94-101881 CITY
F FEDERAL WAY
MIT
` 335"300Firstt Way South BUILDING P PER ISSUED: 09/28/94NO: BLD94 59
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 03/27/95
ADDRESS:31204 36TH AVE SW 9y--fai 8 g)
NO. : 873198-0620
PROJECT DESCRIPTION:RES ALT - ROOFING PERMIT ONLY.
= OWNER — CONTRACTOR — LENDER
ART FREGOSO TEDRICK'S ROOFING INC
31204 36TH AVE SM 29211 - 158TH AVE SE
FEDERAL MAY WA 98023 KENT WA 98042
838-4814 824-3440 800-707-2606
IP TEDRIRI121NC
BLD?:X NEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN 0 FEES:
TYPE OF WORK:ALT USE:RES 1ST.: 0: 0:sf STORIES • 0 REQUIRED PARKING..: 0 SPRINKLERS'' •9 BUILDING PERMIT....* $ 126.00
CENSUS CATEGORY •434 2ND.: 0: 0:sf HEIGHT • 0.00 ft HAZARD CLASS 0 SBCC SURCHARGE * $ 4.50
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpu
:? :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT - 0.00 ft
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...=: 3995 SIDE • 0.00 ft MATER SERVICE..:?
:? :? :? :? DECK: 0: 0:sf REAR • 0.00:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:09/28/94
. 0: 0: 0: 0: TOTL: 0: 0:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS MATER CLOSETS - 0 URINALS - 0 TOTAL FEES $ 130.50
GAS PIPING.: 0 ft HOOD - 0 0-3 HP • 0 BATH TUBS . 0 DRINKING FOUNT.: 0
FURN<1OOK..: 0 DUCT MORK • 0 3-15 HP • 0 SHOWERS - 0 SUMPS • 0
GAS HMI - 0 MOOD 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 MASHERS • 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC MTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO W0,RK . 'RTED.- SIDENTI AND GRADING PERMITS EXPIRE ONE YEAR AFT ATE OF ISSUANCE.
I CERTIFY THAT THE INF TION FURNISED B TRUE AND C ECT TO T BE AY KNOWLEDGE AND THE APP CARL CITY OF FERERA REQUIREMENTS WILL BE NET.
OWNER OR NT / - ______Z---_____ _ _— FILE COPY DATE��
— ''''°/';'.---- '-': a GG 5' 7 a 8"0
• •
�••� G City of Federal Way
�Ir�r •
APPLICATION FOR BUILDING PERMIT
PLEASE PRINT
APPLICATION #: (;)(_&? —Ci L�
SITE LOCATION Address
Tenant (if known) Lot # Assessor's Tax #
•
Building Owper NameAddress •��
Mir. /W--r. 6aly
City /f«OL� , !state_10,42, Zip % L� [Phone c _ 4xj--�/
Nature of Work
APPLI�AI�1T
Name (F,M,L)
Address
City State Zip
Contact Person Day Phone Other Phone Fax
..........................
BCTIG�IlVG COI�TRAGTOR
Company NamF.�
//60/ ' 42 /evaJ,<./ Ai(.
Address /?// /-8 /,
City �/t % /1
. • . State Zip
Contact Person_ Fax
,� Phone
i4 ✓ f'6,E'Afvo 7027_26 6 ,-2y sty;
Contractor's #(card must be presented) Expiration Date Verified J Yes ❑ No
ARCHITECT
Name
Address
City
State Zip
Contact Person Phone Fax
•
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492(Rev 4193)
Ls:",'RUCTUCt `xisting Use illroposed Use
Permit includes: 1 '� DI Building DI Plumbing DI Mechanical 111 Other
Type of Work: Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck
❑ Commercial El Addition El 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 ElProfectValuation '$. ., 9
Zoning I Lot Size Exlsfang Bldg Valuation
LENDER
Name Address
City State Zip
MECHAMCAL CONTRACTOR >>ii:ii i
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes 0 No
PLUMBnv.G cor7TR, TOR
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;Fixttite: ouii#:*:::i:K:X:E'::'K
................................................................................ .... .. ...
MECI AI TXCM TUNN'' DUNT .
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 Cou• nt
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 d nse of sucml,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 iar ce-tif th Ity, ,cludin. its officers and employees,upon the accuracy of the info ation supplied to the City as a part of this
application.
wne •gent: ��/./09. �
Date: 9 `"20.1- -
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