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96-103965 � ' q��1�3�'l(O � C1:�TY OI' F C:DE:l�i-�I_ 4�JA1' PERMIT N0� BLD516-0456 ��s�c� �i rs t wa y so u t r, .;�:w�N,m,�.��:: .��..��°�.�!': I��:�u ��"�.��.::�;�. ,,�... r�SU E D: 10/25/�6 Fecl�r�.l Way, WA ��3L7C�� iu� lc�s.nc� Irispectinn Requests 661��G1��0 BY: FC2 66�-400(] EXPIRES: 10/25j97 `� AD��tFSS : 159 5 2g3RD S 1` NCI. : 12Q25Q•-OO�U PRC?7EC1" DESCRIR rI(��!.REROOFING PERMIT ONLY �= OWNER -��-,-_�_-��-====��4_�__�-_��____________________;- CONTRACTOR =�=��=__====��=c�====_=____====�r�=��,�:�� LENDER ��_��_�z��,==______-_____==____��=___=_=_-_-_� � HAN KIM � TEDRICK'S ROOFING IHC � 159 S 293RD ST 31220 188TH AVE SE � i i FEDERAL WAY WA 98003 AUBURN WA 98092 � � � A39-9151 524-3440 800-107-2606 ( � TEDRIRI121NC � � -�.---z��:-_��--=��__===�_-_��s�_�r==�=��=_��_==___=_�__�__-��-_��_-�-:==__=======ax,s�====----------=--��a=--��A=�_��-:-_:._�..�_��_��_,:_-»��_-__==_=_==___==�=,R_��d __= COMTRACTOaS, PLEASE USE LOCATION CODE 1732 IiNEN REPORTIM6 SRLES TAX FOR PROJECTS MITHIN TRE CITY Of FE�RAL IiAY. TAX RATE = 8.2� j=j Fco:�:aa�r.�"xcaoca:'nr.o'c»ca-====^_=__=--'__-__=====se=a:c_r.-a_a.,»=.•r..--_=n-====�n:=_cr.:_ms�coss�xc�_ec_,�s=eeccc_occca^aaa�xxro=eaGe:�xcococ-_c,_execsca,oecsnss�:a=m==a=_seo-ec� d BLD?,X MEC?: ALM?: FLR--EXIST--PROP--- DWELLIMG UNIrS: 0 � COMP PLAN.........:SR � FEES: J � TYPE Of WORK:ADD USE:RES 1ST.: 0: O:sf STORIES......,.; 0 REQUIRED PAAKING..: 0 SPRINKLERS?......:? � BUILDING PEHMIT....$ $ 153.00 I i CENSUS CATEGORY.....:555 2ND.: 0: O:sf HEIGNT..,..: 0.00 ft HAIARD CLASS...:? � SBCC SURCHAR6E.....$ $ 4,50 � � OCCUPANCY GAOUP---------- 3RD.: 0: O:sf VALUATION---------- RfQUIRED SEiBACKS------- FIAE FLOW.,..: 0 gpN ( 0 M :? :? :? :? . OTHR: 0: O:sf EXIST..$: 0 FRONT.......... 0.00 ft ( � � TYPE Of CONSTRUCTION----- BSMT: 0: O:sf PROP...$: 14000 SIDE..,.......: 0.00 ft NATER SERVICE..:? � J :? :? :? :? . DECK: 0; O:sf REAR........... O.�O:ft SEWER SERVICE..:? � I � OCCUPANT lOAD------------ GAR.: 0: O:sf RECEI��ED.:10125/96 n ( : 0: 0: 0: 0: TOTI: 0: O,sf � IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:? � � --------r.asx=====�==sc�cc-.cs-s-o�axcc==ss�:�a�css:.a�-�wvxd.-w.:^cz-rr»azn=��wi'-=='=_=_____�____=__=====aa��z�cc-�ar.�cs-�--ma�cc�_�� =_e�•-_.....,___.• � FUEL TYPES.:? ? FANS.,........: 0 BOILERS/COMPRESSORS � WATER CLdSETS,.....: 0 URINALS........; 0 � TOTAL fEES $ 157.50 � � GAS PIPIN6.: 0 ft NOOD.,......... 0 0-3 MP....... 0 � BATH TUBS........... 0 DRINKING FOUNT.: 0 � � - -N<100K... 0 DUCT WORK...... 0 3-15 HP...... 0 SHOVlERS............. 0 SUMPS.........,, 0 HNT....: 0 WOOD STOVES...: 0 15-30 HP....: 0 � LAVATORIES.........; 0 VAC BREAKERS...: 0 ( � .aV BURNER: 0 FURN>100K..,... 0 30-50 HP..... 0 � SIkKS............... 0 DRAINS.........: 0 ( ( � BBQ......... 0 MISC........... 0 5+ NP,....... 0 � DISH WASHERS........ 0 LAWN SPRINKLERS: 0 � J GA5 DRYER..: 0 AIR NANDLING UNITS FUEL TANKS--------- EIEC WTR NEATERS...: 0 OTHER fIXTURES.: 0 � A � RANGE......: 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN NSHR OUTLTS...: 0 f GAS IOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 ( � ____--- ----_____ -__a�e��-----_-��:--�---��;w�-..M:::=:;��.._...�-...�_�_=��;�z_=��c��=�-��:��c�:��.--;��r-�:-��r�,:�:�=-==1=-�=�_�=��c�-�=-=-=4=��-s===�.=��_�_=-:::o rocc�:c..�....-_=-c�»_..______n..�===_=_==�='__--- ---- - - --- � PERMTTS EXPIRE 180 DAYS AFTER ISSUAIICE IF NO MORK IS START�D. RE�DENTIAL AND 6RADIN6 PERMITS EXPIRE OME YEAR AfTER DRiE OF ISSUAMCf. I CERTIFY THAt TNE IMFatMATION FI�tMISHED BY ME,IS TRUE MID CORRECT TO I�JE BEST OF MY KNOMLED6E AMD TNE APPLICABLE CITY Of FEDERAL NAY REQUIREMEMTS MILL � MET. . .r / . +��-� - - -- ---��`' - "�� . - ------�---_______ DATE i�1__,._._�"`��__�_��G OR .a6f�NY ;'-,.�, , � � OWNER �jj:�_.� _ .��w21��,..�-,�-.___---__ ____ f' v �...�'� � FILE COPY YY5��3sa BUILDINO DIVISIOM �"°F c -� 33530 First Way South �� Ef�L Federal Way, WA 98003 ��'� (206) 661-4000' .c �e Fax (206) 661-4129 ��"�� ,�g�� ,,.ti��,�_1'�A`� APPLICATION FOR BUILDING PERMIT : ,_, PCEASE PR/NT � • APPL/CAT/ON#: �'J��`--'�� Ci SI7'� LOCATION Address � 3 Tenant (if known) Lot # Ass sor's Tax� � ,.�� - ��.�� Building Owner's Name Address �� `� �./U, � �3 Cit ,�J_� State - Zi C J Phone --S Nature of Work � � i(�* /_ �4 �� j � _— �,� � � - V '::��L�.��1��"`::;':;:::::::<::?:::>#:<:::::>::::::??::�<::<:<>:::::>:::':::'::::>::::?:'"j'::<:;::::::::: ::...,...........�.�..................,,..::::::::::::::::::::::::::::::::::::::::::::.::::: Name (F/�1,J�) v ,�J Address _ ��-�-2� �' ✓t ��' Cit % State� Zi ,�"�'" Con ctPerson Day Phone OtherPhone Fax ,%% �i�� /� O�-� � �/U '� �� =2 �O�� __-� BUILDII�f��FJi'+IT12A�'�E3iZ':<:>:>'. Company Nam@...�� ,.,��- ✓ �'/ l �i�. Address � G � �/ 'J � "' � /—.� Cit ' ✓,�I/ State Zi ' �' ' ContactPerson Phone Fax ��r � �� Contractor's # (card must be presented) Expiration Date v�� Verified ❑ Yes ❑ No ;�C�:;; �T>::>::";>'?E":::::;`:[;;:?;;:E[E:`:?i[[::E:[::<:'`-3:<::::EE'':;:EEE:EtE::EEE:[EE??;:.< ��.:.::..:::::::::::::.:.:::.:>;::.::::::::::::::;::::::::::::::: Name Address Cit State Zi Contact Person Phone Fax LEGAL DESCRIPTION P/�.asP C�m IPfP RPVPlSP. S%f1B ; ; ... , ;.; ::;;:::::.. �`.�T14UCT.fJRF.._..:5;.......... ; ";', ; ing Use osed Use Permit includes: ❑ Buildin ❑ Plumbin ❑ Mechanical ❑ Other � Type of Work: ❑ Residential ❑ New ❑ Remodel O Number of Units_ ❑ Deck ❑ Commercial ❑ Addition O 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 Availabilit CJ Sewer Availabilit O On-Site Se tic S stem Availabilit ❑ '-i=- Pro'ect Valuation S �) �n) Zonin Lot Size Existin Bid Valuation S _ __ _ _.__.... __ _. _ ___ _._ ............._........ ___ _ __ __.. _. __.. _... ___ . _. __ . ......... _ .. __ __ _ __ _........._........ .... _ _ ___ __ ........... ....._.... _ ___ __ __ ......................... . _ ......... �;��.� Name Address Cit State Zi _____._..__.........................................................._ - ......................................... _................................................................. _...................................................................................._.. _...._................................................................... `�.��1�`��:::��;.��Q�:::::>::`>::<`::<z:::>::E _.....___...._................................................_:............ Contractor Name Address Cit State Zi Contact Phone Fax License # Ex iration Date Verified ❑ Yes ❑ No , _._. _...... _ ___ __ ........................... _ _ ........._ __ ____............._.._...._... ___ _........ _..........._ _ .................. ___... __ _........... __. .. ........ _ _. .__ _ __ _._....._.._...... _ __ _ _. .... __ _...... ........._ _ _... ..... _.__. PLUNiBING CON7'R1�CTOR :: Contractor �ame Address Cit State Zi Contact Phone Fax License # Ex iration Date Verified ❑ Yes ❑ No ____...............____..........._........_..........._..............._ 1?L�U1�[3�NG.�"t��`C�2�::.�C�U�I�'::>;:.:.>:,:<:<::'.>::::;» __ __ __ _ _.... Water Closets Sinks Urinals Lawn S rinklers Bathtubs Dish Washers Drinkin Fountains Other Showers Electric Water Heaters Sum s Lavatories Washin Machine Drains 7otal -C�izture Gount ............................. ....................... .......................................................................... ............ ME�HA�dICA�::[JI�IIT:�:>��T'1':':<::<::::<:::?:`;>'<:'<:>::: MECHA1vICAL EVALUATION ONLY $ ..�.................................... 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 >1 UO BTUs Fans Miscellaneous Fuel Tanks Gas Hwt Hood Boilers Above Grou�d Conv Burner Duct Work 0-3 Tons Under round BBQ's Wood Stoves 3-15 Tons Total Unit Count DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further,that I am authorized by the owner of the above premises to perform the work for which permit application is made. I further agree to save harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' 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 Fe eral Way, but only where such claim arises out of the reliance of the City, including its officers and employees, upon the accuracy of the infor tion plied to the City as a part of this application. Owner/A t: �� Date: oe�"" �� BuitD�Nc.APP � RFVaf08/71l9fi .