95-101958 • = 9�-J�14�8'
CITY OF FEDERAL WAY PERMIT N0, BLD95-0627
335�0 First Way South .��,,,�� �..,.�'� �� �'���,� � ISSUED: 08/16/95
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 02/12/96
ADDRES5:33400 1ST WAY S
N4. : 926500-0355
PROJECT DESCRIPTION:REROOFING PERMIT.
BUILDINGS A, B, C.
p= ONHER ==a=�===____=@===m=�===_�_��_�_____�_-----__ - COMTRACTOR �=�===�aaa�r.ssaa=maa�xssaaaeamssaax�saaeaae LENDER =��_====�aaaaaea�aa��amx_aa�aa_asas�ea��sxasas�
� CAMPUS SQUAAE, BLD6S. A,B,C CUSTOM ROOFIN6 INC.
33310 1ST AVE S 8001 5TH AVE S
FEDEAAL MAY WA 98003 SEATTIE WA 98108
' S75-8500 762-0170
f CUSTOR�291M9
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*tt COMTRACTORS, PLEASE USE IOCATIOM COBE 1732 MNEM REPORTIM6 SALES TAX fOR PROJECTS HITNIII THE CITY OF FEDERAL iN1Y. TAX RATE = 8.2; s�
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BLD?:X MEC?: PLM?: fLR--EXIST--PROP--- 1NiELLIN6 UNITS: 0 tOMP PLAN.........:? FEES:
TYPE OF iiORK:ALT USE:COM 1ST.: 0: O:sf STORIES........: 0 REQUIRED PARKIH6..: 0 SPRINKlERS?......:? SBCC SURCHAR6E.....# S 4.50
fENSUS CATE60RY.....:555 2ND.: 0: O:sf HEI6NT.....: 0.00 ft HAZARD CLASS...:? BUILDIH6 PERMIT....# s 441.50
OCCUPANCY 6ROUP---------- 3RD.: 0: O:sf YALUATION---------- REQUIRED SETBACKS------- FIRE FLOM....: O gp�
:? :? :? :? . OTHR: 0: O:sf EXIST..s: 0 FRONT.......... 0.00 ft
TYPE OF COMSTRUCTION----- BSMT: 0: O:sf PROP...S: 55060 SIDE..........: 0.00 ft WATER SERVICE..:?
:? :? :? :? . DECK: 0: O:sf REAR........... O.00:ft SEMER SER4ICE..:?
OCCUPANT LOAD------------ 6AA.: 0: O:5f RECEIYED.:08/16/95 �
. 0: 0: 0: 0: TOTL: 0: O:sf IMPERV SURfACE: 0 sf SENSITIVE AREAS?.:?
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FUEL TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS iIATER CLOSETS......: 0 URINALS........: 0 TOTAL fEES = 446.00
. "'S PIPIN6.: 0 ft HOOD..........: 0 0-3 HP......: 0 BATH TUBS..........: 0 DRINKIN6 FOUNT.: 0 �
RH<100K... 0 DUfT MORK...... 0 3-15 NP,...,. 0 SHOiiERS............. 0 SUMPS........... 0
6AS NMT....: 0 NOOD STOVES...: 0 15-30 NP....: 0 LAVATORIES.........: 0 VAC BREAKERS...: 0
CONY BURMER: 0 FURN>100K...... 0 30-50 HP..... 0 SINKS............... 0 DRAINS.......... 0
BBQ......... 0 MISC........... 0 5+ HP........ 0 DISH iiASHERS........ 0 LAiiN SPRINKLERS: 0
6AS DRYER..: 0 AIR HANDLING UNITS fUEI TANKS--------- ELEC WTR NEATERS...: 0 OTHER FIXTURES.: 0
RAN6E......: 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUH MSHR OUTLTS...: 0
6AS LOGS...: 0 > 10,000 tFM: Q UNDER6ROUND.: 0
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PERMITS EXPIRE 180 BArS AFTER ISSUANCE IF NO MaIK IS STARTED. RESI�MTIAL AM9 6RADIM6 PERMITS EXPIRE ONE YEIYt AFTER DATE OF ISSUAIKE.
I CERTIFY TNAT TNf INFORlIATION FURNISNED !Y ME IS TRUE AM9 CORRECT TO TNE �ST OF MY KIIOIILED6E AND TNE APPLICABLE CITY OF FEDERAL W11f REWIREMENTS YIII BE MET.
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SE76ACKS'& FOUTINGS ?"�
Date By �
FOUNDATION WALLS {, �, � y,s , v �fi.f
Date By v
PLUMBING GROUNDWORK' ljv � �L, 2 �
Date By � �
UNDERFLOOR FRAMING
Date By
SHEAR WQLLS
Date By
PLUMBING ROUGH-IN
Date By
GAS PIPING
Date By
MECHANICAL ROUGH-IN
Date By
MECHANICAL (OTHER)
Date By
FRAMING '
Date By
W SULATION
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 FMAL
Date By
BUILDING FINAL� � � � �,G, �Ll— � .G���i�,�,� �' �'u���c�z �,�1�
Date BY �C'��2 r'� . ��'/Th=�Y - ! � .�'�.
OTHER ,��./'✓,�i',.;'�.�Gy� l��, l'_f,�c: �kry., :�.�^t/_
Date By
OTHER
Date By
CD0193
V'� 1
�� G ������° " City of Federal Way ;
N'
� �-�'�� - AP��ICA,�TION FOR BUILDING PERMIT
, �����p�P��
r',,�(�,�yl��\��'
PLEASE PR/NT APPL/CAT/ON #: �C� —����
SITE LOCATION Address ; :�� �
C��'.,..����� ; � �' �,r,.�. +, -� �� 3 D ! �'AJ� �:.� �c D��;;�,
Tenant(if known) Lot # Assessor's Tax #� ��l
�� ,rL:t�1nG�
Building Owner Name���slsl�} f�[�f: (i�� {����'"h'��d.l11.►'j" � Address
� � ��TI�` p — �� P �� � �T�
City Tu�c�� State /�
� I-/S Z�P � Phone � fE.i
Nature of Work
APPLICANT <
Name (F,M,L) �u��O tA A ��/_����� � ��,
�'�1 11
Address �•
� �37� ��}.
c�ty _�� � �
State �,,����� Zip `�> �
Conta P son �, Day Phone Other Phone Fax
�'f�'��� l./�i�� z0(� '1�2 t� ! C� � —�t6 .� . ,f�' `�
BLIILDTNG CONTRACTOR'
� ompany Name
Gt�c S 7 6 ivl � � � �►
Address k � .
�.<x
�,,-':� _ ,a��'' ��� 'Y��
.., , a jtt
City � �-" ,. € � � State (,,�� {L . Zip �' t .
s� �
Contact Person / Phone Fax
� �� �� i.-t"�!�^; ..._ f�, -F . ,"�.� �:.- �� �
...:���i.� ��C.r� ;� i 3 � r . i_< «s
Contractor's # (card must be presented) Expiration Date Verified � Yes ❑ No
ARCHITECT '
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
P/ease ComA/ete Reverse Side
CD0492(Rev 4/93)
:`TRUCTIIRE E g Use sed Use
. Permit includes: ❑ Building ❑ Plumbing O Mechanical ❑ Other r'� `"�
� Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ Number of Units O Deck
l�; Commercial ❑ Addition ❑ Garage ❑ Shed �Other rC r��
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 ❑ Project Valuation S
Zoning Lot Size Existing Bidg Valuation $
LENDER
Name Address
City State Zip
MECHA;NICAL CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
�Lv�s�rr+� corrrRacTOR'
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes O No
PLUMBING FIXTURE COUNT
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fixture Count
MECHANICAL i LINIT COUN'I'
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 Tofai Unit Couiit
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 1 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 Federal Way,
but only where such claim arises out of the reliance of the City,including its officers and employees,upon the accuracy of the information supplied to the City as a part of this
application. /� � �
/ 1 � ✓�� ( ,
Owner/Agent• / _ �` !/�t a�� ��i � i/ Date• �1 �("� � �`�
b�