99-101515 —_ �_�� ��
99-/ois1 5-
CITY
CITY OF FEDERAL WAY W y� PERMIT NO: BLD99-0252
33530 First Way South DU.1 L,,.». ,.,,;, H . Pi r: ,ill I T ISSUED: 08/31/99
Federal Way , WA 98003 Building Inspection Requests 253-661-4140 BY: FC2
253-661-4000 EXPIRES : 02/27/00
ADDRESS-
NO. : 119600--1300
PROJECT DESCRI PT ION:GRADING AND STREET IMPROVEMENTS
- CONTRACTOR -------------------- --------- ----------- LENDER __.
RAY ROGERS RANDY HOFFMAN CONST INC
506 SW 293RD ST 21633 SE 400TH WAY
FEDERAL WAY WA 98023 i ENUMCLAW WA 98022 1
‘al
Q41-9255 253/939-9797
ir RANDYHC077L1 2
XXX CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.6% us
-_ ---_-- _... .: �: ._;,�_ r-._... ____::-.-•-------.----.______.___._.,:.,_.. ____._ ... ._._---..
BLD.:X MEC.: PLM.: FLR--AXIS. PROP--- DWELLING UNITS. COMP PLAN .SR FEES:
TYPE OF WORK:NEW USE:RES 1ST.: -. 0:sf ST^RI,:.S .. .• REQUIRED PARKING..: 0 SPRINKLERS/ ., PLAN CHECK FEE $ 37.00
CENSUS CATEGORY •999 2ND.: _. °:s' -EIGHT • 0.00 ft ' HAZARD CLASS •' PW PLAN CHECK $ 540.00
OCCUPANCY GROUP 3RD. C. 0:s' VAL'UAT:ON A,EQ01,RE ,�SET�B- - ��- EIRE " , „„,.,,,7,,,.- PW ADMIN. DEPOSIT $ 1170.00
C.
•? •? •? •? OUR: 0:sf EXIS'. ,$: C FPO"'rt : 0:00 ft, �� : ( � PW INSPECTION FEE $ 400.00
TYPE OF CONSTRUCTION PSMT• C. 0-E4 .'RC" .. ^ S_"_ • 0.00 ft WATER c � tIVA
:? :? :? :? :'.7: . ,,._ REAR - 0 Mt'. SEWER SERt7� ' -
OCCUPANT LOAD GAR.: 0: O:sf RECEIVED.:04/20/99
: 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 $ 2147.00
GAS PIPING.: 0 ft HOOD • 0 0-3 TON • 0 ! BATH TUBS • 0 DRINKING FOUNT.: 0
.N<100K..: 0 DUCT WORK • 0 3-15 TON • 0 SHOWERS • 0 SUMPS • 0
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 = LAUN WSHR OUTLTS...: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 c 5
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 I cMA ,AN FURNISHED BY E TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITTY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT _... - DATE _l
FILE COPY
CITY OF FEDERAL WAY PERMIT NO: BL1,99-0252
3530 First Way South DUI I. L Da. pie P cm m 1 T ISSUED: 08/31/99
Federal Way, WA 98003 Dui 'ding Inspection Requests 253- 661 4140 BY: FC2
253-'661-4000 EXPIRES: 02/27/00
' I
ADDRESS-
tla. : 119600-1300
PROJECT DESCRIPTI0N:GRADING AND STREET IMPROVEMENTS
RAY ROGERS RANDY HOFFMAN COHSE INC
506 SW 293RD ST 21633 SE 400TH NAY
FEDERAL WAY WA 98023 ENUMCLAW WA 98022
941-9255 253/939-9797
RANDYHC017L/
In CONTRACTORS, PLEASE USE LOCAllOe WN !ill WADI ittPoPTING SALES TAX FOR PROJECTS VITEN TRE CITY Of FEDERAL Y. TAX RATE : 8.64 ***
BLD?:X NEC?: PLM?: FLIt—EXTST--r'qv wiLlt!L, '.'1,1!',. '., COMP PLAN 'SR FEES:
TYPE OF WORK:NEW USE RES 1ST.: 0; 0:sf " STORIES-- . NOIRED PARkING..: 0 SPRINUERS9 0 PLAN CHECK FEE $ 37,00
CENSUS CATEGORY •999 2ND,. 0* ' 0:sf -1 ICOR -'--- 0.90 'f HAZARD CLASS ° PW PLAN CHECK $ 540.00
OCCUPANCY GROUP-------- 3RD 0:' 0:sf VALUATION---------- RE0918to UIOACKB ,-.:- „414tAtWo.: ellktiNW ' -Y PR ADMIN. DEPOSIT $ 1170.00
OTAR1-- 0!. ' Of IXI I .t: 8 fP'NT....;.:..,: 040 fl-! - -,, -. ,,;,,,,_,, ,,„t: , a--"(,,, PW INSPECTION FEE $ 400.00
?fr
TYPE OF CONSTRUCTION-- trr. 0: - 0;sf 00 .$: u Y.,h ...,....... J.00 ft,11ATER - -,-, ';, ,' '? ' 1\
DECK: 0: 0:',,f RW _......: 0.btfrt SEWER SEP
OCCUPANT LOAD-- ---- GAR.: 0: 0:st REMAD 0.4120/9•9 ,
: 0: 0: 0: 0: TOIL: 0: 0:sf IMPERN SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.:? ? TANS..........: 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 2147.00
GAS PIPING.: 0 ft HOOD • 0 0-3 TON • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
FURN<100K..: 0 DUCT WORE • 0 3-15 ION • 0 SHOWERS • 0 SUMPS 0
GAS HOT - 0 WOOD STOVES. • 0 15-30 TON. • 0 LAVATORIES • 0 VAC :,'EAKERS...: 0
CONV BURNER: 0 FURN>100t.....: 0 30-50 TON...: 0 SINES • 0 DRAINS • 0
Bit----...: 0 MISC • 0 504 ION. . 0 DISH WASHERS • 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC RIR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE • 0 (:10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHP OUTLIS...: 0
GAS LOGS...: 0 > 10,000 CIM: 0 UNDERGROUND.: 0
PEONIES EXPIRE 180 DAYS AFTER ISSUANCE IF NO MIK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE Olt YEAR AFTER DATE Of ISSUANCE.
I CERTIFY THAT TOE INFORiter FURNISHED NY . TRU' AND CORRECT TO THE REST Of NY KNOWLEDGE AND THE. APPLICABLE CITY OF HIRAI WAY REOUIRLAINTS WILL RE NET.
OWNER OR AGENT 14.021 DATE ..3t- Ici
....._,
,
FIELD COPY
BUILDING DMSION
«rroF33530 First Way South
tV9�____ rI_ RECEIVED Federal Way,WA 98003
AY (253)661-4000
APR 2 01999 Fax(253)661-4129
(,DIY OF f EDEHAL WAY
APPLICATION PORGIWILDING PERMIT
PLEASE PRINT APPLICATION # 3 1....:0435.-02,
<> Address A
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Tenant(if known) Lot# Assessor's Tax#
/ -12 ‘ 3' f .4/17/4%. -J3eD—d7.
Buildin Owner's Name Address
Derrr1i / -pS !State ii'j, y fj-v �"06�5"��, y��s �� /,(4
City �/°�l'1.4/ Zip ��/� Phone 3 '(3f/9z
Nature of Work Dt/vp t,,zi it )0(fr./447 / Ciii`Ori°- 56/'/ 4f" Cphi/ (4,6,tr'- 4 kir Ave
Name (F,M,L) im
Address
City Fr,a-e / /ye\ State 1�4 _ Zip /�/f/� .
ry p'
Contact Person V Day Phone A��fri" / 'AM Other Phone Fax
h'r 7907 7-1 ,25,-- `,W- 9 ,5-5 _ .Li
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FEDERAL
WAY
BUSINESS
LICENSE
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#
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Company Name g4itnl ft.creinitiin `�vY`lLGLiAddress i
X
City State Zip
Contact Person TVA�A1 �J/�jki(s...
fr411 .PC""C1 x
Contractor's # (card must be pres ted) Expiration Date Verified 0 Yes 0 No
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;ARC.:.::. ..... ........... ....
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
0 Please Complete Reverse Side Ala
•
ii�. .UCTU : : . > Existing Use
r
,0 Gf C` o-t-6/ Proposed Use �L/II�i`j��lfC
Permit includes: ❑ Building ❑ Plumbing ❑ Mechanical t"Other
Type of Work: lJ'Residential ❑ New ❑ Remodel LI Number of Units ❑ Deck
❑ Commercial LI Addition ❑ Garage ❑ Shed Q 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 4.1 Sewer Availability D On-Site Septic System Availability ❑ 14 Project Valuation $ 29 :542g., 5
Zoning s G7, h iLot Size App NF y s. A( YAP' Existing Bldg Valuation $ • --
LENDER.> >;; ``::i?i:;;;;';; .... `;> ` <<;; <
.. .............................................................
............................................................................................
Name Address
City State _Zip
.......................... ......... ................................ .................
..........................................................................................
Contractor Name Address
City State Zip
Contact Phone Fax
License # - Expiration Date Verified ❑ Yes ❑ No
..........................................................................................
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PLUM BI G:0N'' :GT..OI :.:: >:: :;
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yei-; ❑ No
/
Water Closets Sinks 1 Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
•
Lavatories Washing'Machine Drains Total FiitturCCount
/
:z::;:/
''A«';". '>><»' NI> >.<.>>< >:;>:< >>':>»'> =>::>::>
E.CH NICA:..U T.COU.N 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 f Gas Log Unit Heater 50+ Tons
Furn >100 BTUs i Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Cony Burner_7_/ Duct Work 0-3 Tons Underground
BBQ's z Wood Stoves 3-15 Tons —
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 of th reliance of the city,incl ding its officers and employees,upon the accuracy of the information supplied to the city as a part of this application.
Owner/Agent: ( 1. /2 Date:
REVISED 8/28/97