98-102524 CITY OF FEDERAL WAY 1.11„,..)
„.,. yy ,.t.',„„„„„, q PERMIT NO: BL_D98-0439
33530 First Way South ib „,..).L L.,;t„). .' 'ltb il,•°���I„;„.R,M .1,,. ",II„� ISSUED: 07/09/98
Federal Way, WA 98003 Building Inspection Requests 253-661-4140 BY: FC2
253-661-4000 EXPIRES: 01/05/99
ADDRESS: 29815 10TH AVE SW
NO. : 195460-0135
PROJECT DESCRIPTION:RES ALT - RE-ROOF
F= OWNER =---r- CONTRACTOR - - T LENDER - ----
LINDA RENFRO T BLACK DIAMOND ROOFING I
29815 - 10TH AVE SW 1290 BAY LOOP SW
FEDERAL WAY WA 98023 TUMWATER WA 98512 I 1
1
4941 0750 360-956-159710
BLACKDR037K7 I
1
*=i CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.6% **
BLD?:X MEC?:? PLM?:? FLR--EXIST--PROP--- DWELLING UNITS: 0 1 COMP PLAN •1 FEES:
TYPE OF WORK:ALT USE:RES 1ST.: 0: O:sf STORIES • 0 I REQUIRED PARKING..: 0 SPRINKLERS' •' BUILDING PERMIT....* $ 171.00
CENSUS CATEGORY •555 2ND.: 0: O:sf HEIGHT • 0.00 ft I HAZARD CLASS •' SBCC SURCHARGE * $ 4.50
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION I REQUIRED SETBACKS FIRE FLOW • 0 gpm
:? :? :? :? OTHR: 0: O:sf EXIST..$: 0 ; FRONT • 0.00 ft
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 16000 1 SIDE • 0.00 ft WATER SERVICE..:?
:? :? :? :? DECK: 0: O:sf I REAR • 0.00:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:07/08/98
. 0: 0: 0: 0: TOTL: 0: 0:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
f FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS i WATER CLOSETS • 0 URINALS • 0TOTAL FEES $ 175.50
GAS PIPING.: 0 ft HOOD • 0 0-3 TON • 0 BATH TUBS • 0 DRINKING FOUNT.: 0 I
N<100K..: 0 DUCT WORK • 0 3-15 TON • 0 SHOWERS • 0 SUMPS • 0 1
HWT • 0 WOOD STOVES...: 0 15-30 TON...: 0 LAVATORIES • 0 VAC BREAKERS...: 0 1
CONV BURNER: 0 FURN>100K . 0 30-50 TON...: 0 SINKS • 0 DRAINS • 0 1
BBQ • 0 MISC • 0 50+ TON • 0 DISH WASHERS • 0 LAWN SPRINKLERS: 0 1 I
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
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
--__.. ._____-__.. 1 __ .-._
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 INFOR ION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENt - (, _ •_ _ • _ DATE 2--i!-P5
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1 SETBACKS & FOQTIhIE «<> »<>'» > > •
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2 FOUNI7d1`IDN W#LLS
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3 PLUMBING>GROUNDWORK
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4 SLAIN INSULATION
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5 FOOTINGID•
OWNSPOUT::DRAIN;3 .;;::,
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6 UNtRFLCUBF#IA411INQ > > > >><> »
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7 SHEAR WALLS:.: `: ''.:?»>:«»;' > >:::>:::::::.:.......< 1 / - p.
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h"RTI►MING::::>' ''«>' '< <<>> ><' «> > < > > >'�`
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CD0193(Rev 4/97)
•
• •
• BUILDING DIVISION
33530 First Way South
EIZFIL RECEIVED Federal Way,WA 98003
(253)661-4000
JUL 0 9 1998 Fax(253)661-4129
CITY OF FEUt HAL WAS
APPLICATION FOI 'IBItf bING PERMIT
PLEASE PRINT APPLICATION # \Pc)
i
»�� Address
_ 5 O lnz/
Tenant(if known) Lot# Assessor's Tax#
&,E.S
Building Ofwner's Name Address
/27;1(7,3 .--5e11/4-0 z7Y�1/ - /o 4 4✓e
City !�re.tr-A/ (,pay State <_:< Zip te0,43 I Phone 6259 g4i/ 0 7SV
Nature of Work h ccc)) /o of
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'A''EICANT ...<.< €.< : >>`=< > > > >> > >>>>»:
Name (F,M,L)
Address
City State Zip
Contact Person Day Phr aOther Phone Fax
/14c/a �en `' �5 94/ c7 z
BUILDING CONTRA TOMEMM <'
Company Name
44CA' ,'/i7-,74 o'J D WoU f fA-)G
Address /,19O 6,4y Zoo(' )
City %t.0/K W,q-T-T f
Lc�?f �8 57 3-- State t)/1 Zip '&5 / a—
Contact Person Phone Fax
tom= i(_-(6.727-r2/3 )9V, /s97
Contractor's #(card must be presented) Expiration Date Verified ❑ Yes ❑ No
��cac oies v 3'24-7
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ARCHITECT>MUNi > aiNi MOMi
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Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
• Please Complete Reverse Side •
•
Existing Use
Proposed Use
Permit includes: ❑ Building El Plumbing ❑ Mechanical ❑ Other
Type of Work: 41 Residential El New . .Remodel Cl Number of Units ❑ Deck
0 Commercial ❑ Addition Cl 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 Valuation $
Zoning il Lot Size Existing Bldg Valuation $
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1ENDERMNi> [ <> >'»><>'>> <<><«lM: » >'>
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Name Address
City State Zip
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Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes 0 No
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PLUM B NC CONTEAe1'RMEME ::'.
Contractor Name Address
r
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
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PLUM BIN.GTIXTUEMCOUNIMMVaM
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers .Drinking Fountains Other
Showers Electric Water Heaters Sumps
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Lavatories Washing Machine Drains Total Pittture:Coutrt
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St.ECI . N'I Af #.Nt `C:OU111'I' > > ` ><> > > 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 Wood Stoves 3-15 Tons Total Unit Count
DISCLAIMER: I certify under penalty of perjury that the information;unrished 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,including its officers and employees,upon the accuracy of the information supplied to the city as a part of this application.
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Owner/Agent: i_;,(�� / i. Date: ' `i -8 '7S
•
BUILOING.APP
HEvs[o 8128/97