98-103863 9'3- )0.3 Z4:3
CITY OF FEDERAL WAY PERMIT NO: BLD98-0682
33530 Fi rst Way South 121+0,...0 I L. D:, .: NM;:;; ''" ;::ft1M :„: ""1"' ISSUED: 10/13/98
Federal Way, WA 98003 Building Inspection Requests 253-661-4140 BY: FC
253-661--4000 EXPIRES : 04/11/99
ADDRESS : 32130 19TH LN SW
NO. : 132103-9102
PROJECT DESCRIPTION:REROOF ONLY
BLDG 17
i= OWNER -- __--- -- • ...:-. - T- CONTRACTOR ------- ---- = LENDER -- ----=___
1 W00DTRAIL VILLAGE WESTERN ROOFING INC.
1 32130 19TH LN SW 1010 W FINCH DR
•ERAL WAY WA 98023 NAMPA ID 83687
I d 208.467.6848
I I WESTER I
E- - . -= I ____ • - 1 --...
:t: CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.6% x;x
BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN •' I FEES:
1 TYPE OF WORK:REP USE:RES 1ST.: 0: 0:sf STORIES • 0 REQUIRED PARKING..: 0 SPRINKLERS' 0 BUILDING PERMIT....# $ 117.00
I CENSUS CATEGORY •555 2ND.: 0: 0:sf HEIGHT • 000 ft HAZARD CLASS 0 SBCC SURCHARGE * $ 4.50
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION , REQUIRED SETBACKS FIRE FLOW • 0 gpm
1 :? :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 0.00 ft
I TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 9784 SIDE • 0.00 ft WATER SERVICE..:? j
I :? :? :? :? : DECK: 0: 0:sf REAR • 0.00:ft SEWER SERVICE..:? I
I OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:10/09/98 1
: 0: 0: 0: 0: TOIL: 0: 0:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
L TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 121.50
i S PIPING.: 0 ft HOOD • 0 0-3 TON • 0 ; BATH TUBS • 0 DRINKING FOUNT.: 0 ,
1 FURN<100K..: 0 DUCT WORK • 0 3-15 TON • 0 SHOWERS • 0 SUMPS • 0 R
GAS HWT • 0 WOOD STOVES...: 0 15-30 TON...: 0 LAVATORIES • 0 VAC BREAKERS...: 0 1
I CONV BURNER: 0 FURN>100K • 0 30-50 TON...: 0 SINKS • 0 DRAINS • 0
9 BBQ • 0 MISC • 0 50+ TON • 0 DISH WASHERS • 0 LAWN SPRINKLERS: 0
f GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
1 RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 , LAUN WSHR OUTLTS...: 0
I 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 . INFORMAT ON FURNISHED B ME IS RUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE NET.
N.
OWNER OR AGENT V1 ' - DATE \ / 910
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SETBACKS &FOOTINGS
Date By
FOUNDATION WALLS
Date By
PLUMBING GROUNDWORK
Date By
UNDERFLOOR FRAMING
Date By
L
Date (G - �f- BylCt
..........................................
........................................
..........................................
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
Date /a- z.$- By C.4
OTHER
Date By
OTHER
Date By
CD0193
•
BUILDING DIVISION
urvof 33530 Fust Way South
•Y- F_DEJZF-IL Federal Way,WA 98003
VV FlY (253)661-4000
Fax(253)661-4129
V►, :,s ; :APPLICATION FOR BUILDING PERMIT
FIUME:MG13EPT \ /,, '�(
PLEASE PR/NT APPLICATION # .a413 y 0(o U a
dd
A ress
::: :::::;t:»i:i:Si`2Y?. . --a) 36 0\ t.--`fps - `s, ...
Tenant(if known) Lot # Assessor's Tax#
vlqrscr
Building Owner's Nam `� Address
\CA b 1 S\N- -
City State • '(VA,• Zip - WSW CAC5 Phone
Nature of Wor
WACR taUfklY<i:-M::: z�i ii:ig` r >33>%?=>:::_:::=>:�<::::=__`
Name(F,M,L)
Address
City State Zip
Contact Person Day Phone Other Phone Fax
litiLNmt. aNT#illTde::... .........<»
FEDERAL WAY BUSINESS LICENSE
# l
I `
Company Name
s---\-,\A.x rz-,\<1.1-NnC,S1-4-1z,\)--->•-.^.-% 1,-,,,---u-- -
Address \ w .
"� 1
City IN\t?SC-- icso State , , Zip .'-. )9%7
Conta ers n Phone Fax
M— 199-1 \tile-(CgQAC
Contractor's #(card must be presented) Expiration Date Verified Yes 0 No
r^l`
ARCHITECT'<' >?> <':> <`:<<>`>E:M:]: =><
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION2
k
Please Complete Reverse Side
•
p�
f Existing U
...... .. .......-�.:::• -:::-..::. ... ----�...:: : s9 se ;.,.;; _ Proposed Use •
Permit includes: I. Building ❑ Plumbing D Mechanical 0 Other
Type of Work: '18;Residential 0 New 0 Remodel ❑ Number of Units ❑ Deck
X
0 Commercial ❑ Addition 0 Garage DJ
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 X1,9 c�
Zoning Lot Size Existing Bldg Valuation $
LENDER........:::.:_.::.....:::.:::- . ;:....:.: :::. :::«<.;.
Name Address
City State '.
il
MECHANICALZONTRAZTOIWOMEN
Contractor Name Address
City State Zip
Contact Phone Fax
License # piration Date Verified ❑ Yes 0 No
1»tNIIEIti€GV{IfV EZA 't)E ......................._.
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes ❑ No
.... '
{.y
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish W.shers Drinking Fountains Other
Showers Ele ric Water Heaters Sumps e,
Lavatories gashing Machine Drains Tzital>Ftxture-Count:::::: >::::s::»ii:':
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 `
lN
BBQ's Wood Stoves 3-15 Tons Ttttal ilt Coui1t::>:::: 3 '>.>:::.>:::> '.
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 nits officers and employees,upon the accuracy of the information supplied to the city as a part of this application.. -
\ � J
Owner/Ageni I� r.\ Date: V_) °I)l 1
BUILDfiEvis NG 8/2 •
Revaeo 8/28/97 ._