99-103779 DIV
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CITY OF FEDERAL WAY PERMIT NO: BL-D99-0609 1
23530 First Way South Dt.,..,I I R,,..,,..;1 .;I:. I"!w'; irm ...ilk.K$. :. ...V,,. ISSUED: 09/29/99
Federal Way , WA 98003 Building Inspection Requests 253--661- 4140 BY : TN
253-661--4000 EXPIRES: 03/27/00
ADDRESS:1500 330TH ST
NO. : 321075-0320
PROJECT DESCRIPTION:Reroof - osb plus 25 year shingle
F. OWNER =------ .. -- ... ----------T CONTRACTOR -- - ------- _---------=_. LENDER =_-.. _ _ _ ..._. __..._......._
i HEARTHSTONE CONDO'S VICTORY ROOFING INC
I 1816 S 330TH ST { 17618 SE 154TH ST
FEDERAL WAY WA 98003 , MONROE WA 98272 l 9
•3_661_7039 1 360-794-4815 I
i. f VICTORI032C1
u:: CONTRACTORS, PLEASE USE LOCATION DE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.6% ***
1 1 BLD?:X MEC?:? PLM?:? FLR--EXIST--PROP DWEILI#4 TTS' 1 ' COMP PLAN •/ I FEES:
I TYPE OF WORK:REP USE:COM 1ST.: 0: 0 sf STORIES .: 0 i REQUIRED PARKING..: 0 SPRINKLERS' •' FD PLAN CK-COMM ONLY $ 0,00
I CENSUS CATEGORY •555 2ND.: 0: 0 sf HEIG'i;.=...: v.,,;C •- i . UIR �- 4,-;_ $EF. :.! ► •? BUILDING PERMIT....* $ 195.25
c OCCUPANCY GROUP - 3RD.. 0; 0 sf VALUATIONREQCKS- IRF � ` " 0 gpm SBCC SURCHARGE # $ 4.50
i
1 TYPE OF CONSTRUCTION 3SMT: C: C.s:` K.--. . "• '2'_.22 SIDE 0.0t:ff'RATER SER' ?
I :? :? :? :? DECK: 0: 0:si REAR • O.00:ft SEWER SERVICE..:?
1 OCCUPANT LOAD GAR.: 0: O:sf REECEIVED.:09/29/99 I
1 : 0: 0: 0: 0: TOIL: 0: O:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:? I
I FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS ' WATER CLOSETS • 0 URINALS • 0 1 TOTAL FEES $ 199.75
OKPIPING.: 0 ft HOOD • 0 0-3 TON • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
N<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 ,
I CONV BURNER: 0 FURN>100K • 0 30-50 TON...: 0 ' SINKS • 0 DRAINS • 0
BBQ • 0 MISC - 0 50+ TON • 0 DISH WASHERS • 0 LAWN SPRINKLERS: 0 i
I GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
l RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 I LAUN WSHR QUILTS...: 0 1 •
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF HO WORK IS STARTED. RESIDENTIAL AND GRADING PERMIIS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE I NATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
1 OWNER OR AGENT DATE _Q ---7..,i779'it
FILE COPY
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CITY OF FEDERAL WAY PERMIT NO: BLD99-0609
33530 First Way Souti. DU I L DI Net VAC:Mull T ISSUED: 09/29/99
Federal Way, WA 9800rl Building 'Incpection RegOests 253-661- 4140 BY: TN
. 253-661 -4°00 EXPIRES: 03/27/00
1 ffl, - e0,242-ECTe7) F74-0012.f55
ADDRESS ( : )
NO. : 32; /5 i. ,20
PROJECT DESCRIPTION:Reroof - osb plus 25 year shingle
OWNER . st * rt CONTRACTOR LENDER
HEARTHSTONE CONDO'S VICTORY ROOFING INC
1 1816 S 330TH ST 17618 SE 154TH ST
1 FEDERAL WAY WA 98003 NOME NA 98272
111113-661-7039
360-794-4815
VICTORIO32C1 '' 1
ssi COKIRACTORS,,U440,11(4110#10116)12 110400101116 SALES 1AX fOR PROJICIS 111111 III CITY OF MOIL WAY. TAX RAU : 8.4 III
ILD?:X NEC?:? PLN?:? FLR--EXIST--PROP--- PPPLU#010Blit: -BE - COMP PLAN *9 FEES:
I TYPE OF NORK:REP USE:CON 1ST.: A1*'- 0' F '; iP "' . i„, Ar-4-)ABBOIRED PARKING„: 0 SPRINKLERS? .1 ED PLAN CK-CONN ONLY $ 0.00
CENSUS CATEGORY 555 2ND.: '.,t, 0:sfigl 1101Goi3O„40)** ,,, 0-,17, .,. tii-,,t,' ,-, :, '';' ;5;- ; „..tj,A0 ,41;vtf BUILDING PERNIT,...* $ 195.25
OCCUPANCY GROUP—------ 314.: 0: Altsf41 VBWATIOC---\7----- REQUIRO1BIBP44:-77,- 41RE, :,„.att1 .,. 4t- SBCC SURCHARGE * $ 4 50
:? :? :? :? : 014R... 0:'''''''‘,0:sfIscf EV S ..t: 0 4t FRin ,(..,.14;''' 0:1; f
TYPE OF CONSTRUCTION-- riA7: 0: O:',1" PROP . 't' 10I7, - '1'(1•* . 4.7.-1:.4:14.r:` '' WATER SER' ; k2').?
1 I :? :? :? :? : DECK: 0: 07Si REAR • 0.00:ft SEWER SERVICE..:?
OCCUPANT LOAD------------ GAR.: 0: 0:sf REf.LIKI;.,0[291.6,
0: 0: 0: 0: TOTE: O. 0:sf INPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS—.----: 0 TOTAL FEES
199.75
II
PIPING.: 0 ft HOOD • 0 0-1 TON • 0 BATH TUBS • 0 DRINKING FOUNT.: 0 $
IIR
;
NelOOK..: 0 DUCT WORK • 0 3-15 TON 0 SHOWERS • 0 SUMPS • 0
1 GAS ONT....: 0 WOOD STOVES...: 0 15-30 ION,..: 0 1 LAVATORIES 0 VAC BREAKERS...: 0
1 CONV BURNER: 0 PRN)100K * 0 30-50 TON. • 0 SINKS . 0 DRAINS • 0 1
...: 0 NIS( • 0 50f TON . 0 DISH WASHERS. 6 LAWN SPRINKLERS: 0
1 GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC. WTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE • 0 <10,000 CFA: 0 ABOVE GROUND: 0 LAUN WSW, OUTLIS...: 0
GAS LOGS...: 0 > 10,000 CFA: A UNDERGROUND.: 0
PERIM EXPIRE 180 BAYS IN ISMAINCE IF NO WORK IS STARILD. RESIDENTIAL AND GRADING PERNIK EXPIRE ONE YEAR AFTER DATE Of ISSUANCE.
I COMFY MAI THE INIORNATIOR FURNISHED BY NE IS TRUE AND CORRECT TO THE PEST Of NY KIWI AND INE APPLICABLE CITY Of FEDERAL NAY REQUIREMENTS WILL DE NET.
/ , -----%,
1, ,,/,--` i
NKR OR AGENT‘1,z, __,...1-4;_;._,- ,23.,, - DATE
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FIELD COPY
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CD0193(Rev 4/97)
BUILDING DIVISION /
S • . 33530 First Way South
CIEJ<i=n— Federal Way,WA 98003
y (253)661-4000
Fax(253)661-4129
APPLICATION FOR BUILDING PERMIT
PLEASE PRINT APPLICATION # `- 1--LC)9 Azci
4J
"�>: Site address
J
CLc.e
:.::.::::.::::::.::.:.:
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Tenant a e Lot # Assessor's Tax #
i iS7 L �-r�. bZ10 -S - p 3 30
Buildir Owner's_Name Address
- c Z."4a4�4�r1L4-*[YC l 2S? G
City ?-41-, 4ee �/�t S-&, State GtZip Phone C( ? C
Description of Work R.(9.6642-10
Name (F,M,U ,---„Inh-Lf/0 I.&'W<-S / r2 O_
Addres���`� C 5��� _C7--- C
City (1/0114-01i- 6‘-'/(4- StateZip E.cc2" Z? Z
Contact Person Day Phone ,
4.2.d.5----' °' -S---3-069
Other Phone Fax
Se9-p-t.& :3 6 c ? 4C8-76
:. Li
Business License r
tAlWIINCONTRACIVOtiMMEMMEM..X
Fede alWa us
..,,:>::>::>«:>:»:::> :>:::.;:.;:.::;:::.
Comp Na nc)i .. A.4....6_,....,
,
Address (�
i
City State Zip
Contact Person �,-,,G`/ Phone Fax
Contractor's # (card must be presented) (,' -t- '2 L- 3 C .i-- Expiration Date Verified ❑ Yes ill No
2C>- 2C�v
ARCHCI"ECT :: :_.Mai
Name
Address j
i
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
xisting i
:,...Ti:�..............i..'��.�zEEf?�?'''i'ilii>'i� _<sii?':E[fif�E�E�� �' � � Use d Use
Permit includes: ❑ Building ❑ Plumbing ❑ Mechanical 0 Other
Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ # of bedrooms 0 Deck
❑ Commercial 0 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
\ C� ,z (e•Water Availability El Sewer Availabilit CIOn-Site Septic System Availability 0 Project\ Valuation $ 7T) 3,S't.
Zoning I Lot Size Existing Bldg Valuation $
_
10I(722-1
:.; •
tIENDgR :.. For new residential only- Proposed selling cost: $
Name Address
City State Zip
M :<:,::,,> <:<IiI I>::::<>: o:*i* :::::i:mr�:*:::i:i*: > ><>s< <>
ECHANIGALeoNTRA "#i ..................
Contractor Name Address
City Stat: Zip
Contact . P one Fax
License # Expiration Date - Verified ❑ Yes 0 No
PLUM B:»:;
Contractor Name Address
i
City State Zip
Contact % Phone Fax
'
License # ., Expiration Date Verified ❑ Yes ❑ No
PLUM MNGETI<XI'URE::COUNT'. :`:'' :: ...._
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers / Electric Water Heaters Sumps
Lavatories Washing Machine DrainsTotal Fixture Count
;> `> ::: :::>:>:`:
NECHANIGALUNt : 3LNT` > . > _ MECHANICAL EVALUATION ONLY
$
Fuel Type (gaasiefectric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of leas 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.
:ovy
/Agent: Date: /
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