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98-100930 ,� , 9g' �� �3 a c;�� rY o� �=e:ua_����� �al;� �v��r� �� : ���Q�—o�.�2 �3 5�C3 F]. i"5 t W c�y S O t�_�..� � ,�„�� ,� �,. .,.,,, ,M,� ,..�, ,. � ::j f'• ' ��� ,,��`�,,n ,� " ����.,d�. �'��� �.,��.,.., ���'�,d"�'n ...�„ .,,�,,. :r.�s�.�c�: �. _,r'd�a �-�;:� Fec.�Pr'.�l Way, Wfl 98GQ� Bui1clinc� In�p�ct:ian ReGu�sts 253-6�i1�-4:L�t0 BY : FC2 253-661--400U �XPIRES: C19j16/9� ADDRES5 : 2941.5 2:1_ST f�L S N0. : 422291--C1020 PRQJECT DESCfi�IPT�QN.RER00f p= OVlNER _________________��;_=__=___________=_________=___=-= CONTRACTOR =__==_______=__=________________=_=___=____=-= LENDER =______==____________________=___=___=__=_=__=_� � KING CQUNTY HOUSING AUTH J & M ROOFIN6 INC � � 2134 S 296TN ST 3425 S 145TN � � FEDERAL WAY WA 98003 ; SEATTLE WA 48168 � � � 434-999: � � � _JMROOI�i53M9 t-------------------------------------____________________---�------------------------------_____----------------_____--- -------------------------------------------___------------� #i# CONTRRCTORS, RlEASE USE LOCATI01! CODE 1732 MNEN REPORTI116 SALES TAX fOR PROJECTS NITHIM TNE CITY Of FEDERRL YAY. TAX RATE = 8.6� ;;; --- ----------------- ----------------- -__------- -- ----- ----...---------- - -_------------------ - ------------ ------------------------------__ - - - - - ---- --- - -------- - ----_________-------:---- ---- _----------_ ::...=___.___.----_ ------ ----- ------__--- ___ __ ��=---_-_- - -• - - - ---.. - -- � - --= -- -� - - -- - , BLD?:X MEC?:? PLM?:? fIA--EXISI--PROP--- DWEILING I;NITS: 0 `°-.,� CQMP PLAN.........:? � FEES: TYPE OF WORK:? USE:? 1ST.: 0: O:sf STJRI��........; 0 � REOUIRED PARKING..: 0 SPAINKLERS?......:? � BUILDING PERMIT....� $ 49.00 CENSUS CA?EGORY.....:? 2ND.: 0: Q:sf 4EIGHT.....: 0.00 ft ' HAZARD CLASS.,.:? SBCC SURCHARGE.....� $ 4.50 OCCUPANCY GROUP---------- 3RD.: 0: O:sf VALUA?ION---------- � REQU.4ED SETBAC�S------- fIRE FLOW....: 0 gpa • •� �� •� • OTHR: C: �:sf EXIST..$: 0 ` FRONT.........: O.OQ ft � TYPE OF CONSTRUCTION----- BSMT: 0: O:sf PROP...$: 7b33 � SIDE........... 0.00 ft WATER SERVICE..:? •� �' •' • DECK: �: �:sf � REAR.....,....: O.00:ft SEWER SERVICE..:? � � :? .. .. .. , ` � OCCUPANT LOAD------------ GAR.: �: O:sf RECEIVED.:03/20/98 � ' __ Oy'_^_0_____0_ 0: TOTI: 0: O:sf ____ ______�_IMPERV_SURfACE�_ �F� 0 sf 5EN5ITIVE AREAS?.:? i � �_� � r-==-------------•----__���_=_�_:���_r__���=:=�__==_=___-__=_=-------_-_.---------�---------_-____------__===__=====-=_=__===______==__ � � ""L TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS ; I�ATER CLOSETS......: 0 URINALS........: 0 TOTAL fEES $ 103.50 ! PIPING.: 0 ft HOOD.......,..; 0 0-3 TON.....: 0 ; BATH TUBS..........: 0 DRI4KING FOUNT,: 0 : � fURN<100K,.: 0 DUCT WORK..,..: 0 3-15 TON....: 0 � SHOWERS............: 0 SUMPS..........: 0 i � GAS NWT....: 0 WOOD STOVES...: 0 15-30 TON...: 0 � LAVATORIES.........: 0 VAC BREAKERS...: 0 � j CONV BURNE4; 0 FURlJ>100K...... 0 30-50 TON.... 0 � SINKS............... 0 DRAINS.......... 0 � � � BBQ.,......: 0 MISC.......,..: 0 50+ TOH.....: 0 � DISH WASNERS.......: 0 LAWN SPRINKLERS: 0 � � � GAS DRYER..: 0 AiR NANDLING UNIIS fUEL TANKS--------- y ELEC WTR HEATERS...: 0 OTNER FIXTUaES.: 0 � � RANGE......: 0 <-10,000 CfM: 0 ABOVE GROUND: 0 = LAUN WSHR OUTLTS...: 0 � � GAS LOGS...: 0 > 10,000 CFM: � UNDERGROUND.: 0 y , p � i l___._________...__..__._..__________...__..._....._.�.`___""""___,.._�.�.�..�.._�__�_�..��._.�...�....��,......_..s.�.«......«...._..�__....��_..___..._��___^��___.__..____^^_______�.__...__z_..___�_____.�..._.-_'._�.__.,.�.���_..��.���_�.��...._.�__ PERMITS EXPIRE 180 L'�YS AFTER ISSUAIiCE IF NO IS STARTED. RESIDEpTIRI AND 6RRDIN6 PERMITS EXPIRE OilE YEAR AFTER DRTE OF ISSURMCE. I CERTIFY TNAT T8E I ORMATIOM FURMISHED B E TRUE AND tORREfT TO TNE BEST OF M� KNOiIlfD6E AMD THf APPLItABLE CITY OF fEDERAL YAY RfQUIREMENTS NILL BE NET. � OWNER OR AGEt�� _ _..___ _._ �.�.....��_.�---.�_---�--� ____._,�_��-�---�---�--�� DA?E ������� FILE COPY AdO�a�31d .JU � l�L.'..._.�,�,.�' �i`'(j v ,��. �� �.y! 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'. � ;.hi��1_1 . . . � i �i.�. ) 'i 4' �b .. . � , � . i1,.F�� t.��_>t �:��;I: i.i � t.:l.ItJ.� 4 � Il;i i.:(11.ic:it.� UPi r',��'I�i l.' -� '��I�-N�'{i � , � :� �. i .,.R.. ��. ����w �..:,�+�� ���'*� '�'�s�' � .� r��� �_a��ric�� ,tx��t ��,..a �� t�£' "�f.,.: ?S�t3 � ��,�� i:! :��N J�tW2�3c# � ,:�;t,t�� ��it�?:1;1tT��!_1 Jl) .11. I:�i 1 SETBACKS &FO�TINGS ' Date By � � 2 FOUNDATION WALLS Date By ___ _ . __ _ _ __ _ _ _ _ _ __ 3 PLUMBING GROUNDWQRK Date By 4 SLAB INSULATION Date By 5 F�OTING/DQWNSPOUT DRAIN$ Date By _ _ __ _ _ __ _ _ _ _ . _.. _ _ _ 6 UNDERFLOOR FRAMING. Date By 7 SHEqFi WALLS � �j S/ Date By I 8 PI.UMBING ROUGH•tTt : II Date By I 9 (3A5 pIPIN(3 � Date By � 10 MECHANICAL, 'ROUGH-IN I � Date By I 11 ��tAMING : � __. Date By I 12 INSU LATION II Date By I 13 GWB - 1ST LAYER I Date By I __ _.. _ _ _ ___ __ _ __ _ _ ___ _ _ ___ _ __ 14 6WB -2ND LAY�R , Date By I ___ _ _ _. _ _ _ _ _. _ _ _ _ __ ...._ _ __ ___ _ . _ _ __ _ _ . _ _ 15 SUSPENDED CEILING _ _ _ _ _ _ _ Date By 16 PLANNIN(3 FINAL' II Date By 17 PUBLIC WORKS F1NAL ::! Date By 18 FIR� FINAL, Date By 19 BUILDING'FINAL Date By ____ _ _ _ __ __ __ __ ___ __ __ _ _ ._.. _ __ ___ _ _ __ _ _ _ _. 20 Q'tHEH < Date By CD0183(Rev 4/8� BUII,DING DMSION �� � " -� '" 33530 First Way South �� ��L Federal Way,WA 98003 (253)661-4000 Fax(253)661-4129 .. . �:;�, APPLICATION FOR BUILDING PERMIT � , PLEASE PR/NT APPLICATION# � (�� ( � }� S �- ! �;::::•::.r;::fr;::i::Y•.'•.<�:�;'•.'•>;i',<:;:::�•>,'•:3>'< . ..,:..r, .: ,.t . > ''�, iati.r 4�¢Y�\ / � ..-7 :'�'�.�.�.�'`'`;1����>'°��� t�c::,, �>4.��>. Address �Z � '> � � 1__ l Tenant(if known) � Lot# Assessor's Tax# _ �._ �. _. _�=y�` . Buildin vYner's ame Address ,nc �U c.t�,,f Ci ,�-C State �t%f�- Zi Phone Nature of Worl� "Up ................................................. .......................................................................................... ............................................................................................ ........................................................................................... .................................................................................... ;�4`��1,:�C�#I�:::::>:><>[>::::»:::::>:>::::::>:::::�:>::::>::::::::>:<'::;:>:>;::;:>:s:`>:'>:>:.:s:>>:«??:: . . . . '�`.:......................................................... Name (F,M,L) .- �/� 7- � �� �C.s>V/`-1�-� �[./�E'C: Addres ��?. ��.` (o l���,S ci � l.�✓�, state Zi Contact Perso Day Phone � Other Pho�e Fax �L e� /vti��,� dUG--�5/�S-9S'S'/ �od- �5'�'� . ,<:,: ���::.:>�:<::;,:>:>: �>:<:�.f.,.::,.>....{: ,N.,::_v;;�.;� ��#�[�:0��1f�:�i�Ctl�.`�`�'�'�''�.�.�«:<`::;;::.:v>;:..:.:.:.....:.,.-: .......................................... ... .. .. ................ C�mpany Nam� f97�� � i -ei Address � �`� �r� Ci . ' Stata � Z'i Contact Person _ � Pho�e C-��� Fax ,� ;� �3 —ss s� �o - � ,-s Contractor's #(card must be presented) Expiration Date Verified ❑ Yes ❑ No � ! �f a.a- � .............. .............................. ..................................... ........................................................................................... :<:::�::<: `::r�:�:: . :> : :<:Ci�crE�:`><>_::><::>::;<�.::<:::<:>>:<:::::��>:'':»:>�<'::>::>;:::::::�. .�:.�..:: AEi ..... t`.T'...................................................�........ ........................................................................ Name Address Ci State r Contact Person Phone Fax LEGAL DESCRIPTION Please Coma/ete Reverse Side � e _ :sti Us n �:>:��:::FrR�..,::�:':::::::::>::::»;>:';'�:��;::�:<:::>::>:��:?�::�::>::::»>�:::::::;::::::>���:��::::::��:>::: U se ;:�:<::�:�::t::S::ii:::: :���.�`��'�'�..�.::::::::::.:.::::..::,::::::::::::::::::::::::::::.::::::. 9 , roposed Permit inciudes: ❑ Buildin ❑ Plumbin ❑ Mechanical ❑ Other Type of Work: ,� Residential ❑ New ❑ Remodel ❑ Number of Units_ ❑ Deck ❑ Commercial ❑ Addition ❑ Gara e 0 Shed ❑ Other 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 Tatal Area s ft Water Availabili ❑ Sewer Availabili O On-Site Se tic S stem Availabili ❑ Pro'ect Valuation S (� 3�-S Z Zonin yl�,l.�..` !.� Lot Size Existin Bld Valuation S �;<:E>::>I�::>:::>:::<'::>::#�:::::�:::�:::s<:�:<:>:::::::::::>:::`:::::::�::::::::::>::::::::::::::::<:'<:>:>:>::::>::"_�: .hl...ER.::.:.:::.::.::::.�::::::::::::::.:::::.::.:,::,.::::._:.:::,::::::::. Name Address � � Ci State Z •>:::<,�.;�:�::::::�:;•:.:::.::•::::•::;;:._:._:::•;.>::•::«••.::::.:::..... rC�f{titi��titi�':•'.-.-:::.i.... {i•:ti+:•::•i::::::.J:::.:: �'yh�'h:,k>�Q�.�+,14'v��. .�i����1��'s��:����.���i`�:rr�;k:<z�z;�?: Contractor Name A I Address �'t Ci State Zi Contact Phone Fax License# Ex iration Date Verified ❑ Yes ❑ No r>?::::,t�i:::>»>::>:;:::i:?::>:;>�?:p�>�>:>�>;:>;:�<:;:::>�%;:;?z�:>:_>::?:;.::>:E.:;'`s><:::_::::`:::<;z":�>:':>:f?:> . �'1��M�tI�G�t��ITFtAiG'�E}�:::. Contractor Name ' Address Cit State Z • Contact Pho�e Fax � License # Ex iration Date Verified ❑ Yes ❑ No :�:::::::;`::::::e�: :��������>.��.�.?�s?:.;::::».:...:..:`'.>:'::'`:•::::::'.>•.`•?`;''•s::::::.......... .....:,.:..�`��..�.'.���'.�..:..:..:.,..::........ Water Closets Sinks Urinals Lawn S ri�klers Bathtubs q— Dish Washers Drinkin Fountains Other Showers Electric Water Heaters Sum s ;_ . ; , Lavatories Washin Machine Drains 7otal;Fixtare Gou�t .. ::�:>�:�>:::.>s�:.>;:.;:�?'�:�: :.....::..<.::. ���EA4N1C��:�:::<_:::.>::::::.<:::::..:::,.._.:....�.:.,....:':::�<`''::<::;->:>::»:.;:.;:.;:;;.::.; ME HANI AL EV A�,.��1�';CQL��I'1':.:::.::,.:.:.:..:.....:. C C ALUATION 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 U�it Heater 50+ Tons Furn >100 BTUs Fans Miscellaneous Fuel Tanks - Gas Hwt Hood Boilers Above Ground Co�v Burner Duct Work 0-3 Tons Under round BB ' - Qs Wood S ov t es 3 15 Tons Ttital U.'it. '"ii,`<»:;»:::;>:>#>::�:<i�s::>::�:::>:>'' _ . r�_.CQ...►1�.............................. DISCLAIM ER:I certify unda penalty of perjury that the infortnation fumished by me is true and correct to the best of my knowledge,and further,that I am authorized by the owna of the above premises to perfonn the work for which pertnit application is made.I fuAher agee to save hamiless the City of Federal Way as to any claim(including costs,expectses,and attorneys'fees incurred in investigation and defense of such claim),which may be made by any pecson,including the undersigined,and filed against the City of Federal Way,but oaly where such claim arises out of the reliance of the city,' cluding its officas and employees,upon the accuracy of the information supplied to the city as a part ofthis application. Owner/Agent: Eru// ��-v1 Date: ��a� �jJ &ntnwa.Asr REV�D 8IY8/97