93-102712 � '' 93 �/a� ���
33530OFi rst�EWay South B U i L D I NG P E R M I T PERMSSUED- BO/21/9337
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FLF
661-4000 EXPIRES: 04/19/94
ADDRESS: 1723 SW 349TH PL
NO. : 542350-0490
PROJ ECT DESCR I PT I ON:RE-ROOF ONLY
01MNER CONTRACTOR LENDER
STAN BURDINKA C R J ROOFING CONST INC
1123 Sw 349TH PL 204 E PIONEER ST
FEDERAL MAY MA 98023 KENT MA 98032 '
939-6663 850-1501
CRJROC�088DP
BLD?:X AEC?: PLM?: FLR--EXIST--PROP--- DI�ELLING UNITS: 0 COMP PLAN.........:? FEES:
TYPE OF MORK:REP USE:RES 1ST.: 0: O:sf STORIES........: 0 REQUIRED PAAKING..: 0 SPRINKLERS?......:? BUILDIN6 PERIIIT....« = 63.00
CENSUS CATEGORY.....:555 2ND.: 0: O:sf NEI6HT.....: 0.00 ft NAZARD CLASS...:? SBCC SURCHARGE.....t � 4.50
OCCUPI4NCY GROUP---------- 3RD.: 0: O:sf VALUATIQN---------- REOUIRED SETBACKS------- FIAE FLOW....: 0 gpn
:? :? :? :? : OTNR: 0: O:sf EXIST..=: 0 FRQNT... , . 0.00 ft
.... .
T1'PE OF CONSTRUCTION----- BSWT: 0: O:sf PROP...#: 3258 SIDE..........: 0.00 ft WATER SERVICE..:?
:? :? :? :? . DECK: 0: Q:sf REAR.....:..... 4.00:ft SEIMER SERVICE..:?
OCCUPANT LOAD------------ 6AR.: 0: O:sf RECEIVED.:10/21/93
. 0: 0: 0: 0: TOTL: 0: O:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
fUEI TYPES.: FANS..........: 0 BOILERS/COIIPRESSORS MATER CLOSETS......: 0 URINALS........: 0 TOTAL FEES = 61.50
GAS PIPING.: 0 ft HOOD..........: 0 0-3 NP......: 0 BATH TUBS..........: 0 DRINI(ING fOUNT.: 0
FURN<1001(..: 0 DUCT VIORK.....: 0 3-15 HP.....: 0 SHOMERS. • 0 SUMPS..........: 0
............
6AS HNT....: 0 NOOD STOVES...: 0 15-30 HP....: 0 LAVATORIES.........: 0 VAC BREAKERS...: 0
CONY BURNER: 0 FURN>t00K.....: 0 30-50 HP....: 0 SINKS..............: 0 DRAINS.........: 0
BBC........: 0 MISC..........: 0 5+ HP.......: 0 DISH wASHERS.......: 0 LAMN SPRINKLERS: 0
6AS DRYER..: 0 AIR HANDLING UNITS fUEI TANKS--------- ELEC wTR HEATERS...: 0 OTNER FIXTURES.: 0
RAN6E......: 0 <=10,000 CFM: 0 ABOYE GROUND: 0 LAUN MSNR OUTLTS...: 0
GAS L06S...: 0 > 10,000 CFM: 0 UNDERGRdUND.: 0
PERNITS EXPIRE 180 QdYS AFTER ISSUANCE IF NO wQRK IS STARTED. RESIDENTIAL AND GRADING PfRMITS fXPIRE 4NE YEAR AFTER DATE OF ISSUANCE.
I CERTIFI' THAT THE INF ION FU SED 8Y ME IS TRUE AND CORRECT TO THE BEST OF IIY KNONLEDGE AND THE APPLICABLE CITY OF fERERAI MAY REQUIREMENTS YlIll BE MET.
OWNER OR AGENT �� � 7ATE lo " �l —q.3
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SETBACKS &FOOTINGS
Date By
FOUNDATION WALLS
Date B�
PLUMBING GROUNDWORK
Date By
UNDERFI.QOR FRAMING
Date By
SHEAR WALLS
Date By
PLUMBING''ROUGH-IN
Date By
GAS'PIPING
Date By
MECHANICAL ROUGH-IN
Date By
MECHANICAL (OTHER)
Date By
FRAMING ''
Date (�-2��9"� BY l�'�n.�
INSULATION
Date By
GWB - 1 ST LAYER''
Date By
GWB - 2ND LAYER
Date By
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL
Date By
BUILDING FINAL
Date By
OTHER ,�� 3— j.— S
Date S= ` �c - gy
OTHER
Date By
CD0193
a,,,� G City of Federal Way �
-�- �-r���,
�� �' ` APPLICATION FOR BUILDING PERMIT
..
> ; ��;t� �
PLfASE PR/NT APPLICAT/ON #: ��"� �, � r ��✓�
� SITE LOCATION Add�ass �`(�� � � c� (-�, ��
��P�L �►�Y
Tenant (if known) Lot # Assessor's Tax �
! � - '' �� �i
Building Owner Name Address —
�!��J (�u Lp �rJ K.►4 '
City �a,� �U(,� ./S v� . State �� , Zip ��Oo�,�J Phone F �t� -
Nature of Work �_ �� �.�
APPLICANT '
Name (F,M,U
��'� S�� ����'l//�%/�JC ���J% ��L 7b1� �
Address
City State Zip
Contact Person Day Phone Other Phone Fax
� BUII,DING CO'vTRACTOR
Company Na
c�� �d� ,�G-- � c�s�c�,.c��oN ���c
Address •
� E. P ���- �:
City K State Zip 3�,
Contact Person Phone Fax
C.f��D L� ��ti C;L�. `s Sv—l 5 0� B�S��—l S U-�-
Contractor's # (card must be presented) Expira ion ate Verified O Yes O No
C�-5�.o C� 4s k1�-P 3 t� 9�-
aR ECT
Name
Address
City =� State Zip
Contact Person ��'"�� Phone Fax
LEGAL DESCRIPTION ��
i'
\
� ��
Please Complete Reverse Side
CD0482 IRev 4/H31
STT�UCTURE ing Use posed Use
.Permit includes: uilding 0 Plumbing ❑ Mechanical ❑ Other
�Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ Number of Units_ ❑ Deck
❑ Commercial ❑ Addition � Garage ❑ Shed Other2� W�
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 O _ Project Valuatio� $ 3oZ�J� • U O
Zoning Lot Size Existing Bidg Valuation S
�L ER' .
Nam Address � �
�,
City State Zip
/
1�'IECHANICAL COIv CTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration ate Verified ❑ Yes ❑ No
PLiTA�ING CONTRACTOR '
Contractor Name Address
City State Zip
Contact Phone Fax
i
License # jr Expiration Date Verified O Yes ❑ No
PLUI�IBL'�'G FIXTURE COUNT j \
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs D� '� Washers Drinking Fountai s Other
Showers Electric Water Heaters Sumps
Lavatories • Washing Machine Drains � Total Fxture Count
AfECH�ih'ICAI. L7I�II'T C
Fuel Type (electric/oth ) Gas Dryer Air Handling < = 10,000 CFM 5-30 Tons
Length of Ges Pipi Range Air Handling > = 10,000 CFM 30- Tons
Furn <100K B s Gas Log Unit Heater . 50+ To s
Furn >100 TUs Fans Miscellaneous Fuei Tanks
Gas Hw Hood Boilers Above Ground
Con Burner Duct Work 0-3 Tons Underground �
Q's Wood Stoves 3-15 Tons Total Unit Count \
OISCIAIMER: I certify under penelty ot perjury thet the informetion furnished by me ie true end correct to the beet ot my knowledpe and further that I em euthoriled by the owner
of the ebove premisea to periorm the work for which permi[applicetion is made.I further epree to save harmless the City of Federal Wey as to any cleim(includinp costc,expenses.
and attorneys'fees incurred in investigetion end detense of such claim�,which mey be mede by eny person,includinp the undersigned,end tiled againsT the City of Federel Way,
b�t only where such claim arisee out of[he reliance of the City, incl�dinp itc officers and employees,upon the eccurecy oi the information supplied to the City ec e pnrt of th�s
epplication. �C� �
�wner/Apent: � � • Dete: �0 ^�� ^ l� __
r�