96-100654 94-loo & sq
CITY OF FEDERAL WAY DUI
� PERMIT NO: BLD96-0078
33.530 First Way South ,.;,;I� I. 1 all MG11,,,,E. . ii .. ., T ISSUED: 03/11/96
Federal Way, WA 98003 Building Inspection Requests 66:1-4140 BY: FC2
661--4000 EXPIRES: 03/11/97
ADDRESS: 28830 11TH AVE S
N0. : 720580-0110
PROJECT DESCRIPTION:REPLACE 3 TRUSSES AND SHAKE ROOF FROM STORM DAMAGE
F. OWNER -- - -- ;.: :: __.____, ..____;_____.___= CONTRACTOR =_- _- ,.- LENDER :__=:..._. _-.___..._.__..____._.::
TAMMASAK SIWAWAT ABLE RESTORATION INC
.28630 11TH AVE S 3210 C 5T NE SUITE D �-�����--��-�� I
FEDERAL WAY WA 98003 AUBURN WA 98047 1
41-0449 939-3262 1
ABLERI*064R2 1
1
*ts CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.2% ns
-------------- ---.......,....._--- ... -' ----- "-=e::e" _.___. .._--OC_
BLD?:X MEC?:? PLM?:? FLR--EXIST--PROP--- DWELLING UNITS: 0 I COMP PLAN •/ ( FEES:
TYPE OF WORK:REP USE:RES 1ST.: 0: O:sf STORIES • 0 I REQUIRED PARKING..: 0 SPRINKLERS' •' BUILDING PERMIT....* $ 90.00
CENSUS CATEGORY •434 2ND.: 0: 0:sf HEIGHT • 0.00 ft HAZARD CLASS •' SBCC SURCHARGE * $ 4.50
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm
:R3 :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 0.00 ft
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 6500 SIDE • 0.00 ft WATER SERVICE..:?
I :5N :? :? :? DECK: 0: O:sf s REAR • O.00:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:03/11/96
: 0: 0: 0: 0: TOIL: 0: 0:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:? i
FUEL TYPES.:? ?1111/1
FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS »0 . TOTAL FEES $ 94.50
S PIPING.: 0 ft HOOD 0 0-3 HP • 0 f BATH TUBS 0 DRINKING FOUNT.: 0
RN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 SHOWERS •
0 SUMPS • 0 I
GAS NWT • 0 WOOD STOVES...: 0 15-30 HP • 0 I LAVATORIES • 0 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 i SINKS • 0 DRAINS • 0
BBQ • 0 MISC • 0 5+ HP • 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 1 I
---_--_.,.------_-.._..-.._.. __. i ------._._m_..--------- -------------- _ -- _-_. _.�
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 AGENT1.
... ...__ g DATE //... �__.__..__..___.___.---_...__....._._....._.._.._._..._...____...._.__.._____._____...__.-...
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FOUNDATION;WALLS q 1)//4 Czv✓0c JO -4✓ r 3-Ue.
Date By
PLUMBING GROUNDWORK
Date By
UNDERFLOOR FRAMING
Date By
SHEAR WALLS
Date By
PLUMBING ROUGH-IN
Date By
GAS PIPING
Date By
MECHANICAL ROUGH-IN
Date By
MECHANICAL (OTHER)
Date By
FRAMING
Date ? / ; ( By r„%/
INSULATION
Date '7-,) 5c.1 6 By 7itf
L_GWB - 1ST LAYER
Date By
No
GWB - 2ND LAYER
Date By
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL
Date By
BUILDING FINAL
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OTHER
Date By
OTHER
Date By
CD01 93
�5City of Federal Way
Fv APPLICATION FOR BUILDING PERMIT
PLEASE PRINT APPLICATION #: L D G 6^�69'73>
SITE LOCATION Krk,pzijtivt
/4,1,
Address 2c_t' 14 Uri
Tenant (if known) Lot# Assessor's
��T-aa-xx i#
/Gr/Y!/YI/kS.Q/-' � l LA)A .1.4/41.
2 of — O i/C
Byjlding Owner Name Address
/6rhs4 Si v �,t z�'�f7�, i( v S' .
z
City , ry"u( State �� Zip Phone )3 , 9g/— ,Te/9.
Nature of Work .7-;,....e,_ ` n/
APPLICANT
Name (F,M,J
I9,e V .2�LI
Address I
Cityl
1C State ,„,., Zip 4 4/7
Contact Person Day Phone Other Phone Fax
-2(y, Gl -32L 2_ Zc 20. c.�,S-Z
BUILDING CONTRACTOR
Company Name ft - • (") -'--.
Address ����{{
- 2l0 / 6'4- ,t <,,z1-r D
City /2 L.t.J,A.,,,._0J State ‘,.,1,4 zips'Sfroe77
Contact Person Phone Fax
DCA it, -)-r (L' - (0O0.61x.32 2 t 000 Q.. -3i Of-
Contractor's
S
Cont actor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
k6 t--f-1 * ntoy_Z
ARCHITECT
Name
Address
City 7- State Zip
nttaact Person Phone Fax
LEGAL DESCRIPTION
III Please Complete Reverse Side
CD0492(Rev 4/93)
STRUCTURE Existing Use c r7 f I� Proposed Use `-.-- ,K-72____
Permit includes: ❑ Building ❑ Plumbing ❑ Mechanical ❑ Other
Type of Work: Residential ❑ New Remodel ❑ Number of Units ❑ Deck
❑ 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 ❑ On-Site Septic System Availability ❑ Project Valuation $ ( Sot
Zoning Lot Size Existing Bldg Valuation $
LENDER
��
Name
Address
City State Zip
MECHANICAL'CONTRACTOR,
Contractor Name Address
City State Zip
Contact Phone Fax
- ense # Expiration Date Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR,,„.------
Contractor
Contractor Name Address
City State Zip
Contact Phone Fax
ense # Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE CO
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lava Dries Washing Machine Drains Total Fixture,Count
i
MECHANICAL UNIT COUNT MECHANICAL VALUATION 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
Conv rner Duct Work 0-3 Tons Underground
B 's Wood Stoves 3-1 5 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.
Owner/Agent: ', - .' Alt ....Al ,- DatS /(-_ 9