93-100515 BUILDINGCITY OF FEDERAL WAY PERMIT PERMIT NO.: BLD93-0232
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 03/03/93
Federal Way, WA 93003 BY: JJ
661-4000
SITE ADDRESS: 1080 S 317TH ST
PARCEL NO.: 358400-0030
PROJECT DESCRIPTION: ROOF REPAIR m REPAIR TRUSSES BURNED FROM FIRE
NO PLANS REQUIRED
OWNER CONTRACTOR — LENDER
JOHN CAMERON CLABORN CONTRACTING IN
1080 S 3174TH ST 1210 AUBURN WY N STE#B120
FEDERAL WAY WA 98003 AUBURN WA 98002
• 147 S735-3625
CLABORCIO8CK IP
BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN •' FEES:
TYPE OF WORK:REP USE:RES 1ST.: 0: 0:sf STORIES • 0 REQUIRED PARKING..: 0 SPRINKLERS' ' BUILDING PERMIT....* $ 317.00
CENSUS CATEGORY •555 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
:? :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 0.00 ft
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 35000 SIDE • 0.00 ft WATER SERVICE..:?
:? :? :? :? DECK: 0: 0:sf REAR • 0.00:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:03/03/93
. 0: 0: 0: 0: TOTL: 0: 0:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 321.50
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 0 SUMPS..........: 0
GAS HWT • 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
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
R• • 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0
C 3GS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
1111
ALL 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 �f�� K�J�q�t DATE / zjZ. rt. 2 /`"f 9')
bld_prmt 10/23/92 44 (J
r a
. . , • 0
SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE_-....._ -.__ BY_... ._...._-._...... DATE _....._ BY DATE .... -. _._......-._..._-..._BY
PLUMBING ROUGH IN WATER LINE O.K. _....._ MECHANICAL INSPECTION
DATE..... BY __...---..... GAS PIPING O.K.--- .. _.._ DATE BY
_......_
O.K. TO ENCLOSE FRAMING INSULATIONa3_ '-'2) `4WALL BOARD AND FIRE WALL
DATES d3 7-3 . BY ink"_-..._-_ DATE
_........ BY ..---...... _ _ DATE DT--.-- 3B ..._G�!l/
FINAL O.K. TO OCCUPY
DCD PSD FD
DATE_'X'.71/1"__"_.5-- .BY� e-..:....-.'`.--..
• 0 l
Ply # B1-0 93
L V CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME:
OWNER 64171-1 %€ 6-Y,--0,-/ SITE LOCATION„.._, re)d'e-,-'' - /
OWNER'S ADDRESS =� " CITY �� PHONE eP'3 7- Y'7
DESCRIBE JOB /`?t7Z/ 4 %'/i/2
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
,BOX 2 ONTRACTOR'S NAME C la b. Ca, ct-< A • CONTRACTOR'S REG. # C na
4obvro Card MUST be presented
CONTRACTOR'S ADDRESS a/o/O A ubu8-IaDCITY PHONE 7-2)57-
EXPIRATION DATE a-
— OR —
C �l
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
\ BBO 3 CONTACT PERSON 6/e,L4 GI -g- PHONE 735---3‘ c2S—
_BOX 4 SEWER DISTRICT WATER DISTRICT
BE,D STIMATED PROJECT COST :3 EXISTING BUILDING VALUATION
SOX 61 PROPERTY TAX ACCOUNT NUMBER . S t 7&6,3 06.3 O
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR //"/0O 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE / '/DD
BOX 8/'( >6) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
B 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
O. WATERCLOSETS GAS PIPI1., FEET $
BATHTUBS NO. NACE, ELEC. GAS $
SHOWERS GAS IT WATER HEATER $
VATORIES CONVER IN BURNER $
SIN BOILER, SIZ- . BTU $
DISHWA RS AIR HANDLING TS $
ELECTRIC HO WATER HEATER HEAT PUMPS, SIZE $
LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS
OTHER $
TOTAL FIXTURES $
TOTAL MECHANICAL FEE $ _
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 E INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
z �G
OWNER/AGENT: U ll9! DATE: 3-,2
ANP-008 3/90