98-100563 CITY OF FEDERAL WAY PERMIT NO: BLD98-0088
33530 First Way South . »°� ,,,..# ,I I' L. ..I�,..J►.,. .. irk'ff';:311 ":�h' f:fl:I�'"'�I., ,. 1".
,," ISSUED: 02/23/98
Federal Way, WA 98003 E;uiiding Inspection Requests 253--661-4140 BY: MD
253-661-4000 EXPIRES: 08/22/98
ADDRESS:2619 SW 320TH PL
NO. : 873190-0300
PROJECT DESCRIPTION:REROOF
s= OWNER ------ . ....... .--- _,----- CONTRACTOR ___. _, .,_ ::t= LENDER - - •------- . -I
HAMM JOHNSON'S ROOF SERVICE INC
2619 SW 320TH PL 622 S CENTRAL AVE
FEDERAL WAY WA 98023 KENT WA 98032 I t
7-5701 859-2777
JOHNSRSO88KA
*t* CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RAPE : 8.6% ;*s
_ -- .___-: _. - ------ _ ._ .. __ -.
BLD?:X NEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN 0 FEES:
TYPE OF WORK:REP USE:RES 1ST.: 0: 0:sf STORIES • 0 REQUIRED PARKING..: 0 SPRINKLERS' •' BUILDING PERMIT...,* $ 72.00
CENSUS CATEGORY •555 2ND.: 0: 0:sf HEIGHT • 0.00 ft HAZARD CLASS •' SBCC SURCHARGE * $ 4.50
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION 1 REQUIRED SETBACKS FIRE FLOW • 0 gpm
:? :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 0.00 ft
TYPE OF CONSTRUCTION BSMT: 0: O:sf PROP...$: 4450 SIDE • 0.00 ft WATER SERVICE..:?
:? :? :? :? : DECK: 0: 0:sf REAR • O.00:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: O:sf RECEIVED.:O2/23/98
: 0: 0: 0: 0: TOIL: 0: O:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
} -FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 76.50
PIPING.: 0 ft HOOD • 0 0-3 TON • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
N<1O0K..: 0 DUCT WORK • 0 3-15 TON • 0 SHOWERS • 0 SUMPS • 0
GAS NWT • 0 WOOD STOVES...: 0 15-30 TON...: 0 LAVATORIES • 0 VAC BREAKERS...: 0
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
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
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 !
PERMIIS 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 NF RMA IN FURNISHED BY NE IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FED L WAY REQUIREMENTS WILL BE MET.
J
OWNER CP, AGENT �V DATE -/
t
FILE COPY
n ,,
_ BUILDING DIVISION
� � • 33530 First Way South
WAV
•
Federal Way,WA 98003
(206)661-4000
Fax(206)661-4129c
RECEIv+ r
APPLICATION FOR BUILDING PERMIT
PLEASE PRINT APPLICATION # b m - 0G8j-•
.... • .v `,005M.::::::. :;::::::::>:>:11111::1111��:::� ::;:: Address 2(.PZZ' 5t173d) 1 l
Tenant (if known) (f) /�I��' Lot # Assessor's Tax#
Building Owner's Name
/ �� Address 54/4y,,,
City - cEaf State L4( Zip PhoneZ33- f9/
Nature of Work _`o 1/
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Name (F,M,L)
Address
City
State Zip
Contact Person Day Phone Other Phone Fax
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Company Name ! D i,� ,nom�, C/rje ( \ /, )'
Address
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4�City ' State(itI Zip !
Contact Person J//(, //(/? Vtgel 7 777____Fayq
Contractor's #(card must be presented) jbh
ii/ Il1O ExpiraL79ty r Verified Yes 0 No
/` K�J r ��/`tJ
AtanaMMENUMERENdin
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION D f./ /���%'j�j'r`O� li l- At(e 4-/l�
Please Complete Reverse Side
q. \\, .\.,tiff •;`:;:; ting
•.�': �O:��>.����.`.:,...`.>.:t��� a:ti;a:,�;>..:>�i.......... - Use oposed Use
Permit includes: .Building 0 Plur:d:ing 0 Mechanical 0 Other
Type of Work: tesidential 0 ew 0 Remodel 0 Number of Units 0 Deck •
0 ommercial 0 Addition 0 Garage 0 Shed 0 Other
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft l
Water Availability 0 Sewer Availability 0 On-Site Septic System Availability 0 Project Valuation 8 7OCJ0
Zoning j Lot Size Existing Bldg Valuation $ .
LENDERNMEMEMini:MiMENiiiNiMi ,-
Name Address
City State Zip
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes 0 No
,f..`: WGA? > »> »
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes 0 No
. .1.#. .PX :i77«.>COUA#M<z«:::z:>si?si:g i
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
r '
D sins :oti3 :::.::::
Lavatories WashingMachine
K:igs::<*i; •* : > >:>::< :. ::<::;::>:::<:<:Nf�41CAl« NISCt � > ' » > MECHANICAL
EVALUATION ONLY
$
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 Hwt Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
...............................................................
BBQ's Wood Stoves 3-15 Tons ,pts 1111. 00th
DISCLAIMER:I certify under penalty of perjury that'ire 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 a 'an•- o • e city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of this application.
Owner/Agent:
,,/1 :171)/
Date:
M.S.12/11/08
i