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98-100933 �� . . c�g��o a 933 CT i Y ��r � �L�:�tf1l� i��: � y� r �'�RMIT #�O : BLD98-0149 v:��J�� �]. I�S t. W r�'� .�'r Cj 11�:,� �il,.,.���,�P ,.��,�. ��.,�. ,II„,$.,,II��. �ry li�,���' li�,�ir, �,�», ���h���I�11 .�,^ �.,�,� ��J u�_i�. iJ �<�n�7 S`,S Fec�eral Way, WR S�8C�03 ]3ui1cling In�,pecti.on Rec�u�sts 25�-��e��t-G140 BY: �C� ���--���.-��on cxw���s: 0�/�.6/�g ADUft�5S :29517 2:LST PL S NU. : 422291-002C1 PRdJECI' DEaCl�:CPTIt7N: REROOF r= OWNER =_____�-=«�_--�W__________________________________;�= CONTRACTOK =__=====_�=;�_=�__�_�-___________=_===_____�= LENDER =___==�-��==___=_=_=__=___=____=_=_=___=___;�-� ; KING COUMTY NOUSING AUTN j J & M ROOFING INC � 2134 S 246TN ST f 3425 S 146TH � fEDERAI WAY WA 98003 � SEATTLE WA 98168 � � � i � � 439-9991 JMROOI$153M9 � � �____________________________�__��_�__________-___-=---__--�______---__-_-__________-__���___-______----_-__����_�_-_-�-�-_-_---___---_______-__--__-_______-_____--_-_--__--____� **� CONTRACTORS, PLEASE USE IOCATIOM COQf 1]32 �iRfN RfPORTIN6 SALES TAX FOR PROJECiS NITHIM THE CITY OF fEDERAI MAY. TAX RATE = 8.6� Y;= ____________.______________________________________________._...--_--._____-----------------------_._______.__.__---________------____._...._._--_-----------------------------------------.._-- r----------------------- ---------___._..______---------------T---------------------...--------------------------____...----z------------------------------------.__---- � BLD?;X MEC?;? PLM?:? FLR--EXIST--PROP--- DWELLING UNITS: 0 � COMP PLAN.........:? ; fEES: ?YPE Of WORK:? USE:? :ST.: 0: O:sf STORIES........: 0 � REQUIRED PARKING..: 0 SPRINKLERS?......:? � BUILDING PERMIT....� $ 99.00 CENSUS CATEGORY.....:? 2ND.: 0: O:sf HEIGHT.....: 0.00 ft � HAZARD CLASS...:? SBCC SURCHARGE.....� $ 4.50 , OCCUPANCY GROUP---------- 3RD.: 0: O:sf 1'Al�'RTION---------- ` RE�UIRED SETBRCK5------- FIRE FLOW....: 0 gpm � •? •? •? •? � Q?HR: 0: �;sf EXIST..$: 0 � �RONT.........: 0.00 ft � . . . . � , TYPE Of CONSTRUCIION----- BSMT: 0: D:sf PROP...$; 7633 ': SIDE..........: 0.00 ft WATER SERVICE..:? • •' •' �' • DECK: Q; �:sf REAR..........: O.00:ft SEWER SERVICE..:? ' .? .. .. .. . � OCCUPANT LOAD------------ GAR.: 0; O:sf R�CE:VED.:�3/20/98 � � • 0: 0: 0: 0: TOTL: 0. D:sf � IMPERV 5URFACE: Q s' SENSI'I6'E AREAS?.:? �-=-----------------------�-__=__-=_����=���:::��_====_���_;�_____=_>;_____=___��:___�_��_=�-_�_���_�=v�=Fw���==_==__===_====_=_=______ � {- ----- ----------------- FUEL TYPES.:? ? FANS.,..,..,." 0 BOILERS/COMPRESSORS � YlATER CIOSETS......: 0 URINALS........: 0 � TOTAL FEES $ 103.50 � � GRS PIPING.: 0 ft HOOD......... • 0 0-3 TON.,...: 0 BAT4 TUBS..........: 0 DRINKING FOUNT.: 0 � FURN<100K..: Q DUC? WORK.....: 0 3-15 TON....: 0 SHOWERS............: 0 SUMPS..........: 0 � � 6AS HWT....: J WOOD STOUES...: 0 15-3D TON...: 0 � LAVATORIES.......... 0 VAC BREAKERS...: 0 � CONV BURNER: 0 fURN>100K.....: 0 30-50 TON.,.: 0 � SINKS..............: 0 DRAINS.........: 0 � � BBQ.......,; 0 MISC..........: 0 50+ TON.....: 0 ; DISH WASHERS.......: 0 LAWN SPRI+�KLERS: 0 � � GAS DRYER..: 0 AIR NANDLIN6 UNITS FUEL TANKS--------- s ELEC WTR HEATEftS...: 0 OTHER FIXTURES.: Q � RANGE......: 0 <-10,000 CFM: 0 RBOVE GROUND: 0 � LAUN WSHR OUTLiS...: 0 � � GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 � � E=__�___________________--_-_-=-.__.__�---__-____----___-_---__--_____--____--____-___----_____----_--___--�_-_____-__-___=__-_____-__..__=�=____=_-_---_-----___----___-----------_---_---' PERMITS fXPIRf 1$0 DAYS AFTER ISSURNCE IF NO QRK IS STARTED. RfSIDEMTIAI AkD 6RADI116 PERMIiS EXPIRE ONE YEpR AFTER DATE OF ISSUANCE. , I CERTIFY IHAT IHE I ORMAd"a0N fURliISHED B IS TRUE AND CORRECT TO TNE BEST Of M11 KMOYLED6E AND THE APPLICABLE CITY Of FEDERAL YAY REQUIREMEHTS 4iIl� Bf MET. � � ��d� OS�NER OR AG�r' ___._ __. ---- DATE --- FILE COPY AdO�a�31� � _ ____ ._... . _.._..__ . _. _ ._ _..._ .. . - � , ' 3tt�+� ,+.ry3-r ? - -'� ,/�s�;c, i:r'�t+ _,��_�' /, .l�lt 3� Iltli 51N3N38Ii103� A1t� 1N��73 .�0 Al[� ��t�)Ildd� �l QNY 19Q�1#I@M� 1lN � 1538 �[ A! 1��iWii� 8iW �tNll. 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'�� _� .�� ��...h�.;� ; � � � . . . ; � i�, � r ; r i; ,;: ;: 6�1'�C� kTt,(� � � t1s�, t i W��ci "• �� i i�� � � � ' I;�� ' i ( � BUILDING DIVISION �� � 33530 First Way South • Federal Way,WA 98003 uv AY�— ,����_ (253)661-4000 ���� Fax(253)661-4129 � �� � � APPLICATION FOR BUILDING PERMIT � ,, PLEASE PR/NT APPLICATION# � L�l c7 ' i � I �� . ......f. - 7h<: '•::ii;::�;::':::.f•;in:::ii::+:,;5:,^,,?{3A. 'i`�:�, £?k�r`:�::;:' -'fi::r; :��s�:���i,i�����K��,��'������u:%:>`wi>:���h`::f:`• Address Tenant(if k�own) Lot# Assessor's Tax# , x _ . � � �-- � —,. _��", Buildin vrner's1�ame Address ,nc. C"V cc�,-/� cM,� . Ci .a-� State �(/A- Zi Phone Nature of Worl� "'Up ; ::;°?:�''`Ci�l�i'�``�:<;�<:::::::[::�>::::::::>::::>::`'=':::::::::'<:::z:::::::>`:::::::>::'�:'.<':': ::>::':�: ,A� .� .. . Name (F,M,L) �- � `f`h2 �v6`.t�� �,��_ Addres�� jlvy `_��`� l� I(/ Ci P�yY�k l.t�✓�, State Zi Contact Perso � Day Phone , Other Pho�e Fax c �Le� �' /�c.�-�� d�G���'S-4S'S"/ �ad- �5'-�'s_ :<:::;:::.;::::::«<.:::><:;<::::::�:::<:>:=�:>::>=:::�;<<:::»:<>:�::: , :����:v��t�<:��:�'�i:�.�'r���:::::��;�<�<�::<:�::�:«:>:::;r:;:r: .................................................................................:....... Company Name �?N+�l'o � - -f� Address L � n`� `� �} Cit r — State !� Zi Contact Person _ � Phone���� Fax 6 ,� -5�3 —y� si �� - � ,-s Contractor's #(card must be presented) Expiration Date Varified ❑ Yes ❑ No � / cfaa- � ;.:: :.>:.»;;:�ci`�">`:;:<:"::::;::�:::::::::::::»>:<::<:>::::::<>:::::::<:<;:<`>:::<:::<::::::::::��::�::::�:��;:::>::::; >::> AR�.:.:.:.:...�T.::::.::::::.:::,::::...::.:,...:.::.:.:.:::................. Name Address Ci State r Contact Person Phone Fax LEGAL OESCRIPTION . P/ease Comn/ete Rever.ee .c_ide >�:� Exis' Use >:>T3i..:..,>,>._.`.,_...... tm (�<:::>::::>::::»::>::>::»::[::<:><::>::>::>::>:><:<:::>:::>::::>?:':::::;':;:':�::... '�.___�G'�.......:.:::::•::::::::::::::::.::.::._:.�::::::::::::::::::::. 9 Proposed Use Permit includes: ❑ Buildin ❑ Plumbin ❑ Mechanical ❑ Other Type of Work: ,� Residential ❑ New ❑ Remodel ❑ Number of Units_ ❑ Deck ❑ Commercial ❑ Addition ❑ Gara e ❑ 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 Total Area s ft Water Availabili ❑ Sewer Availabili ❑ On-Site Se tic S stem Availabili O Pro'ect Valuation S (� 3�-S z Zonin yl2u.•` !.� Lot Size Existin Bld Valuation 5 'niiiW::.iiiiY�iiii:j':�r+i.vvM1M1.'n;h}\�jyv,•��...,1i' '.?iY.;:��'�j+.'l/J��;� 'iti� ���;�;`�Yk���•{'>�j} }:n.i �������:'�:"�:::%�`:�':�. :a.w :.>x;��::::•«.:�C�.��,:�::�: Name Address IXl Ci State Z �<::<�.':::;�>;>>::>>fi�"'.<t>. `.;'><.x...:,....t,�...>.A,..�.....y..�...:.::?�.ys,::>::>::':�z::::::::<::;.;;: . .� ���t��l...:�i{�.i#�C:i[-f.,.�r,.:7.�ik :...:.:. ...:. Contractor Name a I Address o't Cit State T Contact Phone Fax License# Ex iration Date Verified ❑ Yes ❑ No <:::::;:<::�:::>::::»:::::> a � ,J <`,�;::.:::>:> � .M�E�tG. t�1V::>: ;>;,�...:: ;;; :::::::::::..;;:::.>::.;;.>::.::.:;::::: , ........... .. . .:... .. _ . : ,'T'f;A :'�.E�1���::::;::>{::;:v:::>:>�r:;<»;�::<�::: Contractor Name ` Address Cit State 2 Contact Phone Fax License # Ex iration Date Verified ❑ Yes ❑ No �:�::>�:•':�:::<�:�>s :::::.�.�.� '��::�:;;:�::�>:: ::: . . ............................ ::: ::::::::::::::::.�:::.:::..,r..,•:::•,:::;:::•;:::,.•.::.:,:::::: . ::::::::.:::..:�::::::::....:..�..,.:::.::::.:...,....:::::.�: :#?�...:1SA:�:�I��:::�t�.':�'�:t�::G:?���1�:>�;::::::x,............. Water Closets Sinks Urinals Lawn S rinklers Bathtubs Dish Washers Drinkin Fountains Other Showers Electric Water Heaters Sum s Lavatories Washin Machine Drains Tota1:Fixtuce;Gount:»:>:�>::::..:::::::,:::>: ::;-»::»:>�::::::>:::s:::»r>:<:::>:::::::»s�:::>:::::':::::t:>::::s�::i:::> ��:::;.:::::�::;: ����!4.�CiA;��:���?:CC�E��I'�'���:ry�'::::>:>::::::>..:�;>�:>:;.:: MECHANICAL EVALUATION ONLY ... . . . . ... ... . $ 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 Woo S ov - d t es 3 15 ons T 'ftital<Unit`;,;au`t:<:»::<::>::::>::»:'>:i:[:::>:<:>::»:;<' ____... C_. tt.....................__....:. DIS CLAIM ER:I certify under penalty of perjury that the infoRnation 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 perfortn the work for which peRnit applicafion is made.I fucther agree to save hamiless the City of Federal Way as to any claim(including cos�ts,expenses,and attomeys'fees incucred in investigation and defense of such claim),which may be made by any persoq including the undersigned,and filed against the City of Federal Way,but only where such claim arises out of the reliance of the city,' cluding its office�s and employees,upon the accuracy of the infocmation supplied to the city as a part ofthis applicatioa / Owner/Agent: �4.�// � Date: ���� �� l &xnwa.Aw flEvsFo el28/97