96-1000419(o-/Oooy/
CITY - � �,� S :; � ' � � :';.�;: �,,...,, :;�;�.;r :;;�w. i''��� +I;;'.a; �'; :,N �,;:,;:. i�'`��. �''''�. r� � T N C) : B L. D9 6 -�� Q 0 01
'3sO�Fa. First
WAY
�'° ... PERMIT
0:1./02/96
_,
Federal Way, WA 98003 Building Inspection Requests 661--4140 BY: FC
661-4000 EXPIRES: O6/30 1710
ADDRESS:317 SW 356TFl ST
NO.: 440560-0186
PROJECT DESCRIPTION -REPAIR - SFR REPAIR TO DAMAGE TWO SIDES OF HOME
= OWNER CONTRACTOR -.---
HORACE ARROWOOD OWNER IS CONTRACTOR
817 SW 356TH STREET
i FEDERAL WAY WA 98023
-1310
LENDER
_*s CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY.
BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN....,....:?
TYPE OF WORK:REP USE:RES
1ST.:
0:
O:sf
STORIES,.......: 0
REQUIRED PARKING,.:
0
SPRINKLERS?......:?
CENSUS CATEGORY.....:434
2ND.:
0:
O:sf
HEIGHT....,; 0.00 ft
HAZARD CLASS..,:?
OCCUPANCY GROUP----------
3RD.:
0:
O:sf
VALUATION----------
REQUIRED SETBACKS-------
FIRE FLOW...,: O gpm
:? :? :? :?
OTHR:
0:
O:sf
EXIST.,$: 0
FRONT,......,..
0,00 ft
TYPE OF CONSTRUCTION-----
BSMT:
0:
O:sf
PROP ...$: 5000
SIDE.......,..;
0.00 ft
WATER SERVICE-:?
:? :? :? :?
DECK:
0:
O:sf
REAR...........
0.00:ft
SEWER SERVICE..:?
OCCUPANT LOAD------------
GAR.:
0:
O:Sf
RECEIVED.:01/02/96
0: 0: 0: 0:
TOTL:
0;
Oaf
IMPERV SURFACE:
0 sf
SENSITIVE AREAS?.:.
TAX RATE : 8.2t sts
FEES:
BUILDING PERMIT....*
SBCC SURCHARGE.....*
BUILDING PERMIT....*
FUEL TYPES.:? ? FANS,,........: 0 BOILERS/COMPRESSORS 4 WATER CLOSETS......: 0 URINALS.,......: 0 TOTAL FEES
PIPING.: 0 ft HOOD.....,..... 0 0-3 HP...... 0 BATH TUBS::..:'.'... 0 DRINKING FOUNT.' 0
N<100K..• 0 DUCT WORK.. 0 3-15 HP„ 0 , SHOWERS.. 0 SUMPS.. 0
GAS NWT....: 0 WOOD STOVES...: 0 15-30 HP....: 0 LAVATORIES...,...,.: 0 VAC BREAKERS...: 0
F
CONV BURNER: 0 FURN>100K.,..,: 0 30-50 HP....: 0 � SINKS.- ........... 0 DRAINS.........: 0 ,
BBQ...,,...: 0 MISC..........: 0 5+ HP........ 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
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 INFORM TION FURNISHED A ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE NET.
OWNER OR AGENT_ 4.� _. L%<f%'J"`-._._ .._._ __._..._ .......,_...__ DATE
FILE COPY
$ 22,00
$ 4.50
$ 50.00
$ 16.50
«n o G
e
W—E z= �
PLEASE PRINT
SITE L,0CATI0N
Tenant (if known)
Bulling Owrier Name
ZA c
City -/ CRR L
Nature of Work 0
10 City of Federal Way I* RECEIVED
APPLICATION FOR BUILDING PERMIT JAN 0 2 1996
Address
ARROW60
),Q C4 State
iz
CITBAY
ILDING DEPT,
APPLICATION 4: I )y
Lot # Assessor's Tax #
Address1
Zip ,-� y b 3 Phone c? Z % 1 3.1 d
Name (F,M,L
C Alz�t oLo q u o
Addr ss ,
City State L4,J Zip q, 60 Z J
Co tact Person Day Phone Other Phone Fax
j�
Company Name
G W
Offrz—
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
CMECT
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492 (Rev 4/93)
STRUCTURE
Name
sting UseV<p S / 1
)q C ,,
aoposed Use
Permit includes:
City
❑ Building
❑ Plumbing
❑ Mechanical
❑
Other
Type of Work:
X Residential
❑ Commercial
❑ New
❑ Addition
❑ Remodel
❑ Garage
❑ Number of Units _
❑ Shed
❑
®
Deck
Other
Enter 1st Floor
Area Basement
sq ft
sq ft
2nd Floor __ sq ft
Decks 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 Valuationj$
Phone
5 G Ci
Fax
Zoning
License #
Lot Size
Existing Bldg Valuation
I $
Verified ❑ Yes ❑ No
LENDER
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 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 laim arises out of a reliance of the City, including its officers and employees, upon the accuracy of the information supplied to the City as a part of this
application.
Owner/Agent: (/ Date:
Name
Address
City
State
Zip
MECHANICAL CONTRACTOR
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR>
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes C No
PLUMBING TIXTURE COUNT
Water Closets
Sinks
Urinals
Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains
Other
Showers
Electric Water Heaters
Sumps
Lavatories
Washing Machine
Drains
Tota[ Fixture Count
MECHANIC AL<UNTE COUNT
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 Log
Unit Heater
50+ Tons
Furn > 100 BTUs
Fans
Miscellaneous
Fuel Tanks
Gas Hwt
Hood
Boilers
Above Ground
Conv Burner
Duct Work
0-3 Tons
Underground
BBQ's
Wood Stoves
3-15 Tons
Total Unit Count-,-.--
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 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 laim arises out of a reliance of the City, including its officers and employees, upon the accuracy of the information supplied to the City as a part of this
application.
Owner/Agent: (/ Date: