97-103617CITY OF FEDERAL WAY
First p �.,y. �.,,�. .,. PERM
IT NO: BLD97-0586
33530 Way South ��. ISSUED., 197
10/15
Federal. Way, WA 93003 Suilcling Inspection Requests 253-661--4140 BY: FC
253-661-4000 EXPIRES: 04/3/98
ADDRESS:2981.9 20111 AVE S
NO.: 367440_0186
PROJECT DESCRIPTION :Remodel of roof structure
9-?- 1036/7
F= OWNER =_______________________=_____
_______________=====T= CONTRACTOR=____-
-_________________________-__________=
LENDER
ROGER THOMPSON
QUALITY NORTHWEST
CONSTRUCTION
t
29818 20TH AVE
S
32702 STH AVE
SW
FEDERAL WAY WA
98003
FEDERAL WAY WA
98023
1
t
S
t
253-946-2078
838-1108
r
a QUALINC141DR
j
CONTRACTORS,
PLEASE USE
LOCATION
CODE 1732 WHEN REPORTING
SALES TAX FOR PROJECTS WITHIN
THE CITY OF FEDERAL NAY.
TAX RATE : 8.2%_
BLD?:X MEC?:?
PLM?:?
FLR--EXIST--PROP---
DWELLING UNITS: 0
COMP PLAN.........:?
FEES: 3
6 TYPE OF WORK:ALT
USE:RES
1ST.:
0:
O:sf
STORIES,...,...: 0
° REQUIRED PARKING..:
0
SPRINKLERS?......:?
z
PLAN CHECK FEE
$
76.05
CENSUS CATEGORY .....
:434
2ND.:
0:
O:sf
HEIGHT.....: 0.00 ft
HAZARD CLASS...:?
BUILDING PERMIT....*
$
117.00
OCCUPANCY GROUP----------
3RD.:
0:
O:sf
VALUATION----------
a REQUIRED SETBACKS-------
FIRE FLOW....: 0 gPlr
SBCC SURCHARGE .....$
$
4.50
:? :? :?
:? :
OTHR:
0:
O:sf
T
EXIS,..$: 0
�
3 FRONT....,....:
0,00 ft
PLUMBING FIXT.... 43
$
14.00
TYPE OF CONSTRUCTION
-----BSMT:
0:
O:sf
PROP ... $: 9500
SIDE..........:
0.00 ft
WATER SERVICE..:?
;
REAR,.........:
O.00:ft
SEWER SERVICE..:?
OCCUPANT LOAD -----------
GAR.:
0:
O:sf
RECEIVED.:09 25 97
0: 0:
0: 0:
TOTL:
0:
O:sf
IMPERV SURFACE:
0 sf
SENSITIVE AREAS?.:?
B
FUEL TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS WATER CLOSETS......: 0 URINALS...,,...: 0 TOTAL FEES $ 211.55
GAS PIPING.: 0 ft HOOD....,.....: 0 0-3 TON.....: 0 , BATH TUBS..........: 0 DRINKING FOUNT.: 0
FURN<100K..: 0 DUCT WORK.....: 0 3-15 TON....: 0 SHOWERS ..........:.: 0 SUMPS..,.......: 0
GAS HWT.... : 0 WOOD STOVES...: 0 15-30 TON...: 0 LAVATORIES.........: 0 VAC BREAKERS...: 0
CONY BURNER: 0 FURN>100K.....: 0 30-50 TON...: 0 SINKS—.— ....... 1 DRAINS......,..: 0
BBQ........: 0 MISC..........: 0 50+ TON.....: 0 DISH WASHERS.......: 1 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 a LAUN WSHR OUTLTS... : 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
PERMITS EXPIRE 180 DAYS AF ISSUANCE 0 WORK IS STARTED. RESIDENTIAL AkD GRADING PERMITS EXPIRE ONE YEAR AFTER DATE Of ISSUANCE.
I CERTIFY THAT THE FAF S 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 /O
GD ` , C BUILDMG DIWSION
MY G ECEI v 33530 First Way South
00M
Federal Way, WA 98003
F-IY SEP 2 5 1997 (253) 661-4000
Fax (253) 661-4129
CIT p,UILDING DEPT. OV -DERAL AY
APPLICATION FOR BUILDING PERMIT `
'LEASE PR/NT APPLICATION # IJ L D — 0,
Address 1 S Thi i
Tenan (if known) —�� Lot # Assessor's Tax #
cC"c'Cr� �ci L�� /%iC��+t J���� /
Building Owner's Name Address
Phone
Nature of Work jr'c Lf 4L(1� /(A `t'-t-�
Name (F,M,L)
Address
City
State Zi
Contact Person
Day Phone
Other Phone Fax
Company Name ;k,'e2l.,.- /.-
c'T ! ' r L1 -L',^
Address
Address
State
City 1 - L
State
Phone
Contact Person
Pone
Fac }
Contractor's # (card must be presented)
Expirati n Date
Verified ❑ Yes ❑ NoLj
fi..: H.:.:ECT.:::::::::::.:::.:.:::.::::::::::::::.,.::::.::::.:::::.:::.
Name
Address
City
State
Zi
Contact Person
Phone
Fax
LEGAL DESCRIPTION
Please Com,D/ete Reverse Side
s..
Name
............................................................................................
...........................................................................................
............................................................................................
...........................................................................................
11CHaN�ACw+tlt�l %'E►�TC3<><<<«
Address
State
Contractor Name
Address
Existin Use
9
State
Pro osed Use
P
Contact
Permit includes:
Fax
Building
Plumbing
❑ Mechanical
❑ Other
Type of Work:
Residential
O Commercial
❑ New
❑ Addition
❑ Remodel
❑ Garage
❑ Number of Units —
❑ Shed
❑ Deck
❑ Other
Enter 1st Floor
Area Basement
sq ft
sq ft
2nd Floor
Decks
sq ft 3rd Floor sq ft
sq ft Garage s ft
Existing Floor Area
Proposed Total Area
sq ft
Sq ft
Water Availabili
❑ Sewer Availabilit
❑ On -Site Septic S stem Availability❑
Project Valuation
$ �"
ZoningLot
Size
Wood Stoves
Existing Bldg Valuation
$
Name
............................................................................................
...........................................................................................
............................................................................................
...........................................................................................
11CHaN�ACw+tlt�l %'E►�TC3<><<<«
Address
State
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
............................................................................................
...........................................................................................
............................................................................................
...........................................................................................
............................................................................................
FSI U t!I fl ti '' F C:( UAIT > .
...........................................................................................
Water Closets
Sinks I
Urinals Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains Other
Showers
Electric Water Heaters
Sumps
Lavatories
WashingMachine
.. .. .::::.:.... _
Drains ToielzFiittu e''Count_;». : ....
..:.:..:.............,.
:::»:::::.>::::::<;%::::>::<.:>::::: MECHANICAL EVALUATION ONLY $
.INa:t.:rly.................
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 perforin 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.
Owner/Agent: �— -kV(
BuILD1 .AP
REvI Eo 8/28/97
Date:
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 <IOOK 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
BBO's
Wood Stoves
3-15 Tons
Total;Unit Cou:rtt
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 perforin 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.
Owner/Agent: �— -kV(
BuILD1 .AP
REvI Eo 8/28/97
Date:
CITY. Of V11)ERAL WAY
"'035-,R) F i rit Way utA
jwi�de�ral Way, WA 980CY.
2_�361
AVE
NO_- -46_74 1,0 0186
1)R0JF( T RIP lJONJeawlel of roof strudire
r- OWNER ..........
ROGER IHMPSM
'48I4 2010 AVE S
FEDERAL WAY #4 98003
253-946.2078
BUILDING PERMIT'
01fildirw in-perti1 1.
j on
CONTRACTOR
QUALITY WORIN(ST CONSTROCTION
r-702 51H AVE SV
14RAt WAY WA 98023
938-1108
QJJALINt141DR
PERMIT NO: BLJ)97-b5i3A;'
It-;C3UL'D.- 10/�5/47
so
tis Comfoactes, Pias t usf (OC41101 coft 1732 11K1 REPORTING SUES TAX FOR "#JFCIS VIIIIIN INE CITY Of FEKAAL MAY. TAX 0Aff : 8.2% *n
BLD?:X IEC?:? PLM?:? FLR- -EXISI - -PROP- - fp%, 11N( I COMP PtAll ...........
TYPE Of VIJRKAL! JJSE:R[S 1ST -e
PEQUIRID PARKING,.: 0 SPRINKLERS?......:?
CENSUS CATEGORY .... 434 0
%3... O« ft HAIAPD CLASS...
OCCUPANCY GROUP- 3RD.- Tfjjf
PEOUIPED SETBACFS -- -- FIRE FLOW....
? ?OTOR 0.00 ft
FRONI ....... _:
typt Of cO"SIRU(IIOH--- Es" I
0.a is NAT it
:? PICO
iiu: t
OCCUPANT LOAD. -----
FEES:
PLAN CHECK FEE t 76.05
BUILDING PERMIT.. 117.00
SBCC SURCHARGE..... 4 4.50
PLUMBING FIXI .... 939 14.00
1 A
0: 0: 0: 0: 11111; 0- tf
NS I T I VE ?
MR
ERSICOWLSSON WAIN CLOSETS ....... 0 URINALS........: 0 TOTAL I
full. TYPES.:? ?
GAS PIPING.: 0 It HOOD.
A -A-1 ii 1 0-3
..
FUR"(IOOK..: 0 D0( 1 0 s 1,1111111 , ..... 0 BATH TUBS..........: 0 MINIRG FOUNT.: 0
3-15 TON_.: 0 SOONERS ............ 0 SUMPS.. . .
GAS MT. _.: 0 IWOD 4 T 15-30 TON.... 0 LAVATORIES.., 0 VAC BREAKERS_: 0
CONV BURNER: 0 FURN>100t.....: 0 30-50 ION_: 0 sifts ............... 1 DRAINS... : 0
PBQ ........ : 0 "Isc_ ....... : 0 50+ TON...... 0 DISH WAI;.HEPS ....... I LANK SPRIPIERS: 0
GAS DRYER_- 0 AIR HANDLING UNITS l`U1L TANKS___..___.. RE( NTP HEATERS...: 0 PfREP TIYTURES.: 0
RANCE ...... 0 <-10,000 CFM: 0 ABOVE GROUND: 0 LAUN OSOR OUILIS ... 0
GAS LOGS. 0 > 10,000 (FM: 0 UNDERGROUND.: 0
=J-
F: 9xtLaxC
PERMITS EXPIRE Ise DAYS AFTER ISSUA&( it go WORE IS STARTED. 91MRMIAL AND WDING PERMITS [11P1ff 00 M0 41"ILA $At[ OF 15 Cf.
I CERTIFY THAT TIE INFO NA11" rW,#ISNI 0 vy 10 IS IRIS All Cwto 10 THE KSI of my KNONtExt tjoit im, Ayn "(h I I CityTY of FESERAL VAI NIQUIRLHENIS HILI
OWNER OR AQNT
DATE
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SETRAP.K. FOOTINGS
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5
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19
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