97-103541CITY OF FEDERAL WAY � P BLD97-0566
.,, ,,. uu pp � ,,,,,, ,..,, �, y, .,,u, ..,,p,.. PERMIT T iJ0 - B D9 6
33530 F i rs t Way South I :';j; �,.. .,.�,. ,,.,, ..II„, II... �� !; �.,:::a; il'"" # ;; �I ”"�, i ""i .,,II,,. II ISSUED: 09./19/97
Federal Way, WA 98003 Building Inspection Requests 253--661--4140 BY: FC2
253-661-4000 EXPIRES: 03/18/98
ADDRESS:29349 131-H AMIE S
NO.: 516200--0260
PROJECT DESCRIPTION -REROOFING PERMIT ONLY - TEARING OFF SHAKE ROOF AND INSTALLING SHINGLE ROOF
bV
OWNER
IANNA-TAM_____________________________________________ � CONTOR
NTRACTOOFING COMPANY INC=====______:_______
JUL
29349 13TH AVE S ' 23641 7TH AVE S #18
FEDERAL WAY WA 98003 DES MOINEES WA 98198
09-8831
824-6210
JENSERCO53L8
9-7. 103 5Y/
LENDER
a q
d(
`t F
S
Sts CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY.
BLD?:X MEC?: PLM?:
TYPE OF WORK:ALT USE:RES
CENSUS CATEGORY ..... :555
OCCUPANCY GROUP ----------
:?
TYPE OF CONSTRUCTION -----
:?
OCCUPANT LOAD ------------
0: 0: 0: 0:
FLR--EXIST--PROP--- DWELLING UNITS: 0
1ST.:
0:
O:sf
STORIES......... 0
2ND.:
0:
O:sf
HEIGHT.....: 0.00 ft
3RD.:
0:
O:sf
VALUATION----------
OTHR:
0:
O:sf
EXIST..$: 0
BSMT:
0:
O:Sf
PROP... $: 5690
DECK:
0:
O:Sf
0
GAR.:
0:
O:Sf
RECEIVED.:09/19/97
TOTL:
0:
O:Sf
0
FUEL TYPES.:?
? Y
^FANS .^... +H...:'
-0y-'---
BOILERS/COMPRESSORS y
GAS PIPING.:
0 ft
HOOD..........:
0
0-3 TON.....: 0
W<100K..:
0
DUCT WORK.....:
0
3-15 TON....: 0
HWT .... :
0
WOOD STOVES...:
0
15-30 TON...: 0
CONV BURNER:
0
FURN>100K.....:
0
30-50 TON...: 0
BBQ........:
0
MISC..........:
0
50+ TON.....: 0
GAS DRYER..:
0
AIR HANDLING UNITS
FUEL TANKS ---------
RANGE .... ..:
0
<:10,000 CFM:
0
ABOVE GROUND: 0
GAS LOGS...:
0
> 10,000 CFM:
0
UNDERGROUND.: 0
PERMITS EXPIRE
180 DAYS AFTER
ISSUANCE IF NO WORK
IS STARTED. RESIDENTIAL AND
I CERTIFY THAT
THE INFORMATION
FURNISHED BY ME
IS
TRUE AND CORRECT TO THE BEST
OWNER OR AGENT
TAX RATE : 8.2% Us
COMP PLAN.........:? FEES:
REQUIRED PARKING..: 0 SPRINKLERS?......:? BUILDING PERMIT.... $ 81.00
HAZARD CLASS...:? SBCC SURCHARGE..... $ 4.50
REQUIRED SETBACKS------- FIRE FLOW....: 0 gpm
FRONT........ 0.00 ft
SIDE..........: 0.00 ft WATER SERVICE-:?
REAR..........: O.00:ft SEWER SERVICE-:?
IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
WATER`CLOSETS. .: 0 W URINALS........:~ 0�
t BATH TUBS..........: 0 DRINKING FOUNT.: 0
jSHOWERS ............: 0 SUMPS..........: 0
' LAVATORIES.........: 0 VAC BREAKERS...: 0
SINKS ............... 0 DRAINS.......... 0
DISH WASHERS.......: 0 LAWN SPRINKLERS: 0
j ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
LAUN WSHR OUTLTS...: 0 j
E_ _
GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCI
OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WA1
FILE COPY
DATE
TOTAL FEES $ 85.50
a
REQUIREMENTS WILL BE MET.
9
i
i
BUILDING DIVISION
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax (253) 6614129
i enant ut Known L---7– Lot # Assessor's Tax #
Building Owner's Name Address
City h:Zti_,?e-f I Ai/I t i I State I A j A I Zip 1?XM3 Phone :Y
Nature of Work /C'/1 /- LCL
Er
Name (F,M,L)
Address
City
State
Zi
Contact Person
Day Phone
Other Phone
Fax
LAD
NG f IWT QCT.R.:.....................
.;;;..:.
Company Na _ -+
,� �T1
Address
Address
State
City 5&State
47
Zi
Contact Person — –
Phone
�f/- 7
Fax
�F
Contractor's # (card must be presented)
Expiration Date
Verified ❑ Yes ❑ No
Name
Address
City
State
Zi
Contact Person
Phone
Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
roP osed Use
❑ Plumbing ❑ Mechanical ❑ Other
❑ Remodel ❑ Number of Units _ ❑ Deck
❑ Garage ❑ Shed ❑ Other
sq ft 3rd Floor sq ft Existing Floor Area sq ft
sq ft Garage sq ft Proposed Total Area sq f
tic System Availability ❑ Project Valuation $ Is. Vl
Existing Bldg Valuation $
Contractor Name
Address
City
State
' Permit includes:
Contact
❑ Building
Type of Work:
❑ Residential
❑ Commercial
❑ New
❑ Addition
Enter 1 st Floor
Area Basement
sq ft
sq ft
2nd Floor
Decks
Water Availabilitv ❑ Sewer Availabilitv ❑ On -Site S
roP osed Use
❑ Plumbing ❑ Mechanical ❑ Other
❑ Remodel ❑ Number of Units _ ❑ Deck
❑ Garage ❑ Shed ❑ Other
sq ft 3rd Floor sq ft Existing Floor Area sq ft
sq ft Garage sq ft Proposed Total Area sq f
tic System Availability ❑ Project Valuation $ Is. Vl
Existing Bldg Valuation $
Contractor Name
Address
City
State
Zi
Contact
Phgr.
Fax
License #
Ex iration Date
Verified ❑ Yes ❑ No
TONTFIACTO
Water Closets
Sinks
Contractor Name
Address
Dish Washers
Drinking Fountains Other
City
State
Zi
Contact
Phone
Fax
License #
Ex iration Date
Verified ❑ Yes ❑ No
Water Closets
Sinks
Urinals Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains Other
Showers
Electric Water Heaters
Sumps
Lavatories
Washing Machine
....::.
Drains Total'Fixtwe.ount .."""
...........F........................N.... ......I.....C..........A...........f.......;.....i.....i........N..:.,.........T....._...............f...7....i...�....N.......T.................._....................
................................
...........
....................
. ..
....................
..
MECHANICAL EVALUATIONATION ONLY S
Fuel Type (electric/other)
Gas Dryer
Air Handlin < = 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
BBQ's
Wood Stoves
3-15 Tons
Yctta( Unit..Copt:
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
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
t where such claim arises out o 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: / J �'Y� L � � � Date:
BUILD—Am
REV
Rev Geo 8128/97
CITY s..)F' FDERAL
PERMIT NO:7-33530irsEt
Way South
BUILDING PERMIT
09/19/97
F6deral Way, WA 98003
1.001ding Inspect",r)n Petjuc,sts 253 6k,:'j 4140
Illy:
FC2
253-661-4000
LXPIRLS:
03/1.8/98
ADDAFSS:2934913fl AVE S
NO. : 51,6200-02z4`(P
PRO,JFC V I)ESCR.1 PT ION: REROOFINC PERMIT ONLY - TEARING Off SHAKE ROOF ARL INSTALLING SHINGLE ROOF
- OWNER
CONTRACTOR LENDER
.....
ku ........ I ... ..q
AILIA80A TAN JENSEN ROOFING COMPANY INC
?9349 131H AVE S 23641 7TH AVE S 118
FEDERAI, WAY #A 48003 DES "OINEES WA 98178
-8831 824-6210
JENS[RCO530
tts (011RACIOkS, KEW USE LO(ATION COK"im wk wunk sids ito Fm Pkeims vimv Ti my rEKAK NAY.
BLD?:X MIC?,, Pt."?: FIA- OIST —PROP MittlK WITT"Z, 91 (OMP PLAN.........:?
TYPE or WORK:ALT USE:RIS 1ST,: 0: 0:c:f STOPIts... 11111* 0 REQUIRED PARINC..: 0 SPRINKLERS'?......:?
CENSUS (ATE60PY ..... :555 ?ND. 0 f 0,00 ft HAZARD (LASS...:?
OCCUPANCY GROUP - •-------- 0, D. 0 O:sf VA[VA T I ON REOUIRID SETBACKS- .- FIRE FLOW..... 0 we
:? :? :? :? 01w: O:st 'A"i I:
0, it, ft
typc or 0:,-, f 00P.A: 5r,1110 S I 11.: ........... (-,00 f I WA 1!"V
:? :? :? :? 0:71f PrAp........ 0,00:ft SFWEp SERVICE...
OCCUPANT tOAD ---------- tin � 0. 0:st RIC[ .1 VED. :Oq/191/1x7
0: 0: 0: 0: !OIL: 3: O.�f SURFACE: 0 sf SENSITIVE MEAS?.:?
TRX RALE : 8.2% Us
FEES:
BUILDING PIRNIT ....
Sgr, g*r,fiARG(.,.,j
A
Ft1EL TYPES.:? ? VAN' .......... U WATER CLOSETS..... : 0 URINALS........: 0 TOTAL FEES 0.50
IPIK.: 0 ft HOOD...... . 0 0-3 0 BAIN TUBS..........: 0 DRINKING FOUNT.: 0
1w..: o wl WOR11._.: 0 3-15 TO"....: 0 SHOOEFS ............ 0 SUMPS..........: 0
a S VI ..... 0 WOOD STOVES_: 0 15-30 TOM_: 0 LAVATORIES.........: 0 VAC BREAKERS...: 0
0N V 1N,RXIR: 0 FURP100X ..... 0 30-50 TON.... 0 SINKS............... 0 DRAINS.......:.: 0
800 ..... .. 0 MIS(..........: 0 04 TON.....: 0 DISH WASOERS ....... 0 LAWN SPRIPLERS: 0
GAS 0 AIR HANDLING UNITS FUEL TANKS__------- ELEC WIP HEATERS...: 0 OTHER FIXTURES.: -
RANGE......: 0 (40,000 (rh: 0 ABOVE GROUND: 0 LAUN WAR OUTLIS ... 0
GAS LOGS ... 0 > 10,000 (fm: 0 UNDERGROUND.: 0
::. I - _L,� ............ ...... .
PERMITS EXPIRE. 100 DAYS APR ISSUANCE[ if NO WORK is STARTED. RISIOLKIIAt An TRADING PIA"Ils LYPIRE ONE YEAR AFTER DAIS Of P�7ml.
1 CERTIFY THAT TV! 101-9 41160 fURNISHtD trf #I IS IRK AND CORRECT TO Iff 111,"T Of 11Y KM))It[DGF AND THE AfTLICARIF CRY Of ITKIAt NAY $(QUIRIMiNTS NILE K KI.
4WER OR AGLAT
FIELD COPY
1 T1E'RlkOM.
8Edi WOOTINGS
CDO193 (Rev 4/97)