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CITY OF FEDERAL WAY ., .. PERMIT NO: BLD98-0690
33530 First Way South , ; M,,,,,,N ,.i,,. i,,.., .,i,.,;� i"',N#;,;;i. '„.,.0'„;.�'a' ., ,. ,..�,., ISSUED: 10/13/98
Federal Way, WA 98003 Building Inspection Requests 253-661-4140 BY: FC
253--661-4000 EXPIRES: 04/11/99
ADDRESS: 22121 20TH LN SW
NO. : 132103-9102
PROJECT DESCRIPTION:REROOF ONLY
BLDG 9
-. OWNER -- ---- - , CONTRACTOR ---- -- -T- LENDER -• -- ---- T
WOODTRAIL VILLAGE WESTERN ROOFING INC.
32121 20TH LN SW 1010 W FINCH DR d
EDERAL WAY WA 98023 NAMPA ID 83687 1
208.467.6848 ,
WESTER
1
sst CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.6% XXX
BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN 0 FEES:
TYPE OF WORK:REP USE:RES 1ST.: 0: O:sf STORIES • 0 REQUIRED PARKING..: 0 SPRINKLERS' .9 BUILDING PERMIT....$
$ 117.00
CENSUS CATEGORY •555 2ND.: 0: O:sf HEIGHT • 0.00 ft HAZARD CLASS •' SBCC SURCHARGE * $ 4.50
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm
:? :? :? :? OTHR: 0: O:sf EXIST..$: 0 FRONT • 0.00 ft
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 9784 SIDE • 0.00 ft WATER SERVICE..:?
:? :? :? :? DECK: 0: 0:sf REAR • O.00:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: O:sf RECEIVED.:10/09/98
: 0: 0: 0: 0: TOTL: 0: 0:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
ANL TYPES.:? ? FANS 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 121.50
MP PIPING.: 0 ft HOOD • 0 0-3 TON • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
FURN<100K..: 0 DUCT WORK • 0 3-15 TON • 0 a SHOWERS • 0 SUMPS • 0
GAS NWT • 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 J 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
L
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THA THE INFORM•TION FURNISH64 BY ,IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE NET.
OWNER OR AGENT ` ' � \ \;— • DATE c,_ / 1. 0 ��__._
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{ ;, 'fe N r BUILDING DIVISION,;
( '{ , ,1,-.T.,::
. . ,33530 Fust Wa South
r,'
E_EF L : ,, r` ,',' Federal Way,WA98003 ;
uV AY ;r - (253)661=4000
Fax(253)661-4129
APPLICATION FOR BUILDING PERMIT
i APPLICATION# YJ O -_C)(Q. O.
PLEASE PR/NT ® � ,
:c�' Address
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......................:::.:::::.:.:
....................:::::::;:;:::::
Tenant(if known) Lot# Assessor's Tax#
Building Owner's Nam `�
Y Address
city ,'-1State - '`(V Zip 'q Q Phone
Nature of Wore
i*i*ry: :i: i h::::h>r�::>::?a ; ':`i:i i ii?ni]i?` ii ai>f '?>?` ':: :'`: # '?i::
Name (F,M,L)
Address
City State Zip
Contact Person Day Phone Other Phone Fax
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1tiii E:D1. ditetN`iiikeit 3':::> ii:: :::=:::i<:i>:::.....; FEDERAL WAY BUSINESS LICENSE If, ' r 'v+�l
Company Name % -
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Address1�`
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City , State' �
Zip 51 9�
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Conta ers nom. ) -�\ t
��.. �" f(7Z,—)419-1-(_ZA , Fax
LA\ZL,P-`pC:1G1C
Contractor's # (card must be presented) Expiration Date Verified Yes 0 No
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Name -
Address
d
City
State Zip ;�
Contact Person Phone Fax
LEGAL DESCRIPTION k,
41
Please Complete Reverse Side
• V
•
�!. VC , _ ..:::: : fisting Use i'roposed Use
Permit includes: $. Building 0 Plumbing El Mechanical 0 Other
Type of Work: 13,Residential 0 New ❑ Remodel IDNumber of Units ❑ Deck
X ❑ Commercial 0 Addition ❑ Garage ❑ 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 Availabili El On-Site Septic System Availability ❑ *Project Valuation 51�"1� 1,��i
Zoning I Lot Size Existing Bldg Valuation $ -
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?::``<';:i]i]i`??::`::''iEi i?ii
Name Address
City State
11.41getiANiCAUCONTRACTORMaim::im •
Contractor Name Address
City State Zip
Contact Phone Fax
License # piration Date Verified' 0 Yes 0 No
PLUM In.Nar;0.19TRACIDEVROMMiNig
. I Contractor Name Address
City State Zip
Contact Phone Fax
v
License # Expiration Date Verified 0 Yes 0 No
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish W.shers Drinking Fountains Other
Showers Ele ric Water Heaters Sumps
Lavatories ashing Machine Drains al:.Fxture G
Totaunt ,
t M.A.N1 AP .JN Ci'€ 1V'!'Rii: :iiq 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 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 Os
Wood Stove -
Stoves
3
15 Tons
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 out of the reliance of the city,includ its officers and employees,upon the accuracy of the information supplied to the city as a part of this application.
XOwner/Agent. N' ?' Date:
c‘c‘.
8uwonq.Ary
REV6Eo 8/28/97