93-102887 1pr
93- JVo %'7
CITY
335300Firstt Way South F FEDERAL WAY BUILDING P PERMIT ISSUED:NO: 11/08 /9311
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 05/07/94
ADDRESS:31009 PACIFIC HWY S
NO. : 002104-9062
PROJECT DESCRIPTION:RE-ROOF ONLY
OWNER — CONTRACTOR -- LENDER
PAYLESS DRUG STORE MACKEY ROOFING COMPANY
lifir
31009 - PACIFIC HNY S P.O. BOX 1414
FEDERAL MAY NA 98003 TUALATIN OR 970621414
503-625-2591
MACKERC186M0
_
BLD?:X NEC?: PIM?: FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN •7 FEES:
TYPE OF WORK:? USE:? 1ST.: 0: 0:sf STORIES • 0 REQUIRED PARKING..: 0 SPRINKLERS/ •7 BUILDING PERMIT....t $ 599.00
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 gp.
;? :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT 0.00 ft
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...=: 90530 SIDE . 0.00 ft WATER SERVICE..:?
:? :? :? :? DECK: 0: 0:sf REAR • 0.00:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:11/08/93
0: 0: 0: 0: TOIL: 0: 0:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 603.50
AlliS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
IIPIRN<IOOK..: 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
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
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 INF RM I►. U' ISED BY M IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT _ L.,74,.."............ ._ DATE j� g
FILE COPY
I •
CITY 335300F FERAL WAY FirsDtE Way South BUILDING PEIZMIT PERMIT
ISSUED: 111/08/9311
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 05/07/94
ADDRESS:31009 PACIFIC HWY S
NO. : 002104-9062
PROJECT DESCRIPTION:RE-ROOF ONLY
OWNER - _ -.- .- _.—.—.. CONTRACTOR - — _ -- LENDER
PAYLESS DRUG STORE NACXEY ROOFING COMPANY
31009 - PACIFIC HWY S P.O. BOX 1414
EDERAL NAY NA 98003 TUALATIN OR 910621414
Ili
503-625-2591
WV*liP ,
BLD?:X NEC?: PLM?: FIR —EXIST PROP— BWEILTI JRTT� 0 COMP PLAN FEES:
TYPE OF WORK:? USE:? 1ST 1: ,• 0:sf ode $1#410.....,.., 0 IIRFt+ PARKING..: 0 SPRINKLERS/ •7 BUILDING PERMIT.... 3 599.00
CENSUS CATEGORY •555 2ND ='1,'.4- '04..r 0:sf: HEIGHT _...: 0.00 ;. T LAIC CLASS.. ? sem SURCHARGE * 3 4.50
OCCUPANCY GROUP--- 40.; _ 0 Sf 140A110)--- - 'ED ITVr
:? :? :? :? 0 st DIST "' - 0 t T. ^ ro
TYPE OF CONSTRUCTION ,, ' ,...:;',. .44h, '3 ,, .DP..--..t. 9x38 I kailf...,.,.. . '0.00 %ATI.d ,,ER �•'
•? •? •� '� gIA _ • 0 00 ft SEWER SERVICE..:?
OCCUPANT LOAD - 4,,,':,6 '"� +T '- ,'93
0: 0: 0: 0: TOOLS� ' ��`^�e�`�� :- .YE i ,..ii IMPERY SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.:? ? FANS-..**%-...: 40i BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 603.50
S PIPING.: 0 ft INNIQ - 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
RN<100K..: 0 DUCT WORK - 0 3-15 HP • 0 SHOWERS • 0 SUMPS • 0
GAS LINT ° 0 IMOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 0 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-4 HP • 0 SINKS • 0 DRAINS • 0
B60 - 0 MISC • 0 5+ HP • 0 DISH WASHERS • 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC MIR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE • 0 <:L0,000 CFM: 0 ABOVE GROUND: 0 IAN NSW OUTLIS...: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
_........__._..____ ....._.
PERMITS EXPIRE 180 DMS AFTER ISSUANCE IF NO MORA 13 STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INF I1 ' ,' •ISED BY IS TRUE AND CORRECT TO THE BEST OF MY KNONtEDCE AND THE APPLICABLE CITY Of FERERAL NAY REQUIREMENTS MILL BE MET.
OWNER OR aGENT _ ___-_ -- ___ ____. __________________�..___.._.__�,.___.__ DATE
11-1-:"._ ,
T1I
FIELD COPY
• •
.SETBACKS & FOOTINGS
Date By
FOUNDATION WALLS
Date By
PLUMBING GROUNDWORK
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
FRAMING
Date By
INSULATION
Date By
GWB - 1ST LAYER
Date By
GWB - 2ND LAYER
Date By
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL
Date By
BUILDING FINAL-,1111 1,
Date Df�!l�'S� Bys .
OTHER> i
Date By
OTHER
Date By
CD01 93
•
•
'" City of Federal Way •
lii
NY,) APPLICATION FOR BUILDING PERMIT
PLEASE
*PRINT iy��q f _ APPLICATION #: �L 4-0(T! -/2//r
?
kSITE LOC TION.:. .:E<»?C`?'?%1.i.i Address I 0 1 /�/rll /C, ['V"v!/7 Cc0 ,t
Tenant (if known)}�
Ovo
1 `Lot # Assessor's Tax #
I 5cj _S �
Building Owner Naa/�e" 470
/Y� Address /// `� (�
GIr(.e�s Vv.., 4 ! `._- �� 6 3 5 cti ri1Y1 I LL__,(:
City li✓ti�L'Till State 27ie7 .A-`-\ Zip 61`7)76 Phon
Nature of Work 7,47 C_'5.-S , '7e.Ne-i" �1k• — '='"Op-
APPLICANT >:::::: ::;;:.::::
Name (F,M,L)
Address
City
State Zip
Contact Person Day Phone Other Phone Fax
BUILDING CONTRACTOR.
Company Name 1 A A
//
Y - `CCCJ 1 (21,9 g2iC_F_
Address
-]� 0 , 9 /Lt!y �J Fl
City / AG ;2' State ���r�L Zip d 7 �i,
Contact Person Phone ! Fax
��Gl cif/ 4 ; �-Czc / s� -C7 - ?i
Contractor's # (card must be pres nted) / Expiration Date Verified ❑ Yes ID No
/ /// 1 l M0 7- rel- ((
ARCHITECT
—Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492(Rev 4/931
S 'RUCTURC fisting Use Proposed Use
3ermit includes: :wilding Cl Plumbing Mechanical ❑ Other
Type of Work: Cl Residential El New ❑ Remodel ❑ Number of Units ❑ Deck
Commercial ❑ Addition ❑ Garage ❑ Shed Otherf6 -,'o,9
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area f sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
Water Availability CI Sewer Availability (i7 On-Site Septic System Availability ❑ Project Valuation .$ 'f:� F
Zoning Lot Size Ex sting Bldg Valuation $
................... ............................. ...................................
............................... ................ ..................... .............
.................................................. ...................................
N:• e Address
City State Zip 7
11 i YAI ICAti fig ; CTOY ::»' <>'<
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
-
PI,UM:3ING CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
LUMBING FIXTURE COUNT
Water Closets Sinks rinals Lawn Sprinklers
Bathtubs Dis ashers Dri ing Fountains Other
Showers , ectric Water Heaters Sumps
"--
Lavatories
Washing Machine
Drains
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 Under ound
BBC1'9. Wood Stoves 3-15 Tons Total.Untt Cot,:.
t
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 own
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,exper
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 Feder?"
but only where such claim ari s out of the reliance of the City, including its officers and employees,upon the accuracy of the information supplied to the City as a pr
application. 4 �J�� �j
Owner/Agent:` ,----*//‘,2.../ Date: p(/L/• c /f/�