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