97-103558 `71- /03sgg
CITY OF FEDERAL WAY y y g PERMIT NO: BLD97-0571
33530 First Way South :EA.) i L,Q.,;,�., .. Ifo M„.,ii ,;:,w f,;.';,,. II.. ",.. .„N,,, 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)
BLD-10
= OWNER r CONTRACTOR --- ,- g LENDER
W00DSIDE APARTMENTS ` CUSTOM BUILDERS s
2517 316TH LANE F 5429 NE 200TH PL
FEDERAL WAY WA 98003 ! SEATTLE WA 98118
r
723-0273 206-367-4679
CUSTOB070LA
-__. -. c _ __.
•
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.2% St*
I-- _ -_:__....__.. -- - -----_ _ _ ---•---- --
BLD?:X MEC?:? PLM?:? FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN •' FEES:
TYPE OF WORK:REP USE:COM 1ST.: 0: 0:sf STORIES • 1 I REQUIRED PARKING..: 0 SPRINKLERS' •' PLAN CHECK FEE $ 40.95
CENSUS CATEGORY •437 2ND.: 0: 0:sf HEIGHT • 8.00 ft HAZARD CLASS •' BUILDING PERMIT....* $ 63.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW 0 gpm SBCC SURCHARGE * $ 4.50
:U1 :? :? :? OTHR: 640: 0:sf EXIST..$: 0 FRONT • 0.00 ft
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 3750 SIDE • 0.00 ft WATER SERVICE..:?
:2N :? :? :? DECK: 0: 0:sf REAR • 0.00:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:09/22/97
0: 0: 0: 0: TOTL: 640: 0:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
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__. --- i _. ___--_..-- --
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<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
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 I LAUN WSHR OUTLTS...: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
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...-_...._.-_._..._.....-...__-...._3
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 AGENT 6/[/,e:� t�=r..�✓• �-r.c..�.a DATE _.97/611:7___
FILE COPY
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f BUILDING DIVISION
,An 33530 First Way South
- EOEl"ZAL ^^
\)\> FRY RE-G-���✓ Federal Way,06)661-4000
se?n Z 199.' Fax(206)661-4129c
S� y.1A►-vVAY
APPLICATION FOR BEIJ.I . G PERMIT
PLEASE PRINT APPLICATION # `1.-t S-7 j
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S <LOC; 71 :?. ? ... .<>:;_::>::;;>z':::z;%•:;;>s::::;:: Address
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vo _- W oc85 f , t Lot# Assessor's Tax # /
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Building Owner's Name 6,1 _1 i�
XCUv Address
City Gt44-rStatep�.�r?�.'7' w Zip 1�1�� Phon��C� J 7��j�z73
Nature of Work Q
1 e -k (9 ) Com- ,ntS
bI' ,ot
Name (F,M,L) n i t t l< I
Address f��J
/..(73 ( t Y, Wec515 .S e/vJ s r p
City �J.,A.=1..f1_e State •l4) '1- Zip ?ewe
Contact Person‘---,_
�!(( r/ A1 Day Phone 723_v2. 7S Other Phone Fax UZ
(73
AkaigiiiiiiiiiiiiiiMillaiiliElililii
Company Name
CuS ev ,tv5
Address 1 N ,E, 2co () '
City 4(`te LtJA ggigS'S State L")As Zip 9815 5
Contact Person
(2)t�` 5 \ \�.e. CR) 367-(1671 FSC) 367-y617y
Contractor's # (card must be presented) Expiration Date Verified 0 Yes 0 No
C(, �roPorl0 L 9---Z6-9e
A
Name 5 4eri
Address
DeS3�
r_-,Yk [ (A50,
City State Zip
Contact Person /') n
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��(. bF4) ,)Z2-53oo CFax�o61 e2Z-53ct
=GAL DESCRIPTION 7( tir\ tic c. 5a4i, kr. of -1-iv Nil 1) 14 of
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Please Complete Reverse Side
',S;`ateN;>..;:>.at.:<>..,;<.EME»>ss>:>z::.>:.s>s>;;;_Existing Use R' /o � � C,yr�zt�roposed Use
Permit includes: 0 Building �r i9�❑ Plumbing 0 Mechanical 0 Other
Type of Work: 0 Residential 0 New 0 Remodel 0 Number of Units_ 0 Deck
Commercial 0 Addition 0 Garage 0 Shed Other C/-WspCy: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
Water Availability 0 Sewer Availabili 0 On-Site Septic System Availability 0 Project Valuation $
Zoning I Lot Size _ Existing Bldg Valuation $
J UI*E.:,
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Name ,�ror\� Address
`�
City State Zip
MEttiANIdAtaiNTRAMORMEM
Contractor Name Address
City (\f State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes 0 No
l"7»'UMBI1�4.E7 4:Vii:=1::RACIV c`'> F>E??2>u�'s i '
.. .......... ....
Contractor Name Address
l\f/City A State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes 0 No
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs /n Dish Washers Drinking Fountains Other
Showers J� Electric Water Heaters Sumps
Lavatories Washing Machine Drains TotalFixture Count
>:> <:> . : oEANCALUNIOUt11m: m MECHANICAL EVALUATION ONLY $
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping J Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs a V 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
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BBQ's Wood Stoves 3-15 Tons `IfftijlaiftiV00(Jflt >: > »><>
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 owns 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: Date:
II1v 1O 17/11/76