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98-100932 _ �� 9 g-��a 9�J f� r' i, � 1'� _ _ , . ,. , y, f���(?'�i� }•t[:' : :iL���-'%�.�J� ��:��.�o F�i �-�t w�.�, s U�t;r, �1�h,,n� r.,,,. ,�,rt p��p�, ' .;:�H ;,� �� � ,. , ., ;� s, ;� .,� .,.C,. i ,N �,. h � ,,,;�, ih �.,:. � �.� 'n .���. ,.�.,, 1�>:�u�:i�: ��.,,-i�; ��= �ec�et�a1 �ay, �lA ��30f]? �3��ilu:ing Inspectic�n f�t�c�ue5ts 253-661-!��.�0 BY: FC`.' 253-661-4Q00 EXPIRES : Q9f�.6/98 ADDRESS:�95C17 2:LST PL S N0. ; 422Z`�'�-DU20 F'RO 7EC7 I���SCR:I P7:I ON:REROOF p= 0�lNER =------==---==-==-===�-��_=_=___==_=====__=_=______-- CONTRACTOR =_=_=__==_========__=_=_______=___=_=__==___�= LENDER =_=�=��r�==========_==_==__=_=____==__=____=___ ; KING COUNTY HOUSING AUTH � J & M ROOfING INt � 2134 S 296?H ST � 3425 S 14bTH ; `� FEDERAL WAY WA 98Q03 � SEATTLE WA 48168 � � 439-9991 � ° � JMROOI$153M4 �_________________________��________�---__�_...___-._--_-----•---_=�=_____-----_--_----=-__-__-___-��___�-____--.�__._:.____�_----=1=----________-___-_____�_��_�_��-__-���.-_=------__--___-_ ;�� CQNTRACTORS� PLEASE USE LOCATION CODE 1732 liNEli REPORTIM6 SALES TAX FOR PROJECTS YITRIiI TNE CITI' Of FEDERAL NAY. TAX RATE = 8.6� i�; ----------=---a_____�_____�____..___..-----------------------------=-------=---------____._�..____--_-----_----_--------------_---_----__---------_--_----------_-_----__------------_ - - -------------- ------- ---- ---------.-=-____ ____ - ---- -------------- --- ---- - - - ------------ _ ___ ___ ___ ___ _ ___ _ __ ____ _ _____ __ ____ -.. ---- ------ _ ____ � BlD?:X MEC?:? PlM?:? FLR--EXISI--PROP--- DWEL�ING UNITS: 0 ; COMP PLAN.........:? FEES: � � TYPE OF WORK:? USE:? 1Si.: 0: O:sf STOR:ES,.......: 0 ' REpUIRED PAAKING..: D SPRINKLERS?......:? � BUILDING PERMIT....� $ 99.00 � - CENSUS CATE60RY.....:? 2ND.: 0: O:sf NEIGNT.....: Q.00 ft � NAIARD CLASS...:? � SBCC SURCHARGE.....$ $ 4.5Q � OCCUPANCY GROUP---------- 3RD.: 0: O:st VAIUA?ION---------- ¢ REQUIREB SETBACKS------- FIRE fLOW....: Q gpm � � :? ;? :? :? : �JT4R: 0: O:sf EXIST,.$: 0 � FRO�YT.........: 0.00 ft � � TYPE OF CONSTRUCTION----- BSMT: 0: O:sf PROP...$: 7633 ; SIDE..........: D.00 ft WATER SERVICE..:? � � • �' •' �' • DECK: 0: O:sf ' REAR..........: O.00:ft SEWER SERVICE..:? � � � .. .. .. . OCCUPANT LOAB------------ 6AR,: 0: O:sf RECEIVED.:03/20j98 � : 0: �: 0: 0: ?OTI: �: O:sf IMPERU SURFRCE: 0 sf SENSITIVE AREAS?.:? � � FUEL^TYPES ;? ^^^ '^^ � � FANS . ..�. f�� 0 + BOILERS/COMPRESSORS ^{'WATER CLOSETS ....: �Q � URINALS�....... : 0� � Y TOTAL FEES $ 103.50 GAS PIPING.: 0 ft NOOD..........: 0 0-3 TON.....: 0 � BATH TUBS.,........: 0 DRINKING FOUNT.: 0 , � FURN<100K..: � DUCT WORK.....: 0 3-15 TON....: 0 ; 5HOWERS............: 0 SUMPS..........: 0 � ! f GAS NWT....: 0 WOOD STOVES...: 0 15-30 TON...: 0 � LAVATORIES.........: 0 VAC BREAKERS...: 0 I � � CONV BURNER: 0 FURN>100K.....: 0 3Q-50 TON...: � � SINKS..............: Q DRAINS,....,...: 0 � � � BBQ..,.....: 0 MISC..,.......: 0 50+ TON.....: 0 DISH WASHE�S.......: 0 LAWN SPRINKLERS: 0 , GAS DRYER..: 0 AIR HRNDLING UNITS FUEL TAHKS--------- � ELEC W?R HEATERS...: 0 OTHER EIXTURES.: 0 � � � RANGE......: 0 <-10,Q00 CfM: 0 ABOVE GROUND: 0 LAUN NSNR OUTLTS...: 0 � �__..GA5 L�GS...: Q > 10,000 CFM: � EINDERGROUND.: 0 , ! _._.________.__._.___._.._._--.- ---._._------------------------___._______=_�____-�_=_:_=-=�_.-__.:==�=�:__._-:._»_______________________----------------__---_ ______�___------.....-----------------------------------� ---------------------.____�._��__==__====_------------------------------------------- � -------- PERMITS EXPIRE 180 DA!'S RFTER ISSUANCE IF N OR IS STRRTED. RfSIDEKTIAI AI(D 6RADIli6 PERMITS EXPIRE OME rEAR AFTER BATE OF ISSUAIICE. 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' "�, y .�.��.i � :; a . . . , . � i-,'� ;�I� , , , i , i i +in .,. � , . . � �,;. r �- .a, � -.. . .... , . . .. . � _ �. �.� -��_ .� _ }'. ��ii: car i Ui.'� � J :)�_�.��_� �. �`'�-� ���� � ; ��ii t:.l.�i_j��it.� l��`� .tC:�'�� �,C',.1�.9�.)t.J�j ¢,, .;� �� � �i; ��. � � .�. �i!'�l.,,�.'!K.;� ���� ��'�� 1 �. 1 A��� +_�'��rif)� :'�.C'(� -�i`;_i Y � Clf.t;;'S: r�►s�.��a�_€��,�:� ��� ���:�r� l�:w����� ,��.���� �r��.�t���:��i_� �c, ,���..�a � Bvu.nnvc Divrscox �„oF G 33530 First Way South �_ F��_ Federal Way,WA 98003 uV F�Y (2s3��i-a000 Fax(253)661-4129 APPLICATION FOR BUILDING PERMIT - .--�, PLEASE PR/NT APPLICATION# � ' �` '� '� y� '� �;:«;:::::::;>:»;:�«:>;�:;;;:,::,:ti:x.:�;•...,�..r . <,. -x n � �—, � '���::�:��,i,�����::•;:;.: .¢. .,.,,�• Address `� �� I �-, ` 1 ) Tenant(rf knnvgn) � , Lot# Assessor's Tax# � ..�s-L --'_i /�y, ' , : �,%�' -��; �1!"-" Buildi� v�rner's�me Address ./k. C U c.th-f C� ,�-( State �(/� Zi Phone Nature of Worl� �Vp ;:.::: ;<;::<«��A�iT::;::::>;;:::::<:>::::::>::::::>::::::'::;::>:='>:€:>::;<>:::::«<::::::::<:>.°``::<:::_, >:;.; ;AE��'�... . Name (F,M,L) �— � 11��-ti- ��<�.��-� �i�c= Addres ��. ��� �v���S Ci C�YY�I� C�✓}. State T-i Contact Perso � Day PhonedUG^ J/��_/J���/ Other Phone F�O6` d�S f�'�%S� L�� 1x%-�< <7 7 `.,.�.�;:..�.,�".�`'.,�.t::4}`h< ' �t�x� �y �i.u�;+�?���y�,a�. }::::3i{�%' � r.��:>s;ktik'Y•;: ::i::::F:�::i::::::c<:::::::::::>::::.'.i:::::5:::::::::::i::i::ii::ii:.:::i::.::y ;�?i:��t:3i!�lY�:::V�RY;I:.ii,F,.l�it;•:7:��7.::0..,,�„�.,,.,.',�.�:..y.......... Company Name/ // ` f,4T�++�� /-T � -f� Address L � �`� j r 5 c; , stece r� � Contact Person � 'r Phone���� Fax ` -, �3 —f� si � _y3 '—s Contractor's#(card must be presented) Expiration Dete Verified ❑ Yes ❑ No � ! �a.a- � ARC;> >i�[�i`�er�>::::::::>:;:<;;;:<;;:<::::<:>:::>::::>:��>�<::::::::::>::::::>::>�::>::;::�:::::::>:<:><:: . , .:_ ,.....:. ......................... . .......... Name Address C� State Ti Contact Person Phone Fax LEGAL DESCRIPTION . P/ease Comalete Reverse Side S _XISYI U @ ;.:f�::;:�::;:� "::�:::>::�>::'.:>:::>:'>::.<::;::�>::`•:::�:se>`•>::<���::•:::. n ......... ;:;:_:_::::;-;:.;;:; > .;. ;..>.;.;.:�.�.:..............::::::::::::::.:::::::::.:::::::::.,,::..�::::::::::::.�. 9 Proposed Use Permit includes: ❑ Buildin ❑ Plumbi� ❑ Mechanical ❑ Other Type of Work: ,� Residential ❑ New ❑ Remodel ❑ Number of Units_ ❑ Deck ❑ Commercial ❑ Addition ❑ Gara e ❑ Shed O Other Enter 1 st Floor� sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area s ft 9 Area Basement s ft Decks s ft Gara e s ft Pro ased Total Area s ft Water Availabili ❑ Sewer Availabili ❑ On-Site Se tic S stem Availabili ❑ Pro'ect Valuation S (� 3 Z S Z Zonin 1�2�r` l.� Lot Size Existin Bld Valuation S •:ii�,�G+jr'��,:{?�ii iii�i':':i:i'f.:4'vq' ::y$ii:;+i'�it:i2L}•i:i:::Li}�i:r;�ii::i.\'i:�i::•'.:'r:::;:;::,'i '��`4�. ::��:i0ii:f:i�i�iC�:v�?v�i+ffiYi4Ykivv:i+:::i:+r::::;;i:;:i:i:•i}_Y�+}�::}::.v:;�" .�..`.�:��::i::i:::i::::;{:?i•:,-�}::.ti�::i:?:v::•ii:ii•:::ti:•::::::�ti:ti?�:�i:•i::i::i:tili:•:ti�i:ii .. .. .................. ................................ Name Address 17�1 C� State Zi �<;>�>::>:>�<.»>:>>;:`>:::::<::>:.:`:::><>::»::;�::>::::::;::�:::. :.� :::::��:����:�:::::>:>:::>::::>:: �. .�a�v i���..��r���c��........... .. . Contractor Name � Address C� State Zi Contact Phone Fax License# Ex iration Date Verified ❑ Yes ❑ No '��«�111�>'� ::>::><:;;>�:.:>::_z:>`:>:i:<,::::::::::::::>:z_:�<>�'.�:::>z:<:>::::>::>`:?::::':<';::'::<:<z`; t��`a °�.�'.����� .:::..::::::::::::.:.::.. Contractor Name ( Address Cit State Zi Contact Phone Fax License# Ex iration Date Verified ❑ Yes ❑ No ;si:>:::z��*:::#i:::�<y:>t:;�:�::}::y::::+::�::::#:tw«*;.;::�::>::::::,•�.::i�::«::::c�:;:>::;:::::••;•.y:�::�;:..:::`:`::i::<:#:�::<"��::::;:<i���=: �V lYl.{7tl:�k�7.l"R��:47�«.���f#�...:.:.....::.....�:.... Water Closets Sinks Urinals Lawn S rinklers Bathtubs Dish Washers Drinkin Fountains Other Showers Electric Water Heaters Sum s ;: ; Lavatories Washin Machine Drains Total F.ixture Gou�Y 5::::>:::::::f.;:;::i::>rs: :��r'''.�:'���.�.'.. . .. . . . ��«.:��i:�'`:C�...:�....������<:'':>'�>�:'�:'::':::>:��'>��::>`:�>:::': ME HANI A . .. �:... .. .l��l'�',.::,.:::.::.:::,,,,.:::: 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 rou�d BBQ's Wood S o - t ves 3 15 To ns sr>:<>>:;>.:>:<;>.<:z< ;>`:�>:�»::;':;>:�s>:�s»»>:`:>::<'::::} cstal U.ntx.C4u.at;:::::.::.:::::.•.::;:•::. DISCLAIMER:I ce�tify unda penalty of perjury that the infocmation fumished by me is tiue and cocrect to the best of my knowledge,and further,that I am authorized by the owner of the above premises to perfortn the worlc for which pertnit application is made.I fuiiher agce to save harmless the City of Federal Way as to any claim(inciuding costs,expentes,and attomeys'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 on(y where such claim arises out ofthe reliance of the city,' cluding its office�s and employces,upon the accuracy ofthe infocmation supplied to the city as a part of this application Owner/Agent: �4-t// � Date: ���� �j� &�ra.Arr Rcvsco 8f28/97