99-103780 99-/O 7gp
CITY OF FEDERAL WAY T PERMIT NO: BLD99-0610
33530 First Way South :; ;;��►N,..»,8 ::I;;: ....,.:;,�„';��.1": NG f ,,,�r'''RAI1:. *T. ISSUED: o9/29/9'9
Federal Way, WA 98003 Building Inspection Requests 253-661-41-40 BY: TN
253-661--4000 EXPIRES: 03/27/00
ADDRESS : 1800 S 330TH ST
NO.. : 298690-0480
PROJECT DESCRIPTION:REROOF - OSB PLUS 25 YEAR SHINGLE (CABANA)
F. OWNER _. -- -- ------ -------__-,= CONTRACTOR _ - _.-_.>_ LENDER -=_
HEARTHSTONE CONDO'S ' VICTORY ROOFING INC
1800 S 330TH ST 17618 SE 154TH ST
FEDERAL WAY WA 98003 MONROE WA 98272
1-7039 360-794-4815
t VICTORI032C1
**t CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.6% ***
BLD?:X MEC?:? PLM?:? FLR J:_ PROP--- DWELLING !I Trc• 0 I COMP PLAN •/ FEES:
TYPE OF WORK:REP USE:COM 1ST.: 0: 0:sf STORIES : 0 ' I REOUIRED PARKING..: 0 SPRINKLERS' '' BUILDING PERMIT....* $ 195.25
CENSUS CATEGORY •555 2ND.• 0: 0:sf PEIG'7; 3.33 -t i HAL RD LASS '' SBCC SURCHARGE * $ 4.50
OCCUPANCY GROUP .,.. :s vA . :CN - SD SETBnCS FIRE FLOW 15;,m
;(:
TYPE OF CONSTRUCTION 3S"T: C: C:sf RL,-.. .1: 13622 SIDE • 0.CC ft NATER SERVICE..:
:? :? :? :? DECK: 0: 0:sf REAR • O.O0:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: O:sf RECEIVED.:09/29/99
0: 0: 0: 0: TOIL: 0: 3:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS j WATER CLOSETS 0 URINALS • 0 TOTAL FEES $ 199.75
S PIPING.: 0 ft HOOD • 0 0-3 TON • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
A<100K..: 0 DUCT WORK • 0 3-15 TON • 0 SHOWERS • 0 SUMPS • 0
S HWT • 0 WOOD STOVES...: 0 15-30 TON...: 0 LAVATORIES • 0 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>1O0K • 0 30-50 TON...: 0 I SINKS • 0 DRAINS • 0
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
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 E LAUN WSHR OUTLTS...: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 E
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 AGEN
--.-__- ....___.___ _....____._ BATE :/.Q.--
FILE COPY
BUILDING DIVISION
� ����_ 33530 First Way South'
Federal Way,WA 98003
(253)661-4000
Fax(253)661-4129
APPLICATION FOR BUILDING PERMIT
PLEASE PRINT C1tb1�
K1YI - APPLICATION # -E 5-fib 10.
_, 91t S
A,isI+i:4.,,,,i,/,, ,,,,i,:>::: ::::>:<:»iNii:>::r;:::>::»:<:iiriiiiK:i:i:ii:i:<:::>::>::>::> Site address •- ✓....� Az_ �L.
Tenant a e Lot # Assessor's Tax #
S`I` � C�-r�o. 3210`xS - 01
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BuildirZp,Owner's_Name�/�i __ Address
[i nlTlL�vtr ' F
City 4QCOY t-4&-4, State &_- 2 Zip Phoneho ' 7c�
Description of Work .5jJatti
Name (F,M,L)
Inn-c-'/D I-,&cvr�s /are 0
Address/7.c`i. ``y�53._� —Cr-
City I tU t4PJ� Gt�� State Zip E'� Z 7 Z
Contact Person Day Phone ' _S--t)/ S �? Other Phone Fax
SI,J-Wt& 3 61457,5--
� RAND}� ............................ Federal Way Business License #
Cmmpan Na =_ � /
Lr LJ /�
Address
City State Zip
Contact Person 5_ �`� Phone Fax
Contractor's # (card must be presented) pLL7-a2_L 2 C Expiration Date Verified El Yes CI No
J c6zo- 2._C-)e-)c--)
/
Name /
Address
CityState Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
t
Please Complete Reverse Side 0
0
$ �� > <;: ;E: `?;»?« : » ` Existing
ProposedUse '47-\
Permit includes: CI Building ❑ Plumbing ❑ Mechanical ❑ Other
Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ #of bedrooms ❑ Deck
❑ Commercial ❑ Addition ❑ Repair ❑ Garage ❑ Shed
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existi g Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Pro sed Total Area sq ft
` t/ t�
Water Availability Sewer Availability ❑ On-Site Septic System Availability 0 Project Valuation $ 7 Tj 3 s'I,
Zoning I Lot Size Existing Bldg Valuation $ %
10162Z.Z�
. EN
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DER>'>> '«< s > >»>': > `> <':' ` > <» << >'
For new residential only- Proposed selling cost: $
Name Address
City State Zip
MECHAI1fl. AL.CONTRAC"#`OR ..................
Contractor Name Address
City Stat. Zip
/
Contact P one Fax
License # Expiration Date - Verified ❑ Yes ❑ No
/
FLUMEN' CONTRACTOR
: ': > <:<<> < <>'
Contractor Name . Address
/
City State Zip
Contact / Phone Fax
/
License # J Expiration Date Verified ❑ Yes ❑ ',�o
/
.MB
OLUEN.G..FIX..MleCatilfi: < >::ME:
Water Closets nks Urinals Lawn Sprinklers
Bathtubs / Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains TotalsFixture Count
MEGFi<:AN:;_C4E: tS: tTG3LN >'« > < . MECHANICAL EVALUATION ONLY $
Fuel Type (gas/,electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Qas Piping Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log Unit Heater 50+ Tons
F rn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
BBQ's Wood 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.
i
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OW r/Agent: Date:
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