97-103313 _-, 97r)o 333 - •
CITY OF FEDERAL WAY PERMIT NO: BLD97-0526
33530 First WaySouth d 'I N„»,� .,H' II , ,., ,,;at, �;li ,� 9
•��� ��.;;. �� �� ,:,;�,� �'' .,,.::�I��`�,��� :71,,: !!”' ISSUED:s u E D� 09/03/
Federal Way, WA 98003 Building Inspection Requests 253--661-4140 BY: FC2
253-661-4000 EXPIRES: 03/02/98
ADDRESS: 31244 47TH PL SW
NO. : 211570-0170
PROJECT DESCRIPTION:REROOF PERMIT - SHAKES TO COMPOSITION.
r_ _..__7- CONTRACTOR ------ ---------•--- -- -.__. ..._. T LENDER
._ -- -
.. _.. - ..
CLARA JACKSON T & A CONSTRUCTION
31244 47TH PL SW 5947 24TH S [
FEDERAL WAY WA 98023 SEATTLE WA 98108
•4-4525
TACON**033J4 1
t ------ _-...--_ --------------- -----•-- -. _._. .. . . - -- --._ -•1 -- -..__------___----._---- -_=
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.2% ***
....__.--_.-______._...._.__.__. ----- -.________==__ ------ ----_.--•_-._..._._===t__ ..a
BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN •' FEES:
TYPE OF WORK:ALT USE:RES 1ST.: 0: O:sf STORIES • 0 REQUIRED PARKING..: 0 SPRINKLERS' •' 2 BUILDING PERMIT....* $ 81.00
CENSUS CATEGORY •434 2ND.: 0: O:sf HEIGHT • 0.00 ft HAZARD CLASS .p SBCC SURCHARGE * $ 4.50
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION }} REQUIRED SETBACKS FIRE FLOW • 0 gpm
:? :? :? :? OTHR: 0: 0:sf EXIST..$: 0 d FRONT • 0.00 ft
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 5669 g SIDE • 0.00 ft WATER SERVICE..:?
:? :? :? :? DECK: 0: O:sf REAR • 0.00:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: O:sf RECEIVED.:09/03/97 i
: 0: 0: 0: 0: TOTL: 0: 0:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
I - _ -_. --_-_.____
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 85.50
di PIPING.: 0 ft HOOD • 0 0-3 TON... ..: 0 BATH TUBS • 0 DRINKING FOUNT.: 0
ligki<100K..: 0 DUCT WORK • 0 3-15 TON • 0 SHOWERS • 0 SUMPS • 0 a H
GAS HWT....: 0 WOOD STOVES...: 0 15-30 TON...: 0 LAVATORIES • 0 VAC BREAKERS...: 0 I
CONY 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 t LAUN WSHR OUTLTS..,: O
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
_._a __-- ____�
PERMITS EXPIRE 180 DAYS AFTER ISSUAN E IF ., WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATIO '1; ' D ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MEI.
OWNER OR AGES I' �/� �� 9 - C
- _...... _....- DATE Z.._ _._.._ _..• 0
FILE COPY
r
• BUILDING DIVISION
--io— 0� _ • 33530 First Way South
�� F� Federal Way,WA 98003
rt t .V E r v E D (206)661-4000
Fax(206)661-4129c
SEP 0 3 1997
�A11 ►PfLICATION FOR BUILDING PERMIT
CIYYOFFEDE
BUILDING DEPT. ff SILL
' l / -
PLEASE PRINT APPLICATION..............:..:.. .::::............ APPLICATION # 11L{.i v5Z_V�
E CACI »>s:hiiii :�igii ' Address- i 1 -`7 7 t ._.`,.i,,-;.;
Tenant(if known) Lot# Assessor's Tax#
Building Owner's Nam Address
x'AR Di- v,Ac1 dN
City t`'67'FRAL viAp State WA Zip 3 Phone
Nature of Work
RE R 06 6:20c9 y SCsas
iiiiiiiikiiiiiiiiiiiiiiiiIIIIIIII
Name (F,M,L)
Address
City
State Zip
Contact Person Day Phone Other Phone Fax
Company Name A COI.) c•-r‘21
c•-r‘2u C--1--- !v
-I 0
Address 9OS/ --7-
Cit —1§21.1111M1 i State A , Zip
Contact Person
`� �J�` , Ai Pho a )_ Fax
Contractor's #(card must be presented) Expiration Date Verified 0 Yes ❑ No
Name •
Address
City
State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
i
Please Complete Reverse Side
o 0Pse d use
istin Use
9
Permit includes: 0 Building 0 Plumbing 0 Mechanical 0 Other
Type of Work: 0 Residential 0 New 0 Remodel 0 Number of Units_ 0 Deck
0 Commercial 0 Addition 0 Garage 0 Shed 0 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 0 On-Site Septic System Availability 0 Project Valuation $ 5-Z-4,7,'_(:::c.9--
Zoning I Lot Size Existing Bldg Valuation $
ENDER€ <«< <€<`< `.> <'€€ <>» E>s'`
Name Address
City State Zip
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes 0 No
PLUM BNG CONI ORME EM
Contractor Name I Address
City State, Zip
Contact Phona' Fax
License # Expiration Date Verified 0 Yes 0 No
PLUM TUR <COUN'#`mmi
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
............. ... . .. ...................................
.... .................. ............................... ....
................... .. ...................................
.... .................. ............................... ....
................... .. ..................................
Lavatories Washing Machine Drains TotalFizfitretiurY<«<<;<< z > >
.......................................... i:i:. i:i:i........................... .....
ONLY VAL ATION $
E U
MECHANICAL
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 ,f Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 TonsT:diS;:Unit Odt itt
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 su• cl•' ,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, hid* officers and employees,upon the accuracy of the information supplied to the city as a part of this application.
c A
�C/ ` ) j
Owner/Agent: ` Date: ' - T
Dom..APP
'"REvisEo 12111198
c I ri" OF f I tit'kfil Iff: , PIRMI I NO. ILLY / •05.
ti3Ft!'):i0 F i I .,-;1 14,..ty '.,,;.t It I, 1..)14.1 I IL PI 1.41f4 P siorktairr r I,., 01_ 1,
retie r-„a 1 !,,,Lity, 1,1(4 9:--'o 0) 1.161.41n(1 (1-194PrEicin Pe,..11 ,- --,1c: .' . (''. 1 '4111 ,
25',1 661 4000 , 1 ' 1'11•L - t • i .0 •/',.
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110. : 211570 01../0
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f... $)m ,v. c.aMMVMX,..X .4.1... tugiffloolt 4=k=t4A,,.Wn.«,...44.5.,M.S4,i4.UAT.. ..., X Lipolp - -- ..,,..4.• i
1 CLARA JACKSON 1 TIACONSIROCTION
1 31244 47TH PL ',14 1 5947 2418 S 1
1 'FEDERAL WAY WA 911023 SEAITLE WA /810$
I 1
1 S14452 I
1 TACOOtt033J4
'St CONTRACTORS, FLEW USE 1,001.10f1 iØf 1'1" AEI REPORTING SALES IA; lot moils VIININ TOE CITY Of 1101RAI 1114. fAX RAI( : 0.4 Iss
1 8tD?:X MEC?: PLM?: RP—EXISI -PROP-- 1,11+0114b 0WITS: 0 COMP PLAN. •"' TEES'
1 TYPE OF WORK:AtT USE:RES 1ST.: fk :, 0:sf ..,1111.11‘,, „, . 0 RH:RAPID PARI ..: U SPRINKLERS'. ., 1 BUILDING PLRAIT....t $ 81.00
1 CENSUS CATEGORY 434 2ND.: ti: ' 0:sf vtlifq .: 1,,01) 1 WAZARD (LAS' .. :2 SPCC SUROIARGE t t 4.!V
0Cr0PANCY GROUP -- ---- - 3RD.: P: 1.!..,,
:' :2 : :2 : .UDR: 0. 4:st 1' ' .$:
rt9uirrD ETRA‘IS--- --- flPt FLOW...,:.,, 0 grio
#f Hil .. ... . W .`1 ft
1 TOE Of (ONSIRUCT1311 - - BAT: 4 fl!Ai POP 1: '141. cfPf . . . , ,.. ft *lir up,v1Cf.,„:?
1 :? :? '.? :2 : Ala: o -sT ' r,11'... . . . 0 00:ft SEWER SERVICE..:2
IOCCOPART LOAD - - - - GAR,- 0: U. ' 'At, IVEL:0
: 07 U. 0: 0: 10U,: O. .i:s: IMilw. ,.111 , 1 0 sI SENSITIVE AREA ?.:?
FUEL IYPLS.:? ? FANS 4' 7 . EC .," DOIIERS/COMPREcSORS $ S - Li:., ' • 0 URINALS • 0 TOTAL FEU t 85.'..,0
••••40*.,.t•••• ' ••• _,„ , '-'
GAS PIPING.: 0 ft ROOD * 0 0-3 ION • 0 INT '''' .., • 0 DRINKING FOUNT.: 0
fURN:100X..: 0 DOLT WORK • 0 3-15 ION 0 SiITS • 0 SUMPS • 0
GAS HWI • 0 WOOD STOVES. • 0 I5-a0 TOR . 0 LAVATORIES • 0 VAC :0EAKERS...: 0
CONY RWHER: 0 FORN/100t.....: 0 30-50 108...: 0 SIRS • 0 DRAINS • 0
B00 0 MIS( • 0 504 TON • 0 DISH WASHERS 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING IINIIS 10E1 'ARKS----- -- ELEC WIN HEATERS...: 0 OTHER FIXTURES.: 0
RANGE.. ...: 0 <1.0.000 CIO: 0 ABOVE GROUND: 0 LAUN IISHR OUILIS...: 0
4AS 1..s.+GS.,.: 0 > 10,000 CIA: 0 ORDERGROOND.: 0
PERMITS EXPIRE 100 DV(S AMR FAUAALt If NO V0 IS Staff,. RESIDENTIAL AND GRADING PERMITS EXPIR Of YEAR MIER DATE Of ISSUANCE.
I CERTIFY TRH IRE INIORMAII0LEOWNISRLD,DY Hi 15 IROI AND tORREC1 10 INI HIST 0111? KNOWLEDGE AND IL APP(1(AL41 (UT 91 ILIUM WAY REQUIRIVENIs VIII Of AEI.
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IL-
FIELD COPY
1 SETBACKS & FOOTINGS : ..:
Date By
2FOUNitiATION WALLS
Date By
3 PLUM81NGi>EiROUNDWORK,
Date By
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4 SIAM:INSU.AtIO�i
Date By
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5 FOOTINGJDQWNSPI LPF DRAINS
Date By
6 'ON.DER F.:L( OR::>I RAMINf :::>:<::<:::.m>:>:>::>::: ::>:<:*>:>:*:::
Date By
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7 SHEAR>;>WALLS
Date By
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8 PLUMBING ROUGH-IN
Date By
9 :.::.::