95-100785 9b -/ao7e5
CITY 335300F FEDERAL WAY Firstt Way South B U I L D I N G P E R M I T ISSUED: 04/20/95PERMINO: 5-0303
Federal Way, WA 98003 Building Inspection Requests 661 -4140 BY: FC
661-4000 EXPIRES: 10/17/95
i
ADDRESS:33216 PACIFIC HWY S
NO. : 797820-0010
PROJECT DESCRIPTION:REROOFING PERMIT ONLY.
OWNER — CONTRACTOR -- LENDER
SOUND ON PACIFIC Nor State Construction
411[
33216 PACIFIC HWY S
FEDERAL WAY WA 98003 Puyallup, WA
(206)840-6757
852-1700
NORSTEO77J9 4/21/95
BLD?:X NEC?:? PLM?:? FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN •9 FEES:
TYPE OF WORK:REP USE:COM 1ST.: 0: 0:sf STORIES • 0 REQUIRED PARKING..: 0 SPRINKLERS? .? BUILDING PERMIT....* $ 54.00
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..$: 0 FRONT • 0.00 ft
TYPE OF CONSTRUCTION BUT: 0: 0:sf PROP...$: 3000 SIDE • 0.00 ft WATER SERVICE..:?
:? :? :? :? DECK: 0: 0:sf REAR • 0.00:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:04/20/95
. 0: 0: 0: 0: TOIL: 0: 0:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
el FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 58.50
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
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
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 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 /' DATE % YI
- - 7
/ FILE COPY 3-7 11 -7-73as
•
City of Federal Wa •
�.� y
-ms's- �n
�v APPLICATION FOR BUILDING PERMIT
PLEASE PR/NT APPLICATION #:
SITE LOCATION Address 3 3,24 (P�,`C /4/e,,,.y 1,476„,1_, w„� w,„f
Tenant (if known) Lot#
Assessor's Tax #
3M..-4.., �. Pa �_' 77 782
Building Owner Name Address
f-"��
-) IC4_c_ Dent, e- //
City !CP,¢ State j,./ Zip Phone gS�,7oe
Nature of Work Z..e._tee/' ,y,„--I t, W&tl
• APPLICANT
Name (F,M,L)
77
Address /
3302/G jac,- C- IC-47 S.
City fe-46ait, ( State GL,'/71- Zip s
Contact Person `/� Day Phone Other Phone Fax
�a X/7.-AeAo ; 2y- U 4)9— 7,'W
BUILDING CONTRACTOR
Company Name
c' (2 S '`',, ,C 6 c 4 C//--•--
Address
City 7) [L y Ll 7/,• x State Gvi 14 Zip
Contact Person Phone Fax
T� Mei ii. 4,7---t, cr — 6757
Contractor's #(card must be p esented) Expiration Date Verified ❑ Yes f7 No
XJ 0/t5ic(e. Z.077 `/ et
ARCHITECT 1
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492(Rev 4/93)
STRUCTURE URE sting Use •oPosed
Use
Permit includes: U Building ❑ Plumbing L] Mechanical ❑ Other
?ype of Work: ❑ Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck
❑ Commercial ❑ Addition ❑ Garage CI Shed ❑ Other&fr '/1
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 El Sewer Availability El On-Site Septic System Availability ❑ Project Valuation $ 3 C'-e-«
Zoning Lot Size Existing Bldg Valuation $
.... . .................
LENDER
Name Address
City State Zip
MECHANICAL>'CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
........................................... ....................
PLUMBING CONTR ICTOR
.. ................... .......... ...........................:.......
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
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 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. / ,K/ 7 r
/
Owner/Agent: Date:
�do�m�i�
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SETBACKS & F0071NGS ''
Date By
FOUNDATION WALLS
Date By
PLUMBING GROUNDWORK
Date By _
UNDERFLOOR��FRAMING� I
Date By I
SHEAR WALLS �
Date By I
I
PLUMBING ROUGH-IN I
Date By �
GAS PIPING
Date By i
�
MECHANICAL ROUGH-IN
Date By
MECHANICAL (OTHER)
Date By
FRAMING
Date By
INSULATION
Date By
GWB - 1 ST LAYER
Date By
GWB - 2ND IAYER I
�
Date By I
SUSPENDED CEILING I
Date By �
PLANNING FINAL i
Date By I
ENGINEERING'FINAL �
Date By
FIRE FINAL
Date By
BUILDI G FINAL
Date � y
OTHER
Date By
OTHER
Date By
CD0193