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93-100082 OS CITY OF FEDERAL WAY BUIL®I N G P E R M 11" PERMIT NO.: BLD9� 0018 33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 01/11/93 Federal Way, WA 98003 BY: JJ 1661-4000 SITE ADDRESS: 30125 3RD PL SW PARCEL NO.: 259970-0040 PROJECT DESCRIPTION: REROOF I OWNER — - CONTRACTOR LENDER I JOHN LYONS ROOF RIDERS 30125 3RD PL SW 22220 104TH PL SE �1 FEDERAL WAY WA 98023 KENT WA 98031 NONE 850-0744 ROOFR108JT BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN •? FEES: TYPE OF WORK:ALT USE:RES 1ST.: 0: 0:sf STORIES • 0 REQUIRED PARKING..: 0 SPRINKLERS? •7 FINAL PLAN CHECK...* $ 35.10 CENSUS CATEGORY •434 2ND.: 0: O:sf HEIGHT • 0.00 ft HAZARD CLASS •7 BUILDING PERMIT....* $ 54.00 OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm SBCC SURCHARGE * $ 4.50 :R3 OTHR: 0: 0:sf EXIST..$: 0 FRONT • 0.00 ft I':' TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 2200 SIDE • 0.00 ft WATER SERVICE..:? :5N DECK: 0: O:sf REAR • 0.00:ft SEWER SERVICE..:? I OCCUPANT LOAD GAR.: 0: O:sf RECEIVED.:01/11/93 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 $ 93.60 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 RANGE • 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0 , GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 ALLPERMITS 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 t1/ 'f/ ./ DATE 61 ? bld_prmt 10/23/92 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 INSULATION WALL BOARD AND FIRE WALL DATE_ .BY ...--.... DATE -.. BY DATE -- BY FINAL O.K. TO OCCUPY DCD PSD FD DATE_AL3-93 BY /3 -�3 / S f2 em/1.11 s of Qdaf Sif'/�/�ih'i"' 2Ai 1'GO4t/ZU 40 /20 T A},hh2lz Ai ";" 44-'7/-/ 4/,c cid 1 /wf/ n� • I Permit # i� L O 93 -- Oo l b' CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION —Pleast Print— BOX 1 TENANT NAME: OWNER .),, 01-,A-)h,ti k - t 5 SITE LOCATION, 3,c Z5— 3,,c,f pte, 5,6G/, OWNER'S ADDRESS t 33 rte;/ CITY r'G y'v::/u,4y ZIP PHONE DESCRIBE JOB -- v Rc ✓�'c i_ THE PROPERTY IS OWNED BY: SINGLO/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME /O(' /T rrpf f V 5 CONTRACTOR'S REG. # /{ t7c /CSJ- 1 Dept.of L&I Card MUST be presented CONTRACTOR'S ADDRESS ZZ .ZC' / i P& Sl; CITY , t ZIP � �1'L PHONE SC-' EXPIRATION DATE /- Z -9 3 — OR — 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. BOX 3 LENDER'S NAME: ADDRESS CITY ZIP PHONE BOX 4 CONTACT PERSON o cd r`1,'/ Lev, PHONE c"7 C72'Y BOX 5 SEWER DISTRICT WATER DISTRICT BOX 6 ESTIMATED PROJECT COST la Zc©— " co EXISTING BUILDING VALUATION BOX 7 PARACEL NUMBER LEGAL DESCRIPTION (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 8 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 1 2ND FLOOR 3RD FLOOR / BASEMENT / DECK / GARAGE BOX 9 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 10 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$ NO. WATERCLOSETS GAS PIPING, FEET $ BATHTUBS NO. FURNACE, ELEC. GAS $ SHOWERS GAS HOT WATER HEATER $ LAVATORIES CONVERSION BURNER $ SINKS BOILER, SIZE BTU $ DISHWASHERS AIR HANDLING UNITS $ ELECTRIC HOT 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 T CCURACY OF THE ORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: (166/2 (:-'7 4 DATE: • — /J.- i,