94-100558 � �
' 9y,/aob�
33530�Fi rst�Way South B U I 'LDING PEl�:MI � ' `��I�SiJED: O��`23J9a� i
Federal Way, WA 98003 Sui2cling Inspection Req�!ests 6b1-4140 BY: FLF
661-4000 EXPIRES: 09/19/94
ADDRESS:428 S 309TH ST
NO. : 241330-0200
PROJECT DESCRIPTION;RESIDENTIAL RE-ROOF (MON STRUCTURAL)
0lONER CONTRACTDR LENDER
VICTOR IUCAS TEDRICI('S RODFIN6 INC
428 S 309TH ST 24211 - 158TH AVE SE
FEDERAL �IAY MA 98003 KENT IOA 98042
i9-1454 824-3440 840-707-2606
TEDRIRI121NC
BLD?:X MEC?: PLM?: FLR--EXIST--?RDp--- D9CEt�IN6 UNITS: 0 COMP PIAN.......,.:? FEES:
TYPE DF NORK:REP USE:RES 1ST.: 4: O:sf STORIES........: 0 ` REqUIRED PARKIM6..: 0 SPRINKLERS?......:? BUILDIN6 PERMIT....x t 72.00
CENSUS CATE60RY.....:555 7.ND.: 0: O:sf HEIGRT.....: O.flO ft HRZARD CLASS...:? SBCC SURCNAR6E.....# s 4.50
OCCUPANCY 6ROUP---------- 3�0.: 0: ' O:sf'' YALUATIDN---------- REQtlI�ED SETB�CKS�------- �iRE FtUM....: � 9Ai
• .� •, .� • OTHR: 0: O:sf EXIST..�: 0 fRO�T.. � 0.4�? ft �
.? .. .. .. .
TYPE Of COMSTRUCTION----- ` `9SMT: 4: 4:sf PROP.,,;� 4500 SI�E....,...,.. O.OQ ft 3�AiFn SERYiCE.,:?
;? :? :? :? : DECK:' 0: '` �:s� REAR..........: O.Oq:ft �,��ER "tR4?CE..�' . ; ,
OCCUPANT LOAD------------ 6AR.: 4: O;sf RECEIt�€t�.;l��`5�+�4'
: 0: 0: 0: 0: TOTL: 0: O:sf INPERY SURfACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.:? FANS....,.:...� -0 BOILERS/COHPRESSORS IOATER CL05ETS......: 0 URINALS........: 0 TOTAL FEES t 76.50
6AS PIPIN6.: 0 ft NOOD..........: 0 0-3 HP......: 0 BATN TUBS..........: 0 DRINKIN6 FOUNT.: 0
- RN<100K..: 0 DUCT NORK.....; 0 3-15 HP..,... 0 SND�OERS............: 0 SUMPS..........: 0
S NMT....: 0 MOOD STOVES,..: 0 15-30 HP,...: 0 LAYATORIES.........: 0 YAC BREAKERS...: 0
CDt4V BURNER: 0 FURN>100K..,..: 0 30-50 HP....: 0 SIN�S..............: .0 DRAINS.........: 0
BBQ........: 0 P9I5C..,.......: 0 5+ Hp,.,....: 0 DISN MASNERS.......: 0 LAMN SPRIkKLERS: 0
6AS DRYER..: 0 AIR HANDLIN6 UNITS FUEL TAMI(S--------- ELEC MTR NEATERS...; 0 OTNER FIXTURES.: 0
RANG�......: 0 <=10,000 CfM: 0 ABOVE 6ROUND: 0 LAUk 1�5HR OUTLTS...: 0 .
6AS L065...; 0 > 10,400 CFM: 0 UMDER6ROUND.: 0
AERMITS EXPIRE 18C DAYS AFTER ISSUANCE IF NO MORK IS STARTEQ. L AkD 6RADING PERMITS EXPIRE O�E YEAR AFTER DATE OF ISSUAMCE.
i CERTIFY THA3 Tt�E INFORP9A ON FURp{ISED BY �� 0 CT TO � 8 OF MY KMOMLED6E ARD THE RAPLICABLE TY Of F ERAL �4AY REQUIREMENTS MIII BE ME L �
;,�'wN�� OP, pr, � .,, h � ��
, �
--- - ----- -- �- - -- ' � --� - ---- --��
�
FILE COPY
a,,,� � City of Federal Way `
-�- �--r�rzs�.
�`, APPLICATION FOR BUILDING PERMIT ,
PLEASE PR/NT APPL/CAT/ON #:
_. __. _ _ _ _ _._ _ _
STT�` �,Q�,"4�7'jQrj < Address
Tenant(if known) "� � Lot# Assessor's Tax�f
i� :'��i_ � / � C�'
Building Owner Name `( Address
i i f.�.2�` �>, s�D G
Ciry .�,,,��,�; State G� ZiP � ��/ � Phone � - L ���/
,�:,� ��
Nature of Wor , r; i%v/ - - ,;. . , %i _ i, , _�' -:� � , ,. .
�- T�-� i:-,r�,,�:,,. •
�
_ . __.. .._ _ _ _ ... .... ___
_ ........ _.._ __. .. ..... .. __....._....
_ _ ...... _ __ .._ ............ _..
APPLICANT '
Name (F,M,L}----r-�" I ,
✓i,� C/�/ � l/�'� /v� �✓ �;�G;� �'�.�l
Address
��.z / ��� �;r--/.,�
City f�y,� `Z v1� State Zip
Contact Person Day Phone Other Phone Fax
,, ��� ,�/c .�� "�/Y�� i'�;. ; �;�,-,�C�>��<��c��
_ __ __ _ _ _ ___
_ _ _ _ __ _
_ _ _ _ _ _
___
BUII;DING CQI�TRACTOR
Company Name
Address '
City State Zip
Contact Person Phone Fax
Contractor's #(card must be presented�--/-- Expirati n Date Verified ❑ Yes ❑ No
//.:/Jh�/..�Z� -�2 /!J C , p� .
ARCHITECT ::
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Comp/ete Reverse Side
cooaez�a��aie3i
STRUCTURE " ' ting Use oposed Use
.
Permit includes: � Building ❑ Plumbing �J Mechanical ❑ Other
Type of Work: ❑ Reside�tial ❑ New ❑ Remodel ❑ Number of Units � Deck
, ❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Enter 1 st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
Water Availability ❑ Sewer Availability ❑ On-Site Septic System Availability ❑ `: ProjecY:Valuatio� S '��>,� ,:`
Zoning .' .� Lot Size Eacisfing gldg Va(uation $
__ _ __ __ _ _
_ ___ _ _ . _ __ _ ____
_ __. _ ___ ___ ___
__ _ ... ......... _ _ _
Y;ENDER > "
Name Address
City State Zip
_..... _ _ _._
1�CHANTCA� CQNTRACTOR >
_ _ _ __ _ _ :
_.. ___ _ _ ... __ _ _
_ _ _ _ _ _
_ __ _ _
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Oate Verified ❑ Yes ❑ No
PLUMBING FIXTURE C�UNT
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total;Fix[ure�ount .
_.._ _ _ _ _ _ _
___ __ ___
_ __
_ _
__ _ _ _ _
MECHA1vICAL UNI'I' COUNT
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping Range Air Handling > = 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
Conv Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Total UniL Count
DISCLAIMER: I certify under penalty of perjury that the information fur 'shed by a is true and correct to the beat of my knowledge and further that I am authorized by the owner
of tha above premises to perform the work for which parmit applicatio s made further agree to save harmlesc the City of Federel Wey ae to any cleim(including costs,expenses,
and ettorneys'fees incurred in investigation and defenge o cle' 1,whic may bo made by any perso�,including the undersigne end filed egainst the City of Federal Wey,
but only where such claim arises out of the r nc he City,' luding i offi ers and employaes,upon the accuracy of the info ation aupplied to the City es e part of this
application. /� �
/
i �� 7 'f�
Owner/ ent: �� � ��� �� � '���� ��' Date: � �` � �