K#OMlK1 AND IM, APPLICAKU CITY Of I'LI)t9slt WAY RIQPIRINLNIS MILE. 14 01,E ,A)MER OR %INT DAI I FIELD COPY