99-104220CITY OF FEDERAL JAY
33.530 First Way South
Federal Way, WA 98003
253-661-4000
..1 Vi,µ Jt) "I Ni (Z f", E. � "01,, i'll .Y..
Building Inspection Requests 233--661-4140
PERMIT NU: t3Li)99--U668
ISSUED: 10/29/99
BY: FC2
EXPIRES: 04/26/00
ADDRESS:29401 PACIFIC 14WY S Unit: BLD A
NO.: 304020-0015
PROJECT DESCRIPTION :RES REPAIR FOR FIRE DAMAGE, INCLUDING WALLBOARD, INSULATION, FANS AND ELECT WIRING, including minor structure repair. apt101,201,301
= OWNER =__=_________=__=___=_=_____=____:____:_____________= CONTRACTORLENDER
VILLA DEL MAR BRIDGEWAY CONSTRUCTION CO
24401 PACIFIC HWY S, BLD A 3826 WOODLAND AVE N
FEDERAL WAY WA 48003 SEATTLE WA 48103
625-788-4237 tt 206/406-5197 t
E BRIDGCC186R3
st: 77,77-
CONTRACTORS. PLEASE USE LOCATIUzbbt' TING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE = 8.6% ;x
CU
BLD?:X MEC?: PLM?:
FLR--EXIST--PROP--
-
�LTNGTf
COMP PLAN.........:?
MISC..........: 0
FEES:
DISH WASHERS.......: 0 LAWN SPRINKLERS: 0
TYPE OF WORK:REP USE:COM
1ST.: .,
O:sf
STORIES tl
`QUIRED PARKING..: 0
SPRINKLERS ' `
BUILDING PERMIT
$ 169.75
CENSUS CATEGORY.....:437
2ND
O:sf
0
> 10,000 CFM: 0
5$ '
SBCC SURCHARGE
$ 4.50
OCCUPANCY GROUP----------
.
1:
O:sf
VAIL','^TION -------------
RECUR : MOCKS ---
FIRE E 0 pp1,
g
:? :? :? :?
0:
O:sf`
EXIST 0
FROM; SOD f
�°
a:
TYPE OF CONSTRUCTION-----
2"T' na
0:sf..
.1.
PROP,.
WATER
:? :? :? :?
DECK: 0:
O:sf
REAR........... O.00:ft
SEWER SERVICE..:?
OCCUPANT LOAD------------
GAR.: 0:
O:sf
RECEIVED.:10/29,99
0: 0: 0: 0:
TOTL. C.
O:s;
IMPERV SURFACE: 0 sf
SENSITIVE AREAS?.:?
FUEL TYPES.:? ?
FANS..........:
0
BOILERS/COMPRESSORS
WATER CLOSETS......: 0
URINALS........: 0
TOTAL FEES
774.25
kS PIPING.: 0 ft
HOOD..........:
0
0-3 TON.....: 0
BATH TUBS..........: 0
DRINKING FOUNT.: 0
RN<1.00K..: 0
DUCT WORK......
0
3-15 TON..... 0
SHOWERS ............. 0
SUMPS........... 0
GAS HWT.... : 0
WOOD STOVES...:
0
15-30 TON...: O
" LAVATORIES.........: 0
VAC BREAKERS...: 0
ONV B RNER 0
FURN>jOOK
0
30-50 TON 0
SINKS O
DRAINS O
CU
............... ..........
BBQ........:
0
MISC..........: 0
50+ TON.....: 0
DISH WASHERS.......: 0 LAWN SPRINKLERS: 0
1 GAS DRYER..:
0
AIR HANDLING UNITS
FUEL TANKS---------
ELEC WTR'HEATERS...: 0 OTHER FIXTURES.: 0 t
RANGE......:
0
<:10,000 CFM: 0
ABOVE GROUND: 0
LAUN WSHR OUTLTS...: 0
GAS LOGS...:
0
> 10,000 CFM: 0
UNDERGROUND.: 0
a s
4
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 EURNIS49UY HE 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 4P
PLEASE PRINT
2 91999
APPLICATION FOR BUILDING PERMIT'
APPLICATION #
.................... .
jSite address
Assessor's Tax #
Lot #
Ad
State zip
, /S � -v, -)
BUILDING DnqsioN
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax (253) 6614129
Name (F,M,L)
Address
City --Ts—t.te
Address
� 3 5
Zip
Contact Person
Day Phone
I Other Phone
Fax
.............. ......
.................
...................
............. . .
. ............
............ ..................
FPrIPr.qI Wqv Riminp-qq I irpn-qp #
Company Name
J�J—1 02—v
Address
City
Address
� 3 5
Zip
Contact Person
Phone
City 'S' e—GIL /4-1—
State
Zip z 3'
Contact Person
Phone
2 � -3? 20
Fax
1
Contractor's # (card must be I presented)
Expiration Date
Verified 0 Yes 0 No
..........
................ .....
....... ...... ................
.......................
............... - ............
.........................
............ -...
.................
.............
Name
Address
City
State
Zip
Contact Person
Phone
Fax
LEGAL DESCRIPTION
0 Please Complete Reverse S -do *
:;::::::::::i
For new residential oniv - Pronosed sellina cost: S
Name
Address
City
State Zi
Contractor Name
Address
City
State
Zi
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
Contractor Name
Address
city I stat I zip _I
Contact Phone Fax `
License #
. .
.....................................
f�LUM1311�#G.FtJC f...... t UitlT:::::...... :>:.......!
Date 1 Verified ❑ Yes ❑ No
Water Closets
Sinks
Urinals
Lawn Sprinklers
Bathtubs
Dish Washers
Drinkinq Fountains
Other
Showers
Electric Water Heaters
Sumps
Furn <100K BTUs
Lavatories
WashingMachine
Drains
..., .::
Total;0104, ..WCount;.' ::::,:.::;:.. <>
»><<><> ` .
€... IGi4L.UMiT.C{�tiNl __............. MECHANICAL EVALUATION ONLY $
DISCLAIMER: I certify under penalty of perjury that the information fumished 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 ofthe reliance ofthe city, including its officers and employees, upon the accuracy ofthe information supplied to the city as a part ofthis application.
��
Owner/Agent: Date: 1 () �- � � r
REVS[o 5/1 RN�/18 5 -
REvs/99
Fuel Type (gas/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>l1niYCotint
DISCLAIMER: I certify under penalty of perjury that the information fumished 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 ofthe reliance ofthe city, including its officers and employees, upon the accuracy ofthe information supplied to the city as a part ofthis application.
��
Owner/Agent: Date: 1 () �- � � r
REVS[o 5/1 RN�/18 5 -
REvs/99
i'CITY OF' FEDERAL WAY
*3 530 First Way South
-tederal. Way, WA 98003
-4000
DUILDINU PUtHl"I'
Buil.(Iing Inspection Requests 253-661-4140
PERMIT NO: BLD99-0668
ISSULD: 10/29/99
BY: FC2
LXPIRES: 04/26/00
ADMESS;29401 PACIF'IC IIWY S tfoi C : ELL A
NO.: 3-04020-0015
PROJECT DESCRIPTION:RES REPAIR FOR FIRE DAMAGE, INCLUDING, WALLBOARD, INSULATION, FANS AND ELECT WIRING, including sinor structure repair. aptI01,20*
OWNER....... CONRACIOR .....m= ... Au.—o—vt ...... ---j- LENDER
VILLA DEL MAR RRIDGEWAY CONSTRUCTION CO
29401 PACIFIC HWY S, OLD A 3826 WOODLAND AVE N
FEDERAL WAY WA 98003 SEATTLE #A 98103
188-4237
RPIDGCC186R3
SALES TAX FOR PROJECTS VITNIN THE CITY Of FEDERAL MAY. TAX RATE : 8.
*64b viti *- - -*-- ' -4�=' -
OLD?: X NEC?: PLM "CONP PLAN.........:. FEES:
OQUIRED PARKING..: 0 SPRINKLERS? ...... BUILDING
TYPE OF NORK:RIP USE:(O" IST.: 04- STARM. 0
SBCC suk"ARGL
CENSUS CATEGORY ..... :437 'LIND, - HE 1 0.00 A
"t �mW-0, - �tP
---------- JAD.: 0., O:s� vAl %"l` mi, R f D ;i I I N,� I 'ps
OCCUPANCY GROUP0
il
TYPE OF CONSTRUCTION---- r'),4T 7j: a: f 4Vt... 0.00 ft 'WA 110, SERYTICt., ?
:? :? :? pfry,
el - I:sf FEAR. . ........ 0.00:ft SEWER SERVICE—:?
OCCUPANT LVAD-- .--------- 0- 9:,,f ft((1vrf-.:1O/29pq
0: 0: 0: 0: TOL. 0: 0:i, IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
... =r=— r won* Vma=.. I.. U ".. ..... a ..... x ...—U—
F41. TYPES.:? ? FARS ...... 4 BOILERS/COMPRESSORS WATER CLOSETS......; 0 URINALS........: 0 TOTAL FEES
PIPING.: 0 ft HOOD........... 0 0-3 TON...... 0 BATH TUBS........... 0 DRINKING FOUNT.: 0
8<100K..: 0 DUCT WORK.....: 0 3-15 TOM—.: 0 SHOWERS............: 0 SUMPS, ......... 0
GAS HWT .... : 0 WOOD STOVES...: 0 15-30 TOM.... 0 LAVATORIES.......... 0 VAC BREAKERS.... 0
(0mv BURNER: 0 FURN�100t— ... : 0 30-50 TOM—: 0 SINKS .............. 0 DRAINS.......... 0
BBQ........: 0 MISC..........: 0 504 TOM--: 0 DISH WASHERS.......: 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS r"Et TANKS -1 ------ LLE( WTR HEATERS...: 0 OTHER FIXTURES.: 0
PAN&[ ...... : 0 <:10,000 CFN: 0 ABOVE GROUND: 0 LAUH WSOR OUTLTS ... 0
GAS LOGS .... 0 1.0,000 Crm: 0 UNDERGROUND.: 0
FNITS EXPIRE ISO DAYS MIER ISSOAKE If No WK is SINTIE111. RIESIVIENTIA1. W IMADING PMIS EXPIRE ONE YEAR AFIER DAZE Of ISSUM.
I CERTIFY 101 TK INFOWTIOV fMISKED IT K IS lMff^CMCT TO 1K NIST O. MY I(IOREIGIE AND THE APPtICAILE CITY Of FEDERAL MAY REQUIRINE Mitt it M
0CWHER OR AGENT
DATE
FIELD COPY
$ 769.75
$ 4.50
1
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