96-103025 �i�-1�3 oa�
CITY QF FEDEF�AL WAY PERMIT NO_ B�D96-0374
�3530 Fi rst Way Soutf� .�'MN�,M.;,� N..��.1. �'��;,,�' �"�'��';;�i��'1.,�r '��� :[SSU�D: Q9/Q3/96
FeGeral Way, WA 9�3t�U� �3ui.lcl� nc� Insp�ctinn Requ�sts E�61--4140 BY: KLC
661-40QQ CXPIR�S; 03/02/97
ADDR�SS:163 S 3GOTf� 5T
NO. : 13220�.-U110
WR0,7ECT DE5CRIP�("ION.REPAIR & REALACE ROTTED DECK
�= ONNER ________________________________________�_____====�r= CONTRACTOA =___=—=________�____=====z=====__-=__-__-�_�= IENDEA maaa_eea:_�_aca__xecavaazxxw_oe�_maacesovc=er=mj
J TAR6p AEAL ESTATES SERVICES AMERICAN AWARD CONTRACTORS � �
( 163 S 340TN ST �D 32200 27TH AVE SW � �
iFEDERAL WAY YA 98003 FEDERAL NAY WA 98023
4-9844 � 654-1243 �
,` � AMfRIAC094B5
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__= CONTRACiORS, plEASE USE LOCATION C0� 1732 i1HfN RfRORTIM6 SALES TAX FOR PRO,�ECTS MITNIN TNE CITY OF FEDERAL IYlY. TAX RATE = 8.2� =;t
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_ .. .. __ �
� BLD?:X MEC?: PLM?: fLR--EXISi--PROP--- DNELLIkG UNITS: 0 � COMP PLAH.........:HDR FEES: (
� iYPE OF NORK:AEP USE:RES 1ST.: 0: O:sf STORIES...,....: 0 REQUIRED PARKING..: 0 SPRINKLERS?......:? BUILDING PERMIT....� $ 28.00 �
� CENSUS CATEGORY.....:434 2ND.: 0: O:sf NEIGHT..,.,: 0.00 ft HAlARD CLASS...:? SBCC SURCHARGE.....i � 4.50 �
OCCUPANCY GROUP---------- 3RD.: 0: O:sf VflIUATION---------- REOUIRED SETEACKS------- FIRE fLOW....: 0 gp� �
� :U1 :? :? ;? : OTNR: 0: O:sf EXIST..$: 0 FRONT.........: 0.00 ft � i
� TYPE OF CONSTRUCTION----- BSMT: D: O:sf PROP.,.$: 704 SIDE.,........: 0.00 ft NATER SERVICE..:?
:SH :? :? ;? : DECK: 0: 80:sf REAR..........: O.QO:ft SEWER SERVICE.,:? i �
OCCUPANT LOAD------------ GAR.: 0: O:sf AECEIVED.:09/03/96
� : 0: 0: D: 0: TOTI: 0: BO:sf IMPERV SURfACE: 0 sf SENSITIVE AREAS?.:? ( (
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( fUEI TYPES.:? ? FflNS..........: 0 BOILERS/COMPRESSORS WATER CLOSETS......: 0 URINALS........: 0 � TOTAL FEES $ 32.50 �
S PIPING.: 0 ft NOOD........... 0 0-3 HP....... 0 BATH TUBS........... 0 DRINKING FOUNT.: 0 0 � �
tN<100K... 0 DUCT NORK...,.. 0 3-15 HP...... 0 SNOWERS............. 0 SUMPS........... 0 ( � '�i
� GAS NNT....: 0 WOOD STOVfS...: 0 15-30 NP....: 0 LAVATORIES.........: 0 VAC BREAKERS...: 0
� �
I CONV BURNER: 0 FURN>100K.....: 0 30-50 HP....: 0 SINKS..............: 0 DRAINS.........: 0 � �
� BBQ........: 0 MISC..........: 0 5+ HP...,...: 0 DISH NASNERS.......; 0 LANN SPRINKLERS: 0 � �
� GAS DRYER..: 0 AIR NANDLING UNITS FUEL TANKS--------- fLEC MTR HEATERS...: 0 OTHER FIXTURES.: 0
f RAHGE......: 0 <:10,000 CfM: 0 ABOVE GROUND: 0 LAUN NSHR OUTLTS...: 0 �
( GAS LOGS...: 0 > 10,000 CFM; 0 UNDERGROUND.: 0
� �
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PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO li�t[ IS STARTfD. RESI�NTIAL AND 6RADIN6 PERMITS EXPIRE OME YEAR AFTER DATE OF ISSUANCE.
I CERTIFY TIYIT TNE INFORNATIOIf FURMISNED B1f Mf IS TRUE AND CORRECT TO TNE BEST OF MY CNOIILED6E AMD THE APPLIfABLE fITY Of FEDERAL YAY REQt1IREMEMTS MILL � MET.
0liNER OR AGf NT _ _�.�_�__.___��y„_.._______ __.____ DATE
FILE COPY y y 5�v�� 3 q�
«�� �—Y City of Federal Way
-�- �-•�.=�rtan
�� '�'' �,��,APPLICATION FOR BUILDING PERMIT
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PLEASE PR/NT ' ``'
APPL/CAT/ON#: �� ����` �`�'��
SITE LOCATIQN ��` address .� �'� ��- ,
r(�, .� ��c.��3 ��i. ��- �
Tenant (if known) Lot #
Assossor's Tax#
Building Owner Name Addre�� �
` '/-� -�'�'G i �;�,�T�= �lv j .r-aU• �;f U ��i �"�
city Y� � �'./a� (,�,� state 'A - z�P �
'(�� � Phone ?� ����t.�
Nature of Work �� _
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Name (F,M,L)
Address !�+/-],{ /��J\ �y
.�/ ',�t� i � J ��LLd•'/�
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SLete ZjP
Contact Person Day Phone Other Phone
Fax
BUII.DING CONTxZAC'TOR :
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Company Name
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Address •
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City �'�%
State � _ Z�P � C�y) Z.Z�
Conta t Person .
Phone Fax.
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Contractor's # (card must be presented) � �
� �� f�L��� � � Expiration Date t Verified ❑ Yes ❑ No
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A�CH�ECT..::::.«,.::.;:.:;:.;:.;;:.;;<.:.;:.;:;::«:;::>:::;>:::::»»::»:<::<::
Name
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Address
C�ry State
Zip
Contact Person
Phone Fax
LEGAI DESCRIPTION
P/ease Coma/ete Reverse Side
CD0492 IRev 4/931
S�'R�CTURE � ting Use ��-� oposed Use �"��,��
`-
Permit includes: � Building ❑ Plumbing ❑ Mechanical ❑ Other �
Type of Work: ❑ Residential O New �Remode� ❑ Number of Units � ��eck
❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Enter tst Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area �i�� sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area �,!\/l,t fZ sq ft
Water Availability O Sewer Availability O On-Site Septic System Availability ❑ `Pro�ecY::lLaluatian S ;:��,„� "'�
Zoning Lot Size ;: F�cisting Bldg Valuafion', $
T.ENDER:;: �
Name Address
City State Zip
1�:�C��A�TYC�T. C.`QN'�'RAC;'7'��2 <
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBTNG CONTRA.CTOR ,.::>::::::;::::::;:::.
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
-::
_ _ __...
�LIJMBING FIXTL�tE�QU�T'�
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Levatories Was '
h�n Machine Orains
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MEC�IAN�CAL iJNIT COUNT
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 To�s
Length of Gas Piping Range Air Handli�g > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Co�v Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons 7otal UniL Cauni
DISCLAIMER: I certify under penalty of perjury thet the infarmetion tumished by me is true and correct to the beet of my knowledpe end further thet 1 am autharized by the owner
of tha abova premieas to partorm the worfc for which permit application is mede.1 turther egree to save harmlec�the City of Federel Way es to eny claim(including costs,expenses,
end attorneys'fees incurced in investiAation and defe�se of such claiml,which may be made by eny perso�,includinp the undersigned,and filed egainst the City of Federel Wey,
but only where such claim erises aut of the relie�ce of the City,includi�g ita oificen end employees,upon the accurecy of the information supplied to the City e�a part of this
applicetion. �
Ownar/Agent: �-�- I.-_-%)�--r Date: �' � -��'
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