97-102728 C�T� �F�,;��DERA� WAY PERMIT N0. BLD97-0452
335 30 F� rs t W a y S o u t h .J���.,��'�.�..��.,�."�N����i" 1+���,��1�"N�.,,�'" �'Ra"" I S S U E D: 0 7/2;,,.�`�"7
FeGeral �lay , WR �u003 23uiluinq In�pect:ion Rec�«ests 6�1-t«14U BY: FC?_ '
661-4000 �XPIRES. 01/20/93
ADDRESS :3�Q�7 22ND PL S G17 �/�°�' 70��
NQ. : 241260-Q(]50
PROJECT DESCRIPT'ION:REROOFING PERMIi ONLY - COMP05ITION TO COMPOSITION REROOFING.
F= OWNER _______________________________________����_======is CONTRACTOR ====_==____=___=______=___=________�-�_��===Y= LENDER =_=_==_____=__=_==________===_==____=_==_____�
� PRESTIGE MANAGEMENT �{ JOHNSON"S ROOF SERVICE INC � I
� 33027J33029 22ND PL S � 622 S CENTRAL AVE �� �
� fEDERAI WAK WA 98003 �� KENT WA 98032 �� �
�
� � 859-2777 � �
i � JOHNSRS088KA � �
E=____'_..'_=__====�sw�_s�x�=====--- -----------------------j-- ^'---___.._..________....________--- -------•------------1----------•---------•_-__--- ------�--^----^----
----- ----------------------------=-----------------------------------------------------------------------------------=---==--------------------
�_* COMTRACTORS, PLEASE IISE LOCATION CODE 1732 YHEN RfPORTIM6 SALES TAfI FOR PROJECTS NITNIN TNE CITY Of FEDERAL NAY. TAX RATE = 8.2� ;;�
----------------------------------------------------___---___---____-___------ ----------". ......:�---__----------------
' --"---------^--••-�_____..�________.__.____"__....�......•..-_..-"--------------"�-_"--'""---"--------------_�..------"-----"-=T+=====______=______=___�=____====:o=aca
F----------------- ----------
� BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UHITS: 0 COMP PLAN. � � FEES: �
� TYPE OF WORK:? USE:RES iST.: 0: O:sf STORIES........: 0 REQUIRED PARKING..: 0 SPRINKLfRS?......:? � BUILDING PERMIT....x a 63.00 �
( CENSUS CRTEGORY.....:555 2ND.: 0: O:sf HEIGHT.....: 0.00 ft HAiARD CLASS...:? � SBCC SURCHARGE.....# S 4.50 (
i OCCUPANCY GROUP---------- 3RD.: 0: O:sf VALUATION---------- REQUIRED SETBRCKS------- FIRE FLOW,...: 0 gp� � '
• •' •� �� • OTHR: 0: O:sf EXIST..$: 0 � FRONT.........: 0.00 ft � I
� .? .. .. .. .
( TYPE OF CONSTRUCTION----- BSMT: 0: O:sf PROP...$: 3950 SIDE..........: 0.00 ft WATER SERVICE..:? � I
j • •� �� - •� • DECK: 0: O:sf REAR..........: O.00:ft SENfR SERVICE..:? � I
OCC!lPANT lOAD------------ GAR.: 0: O:sf RECEIVED.:O1/24i97 � I
. 0: 0: 0: 0: TOTL: Q: O:sf ; IMPERV SURfACE: 0 sf SENSITIVE AREAS?.:? � �
_ _-��s=;�:�_�����________________________________________� �
----------------------------------------------------------------------..___
-----------------------------------------------------------------------------
� FUEL TYPES.:? ? FANS..........: 0 BOILERS;COMPRESSORS � NATEA CIOSETS......: 0 URINALS........: 0 TOTAL FEES S 67.50 �
� GRS PIPING.: 0 ft HOOD..........: 0 0-3 HP......: 0 j BATH TUBS..........: 0 DRINKING FOUNT.: 0 �
� FURN<100K..: 0 DUCT WORK.....: 0 3-15 HP.....: 0 SHOWERS............: 0 SUMPS..........: 0 I
' GAS HWT....: 0 WOOD STOVES,..: 0 15-30 HP....: 0 � LAVATORIES.........: 0 VAC BREAKERS...: 0 �
( CONV BURNER: 0 FURN>100K...... 0 30-50 HP..... 0 � SINKS............... 0 DRAINS.........: 0 � I
� BBQ......... 0 MISC........... 0 5+ NP........ 0 � DISH WASHERS........ 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 �
( GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 � I
�=s__��___________________________________________------__________--__-_-_=====1=====_-_-_-___-__-___-_______________�___---________.-5.��--___-_=_______--_=_-_=________==_---_���
PERMITS EXPIRE 180 DAYS AFTER ISSUAMCE If NO IIOIiK IS STARTED. RESIDENTIAL AMD 6RADIM6 PERMITS EXPIRE OME YEAR AFTER DATE OF ISSUANCE.
I CERTIfY TNAT TNE IN T FURNISNED BY ME IS TRUE AMD CORREfT TO THE BEST OF MY KMOYLED6E ARD THE APPLICABLE CI1Y OF fEDERAI Ik1Y REOUIREMENTS fllll BE MET.
OWNER OR AGENT ____ __;; _ __________ DATE
- - �'��'_J----------------------------------------- �'�- -�--
FILE COPY YY 5 6 a a3sa
crry or C
BUILDING DIVfSIOj+1
_� E��� 33530 First Way Sou!h
�� �y rederal Way,WA 980(�3
(206)661-40E}q
Fax(206)661-4129c
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°�` � � APPLICATIOiV FOR BUILDING PERMIT
PLEASE PR/NT APPLICATION # � "
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LEGAL DESCRIPTIO , -- . V �
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Permit includes: ❑ Buildin ❑ Piumbin ❑ Mechanical ❑ Other
� Type of Work: � Residential ❑ New ❑ Remodel ❑ Numbor of Units_ ❑ Deck
❑ Commercial O Addition ❑ Gera e ❑ Shed ❑ Other
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area 8asement s ft Decks s ft Gara e s ft Pro osed Total Area s ft
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Water Availabili ❑ Sewer Availabilit ❑ On-Site Se tic S stam Availebilit ❑ Pro'ect Valuation S
Zonin Lot Size Existin Bld Valuation S
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Neme ' Address
Cit State Zi
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Contractor Name A ress
Cit State Zi
Contact Phone Fax
License # x iration Date Verified ❑ Yes ❑ No
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Contractor Name Address
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Contoct Phone Fex
License � Ex iration Dete Verified ❑ Yes ❑ No
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Water Cfosets inks Urinals Lawn S rinklers
Bathtubs Dish Washers Drinkin Fountains Other
Showers Electric Water Heaters Sum s
_.._..._._..__................._............__ ...
_.....................................__.............
Lavetories Washin Machine Drains '�'otel �ixtirre<�ount ;:
ME HANI AL EVALUATI N ONLY
'��C#���tifICA;E;:�>il�l���`:�f�t� . :»:<�::<;::;::`€<�:�:<;<:<:>;::;;:
C C O S
Fuel T e (electric/other) '� Gas D er Air Handlin < = 10,000 CFM 15-30 Tons
Len th of Ges Pi in Ren a Air Handlin > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Lo Unit Heater 50+ Tons
Furn >100 BTU Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Conv Burn Duct Work 0-3 Tons Under round
BBQ's Wood Stoves 3-15 Tons Tota1 Unit Gaunt .
DISCLAIMER:I certify undcr pcnalty of perjury U�at Uic uiformation fumished by mc is true imd coaect to Uw best of my Jaiowledge,and SurU�er,Uiat I am auUiorized by Uu owner of
the above premises to pedorm tha�.vork for which permit application is macle.I furU�er agrce to save hazmless il�e City of Pcdcral Way as to any claim(including costs,eapenses,and
aUomeys'fces incurred in investigation end defense of such claim),which may be made by any pecson,inctuding the undersigned,and filed against the City of Federal Way,but only
where such daim arises out qf the reliance ofthe city,including iLs otficers and emp(oyees,upon 1he accuracy oFthe infocmalion supplied to lhe city as a part ofU�is app(icatioa
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Owner/Agent: + / I�' � /nw� � �
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1 � v / / Date: �
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