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97-100555 97.�a o 5sS � i�'t�rY Q'F �`EDEfZ�1L G�AY PERMTT i�0: BLU97—U105 3 3 5�0 �i rs t W a y S c�u t Yi .1�"�.µ,lp,�.� �1,.,,,..��;,�.,�.� Iir�'�InR�'�!' iN`'��m��I!�'�,�I��.,�,.. -:�,,,. x�5 U L D; (��;a.`�f`;�7 Fec�er�,l vJay, WA ��3C7t:J:3 �3uildin�� Inspectic�n ft�q��t� 45�;1-�4�.40 �3Y: FC2 ��.-�noo �x�sr��s: o�/�.g/�� r��ss: ��nz �w �c�� rt� s�� NU. : 416730-�009C1 �RQJ�C7 DESCF�IPTI()hl:RE-ROOF p- OWNER �_;,�-��=��_��_�_______________________��-_��_�-q� CONTRACTOR �w=-_;��_�M�====�-,=___=____��_��,___==��-ir IENDER ==_��_�_��==___=_____-____________=__-====q � JAhlIE LUTJE � ABC GAS INSTALLATIONS � � { 2302 SW 306TH PL ; 9423 64TH CT E � FEDERAL WAY WA 98023 � DUYAILUP Y!A 48373 � � � � ( � 38-1b20 j 845-7482 � i , � ABCGAI�113N3 �_�_-_�__�_.�_-_�,__��_:......_._��-w_-_=��..--_--=-_____-..�__...._.��-----___--_--_--_------�..tv�_�_________________________==j===-__-__��-�_.._�._...�___M.._...;....,�____.---____-_�_�__��_-_-_� �s� COMTRACTORS, PLEASE USE LOCATION CODE 1732 MHEt� REPOATIR6�SAlES iAX FOR PROJECTS MITNIR THE CIT1' OF fEDE�AI MAY. TRX RATE = 8.2� �3* �----------------- _ _____ _ ......_____�.,.______,�_._ -----------------�-��..-_:..:_.----�.�_��__«:======_=,��_.--__,�_.-�___.._._.__..,�._...__....__ _-==-.•�;____-��__==_____=___�_�_-��__=_-_===-�M;�,=j�===::��=_-__=_==-_==�____=________=__=_____� � BLD?:X MEC?:? PLM?:? FLR--EXIST--PROP--- BWELLIMG UNITS: 0 `� COMP PLAN...,.....:? � FEES: � � TYPE OF WORK:REP USE:RES 1ST.: 0; O:sf STORIES........: 0 "� REQUIRED PARKIN6..: 0 SPRIMKLERS?......:? � BUILDING PERMIT....# $ 54.00 i � CENSUS CATEGORY.....:433 2ND,: 0: O:sf HEIGNT...,.: O.OD ft � NAIARD CLASS...:? ( SBCC SURCHARGE.....� $ 4.50 � � OCCUPANCY GROUP---------- 3RD.: 0; O:sf VALUATION---------- � REQUTAEU SETBACKS------- FIRE FLOW....: 0 gp�t I :? :? :? :? . OTHR: 0: O:sf EXIST..�: 0 FROMT.,.,,,.... 0.00 fit � � � TYPE OF CONSTRUCTION----- BSMT: 0: O:sf PROP,..$: 28b5 � SIDE,... ..: 0.00 ft WATER SERVICE.,:? ;� � � :? :? :? :? : DEtK: Q: Q:Sf � REAR..,. ...': 'O.OD�ff SEWER SERU.�E...? °, � � OCCUPANT LOAD-------�---- GAR.: 0: O;sf RECEIVED..�2/19f91 s � � � : 0: 0: 0: 0: TOTL: 0 O:sf _ � IMPERV SURFACE: 0 sf SENSIiIVE AREAS?.:? � � �----�---__�._._ __-. ___- __-__- �_---------_--_____�_____=_=-�-__��___-_-_=_===_-_- -----��:-��-��__---�::,--.--._�_.�---...��..__..___.�.._�--.��____..�__�-.-_........__._��:--�__��- -__ ___-_� �--••---- --�---------..___ � � FUEL TYPES.:? ? FANS.,,........ p ; BOILERS�COMPRES50RS � WATER CLOSETS......: 0 URINALS........: 0 � TOTAL FEES $ 58,50 � 1 ceS PIPING.: 0 ft H00D,..:..,...: fl 0-3 NP......: D � BATH TUBS..........: 0 DRINKING FOUNT.: 0 � � RN<100K... 0 DUCT WORK...... 0 3-15 HP...... 0 � SHOWERS............. 0 SUMPS........... 0 ( � � GAS HWT....: 0 WOOD STOVES...: 0 15-30 HP....: 0 � LAVATORIES.........: 0 VAC BREAKERS...: 0 = � CONV BURNER: 0 FURN>100K...... 0 30-50 NP..... 0 SINKS............... 0 DRAINS.......... 0 � � � BBQ,....,..: 0 MISC......,...: 0 5+ HP.......: 0 DISN NASHERS.......: 0 LAI�N SPRINKLERS: 0 ° ! GAS DRYER..: 0 AIR NANDLING UNITS FUEL TANKS--------- � ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0 � � � RANGE......: 0 <-10,000 CFM: 0 ABOVE GROUND: 0 � LAUN WSNR OUTLTS...: 0 � � i� GAS LOGS...: 0 > 10,000 CFM: 0 UNDER6ROUND.: 0 h_._--a-rs_:,�c_�c-crxc-------r -- _...__.._••__ ______-•--- --j---._....-.___._._._...___________..__;;�m�_=M.=====__==��-c-_rr=�==:'====qa«m_c_c__�_�-._=s-==_-�_:a_..._ _--___ .______ a___c_..__.__.._, ____»...�..._»._«,..z_c..:.,....___.__....._"__...._c___""__�_....,._._..."'....,....___.-__�_�__.. _ � PERMITS EXPIRE 1B0 DAYS AFTER ISSUAMCE IF RO YORK IS STARTED. RE5IDENTIAL Al1D 6RADIN6 PER!lITS EXPIRE ONE rEAR AFTER DATE OF ISSUANCE. I CERTIFY TNAT THE INFORMATIOM FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KMOiILED6E 9ND TlIE APPLICABLE CITY OF FEDERAL MAY REQUIREMEIITS YIIL BE MET. OWNER OR AGENT ......�i�''�-.....Y.=1.�AL�2c(�. _ . .. .. __._ . DRTE ��_�� FILE COF'Y ' BUILDING DIVISION "r'OF G 33530 First Way South �� — Federal Way,WA 98003 ;,��`-�"� (206)661-4000 ,�� Fax(206)661-4129c �� 1 � APPLICATION FOR BUILDING PERMIT .., ..� PLEASEPR/NT APPLICATION # �L � ��5 :��.{��b� Address �3�7 c�— L� ��/ Tenant (if known) Lot# Assessor's Tax# �..- Buiiding Q�er's IVame � " n Address � �� > ,_ / � J � ��. f �� d� �� / Ci t p . ��!- 1/ • State �' Zi Phone �j^ C �� Nature of Work �?� ��ii�.:><8>>:;::`�::::::>::::::::>:>:>::>:::::��::::>:::`<?>#:::<:;:'::>::::��:�:»?�:::<i�:�:�::��:�: . .. .. .�......::::::::::.:::::::.::.::�:::�:.:::::..,..:..::�::. Name (F,M,L) � � �(' � � � 61�i'h �� . / Address �y � /„ � � l ' �1� /1� �� L' vY �� - Cit P y��,ry� �/ilC State G✓�— Zi Contact Person Day Phone � y��/�� Other Phone Fax S� .' B�I�.DIIV� �L�ltITR��TdR : Company Name ,� � � B "�' Y� C p �i� � Address � � � � �i.�/� 7 Cit � /�� State L .//� Zi � G Contact Person � Phone ' � � �o' �o.-',-'. �P r--S2 g- Contractor's #(card must be presented) �� j�/ � „ � � ,r� �^ Expiration Date Verified ❑ Yes ❑ No f7 �„ � /� � i4��>:::>:::::>«::::'>;:::::':'._...:: :>::;' ::::::;`':»»:::� :::`:;�;:;:`:::�;:;:;:«::::::::<::>'::::>`:`:::: #tE7;E�'�`::.:::::::::::::::::.:..::::::::::::.::.::::.::::::.::.:«::.:.;�.: Name Address Cit State Zi Contact Person Phone Fax LEGAL DESCRIPTION i �/sase Complete Reverse Side > Existin Use Pro osed Use . '�S�i�CI'1�[��:>':::::>::::::::�:::::':<:>::><:�:::«?:::::>:':<::i:;:<::::<:::::�::>:::;::>':::;;::�.;:.: 9 P Permit includes: ❑ Buildin O Plumbin ❑ Mechanicai O Other Type of Work: 1� Reside�tial ❑ New � Remodel � Number of Units O Deck ❑ Commercial ❑ Addition ❑ Gara e ❑ Shad E] Othar✓�'`�'`�'A Enter 1 st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft Area Basement s ft Decks s ft Gara e s ft Pro osed Total Area s ft CC Water Availabili O Sewer Availabili ❑ On-Site Se tic S stem Availabilit ❑ Pro'ect Valuation S��lv � Zonin Lot Size Existin Bld Valuation S ��lVti�R:::::::<::<:::>:;::?:::;::3:::�::::::ss:;:::>�:::::>�:>::::::>':::::::>::>::::>':'•>::>:z::::»»:;'::.<:::>:<�?`'� Name Address Cit State Zi _. _ ... _ ..._........... _............................ .............._................... _.............._........................._.........._...._.._........_....... _.............................._..._.................................._....... _...................._.......................... .._.............. IS��HA�I1��t�z�N'�'�tA��£?R Contractor Name Address Cit State Zi Contact Phone Fax License# Ex iration Date Verified ❑ Yes ❑ No �I�i��NE'�a:::�>::>:..:::.��:�:��: �":>:� .�.��:::>::>::>;;:;::;.:;<::;:;::><:::::��:; . .�'�'��t3�........................... . . ............ . Contractor Name Address Cit State Zi Contact Phone Fax License # Ex iration Date Verified ❑ Yes ❑ No :#��1��:.>:.<:»?>::::<.:a::>:::::::>..;::::::�::.>:�>::::>:::>:;:�:::::>:::a:s:>:�::>::::>::::::»::>::;: ... ... ... :.. ..�.��:�.'.��.�..:...::....:........::. Water Closets Sinks Urinals Lawn S rinklers Bathtubs Dish Washers Drinkin Fountains Other Showers Electric Water Heaters Sum s Lavatories Washin Machine Drains 7ota1:F'ixture::Count...:..............:::<:: - ME HANI A :��P[��«::#�N�'�'>��2��'1":::::<<::>?::`:::::<':::::<:::::<?:::: C C L EVALUATION ONLY . .. ...... .. ... S Fuel T e (electric/other) Gas D er Air Handlin < = 10,000 CFM 15-30 Tons Len th of Gas Pi in Ran e Air Handlin > = 10,000 CFM 30-50 Tons Furn <100K BTUs Gas Lo Unit Heater 50+ Tons Furn >100 BTUs Fans Miscellaneous Fuel Tanks Gas Hwt Hood Boilers Above Ground Conv Burner Duct Work 0-3 Tons Under round BBQ's Wood Stoves 3-15 Tons Total:UrtGt�n�nt D IS CLAIM ER:I ceRify under penalty of perjury that the information fumished by me is tiue and cornct 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 agee to save harmless the City of Federal Way as to any claim(including costs,expenses,and attomeys'fees incurred in investigation and defense of such claim),which may be made by any pe�soq including the undersigned,and filed against the City of Federal Way,but ocily where such claim arises out ofthe reliance of the city,including itc officers and employees,upon the accuracy of the informaYion supplied to the city as a part ofthis application � � Owner/Agent: v� ��/" � � Date: � � / � ' &IKD�Na.ArP � REV6E0 12/11/98 0.