97-103560 9'-7. 163 5-4o
CITY OF FEDERAL WAY1. PERMIT NO: BLD97-0569
;'
33530 First Way South '#,,...,0 ._.; ,..).;!:: '�;:;7 "''E"...Ft t el.,�! -.,1,.. ISSUED: 09/25/97
Federal Way, WA 98003 Building Inspection Requests 253-661-4140 BY: FC
253-661-4000 EXPIRES: 03/24/98
ADDRESS: 2517 S 316TH LN
NO. : 092104-9307
PROJECT DESCRIPTION :carport repair (snow damage)
= OWNER - -------- -• CONTRACTOR -- - LENDER - - - j
3 WOODSIDE APARTMENTS 1 CUSTOM BUILDERS
2517 316TH LANE 1 5429 NE 200TH PL
FEDERAL WAY WA 98003 l SEATTLE WA 98118
723-0273 1 206-367-4679
1 CUSTOB070LAV A-
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.2% ***
E BLD?:X MEC?:? PLM?:? FLR--EXIST--PROP--- DWELLING UNITS: 0 3 COMP PLAN •' ' FEES:
TYPE OF WORK:REP USE:COM 1ST.: 0: O:sf STORIES • 1 REQUIRED PARKING..: 0 SPRINKLERS' •' PLAN CHECK FEE $ 40.95
CENSUS CATEGORY •437 2ND.: 0: 0:sf HEIGHT • 8.00 ft HAZARD CLASS •/ I BUILDING PERMIT....* $ 63.00
OCCUPANCY GROUP 3RD.: 0: O:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm g SBCC SURCHARGE * $ 4.50
:U1 :? :? :? OTHR: 640: O:sf EXIST..$: 0 FRONT • 0.00 ft
TYPE OF CONSTRUCTION BSMT: 0: O:sf PROP...$: 3750 SIDE • 0.00 ft WATER SERVICE..:? f '
:2N :? :? :? DECK: 0: O:sf REAR • O.0O:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: O:sf RECEIVED.:O9/22/97
: 0: 0: 0: 0: TOTL: 640: O:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:? 9
-
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 108.45
GAS PIPING.: 0 ft HOOD • 0 0-3 TON • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
FURN<1O0K..: 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>10OK • 0 30-50 TON...: 0 SINKS • 0 DRAINS • 0
BBQ • 0 MISC • 0 50+ TON • 0 g DISH WASHERS • 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS i ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 I LAUN WSHR OUTLTS...: 0 ,
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
-
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 INFORMATIONINFURNISHED 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 AGENT /il/G . ' "-1-------- DATE 9 5/ '
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® 12 10 y� . D BUILDENGDIVISION 1
A=__ 33530 First Way South '
Federal Way,WA 98003
VV Fr RE CEIV"
(206)661-4000
1 q Fax(206)661-4129c
SEr1Z ?q
APPLICATION FOR BUILDING' PERMIT iip'> 7-°5-4'17
PLEASE PRINT APPLICATION#
:LOC�TIONM > ;» > : >:» Ei• Address
261'7 S- 3/6 -/t, Letr/c Leda-ztf W4-, -
StG\ SSl Z_ L0OQ8rk +,ier1 Lot# Assessor's Tax #
s ...
��s/s998
Building Owner's Name f3n I XJ1w Address
City 'ack•(-le (State WZip bleb Phone_( - ) 723--C,?-1.3
Nature of Work P.,("C it e �-h C 9 CL>,t-Ix.;
}: G ,J10}{0�S
'vii:-+:.iAr.r
;�.�i.:'....�n_..�::.:i:::i'.i':.:_::i:::isisisj::j'?:�:::i:::isii:i:::ii::i::ii::t?;:j)ii?L..
Name (F,M,L) ktn1 k l k, 1,01 C1 V
Address
Lt 73 I c.K, wftcyfiN rs eluJ �S .
ItCity Ge State L&) i41-- Zip 76/(6
ii Contact Persory�X55 I(` '/�A_�, Day Phone 723 O�n� Other Phone Fax
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if
723-02173
itiiiitblNatONTRACTOPMEMEmmi
Company Name 1.041A "U
Address 12_ 1 N 'E. 2c/- \ C�
City ie W A q c - State w A 93(sem
Zip
Contact Person i q 7' '' k hon,) 3�7- FC.)-06) '67-<(6'1q
Contractor's # (card must be presentxed) Expiration Date Verified 0 Yes 0 No
CU SToO rl L�`t 26-Q8
•
Name
16,5 De9,5 id 6-roup
Address
K,-(k foal c„s(A-
City State Zip
Contact Person
zx 1Re fp Com) irazz—so (z 1 c32z—co
LEGAL DESCRIPTION Tie STA' d� �tke Sa i6/F of
44,
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S,F , Af QiA `1"6 G'acf OA I r O F 4-k. N a res HA (1e o f c
S'w' of- 4kt S,F• --y 6 Sck 1 Toc.)51" p 2 / Norvi
Roy L( Fr W.M, I h i CoutA , 5- , ' l eSS Rods
Please Complete Reverse Side
Ex s ' Ref" —
i tin Use
ro osed Use
9
t�' l�j� P
Permit includes: 0 Building 0 Plumbing 0 Mechanical 0 Other
Type of Work: 0 Residential 0 New 0 Remodel 0 Number of Units_ 0 Deck
EC-Commercial 0 Addition 0 Garage 0 Shed .cOther Cipc,`T"
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
I Water Availability 0 Sewer Availability 0 On-Site Septic System Availability 0 Project Valuation $
Existing lI Lot Size Bldg Valuation $
Name IVO)' Address
City V State Zip
..i.i.i,....i:i,i.t.-:X.zi•i-:'..r............Mini•..*..`.r.y.+..............,-,::.......................
1VIE iil:kL1NICA C Jif:a>....::.: COM`o :??
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes 0 No
Contractor Name Address
t
City //A State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes ❑ No
............................................................................................
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs f\f /^ Dish Washers Drinking Fountains Other
Showers /J/� Electric Water Heaters Sumps
...............................................................
Lavatories Washing Machine Drains >;tonal Fiztixra[ out t_>> ; =>=
<: > .<»>::: :<:r>:::>::: >::
MEM 1IC4L. AIrCtl# 1'......»................[[[ MECHANICAL CAL EVALUATION ONLY 8
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas PipingRange Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Nk r.
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 'ft1ti31 ajtiit C4vflt>s><:>>s ::`:::>=::
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.
il
v I'
Date: /
Owner/Agent: r � �LL.ee� G,} z �` `
BUILDING.A PP
REVISED 12/11/96