94-100393 9 y-/oo393
CITY
33530 O58
F
Way South BUILDING P PER
ISSUED: 02/25/MIT NO: 4
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FLF
661-4000 EXPIRES: 08/24/94
ADDRESS:31737 42ND AVE SW
NO. : 873198-3030
PROJECT DESCRIPTION:RESIDENTIAL REROOF, CHANGING SHAKE ROOF TO TILE ROOF OVER PREMANUFACTURED TRUSSES
OWNER — CONTRACTOR - LENDER
WARREN ROBBINS ttt OWNER IS CONTRACTOR *tt
31737 42ND AVE SW
FEDERAL WAY NA 98023 •
01.838-3624
$t# NOME ts*
i
BLD?:X MEC?:? PLM?:? FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN •9 FEES:
TYPE OF WORK:TEN USE:RES 1ST.: 0: 0:sf STORIES • 0 REQUIRED PARKING..: 0 SPRINKLERS/ •9 FINAL PLAN CHECK...* $ 105.30
CENSUS CATEGORY •434 2ND.: 0: 0:sf HEIGHT - 0.00 ft HAZARD CLASS -/ BUILDING PERMIT....* $ 162.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW 0 goo SBCC SURCHARGE t $ 4.50
:12 :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 0.00 ft
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...;: 14500 SIDE • 0.00 ft WATER SERVICE..:?
:5N :? :? :? DECK: 0: 0:sf REAR • 0.00:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:02/25/94
0: 0: 0: 0: TOIL: 0: 0:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS ! WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 271.80
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
URN<IOOK..: 0 DUCT WORK . 0 3-15 HP • 0 SHOWERS • 0 SUMPS - 0
S HNT • 0 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 0 VAC BREAKERS...: 0
CONY BURNER: 0 FURN>100K • 0 30-50 HP . 0 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
P 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 I 0 ATION FURNISED BY M S TRUE AND RECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGEN, _O ' - -t> �w-,,,, DATE ;23 9
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SETBACKS & FOOTINGS
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PLUMBING GROUNDWORK
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Date By —rile— p2.6-/a
GAS PIPING
Date By
MECHANICAL ROUGH-IN
Date By
MECHANICAL (OTHER)
Date By
FRAMING
Date Y-8-- !9 Br/N)
INSULATION
Date By
GWNB - S-17. LAYER
Date By
GWB - 2ND LAYER
Date By
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
IENGINEERING FINAL
Date By
FIRE FINAL
Date By
BUILDING FINAL
Date —;---19 By/
OTHER '(
Date By
OTHER
Date By
CD0193
q„� G City of Federal Way
APPLICATION FOR BUILDING PERMIT
g, Lpq -cJ (c3
PLEASE PRINT APPLICATION It:
SITE LOCATION Address
Tenant (if known) Lot# `` • Assessor's' Taax#
,3o3 lil�r biv 512 1 -zo� C^�
BuildingOwner Name Address
City�� (�C � 'W A State wA Zip p,Q I Phon�.2 c=(p .3 -3 t,72_
Nature of Work kC Z a ov_
................................... ..................... ................................
......... .................................................................................
...........................................................................................
APPLICANT
Name (F,M,L)
C — L7 w ti) F Fz
Address
City State Zip
Contact Person Day Phone Other Phone Fax
$UI DING CONTRACTOR
Company Name )L.-Cr-Rao - .� — ��_ 42-0
Address
IA3Z �S
City W A Zip 9E4C 4
Contact Person �h ;c` 6,`, 1_ i Fax
C N 6C L ) NG1-1r'ti� ( _
Contractor's (card must be presented) ,,\\ Expiration Date Verifie. ❑ Yes ❑ No
U I N/Z- R
_ . ... :<
Name
r n-c-+-\ ELL_ -Th c_
Address 1)140 1 1 ,( 6- 1 E.
I
City a L :U L,(rc State \iv ,4 Zip 9 Boos'
Contact P rson Phone ax
C_r� SGL S. i u+ L E . �)7g7- I.51, t.F-66)‘ 747-S/a3
LEGAL DESCRIPTION \ f
C:-EA. OR) 1 SI 0 N Oa
Please Complete Reverse Side
CD0492(Rev 4/93)
STRUCTURE Existing Use Proposed Use libia.,
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 $ '
Zoning Lot Size Existing i.Bldg;Valuation $
LENfEk
Name Address
City State Zip
MECHANICAL' CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name Address
City State Zip
•
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
........... .........
................ ............. .. . .
....... .... .....................
PLUMBING FIXTURE COUNT
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
...................................... ............
Lavatories Washing Machine Drains Total Fixture Count..>..._._..i'
.........................................................
—
.........................................................
MECHANICAL UNIT COUNT
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 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 l 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 clai arises out of the reliance the City, i ding its officers and employees,upon the accuracy of the information supplied to the City as a part of this
application. /
'7
Owner/Agent: l..t/ .242---Yi / Date: _ _9: 4
Ia