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97-103448 q�'��`` " $ ' !;�� . `� �` '_'�•''� �`��'' PEF�MIT t�C3� �BLD97-0�51 �,. 335:30 �� r-s t w�y �c�u t r, .�',�_��.�� . .;IN':;�w.��;� I��p;;;�t� �:.,;w � �ru �::�� .;�,;. ...�,,. �s�u�v: ��/ls/�� e�ler�2 vJ�y, WR 5��30U3 �3G�i l.c�ir��c� Ins��ction I�equests 253--661—f+�L�+O BY: FC2 253-661-4�00 �XPIRES: Q3/14/98 �DDRESS: 3311� 35`TI-3 AV� SW N0. : 109975-�Q23C1 PR0,7�CT DESCRIPTION:replace wood shake roof with composition shingles uith new plywood , �_ 041NER __________________________=��===,w-�===__=_====_-= CONTRACTOR =�T======_____==___====__-_==____=_=-_=====T= LENDER =___________=___=__=_===_=__=___=�=-========_=_� TRACY THOMAS � ONNER IS CONTRACTOR � � ;� � 33116 35TH AVE SW :' ( FEDERAL WAY WA 98023 � � � � I i 5-1308 E_==--_----•-__--_-__----_y=w��--=--_-_--_--_-______________.__.:��_____________--=---____-�_---__________-__=__-_-_-__----________-_=-_=-_____=__________-____________=_______��__-� *** COIITRACTORS, PLEASE USE LOCATION CODE 1732 MNEN REPORTIM6 SALES TAX fOR PROJECTS NITNIM THE CITYMOFwfEDERAI MAY. TAX RATE = 8.2� **� �______________�;::_=====y4�-======�_d��======;�::�:==__=��_��=�_=;_��=_=__��-��_��T;=��::=��::��=.::��__==___==_=___=___=____��=_��-�=_�_�_��__::==��_::=��====_==_______�;-�� i: � BtD?:X MEC?:? PLM?:? FLR--EXIST--PROP--- DWELLING UNITS: � COMP PLAN.........:? � FEES: � � TYPE Of WORK:RED USE:RES 1ST.: 0: O:sf STORIES........: 0 REQUIRED PARKING..: 0 SPRINKLERS?......:? BUILDING PERMIT....$ S 48.00 � � CENSUS CATEGORY.....:434 2ND.: 0: �:sf NEIGH?...-_: 0_00 ft _ ___ HRIARD CLASS...:? � SBCC SURCHARGE.....� $ 4.50 1 ( OCCUPANCY GROUP---------- 3RD.: 0; O:sf VALUATION REQUIRED SETBACKS FIRE FLOW....: 0 gpm � ( ' '' '' '' ' OTNR: 0: �:sf EXIST..$: 0 FRONT.........: 0.00 ft ( � .? .. .. .. . � TYPE OF CONSTRUCTION----- BSMT: 0: O:Sf PROP...$: 180D SIDE.,........: O.Q� ft WRTER SERVI!:E..;? � ' '' '' '' •' • DECK: 0: O:sf REAR..........: Q.00:ft SEWER SERVICE..:? .. .. .. . �i OCCUPANT LOAD------------ GAR.; 0: O:sf RECEIVED.:09/15/97 � � : 0: 0: 0: 0: TOTL: 0: O:sf IMPERV SURFACE: 0 sf SfNSITIVE AREAS?,:? � � �-------- - � ------______�-_ __ __- ---- --- -------------------- --- --- - ----- --- --- �-----------_____--_=_=___=____��_�-�___=_��:��===«�r�=�_________.. _,_`__,_,_ _..__:________________________________�_______�___:___ � FUEL TYPES.:? ? FRNS..........: 0 BOILERS/COMARESSORS WATER CLOSETS......: 0 URI4ALS........: 0 iOTAL FEES $ 52.50 . r_aS PIPING.: 0 ft H04D..........: 0 0-3 TON.....: 0 BATH TUBS....,.....: 0 DRINKIN6 FOUNi.: 0 � N<100K..: 0 DUCT WORK.....: 0 3-15 TON....: 0 SHOWERS............: 0 SUMPS....,.....: 0 � ' .,,,,. HWT....: 0 WOOD STOVES...: 0 15-30 TON...: 0 LAUATORIES.........: 0 VAC BREflKERS...: Q � CONV BURNER: 0 FURN>100K.....: 0 30-50 TON...: 0 � SINKS..............: 0 DRAINS.........: 0 j � ( BBQ........: 0 MISC..........: 0 50+ TON.....: 0 � DISIT YIASNERS.......: 0 LAWN SPRINKLERS: 0 � � � GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS--------- ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0 � RANGE......: 0 <-10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSNR OUTLTS...: 0 t � � GAS LOGS...� 0 > 10,000 CfM: 0 UNDERGROUND.: 0 ; � � �__________________-=-__--___--=__--_------_-_____-_-�_r___==_--=�---=-__---_='--=_---_=---_____________________--------__-__-___-===-=j=====___--.__--___-_________________=_____� PERMITS EXPIRE 180 DAYS AFTER ISSUAMtE IF I10 iIORK IS STARTED. RESIDEtiTIAI AMD 6RADIN6 PERMITS�EXPIRE OME YEAR AFTER DATE Of ISSUAMfE. I CERTIFY TNAi iHE IMFORMATION FURAISHED BY ME IS TRUE AMD CORRECT TO TNE BEST OF MY KMOi1LED6E AMD THE APPLICRBLE CITY Of FEDERAL NAY REQUIREMEMTS MILL BE MfT. OWNER OR A6ENT ________�Z`'�'``� G— /� -- --- -------------------------------------------------__ _______ DATE __l_____------�� y�56�a 3 S� _ �; ��1�Y ' BUILDING DIVISION �1OF G 33530 First Way South -�-� E�EftF�L Federal Way,WA 98003 vv r-�v ;� 5 �gg'� (253)661-4000 r�, 1 V��J�„ Fax(253)661-4129 � APPLICATION FOR BUILDING PERMIT PLEASEPR/NT APPLICATION # •��-I�CI � � �~� �, I '•� >:;;::: A e � .. ddr ss '�J :�'�t'��<l�t��'�`�i��:><>;<:`�;'�;�;:::<�::::::::;::::::«::::::;:::;::;:<::;;:::::::'::»:<::<:::... z.. . . ......... ...:.... l( �5 r.� �v - Tenant(if known) . Lot# Assessor's Tax # ��_.L_ Building Owner's Name��C�� j��`M� Address � /� ��'T}��✓� �,- 1 { ' (��/, Ci E� P fGz Gc State � � Zi �O �v� Phone �7�' �.5�� Nature of Work /� (.�CL �00 S�t�iCt' Oo,F W+�}�-. �J�n� OS/'TjD,/'] '/�i� • �N c✓ / l.�n ... .... ..... ........ '.' '�`::::;:>::>:::<::;::>:;>::`.:>`;;:;:::::::::<::;.::::::>::::::::>::>:>::«:>':<[::::::» /�i�?�'[.�C�11�1 ,:. :::::::.:.::.::.::::::: Name (F,M,L) - �- � ' GtG " ��iJ�r�u Address ,�.3�/�6 ��e S�i��. Cit �G(Q(i( WCti State ��''�$'� Zi ��r� Contact Person �� Day Phone ��, l�O� Other Phone Fax �� j�5� / __......__ .. __.____........_........................_............ _........................__............................................................ __............_........_.._......_...................................._............ _._.....................__..._._.................................................. BtI1�DIN`G�ONTR�C�TC��<:::::>::::>::::>:::::::::::;:.:;.:....:: __ ___ _...... _..... ........ .... Company Name � ��_ � Address Cit State Zi Contact Person Phone Fax Contractor's # (card must be presented) Expiration Date Verified ❑ Yes � No ___ _ _ _ __ _ __. . ..... . _. ......................... _ ....... ... . ....._.. ARCHFTECT � Name ;, i f �' % 7 Address Cit State Zi Contact Person Phone Fax LEGAL DESCRIPTION Please Comv/ete Reverse Side istin Use •oposed Use �TRUCTUF3� 9 Permit includes: ,�1 Buildin ❑ Plumbin ❑ Mechanical ❑ Other � Type of Work: � Residential ❑ New � Remodel ❑ Number of Units_ ❑ Deck ❑ Commercial ❑ Addition ❑ Gara e ❑ Shed ❑ Other Enter 1 st Floor ✓3D0 sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft Area Basement l: s ft Decks s ft Gara e s ft Pro osed Total Area s ft Water Availabili Sewer Availabilit On-Site Se tic S stem Availabili ❑ Pro'ect Valuation S .�i:�� 'L' Zonin �eS� f� �t�i Lot Size Existin Bld Valuation S ___ ..._ ......_. ............... ........................................................................................... ........................................................................................... ........................................................................................... ............................................................................................ ........................................................................................... �EISt[�Ef�:::::::»:>::'>::::::>:::::::::`:<::<::':::`>'::`<:;:;::<::::<:«::::<::::::<:;::::<::«::::<:::>::::::::::<:: _.............................. .. . ......__.............. Name Address i : Cit State Zi ........................................................ ........................................................................................ ...................................................................................... ........................................................................................ .�:y................*..1......�.h..�.�.......:..�.:Y.�..y..�.�.y...:�.:�..:....y.�.#..�..��.y...........::.:.::::::: :�IYt�ji�l�t Y:�.�li�«:<�f�1:#�:Fl#i;.�S'.:7::SIfk::::::�%:::#?:::::%3::^i::#i� Contractor Name �' � Address Cit State Zi Contact Phone Fax License # Ex iration Date Verified ❑ Yes ❑ No _ _.. ................... _................. .. .......................................................... _.. .................................. ................_...... I?�:UNIBtIVG +�fI1V�'�AC`i"OR <: Contractor Name Address L Cit State Zi Contact Phone Fax License # Ex iration Date Verified ❑ Yes ❑ No � � ��;��::�;��::��::::::::::::::::�::::::::::::::::::::: ,v ,�.. Water Closets Sinks Urinals Lawn S rinklers Bathtubs Dish Washers Drinkin Fountains Other Showers Electric Water Heaters Sum s Lavatories Washin Machine Drains Total Fixture Gount � , � :� "� �^ '` : t ;:<>'<.:` >`::<�>:<�::>::;`�:«:>::::':::::>::::>: MECHANICAL EVALUATION ONLY S ..... ;:><::>::>::>::>:«:<::>:»::»<::>:>:>:::>:::::: IVEE:�:Fiit?►1V:I.t:Ai:`::UN..�'.t:t�t�IN'i'......................... Fuel T e (electric/other) Gas Dr 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 Tans Under rou�d BBQ's Wood Stoves 3-15 Tons Tntal lJnit Count DISCLAIMER: I certify under penalty of pequry that the inforniation fumished by me is true and correct to the best of my knowledge,and further,that I am authorized by the owner of the above pretnises to perfornt the work for which pem�it application is made.I futther agree to save hazmless the City of Federal Way as to any claim(including costs,expenses,and attomeys'fees incucred 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 only where such claim arises out of the reliance ofthe city,including its officers and employees,upon the accuracy of the infortnation supplied to the city as a part of this applicatioa g"_—, �� (� C� Owner/Agent: ,��'�'� � � Date: / �� / 7 Buaoir�c.Aw REV6E0 BI28/87