97-103474 -- 97,)03Y7 y
CITY OF FEDERAL WAY y p „uu, U'Ii' � 11 PERMIT NO: BLD97-0557
33530 First Way South BU .1 L..1,)! N� 6i Pll:;:..�I i..I)wi ...L, ISSUED: 09/16/97
Federal Way , WA 98003 Building Inspection (Requests 253--661-4140 BY : FC2
253-661-4000 EXPIRES: 03/15/98
ADDRESS: 29933 4TH AVE S
NO. : 692870-0030
PROJECT DESCRIPTION:ADD SLOPE TO ROOF, REROOF
f= OWNER --- 7 CONTRACTOR LENDER --__. -- �
FRED TOLMASOFF OWNER IS CONTRACTOR
29933 4TH AVE S
DERAL WAY WA 98003
253-941-2469
• ,
us CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.2% *u
BLD?:X MEC?:? PLM?:? FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN •1 I FEES:
TYPE OF WORK:ADD USE:RES 1ST.: 0: O:sf STORIES • 0 REQUIRED PARKING..: 0 SPRINKLERS? •? BUILDING PERMIT....* $ 63.00
CENSUS CATEGORY •434 2ND.: 0: 0:sf HEIGHT • 0.00 ft HAZARD CLASS •' SBCC SURCHARGE.....* $ 4.50
OCCUPANCY GROUP 3RD.: 0: O:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm
•? •? •? •? OTHR: 0: O:sf EXIST..$: 0 FRONT • 0.00 ft
TYPE OF CONSTRUCTION BSMT: 0: O:sf PROP...$: 3500 SIDE • 0.00 ft WATER SERVICE..:?
:? :? :? :? DECK: 0: C:sf REAR • 0.00:ft SEWER SERVICE..:? •
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:09/16/97
• 0: 0: 0: 0: TOIL: 0: O:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
AlliL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 ! TOTAL FEES $ 67.50
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 I j
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 t
'
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 ORMATIOM FU,QNISHED BY IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT _ i �I(/ DATE 9-- I _ 1
FILE COPY
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1
CITY OF FEDERAL WAY
BUILDING PERMIT PERMIT NO: BURT-0557 '
33530 First Way South 1.-SOLlx: 09/16/97
Fe4eral Way, WA 96003 Building inspection Requests 259 -661 -4140 BY: 1C2
253- 661 -4000 U -PTRES: 09 :
ADDRESS:29993 4111 AVE S
NO. : 692870-0090
PROJECT DESCRIPTION:M$ SLOPETOROF, REROOF
f. NKR 4,44Amomma==cm444m.WOW4444044=4.1=44,441.14.4M444444.4v=4=—=4n=x== 4; (ologiop A*=AW4140,41,=AUVA,74WUVUMO%0,12.W.474V4UWIRW0012=.441r, r
I FRED TOIMASOFF OWNER IS (MORMON #
29933 ;TH AVE S
FEDERAL NAY WA 98003
111/3-941-2469
/
4
4111*
us CONIRACIARS. *FAST' USE 10(411411 CODE 119? IININ *E . Kt SAO: to f' IN ITY Of TERM RAY. IAX RAH : Bat **1
811.1?:X NEC?:? PIN?:? FLP-AXM-4101- - DUELLING 0WIS: 0 0 , . -.. FEES:
TYPE OF MORK:ADD USE:RES 1ST.: 0: .j ;; , T0re „., ..- L ( kIltIllt . SPR . ..'? BUILDING PERNIT * $ 63.00
CENSUS CATEGORY 414 211r n: G;,f RI( II._ : 1.10 ft HA' C SliCc. SURCHARGE 1 $ 4.50
OCCUPANCY GROUP *1 11. 0'. i "AtUATION -- - -- ' uTP9 c c. - -- - FIR I
*1 *1 *1 '1 • 13r• li: 0:S1 PA * 0 fRo, _...: 00 Li
.. .. .. .
TYPE Of CONSTRUCTION /2-M': 0: 'I'fsI ' 1' , .,.... . UU fit WAIL .VI(E..:?
:? :? :? :? : nki . 0: 0 f , AP .. . : 0:ft SEWER SERVICE..:?
OCCUPANT LOAD----------- GAP . W
: 0: 0: 0: 0: Toll h, ,' -1 .LINPU 'ME St SENSITIVE AREAS?.:?
Pit TYPES.:? ? FANS.. . 0 BOILEt °' 4 * ( EIS---- .: 0 URINALS • 0 TOTAL FEES $ 67.50
PIPING.: 0 ft ROOD_ ' IN • , Bt TOIL • 0 DRINKING FOUNT.: 0
SI
411,1001. : 0 16 1.. . 0 . 151011 0 'r 'c • 0 SUNP0, • 0 ,
GAS NWT... • 0 0 ..: 0 15-30 TO 0 LAVA 'RIES. • 0 VAC BREATERS...: 0 i 1
COP BURN I 30-50 TO SIM 0 DRAINS • 0
8110 1
\ I 50+ TON - ' SN WASHERS • 0 LAWN SPRINKLERS: 0
GAS DRYER.
GAS LOGS...: 1 AIR HAN NITS
f: .i CIA: 0
1,000 CFN: 0 FUEL TAUF------- .. C NIP HEATERS...: 0 OTHER FIXTURES.: 0
RANGE
ABOVE GROUND: 0 FAUN WSHR OUILTS...: U
UNDERGROUND.: 0
?ERNES EXPIRE 1.'1 YS , ISSUANCE If SO WORE IS SIAM. RESINIP1141. AND CURING KNITS EXPIRE ONE YEAR AFTER DATE Of ISSUANCE.
I CERTIFY THAT Ti:, • IOW FURNISNED BY Of IS TRUE A40 CORRECT 1i IIII RESI UI NY KNOWLEDGE AND INE AMMAN" (DY Of MEM WAY REBUIRMAIS MILL it NIT.
1
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1
OWNER OR AGENT ' / PAir
L
•
•
FIELD COPY
BUILDING DIVISION
�'� G 2 8 ` 'e� • 33530 First Way South
��-- FrI .I-. FAL d O 1 I Re.GE1. Federal Way,WA 98003
Vv F7Y 'j (253)661-4000
F 1199' Fax(253)661-4129
Aikt-WAY
APPLICATION FORiatlILDING PERMIT
PLEASE PRINT APPLICATION # EISD9 9.----(i) 55 7
riiiii «< AddressReietsg _.
Tenant(if known) Lot # tAessessor's Tax #
r ��� s� �3 qa �0-00 -0-b 5'
Building Owner's a —� Address
_ I c i�I r. s� ' rt" R43 ' 4i tk A .
e. t
City --eC1,-e ct.(1n lea'' State 1,1 Zip '[WO:Z Phone 1(''�,-�4Y(�'zyGq
Nature of Work p�e- ,l la p-t. Roo
A...��.���1,fit`�'..............................................................
...........................................................................................
Name (F,M,L)
.t cl i 1[ 44 yvt, of 34„tct- o
Address 244 '- Li Ire Ur
City ' t d-,- � s�, ( Ll / 01 State 1/
,i,' {l. Zip 'j'fi'/)a 3
Contact PersonDay Phone Other Phone Fax
c ZL'L. . Li4t ZuIL�1
..........................................................................................
....................................................................................... .
..........................................................................................
Company Name
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes 0 No
...........................................................................................
............................................................................................
Name
10 dlfee--
Address
City ,State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
sting
Use o osed Use
9 P
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Permit includes: Building ❑ Plumbing ❑ Mechanical ❑ Other
Type of Work: Residential ❑ New 0 Remodel ❑ Number of Units 0 Deck
�❑ Commercial ❑ Addition 4! 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 0 Sewer Availability ❑ On-Site Septic System Availability 0 Project Valuation $ —
Zoning I Lot Size Existing Bldg Valuation $
��y( `: :: •i :ll..::))::::iii::i:::'::::::i::::::::: :: :>::::iR::<:::::
iyxi�iiF::::ilii:�:i:�ri:::::i:i:Y:i'i::::ii:!
!�E��-:!�:«:»>>»>:ti_:; :•:•:: .•i??:?i}iiii:.ii}ii . .i:: :.:::'
Name Address
City State Zip
Contractor Name Address
City State , Zip
'Contact Phone Fax
License # Expiration Date Verified ❑ Yes El No
i::i::-;:::>::>::i:::::i::i s>:::i::i:::>;iii::i::i::i>
:....:.:..........:..:.......:..:.:...
riaisimigiiimiiiiiiiiiiio
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes El No
<...<::>.. .............. .:;::..... ......................................:::::... ......
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 EVALUATION ONLY
$
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 1.ttt8li; ptl;c'aint:..:.. ;;:::::......... :::
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.
Owner/Agent: Date:
RulLDmc.AP
REVISED 8126197
09/16/9'i TUE 16:26 FAX 2066614129 CITY OF FEDERAL WAY 0001
')11111
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CONNEC ON TEL 94539992
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ST. TIME 09/1h 16:26
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