93-101572CITY OF FEDERAL WAY BUILDING P
33530 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 31503 42ND AVE SN
PARCEL NO.: 8731982840
PROJECT DESCRIPTION: RE—ROOF INSTALLATION OF TYLE ROOF
4bvlbll�qv
PERMIT NO.: BLD93®0694
ISSUED: 06/28/93
BY: JJ
i' LOIS SMITH
{.Ym 1 RH 1 VR
AMERICAN ROOF INC
LCPIYCR
31503 42ND AVE SW
21808 NE 175TH
FEDERAL WAY WA 98023
WOODINVILLE WA 98072
8735
488-8868
AMERIRI11303
BLD?:X MEC?: PLM?:
FLR--EXIST--PROP---
DWELLING UNITS: 0
COMP PLAN.........:?
FEES:
TYPE OF WORK:ALT USE:RES
1ST.: 0:
O:Sf
STORIES........: 0
REQUIRED PARKING..:
0
SPRINKLERS?......:?
PLAN CHECK DEPOSIT.* S 93.60
CENSUS CATEGORY ..... :434
2ND.: 0:
O:Sf
HEIGHT.....: 0.00 ft
HAZARD CLASS...:?
FINAL PLAN CHECK...* $ 0.00
OCCUPANCY GROUP----------
3RD.: 0:
O:Sf
VALUATION----------
REQUIRED SETBACKS-------
FIRE FLOW....:
0 gpm
BUILDING PERMIT....* S 144.00
:? :? :? :?
OTHR: 0:
O:sf
EXIST..$: 0
FRONT.........: 0.00
ft
SBCC SURCHARGE.....* $ 4.50
TYPE OF CONSTRUCTION-----
BSMT: 0:
O:Sf
PROP ... $: 12500
SIDE..........: 0.00
ft
WATER SERVICE..:?
:? :? :? :?
DECK: 0:
O:sf
REAR..........: 0.00:ft
SEWER SERVICE..:?
OCCUPANT LOAD------------
GAR.: 0:
O:Sf
RECEIVED.:06/25/93
0: 0: 0: 0:
TOTL: 0:
O:Sf
IMPERV SURFACE:
0 sf
SENSITIVE AREAS?.:?
TOTAL FEES $ 242.10
FUEL TYPES.: FANS..........: 0 BOILERS/COMPRESSORS
WATER CLOSETS......: 0 URINALS........: 0
GAS PIPING.: 0 ft
HOOD..........:
0
0-3 HP......: 0
BATH TUBS..........:
0
DRINKING FOUNT.:
0
FURN<100K..: 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
CONV BURNER: 0
FURN>10OK..... :
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
G�OGS... : 0
> 10,000 CFM:
0
UNDERGROUND.: 0
ALL 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 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.
OW?JER OR AGENT
bld_prmt 10/23/92
9
DATE e /"') k Z / 3
Sao(a/a
SET BACKS AND FOOTINGS
DATE BY
O.K TO POUR FOUNDATION WALLS
DATE BY
PLUMBING GROUNDWORK
DATE BY
PLUMBING ROUGH IN
DATE BY
WATER LINE O.K.
GAS PIPING O.K.
MECHANICAL INSPECTION
DATE BY
O.K. TO ENCLOSE FRAMING
DATE `2 / - 5 3 BY A/ -'/
INSULATION
DATE BY
WALL BOARD AND FIRE WALL
DATE BY
FINAL O.K. TO OCCUPY
DATE BY
DCD
PSD
FD
CITY OF FEDERAL WAY BUILDING PERMIT PERMIT NO.: BLD93-0694
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 06/28/93
Federal Way, WA 98003 BY: JJ
661-4000
SITE ADDRESS: 31503 42ND AVE SW
PARCEL NO.: 873198-2840
PROJECT DESCRIPTION: RE—ROOF INSTALLATION OF TILE ROOF
OWNER
CONTRACTOR
LENDER
LOIS SMITH
AMERICAN ROOF INC
31503 42ND AVE SW
21808 NE 175TH
FEDERAL WAY WA 98023
WOODINVILLE WA 98072
08735
488-8868
AMERIRI11303
BLD?:X MEC?: PLM?:
FLR--EXIST--PROP---
DWELLING UNITS: 0
COMP PLAN.........:?
FEES:
TYPE OF WORK:ALT USE:RES
1ST.: 0:
O:Sf
STORIES........: 0
REQUIRED PARKING..: 0
SPRINKLERS?......:?
PLAN CHECK DEPOSIT.* $ 93.60
CENSUS CATEGORY ..... :434
2ND.: 0:
O:Sf
HEIGHT.....: 0.00 ft
HAZARD CLASS...:?
FINAL PLAN CHECK...* $ 0.00
OCCUPANCY GROUP----------
3RD.: 0:
O:Sf
VALUATION----------
REQUIRED SETBACKS-------
FIRE FLOW....:
0 gpm
BUILDING PERMIT....* $ 144.00
:? 0 0 :?
TYP OF CONSTRUCTION-----
OTHR: 0:
BSMT: 0:
O:Sf
O:Sf
EXIST..$: 0
PROP ... $: 12500
FRONT.........:
SIDE..........:
0.00 ft
0.00 ft
WATER SERVICE..:?
SBCC SURCHARGE.....* $ 4.50
0 0 0 :?
DECK: 0:
O:Sf
REAR..........:
O.00:ft
SEWER SERVICE..:?
OCCUPANT LOAD------------
GAR.: 0:
O:Sf
RECEIVED.:06/25/93
. 0: 0: 0: 0:
TOTL: 0:
O:Sf
IMPERV SURFACE:
0 sf
SENSITIVE AREAS?.:?
TOTAL FEES $ 242.10
FUEL TYPES.: FANS..........: 0 BOILERS/COMPRESSORS
WATER CLOSETS......: 0 URINALS........: 0
GAS PIPING.: 0 ft
HOOD..........:
0
0-3 HP......: 0
BATH TUBS..........: 0
DRINKING FOUNT.:
0
FURN<100K..: 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
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
......: 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0
OGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
ALL 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 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
bld_prmt 10/23/92
e;� A_A__
DATE 4� /.2 F / � 3
G
City of Federld Way
AI ®;tgr;' JUN 2 5 1993 PPLICATION FOR BUILDING PERMIT
t nr W
PLEASE PRINT APPLICATION #.
SITE LOCATIM....,.1.11Address 31503 - 42nd. AV. S.W.
Tenant (if known) Lot # Assessor's Tax #
Building Owner Name Address
Lois Smith 31503 - 42nd. Av. S.W.
city state Wa. ]zip 98003 Phone 874-8854
Nature of Work n ..
i�PPLICAIVT :::
Name (F,M,L)
American Roof
Address
21808 N.E. 175th.
city Woodinville
State Wa.
zip 98072
Contact Person
Day Phone
Other Phone
Fax
Jeffry Barr
206-488-8868
Fax
206-668-1717
BCiII.DING CONTRACTOR G�
I N%,MrdAwrm
Company Name
Mitchell Engineerinp, Inc.
American Roof
1140 - 140th. Av. N.E. Suite D
Address
state Wa.
21808 N.E. 175th.
Contact Person
City Wondinvillp
state Wa
zip 98072
Contact Person
Phone
Fax
Jeffry Barr
488-8868
Contractor's # (card must be presented)
Expiration Date
Verified ❑ Yes ❑ No
AMERIR I-113 J3
4/23/94
ARCHITECT <f Eginee
Name
Mitchell Engineerinp, Inc.
Address
1140 - 140th. Av. N.E. Suite D
city Belleuve
state Wa.
zip 98005
Contact Person
Phone
Fax
Michael Mitchell
747-1500
747-5403
LEGAL DESCRIPTION
Please Complete Reverse. -Side
CD0492 (Rev 4/93)
RUCTURE
Address
Existing UseResidence
State Zip
Proposed Use
Contact
Phone
Permit includes:
Reroofing
Building
❑Ab z Plumbing
Mechanical a
I Other
Type of Work:
COY• Residential
❑ 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 sq ft
Existing Floor Area
Proposed Total Area
-TW-cd Stoves
sq ft
sq ft
Water Availability
❑ Sewer Availability ❑ On -Site Septic System Availability ❑
'Prbjecf Va4iation`
5
Zoning
Lot Size
Existing Bldg Valuation
S
LENDER
Name
Address
City
State Zip
_ .._.... _.._.............. _._._.... _.._.
...................................._..._.... _
....................................................................................
MECHANICAL:>CONTI.tACTOR
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
Contractor Name
Contact
Address
State I Zip
Phone lFax
License # I Expiration Date I Verified ❑ Yes ❑ No
PLUMBING FIXTURE :C.OUNT
Water Closets
Sinks
Urinals Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains Other
Showers
Electric Water Heaters
Sumps
Lavatories
Washing Machine
Drains Total` Fixture count
MECHAI�IICAL! UNIT' :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 H
Hood
Boilers
Above Ground
Conv Burner
Duct Work
0-3 Tons
Underground
BBQ's
-TW-cd 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 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: /G' �"L Date: