96-103622 ' 1
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CITY OF FEDERAL WAY PERMIT NO: BL096-0411
33530 F i rs t Way South DU U I L.j!::;�u,,:m:: 'wit Iv'I,r:`in Pr ,;$:: lil., ISSUED: 10/01/96
Federal Way, WA 98003 Building Inspection Requests 661- 4140 40 BY: FC2
661-4000 EXPIRES: 03/30/97
ADDRESS:28406 16TH AVE S
NO. : 332204-9088
PROJECT DESCRIPTION:TI - REPLACE ROTTED BEAM
F OWNER -- - , CONTRACTOR ------ _____________ p LENDER =_-- ...._.__.__-�__.. .__.. :._ -
REDONDO APARTMENTS KOONTZ, MICHAEL W
k
28406 16TH AVE S P 0 BOX 504 t
FEDERAL WAY WA 98003 OLYMPIA WA 98540
.6-7138360-943-2865 i `•
KOONTMW055P1
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.2% ***
c._ ._...._._..:.....-...___....,.._ .____..,..__----__----..-_.......... .. ... .__._...... .. .. ..._
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BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 0 ( COMP PLAN •' FEES:
TYPE OF WORK:TEN USE:COM 1ST.: 0: O:sf STORIES • 0 ( REQUIRED PARKING..: 0 SPRINKLERS' •' PLAN CHECK FEE $ 15.60
CENSUS CATEGORY •437 2ND.: 0: O:sf HEIGHT • 0.00 ft HAZARD CLASS •' BUILDING PERMIT....* $ 24.00
OCCUPANCY GROUP 3RD.: 0: O:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm PLCK-FIR comml only* $ 1.20
:? :? :? :? OIHR: 0: 0:sf EXIST..$: 0 FRONT • 0.00 ft } SBCC SURCHARGE * $ 4.50
TYPE OF CONSTRUCTION BSMT: 0: O:sf PROP...$: 575 t SIDE • 0.00 ft WATER SERVICE..:?
:? :? :? :? DECK: 0: O:sf 9 REAR • 0.00:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: O:sf RECEIVED.:10/01/96
f : 0: 0: 0: 0: TOTL: 0: O:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 z TOTAL FEES $ 45.30
lelPIPING.: 0 ft HOOD • 0 0-3 HP......: 0 BATH TUBS • 0 DRINKING FOUNT.: 0
N<100K..: 0 DUCT WORK • 0 3-15 HP • 0 ( SHOWERS • 0 SUMPS • 0
GAS NWT • 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
880 • 0 MISC • 0 5+ HP • 0 DISH WASHERS • 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS f 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 1
T __...._.._......_--------- ::_._____. _...____.__.....____.____..__.. :__. x-..._____-.--_-_------,_..___.__...- __.. ---.i___-- _...__.......___--_-.- -.1
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 INF RMAT ON FURNISHED BY ME IS TRUE A D CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT 4 , U ___.. DATE 40A719_(____
L
FILE COPY
BUILDING DIVISION
CITY OF G • • 33530 First Way South
.. Federal Way, WA 98003 P
(206) 661-4000
Fax (206) 661-4129
®� 1\ 1199f
APPLICATION FOR BUILDING PERMIT
F�pERA�WAY C�
PLEASE PRINT APPLICATION#: 8L-mI I
n
r
Address2
Tenant (if known) nLot # Assessor's Tax#
'(f.()Y1 i 2't
Building Owner's N me Address
LASf v
City - [ �e a ��� State uP Zip Phone.340`- 678 '576(f
Nature of Work p
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Name (F,M,L)
Address
City State Zip
Contact Person Day Phone Other Phone Fax
BlijitniNG:VONTRACTORMENiEMN
Company Name A A)d 401a
2 06,cL
Address
ql S I/44el� ord
City �) 1�T(n State L}J.) Zip 7Y SO
Contact Person Pho a Fax
3�0 -993-ages
Contras rs # (card must be presented) Expirat on ate Verified 0 Yes 0 No
onAi+M ki (� S5P? io>9yF6
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Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Pleases Complete Reverse Side
hG in used Use
g
Use P
iPermit includes: Building ❑ Plumbing ❑ Mechanical ❑ Other
Type of Work: ❑ Residential ❑ New 1/Remodel 0 Number of Units ❑ Deck
V Commercial ❑ Addition ❑ Garage ❑ Shed ❑ 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
Water Availability ❑ Sewer Availability 0 On-Site Septic System Availability ❑ _ Project Valuation $ ,S7$ at-
Zoning I Lot Size Existing Bldg Valuation $
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Name Address
City State Zip
MECHANICACCONTRACTOItMAN
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING.CONTRACTOR.:.:1 .r:><<.:n
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
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PLi 3IN'G:. <COAC T'':;;;;.<.,.:..:,;.'`
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fixture Count
MECHANICALUNIVCOVISTMME
MECHANICAL EVALUATMN 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 <1OOK 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 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 an employees, upon the accuracy of the information supplied to the City as a part of this application.
wner/Agent: )(
Q �/114173Date: )0// Ji
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