94-102216 4114
9 ti-fOi140
CITY
F FEDERAL WAY
MIT NO:
335300Firstt Way South B U I L D I NG PERMIT PER ISSUED: 11/18/ 9406
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 05/17/95
ADDRESS:28855 MILITARY RD S
NO. : 042104-9037
PROJECT DESCRIPTION:REPAIR - ROOF REPLACEMENT
OWNER4
-- CONTRACTOR -- LENDER --
W#1 Mf'Sit96fl#6 PcJ�Fippu fl7o- t WAYNE'S ROOFING INC
13105 HOUSTON RD. 13105 HOUSTON RD
SUMNER WA 98390 SUMNER WA 98390
863-4455 575-0078 863-4455 515-0018
WAYNESR205Q5
BLD?:X NEC?: PIM?: 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....* $ 450.50
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 gpi
:? :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 0.00 ft
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 57979 SIDE . 0.00 ft WATER SERVICE..:?
:? :? :? :? DECK: 0: 0:sf REAR • 0.00:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:11/18/94
0: 0: 0: 0: TOIL: 0: 0:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.:? ?III; FANS 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS 0 TOTAL FEES $ 455.00
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 HNT - 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 INFO' ATIO, FU'NISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE C TY OF FERERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT "....�'. - ` DATE 14 1-i- C
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SETBACKS & FOOFOOTINGSiktot i ret O r;V-- 'Asiaif,,,077a I 0 tr ..wv P/A%-.
Date By E..os'lir".. Leas ,if reAer 'A/ S 'U&'1 670...c.7— t0/1ns
,
FOUNDATION WALLS ai�t`%i /4 dj,70,-,,c itetA4. ._fr// �itlD.w•..-G-
Date By _.:.1 . . , ,sc$,r. hYZ rv-- .tilirl
PLUMBING GROUNDWORK f 7 , �•.‹.? j4 r „ lrfe-m-•,, 4 /J'$'
Date By
UNDERFLOOR FRAMING
Date By
SHEAR WALLS
Date By
PLUMBING ROUGH-IN
Date By
GAS PIPING
Date By
MECHANICAL ROUGH-IN
Date By
MECHANICAL (OTHER).
Date By
s
FRAMING
Date By
INSULATION
Date By
GWB - 1ST LAYER
Date By
GWB - 2ND LAYER
Date By
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
L.ENGINEERING FINAL
Date By
IFIRE FINAL
Date By
—
BUILDING,
OTHER f,.INAL
Date 1 /7 J(1 By
Date By
OTHER
Date By
CD01 93
City of Federal WayI RECEIVED '
NOV 181994
APPLICATION FOR BUILDING PERMIT
l:l f Y Ui Mct)LiiAL WAY
BUILDING DEPT,
PLEASE PRINT
_ C�C�(�
APPLICATION#: ) I / C'9
SITE LOCATION Address 2,Q6 es-s— (n 1 k)/#�ti ZEA
Tenant (if known) Lot # Assessor's Tax #
12` 19 q?f -c- t'NA11.1-t c I oi•E-�\04- - go31
Building Owner Name Address
R • Gn-\f-f .i c / TC-P.1\ --S 301 - kbtT\; N F
city
P�l
�l l lcVJl I State L•1/)- Zip Ck cl-t- I Phone( z . ) 4 ct, •24
Nature of Work fZ� ",,„\j / kyk.tekn,sof S r
APPLICANT
Name (F,M,L)
'z 4r`K
Address
City
State Zip
Contact Person Day Phone Other Phone Fax
......................
•
BUILDING .c.Q CAGTOR »
.......:.::....:......:::..::.
Company N�� 116 ,("\IJ(r N (—
Addres
k \ P-aNs)p
City S.SYhNct11- , L.-1A (33 l6 State C,JA-- zip 5 8+3 cO
Contact Person Phone l` Fax /eC3-4S-�� eC e3 I\
Contractor's # (card must be presented) Expiratiop Date Verified ❑ Yes ❑ No
ARCHITECT .
Name
Address r�
City
State Zip
Contact Person
Phone Fax
LEGAL DESCRIPTION
4
Please Complete Reverse Side
CD0492(Rev 4/931
LRUCTURE Exit Use 4ed Use
' Permit includes: ❑ Building ❑ Plumbing ❑ Mechanical Other
!
Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck
rd`Commercial ❑ Addition ❑ 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 ❑ Project V0uation $
Zoning Lot Size ExlsUli g Bldg V iliriation
:
LENDE
•. ......... :?y2 ::::iiiv.<?isiii`i?3ii::i; ;`ii
..
Name Address
City State Zip
MECIIA:NICAUCONTRACTOIVMM
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING:CONTRACTOR !•
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
MEC NICAVUNMCOU.NT
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 Urut 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 investigatio// 4
efense of such claim),which may be rade by any person,including the undersigned,and filed against the City of Federal Way,
but only whe such im arises ut of thrice of the City, including its officers and employees,upon the accuracy of the information supplied to the City as a part of this
application,OwnerAgent: \ `s � 1 WV (3-~` Date: /1/v/