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97-1003709-7,/06,377& CITY OF FEDERAL. WAY PERMIT NO: BLD97-0063 33590 F i rs t way South �. �, , ... I S U E D: c. 2/ 0 :3 / Federal. Way, WA 98003 l:3uilding Inspection Requests 661 41.40 BY: FC2 661--4000 EXPIRES: 08/02/97 ADDRESS:420£:3 SW 325FH H NO.: £370201--0100 PROJECT DESCRIPTION -TEAR S `. OFF WOOD SHAKES, PLYWOOD OVER SPACED SHEATING, REROOF WITH 25 YR COMPOSITION SHINGLES. f= OWNER _-=--W-r__--.-_------'=-_-----===::_ _»_ �_�_7- CONTRACTOR ::.. y ::w- w:Y:�.:::. : w-�::_ �� ::.-_w- w:- , --Q LENDER DAVID SAPIK _ $ QUALITY NORTHWEST CONSTRUCTION 4208 S.W. 325TH 32702 5TH AVE SW FEDERAL WAY WA r FEDERAL WAY WA 98023 s 838-1108 OUALINC141DR i #; CONTRACTORS, PLEASE USE LOCATION CODE 1/32 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE : 8.21 tst BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS. 0' COMP PLAN....,..,.;? FEES: C�NSUSPE FCAOfEGORYT US£:R£5 2ND.: 0; O:sf HEf STORIES.... IGH.,.,; 0.00 t REQUIRED PRPKING..: 0 SPRINKLERS? �:?� BUILDING PERMIT....* $ 72.00 HAZARD CLASS SBCC SURCHARGE.....* $ 4,50 OCCUPANCY GROUP---------- 3RD.: 0: O:sf VALUATION ---------- REQUIRED SETBACKS------- FIRE FLOW...,; 0 qpm 9 ( :? :? :? :? OTHR: 0: O:Sf EXIST.,$: 0 FRONT. ........ ^.00 ft TYPE OF CONSTRUCTION----- BSMT: 0: O:sf PROP.,,$; 7500 SIDE.:........: 0:00 ft WATER SERVICE.:;' :? :? :? :? DECK: 0: O:sf REAR,.......... O.00:ft SEWER SERVICE..:? OCCUPANT LOAD--------- GAR.: 0: O:sf RECEIVED.:02/03/97 0: 0: 0: 0: TOTL: 0 O:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?,:? L TYPES..? ? FANS.— ....,..: 0 BOILERS/COMPRESSORS WATER CLOSETS......: 0 URINALS........: 0 � TOTAL FEES $ 76.50 PIPING.: 0 ft HOOD.....,...., 0 0-3 HP....... 0 a � � BOTH TUBS........... 0 DRINKING FOUNT.. 0 FURN<IOOK... 0 DUCT WORK...... 0 3-15 HP...... 0 SHOWERS ............< 0 SUMPS........... 0 � GAS HWT... .: 0 WOOD STOVES...: 0 15-30 HP....: 0 LAVATORIES.........: 0 VAC BREAKERS,..: 0 CONY BURNER: 0 FURN>100K.....: 0 30-50 HP....: 0 SINKS ..............: 0 DRAINS.........: 0 BBQ..,.....: 0 MISC..........: 0 51 HP.......: 0 DISH WASHERS...,...: 0 LAWN SPRINKLERS: 0 GAS DRYER.,: 0 AIR HANDLING UNITS FUEL TANKS--------- EL£C WTR HEATERS.,.: 0 OTHER FIXTURES.: 0 € RANGE......; 0 <:10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUfLTS... : 0 E GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 z.__ _ ..__ .._..._,. _ . ...._.. µYP PERMITS EXPIRE 180 DAYS AFIER ISSUANCE IF NO MORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT INE IN RMATION FURNISHED B IS TRUE AND CORRECT fO TRE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. OWNER OR AGENTDATE FILE COPY CffT OF `BUILDING DIVISION • G 33530 First Way South Federal Way, WA 98003 (206) 661-4000 Fax (206) 661-4129c PRINT Tenant (if known) Building Owner's APPLICATION FOR BUILDING PERMIT -( APPLICATION # ('1� — 'J �� '. Address C 5 (i✓ �,� Lot # Assessor's Tax # 2 ZC'l '0160) Nature of of Work TctY o -i4 Name (F,M,L) Address Contact Person Address State Zi LL Phone Jy woJ O L C Y Day Phone Company Name Qui Address 3., ?0 S vz ci =-ti Contact Person �Jl Contractor's # (card must be presented) Name Address Contact Person LEGAL DESCRIPTION P C'J , )4C--7 S k 1�, c j Please Comalete Reverse Side State Zi Other Phone Fax State Zi Phon er-. Fax Expirati n Dae Verified ❑ Yes ❑ No 7%��c%�l Phone Fax Name I Address State Contractor Name I Address ::� Ex istin Use 9 t vt C' G r W Proposed osed Use P Contact t� Permit includes: ❑ Building ❑ Plumbing ❑ Mechanical ❑ Other Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ Number of Units _ ❑ Deck ❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other Enter 1 st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft ft ft Decks sq ft Garage sq ft Proposed Total Area sq Area Basement sq rz Is ZJ Water Availability ❑ Sewer Availabilit ❑ On Site Se tic S stem Availability ❑ Project Valuation Lot Size Existin Bldg Valuation I $ Name I Address State Contractor Name I Address O ONLY $ NI E HA CAL EVALUATION ........... M C 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 Lo 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 .iOi[tf't'>''> Ttal;Urtt C... _ ....................... DISCLAIMER: I certify under penalty of perjury that the information famished by me is true and correct to the best of my knowledge, and further, that I unauthorized by the --Of the above premises to perform the work for which permit application is made. I funther 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 cluding its officers and employees, upon the accuracy of the information supplied to the city as a part ofthis application. Date: ��-=� Owner/Agent: � Buxnrt+c.Arr REV6m 12/111116 Phone Fax Contact Expiration Date Verified ❑ Yes ❑ No License # S;>::>::::::::»::i:::::>::>:::::>::>::r;:...... Address Contractor Name State Zi Citv �— Phone Fax Contact Ex iration Date Verified ❑ Yes ❑ NC License # O ONLY $ NI E HA CAL EVALUATION ........... M C 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 Lo 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 .iOi[tf't'>''> Ttal;Urtt C... _ ....................... DISCLAIMER: I certify under penalty of perjury that the information famished by me is true and correct to the best of my knowledge, and further, that I unauthorized by the --Of the above premises to perform the work for which permit application is made. I funther 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 cluding its officers and employees, upon the accuracy of the information supplied to the city as a part ofthis application. Date: ��-=� Owner/Agent: � Buxnrt+c.Arr REV6m 12/111116