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97-102576CITY OF FEDERAL RAL WAY PERMIT NO:7BLD9�O4ls 33530 First Way South .;":,.»,�:,:....,„;r ,..'�,�°,+� ,..,�' �µ� .,. ,.�,•,. ISSUED: 07/16/97 Federal Way, WA 98003 Building Inspection Requests 561--4140 BY. FC 661-400.10 EXPIRES: 01./12/98 ADDRESS:30610 4TH AVE S NO.: 241..330-0480 PROJECT DESCRIPTION. REROOFING PERMIT. r= OWNER CHARLES BRADFORD 30618 4TH AVE S FEDERAL WAY WA 98003 CONTRACTOR =________ A G ULRIGG ROOFING 35002 28TH AVE SW FEDERAL WAY WA 98023 874-9429 874-2917 AGULRR*055KH LENDER x** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.2% sts BLD?:X MEC?: PLM?: TYPE OF WORK:? USE:RES CENSUS CATEGORY.. ...:555 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: O:Sf GAR.: 0: O:Sf TOTL: 0: O:sf IL TYPES.:? ? FANS.......... 0 9 PIPING.: 0 ft HOOD.. 0 FURN<100K..: 0 DUCT WORK.....: 0 GAS HWT....: 0 WOOD STOVES...: 0 CONV BURNER: 0 FURN>10OK.....: 0 BBQ......... 0 MISC........... 0 GAS DRYER..: 0 AIR HANDLING UNITS RANGE......: 0 <:10,000 CFM: 0 GAS LOGS...: 0 > 10,000 CFM: 0 DWELLING UNITS: 0 STORIES......... 0 HEIGHT.....: 0.00 ft VALUATION ---------- EXIST..$: 0 PROP ... $: 4600 RECEIVED.:07/16/97 BOILERS/COMPRESSORS 0-3 HP....... 0 3-15 HP...... 0 15-30 HP....: 0 30-50 HP....: 0 5+ HP........ 0 FUEL TANKS --------- ABOVE GROUND: 0 UNDERGROUND.: 0 COMP PLAN.........:? REQUIRED PARKING..: 0 REQUIRED SETBACKS ------- FRONT ...... ,... 0.00 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 FEES: BUILDING PERMIT .... $ $ 72.00 SBCC SURCHARGE.....* $ 4.50 TOTAL FEES $ 76.50 PERMITS EXPIRE 180 INNS 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 FILE COPY DATE Bun.DING DmsioiN 33530 Fust Way South Federal Way, WA 98003 (206) 661-4000 Fax (206) 661-4129c Lot ff Assessor's Tax # Building Owner's Name n n Address /� ,t , C--V\-C, lz n s• v, r , � J (y � / � 4 �"t.r S Ci State �. Zi a Phone — 3 Nature of Work f.`�— �hL Name (F,M,L) Address Citv Contact Person Company Namg� Address Cit e - Contact Person Contractor's # (card must be presented) Name Address Day Phone W Other Phone I Fax State J,, zip l/v, Phone Fax fly �yZ r Expiration JDatg, Verified ❑ Yes ❑ No State I r Contact Person Phone Fax LEGAL DESCRIPTION Please Como/ete Rev rse Side ism'E'�3i1��sting Use Zroposed Use Permit includes: Address ❑ Building ❑ Plumbing ❑ Mechanical ❑ Other ' Type of Work: /R–Residential ❑ New ❑ Remodel ❑ Number of Units _ ❑ Deck ❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other Enter 1st Floor sq ft 2nd Floor jv sq ft 3rd Floor sq ft Existing Floor Area sq ft Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft Water Availability ❑ Sewer Availabili ❑ On -Site Septic System Availability ❑ Project Valuation 1 $ U Zoning I Lot Size Existing Bldg Valuation Is Name Address Contractor Name Address City State Zi Contact Phone Fax License # Expiration Date Verified ❑ Yes ❑ No Contractor Name Address City State Zi Contact Phone Fax License # Expiration Date Verified ❑ Yes ❑ No Water Closets Sinks Urinals Lawn Sprinklers Bathtubs Dish Washers Drinking Fountains Other Showers Electric Water Heaters Sumps Lavatories Washing Machine :7iiaal?:F1%tF2C8':.G`D fAt. :�:�3 .....- Drains .:........ DIS CLAIM ER: 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 attomeys' 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, including its officers and employees, upon the accuracy of the information supplied to the city as a part of this application. kner/Agent: Date: �— l Z, 9,7 411 BEYMED 12/11/98 I I f,)[,- 1,Q n L, wiw I twa 0 tit, h I way, wri 1),8o03 ADPV Ill.- Ss.- 3061.8 4111 AVE NO.: 24lnO-0480 1'Fwo,,.t i ,c 171'-53CPlPT1()N:R1R0QFI#6 PERMIT OWNER CHARLES I,RANORD 30618 41H AVE S fEbtRAL WAY NA 98003 BI V?A ME(?, Pt"?: F[R--EXW ,,F,� 40'* OP - - - R17 TYPI Of WORK:? USF:Rfs IST., 0.-sf CENSUS CATEGORY ..... :S55 2N�a f OCCUPANCY Go(op *4 TYPE Of COHSTRUCIIOm---- 0-�,-11,ll-,,lll-),,ll-,ll,Sf l7m, O(CUPAOI LOAD ----------- 0: 0: 0: 0: 1OT(It"I'll-,1161-1 VERM I I NO: .`"}UIQ V: 1, 14 11 ul�l Lli r1ell 13 Y: A, G ARIGG ROOFING 3%02 281" AVE sw FEDERAL WAY WA 48023 374-8429 874-2917 AGULRR*O55KH L TYPES..,' ? FARS—... :� .....BOILERS/COMPRESSORS 9 PIPING.: ' 0 ft HOOD.,.. 0 0-3 op ...... : 0 FURN< IJOK. 0 DUCT WORK...,.. 0 3-15 HP.....: 0 GAS Wt. —: 0 WOOD STOVES—: 0 15-39 OP.—: 0 (OOV BURNER: 0 fURN,,100k .... .: 0 30 50 up. –.: 0 880 ........ : 0 MISC..........: 0 'St HP ....... : 0 GAS OPYEA..: 0 AIR HANDLING ONTIS FUEL YANKS --------- RANGE ....... 0 <:10,000 CfA* 0 ABOVE GROUND; 0 GAS LOGS—: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 SATES fix f" PROJFCIS vfIvIl THE city of FIEWAL NAY. TAX BATF : e.A nt OMP P4AM .......... ? FEE). lik,191D PARKING,.: 0 SPRINKLERS?......:? BUILDING PERMIT....72.00 Sort SURCHARGE.....* S 4.50 SIK .......... : 0.00 ft WATER SIRVICE..:' ......... : 0.00:ft SEWER SIRVICL.-:? INPERV SURFACE: 0 sf SENSITIVE AREAS'.:? WATER CLOSETS ...... 0 ORINALS ..... –.: 0 BATH TUBS.....,...,; 0 l*IRrIv, FOUNT.: 0 SOONERS .... – ...... 0 SUMPS........ : 0 LAVA10RfES– ....... 0 VA( BREAKERS...: 0 SINKS .............. 0 DRAINS ......... : 0 DISK WASHERS.......: 0 LAWN SPRINKLERS: 0 [I,[( WIN HEATERS,..: 0 OTHER fIXIURES.: 0 LhUR WSW OUILIS ... 0 JOIAL 11ES $ 76.50 PERMITS EXPINI 190 DAYS Atitt ISSUANCE If NO WORK IS SIARILD. l[SlOtIllit AMP PERNIIS EXPIRE QK nN Alfillt tiff Of ISW,'IKI I CERT11Y THAT THE INFOMIJON FINNISK0 BY ME Pi 101 NO COAKU TO lK, KSI Of fl?' fWKEDGE AND 101 W11(4101 �--IIY OF FEDERAL Wtf R[ot9lotoltNis W111 It' MET OWNER OR gm 7 FIELD COPY F; , &:Ll t CDO193 (Rev 4/97) AdML 1 ..............__ ........................................... E1rRACI�C <BK P£#O INGS> ................................................................................................. ................... .............................................................................. Date By 2 ................................................................................................. ............................................. .................................................................... ................................................................................................. ............................. Date By 3P4UNBINE QJDWOi.....> .....................................<........<...................> > € <I€I ..................................F..i..*.*.€ .....................ROU .......... .. .............................................................. .......................C. ................. ... 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Date — By 8 .............................................................................................. .............................................................................................. ............................................................................................... ............................................................................................. PLUM[B1NO ROUQH=1N ................ ................................................................................................. ................................................................................................. ................................................................................................. > > > < «<<............ 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Date By 7099................................................................................................................................................................................................ Date By 13 ................................................................................................. ................................................................................................. ............................................................................................... #lllfi3.�:1St LAYEN .. Date By M. ... -- ,W ; :.:GNU: ............ ................................................................................... . Date By ...............................C....E..I..L...I.N....G......................... .......................................................................... ................................................................................................ ...................................................................... SUMMER,' »> ................................................................................................. ................................................................................................. ................................................................................................. .................. . .'...................... ..................... > > ><> > << < >15 Date By .................................................................................................. ................................................................................................. ...... Date By 17 PU L10 YVORKS>F1fVlkkl [ > .. Date By 18 �lq�..�fNA�............................. ................................................................................................. ................................................................................................. Date By .................................................................................................. Date °� _ z 3 _ By U 20 Date By CDO193 (Rev 4/97)