95-1006285S-/oti6')B'
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
BUILDING PERMIT
Building Inspection Requests 661-4140
ADDRESS:1421 SW 307TH ST
NO.: 514930-0110
PROJECT DESCRIPTION :RE -ROOF - CHANGE ROOF FROM WOOD SHINGLE
TO COMPOSITION
OWNER
JAMES SEMPEK
1421 SW 307TH ST
FEDERAL MAY NA 98023
839-4611 248-5523
BLD?:X NEC?: PLO?:
TYPE OF WORL REP USE:RES
CENSUS CATEGORY ..... :434
OCCUPANCY GROUP----------
:?
TYPE OF CONSTRUCTION-----
:?
OCCUPANT LOAD ------------
0: 0: 0: 0:
FUEL TYPES.:? ?
GAS PIPING.: 0 ft
FURNOOOK..: 0
GAS HIT....: 0
CONV BURNER: 0
BBQ........ . 0
GAS DRYER..: 0
RANGE....... 0
GAS LOGS...: 0
FLR--EXIST--PROP---
1ST.:
0:
0:5f
2ND.:
0:
O:Sf
3RD.:
0:
O:Sf
OTHR:
0:
0:Sf
BSNT:
0:
0:Sf
DECK:
0:
O:Sf
GAR.:
0:
0:Sf
TOTL:
0:
0:sf
FANS..........: 0
HOOD........... 0
DUCT WORK.....: 0
WOOD STOVES...: 0
FURN>10OK.....: 0
MISC..........: 0
AIR HANDLING UNITS
<-10,000 CFM: 0
> 10,000 CFO: 0
DWELLING UNITS: 0
STORIES......... 0
HEIGHT.....: 0.00 ft
VALUATION ----------
EXIST. * 0
PROP ... $: 2500
RECEIVED.:03130195
BOILERSJCOMPRESSORS
0-3 HP....... 0
3-15 HP.....: 0
15-30 HP....: 0
30-50 HP....: 0
5+ HP........ 0
FUEL TANKS ---------
ABOVEGROUND: 0
UNDERGROUND.: 0
COMP PLAN ......... :LDR
REQUIRED PARKING..: 0
REQUIRED SETBACKS -------
FRONT, ........ . 0.00 ft
SIDE.- .... _... 0.00 ft
REAR..........: O.00:ft
LENDER
SPRINKLERS!......:?
HA?AHD CLASS...'?
FIRE FLOW....: 0 9m
WATER SERVICE..:?
SEVER SERVICE-:?
INPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
WATER CLOSETS......:
BATH TUBS..........:
SHOWERS ............:
LAVATORIES..........
SINKS ...............
DISH WASHERS.......:
ELEC ITR HEATERS...:
LAUN ISHR OUTLTS...:
0 URINALS......... 0
0 DRINKING FOUNT.: 0
0 SUMPS........... 0
0 VAC BREAKERS...: 0
0 DRAINS.........: 0
0 LAIN SPRINKLERS: 0
0 OTHER FIXTURES.: 0
0
PERMIT NO: BLD95-0241
ISSUED: 03/30/95
BY: FC
EXPIRES: 09/26/95
FEES:
BUILDING PERMIT....* $ 54.00
SBCC SURCHARGE.....* $ 4.50
TOTAL FEES $ 58.50
I ISOF ISSANC.
PERMITS EXPIRE 180 DAYS -AFTER ISSUANCE 4 NO WOSKTRUESANDTCORRECTSTOENHEABESTIL NDOFRMYIKNOWLEDGEGADNG PERMITSANDPTHE APPLICABLEFCITYEXIRE ONE YEAR ATERDOFEFERERALUWAYEREQUIREMENTS WILL BE MET.
I CERTIFY THAT THE INFORMATION fURNISED '1i
DATE------J '`TS
OWNER OR AGENT - ---1-----------------^----
RECEIVED
City of Federal Way
On L APPLICATION FOR BUILDING PERMIT 3 0199�
CITYULPWAY
BUILDING
PLEASE PRINT APPLICATION #:
SITE LOCATION Address 114SW
Tenant i '�-
Tenant (if known) Lot # Assessor
sses or's Tax #
OLS ��
Building Owner Name Address
City I State -WAr Zip � 81 Q Phone2¢ .-3 552
Nature of Work RP-- �n I'.",V —i4,i,, -P `A —A
APPLCCANT
Name (F,M,U 1 �1
JANES (I. �t��E>` �IA1oA 1�:1_Lk07 C
Address
City r=u Erc4,v- \ u 4y
Contact Person Day Phone
Jk au� s5 a3
BUILDING CONTRACTOR
State W A Zip 9 KOZ 3
Other Phone -Au— Fax —
`63q-Moll g4t,•14-13s'
Company Name
Address
City
St, to
Zip
Contact Person
Phone
Fax
Contractor's # (card must be presented)
Expiration Date
Verified ❑ Yes ❑ No
ARCHITECT
r•
Name
Address
State Zip
City
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492 (Rev 4193)