93-102396 4,
4
1( lb .2 3 9
CITY OF
33530 First Way South B U I L D I NG P ER;M I T PERMIT305
ISSUED: 09/24/93
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 03/23/94
ADDRESS:234 SW 292ND ST
NO. : 119600-0180
PROJECT DESCRIPTION:RE-ROOF - REVISION REC'D 9/11/93 FOR STRUCTURAL CHANGE OF ROOF SYSTEM.
OWNER - CONTRACTOR - LENDER
OHN DUGAN ***OWNER IS CONTRACTOR***
8 SW 292ND ST
-DERAL NAY NA 98003
843-9055
NONE
BLD?:X NEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN .9 FEES:
TYPE OF WORK:REP USE:RES 1ST.: 0: 0:sf STORIES • 0 REQUIRED PARKING..: 0 SPRINKLERS •9 PLAN CHECK DEPOSIT.* $ 22.75
CENSUS CATEGORY •434 2ND.: 0: 0:sf HEIGHT • 0.00 ft HAZARD CLASS •9 FINAL PLAN CHECK...* $ 0.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW 0 gpi BUILDING PERMIT....* $ 35.00
:M1 OTHR: 0: 0:sf EXIST..$: 0 FRONT • 0.00 ft SBCC SURCHARGE * $ 4.50
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...=: 1500 SIDE • 0.00 ft MATER SERVICE..:?
:5N : DECK: 0: 0:sf REAR • 0.00:ft SENER SERVICE..:?
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:09/17/93
0: 0: 0: 0: TOTL: 0: 0:sf INPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
UEL TYPES.: FANS . 0 BOILERS/COMPRESSORS MATER CLOSETS . 0 URINALS . 0 TOTAL FEES $ 62.25
PIPING.: 0 ft HOOD • 0 0-3 HP . 0 BATH TUBS . 0 DRINKING FOUNT.: 0
RN(100K..: 0 DUCT WORK • 0 3-15 HP . 0 SHOWERS • 0 SUMPS • 0
GAS HMT . 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 NTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE . 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN NSHR OUTLTS...: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMAT N RN ''t BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT ___ _ _ __ _ DATE 7 ,_Gy--2 e5
y4 kit, 9 i'0 YD
FILE COPY
p,,,� G City of Federal Way se
� VED APPLICATION FOR BUILDING PERMIT
r
SEP 171993 L�j/ �y�--
PLEASE PRI (TY OF FEDERAL WAY APPLICATION It: /� � / Q
BU1�,p11Vu utt+T. /
SITE LOCATION Address 'Z 5 s Z_ Z , CA) . IQ LJ
Tenant (if known) / _ Lot # Assessor's Tax #
Building Owner Nana.--__ W)( Address 2 3 �j 2_ ,..,,,{ ���Qe,J(
City 1-----e 12,4Jw skate 1�l Zip �� C7[J Phone '- 1/4.0,._-C-_,) /
Nature of Work ep nQ Q n 11 ,6oc✓ isny5 it )
APPLICANT (/
Name (F,M,L)
_-----
7---
_,_ S41. ,506711-
Address
City State Zip
Contact Person Day Phone Other Phone Fax
1
BUILDING CONTRACTOR
Company Name
lZ0ivL-7— 5–LZ/—
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
ARCHITECT
Na
Address
City State Zip
Contact Person Phone Fax
_EGAL DESCRI•TION
Please Complete Reverse Side
C00492(Rev 4/991
STRUCTURE 011141:.... l posed Use
Permit includes: Building/ El Plumbing LI Mechanical ❑ Other
Type of Work: ❑ Residential ❑ ew ❑ Remodel ❑ Number of Units ❑ Deck
1 ❑ 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 Tg.t.eisCrea----� sq ft
Water Availability ❑ Sewer AvailabilityClOn-Site Septic System Availability ❑ P —�
P V ' act Valuation / 7(�T�'
Zoning Lot Size Existing Bldg Valuation $ (/
LEND
Name " Address
City
\\,,,
\ State Zip
ME • CAL CONTRACTOR
Contrac •r Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
..................
PLUMB CONTRACTOR '
Contractor Na Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING URE 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
MECHANICAL UNIT COUNT
Fuel Type (electri 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 I am authorized by the owner
of the above premises to perform the work for whic rmitgpplication 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 inv igation nd Tense of Such claiml,which may be made by any person,including the undersigned,and filed against the City of Federal Way,
but only where such claim-arises t of ret nce o the ity, including its officers and employees,upon the accuracy of the information supplied to the City as a part of this
application. 41 5
7bwner/Agent,�__ !/(.-l' Date: .r / /