96-103677 � 9�-�a�6�7 _ �
CI Tl' 0� f�C L?E_F?�I_ vJF'�Y PERMIT NO: BLD9�-0420
�3 5 3 0 F i rs t W a y �a u t;h .,�'�N„��.,� ��»..�a�.,,��� �'���N„„�!' �'"���w���!:IM'��'..I�,' "��" I��U C�: 10/0�j 9 6
Fecfer�.l W�y , 4dA 9�3(�U� �u�.lc�in� Insp�ctian Rec�uests 661•..•�t14(J BY: FC
661-4QOp CXPTFtES: 04/01/97
ADDRESS .851 5 htARINE E�1LLS WY
NQ. : 515296-C114C)
NFtOJE.CT DESCRIPTIUN:REROOF OHLY. �
F= OWNER _________________________�_�_��,�-__�������_w����T= COHTRACTOR ===_=====:_,_���=_��=_�_���-_�__�����,��-����x LENDER =____����__=_=__=_,��_����=====T�=��-�=��z�_�__9
( JOE WENDLICK � TEDRICK'S ROOfING INC � I
� 851 MARINE NILLS WAY � 37220 188iN AVE SE
� FEDERAL WAY WA 98023 AUBURN NA 98092 � �
� � ( �
� 941-3552 � 824-3440 800-707-2b06 ( �
� �) TEDRIRI121NC
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_�* COMTRACTORS, PLEASE USE LOCATIOM C0� 1I32 MHEN REPORTIN6 SALES TAX FOR PROIECTS MITHIM TNE.CITY OF fEDERAI IIAIf. TAX RAtE = 8.2; n=
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� BLD?:X MEC?: PLM?: �LR--EXIST--PROP--- DWEILING UNITS: 0 COMP PLAN.........:? � FEES: �
� TYPE Of WORK:ALT USE:RES 1ST.: 0: O:sf STORIES........: 0 REQUIRED PARKING..: 0 SPAINKLERS?......:? ( BUILDING PERMIT....$ � 108.00 �
� CENSUS CATEGORY.....:555 2ND.: 0: O:sf HEIGHT,....: 0.00 ft ( HAIARD CLASS...:? � SBCC SURCHARGE.....# $ 4.50 �
1 OCCUPANCY GROUP---------- 3RD.: 0: O:sf YALUflTION---------- REQUIRED SETBACKS------- FIRE FL04i....: 0 gpA � �
� :? :? :? :? . OTHR: 0: O:sf EXIST..s: 0 FRONT.....,.... 0.00 ft
i TYPE OF CONSTRUCTION----- BSMT: 0: O:sf PROP,..�: 9000 SIDE..........: 0.00 ft WATER SERVICE..:? � ]
• •' •' •' • DECK: 0: O:sf � REAR..........: O.00:ft SEWER SERVICE..:? �
� .? .. .. .. .
� OCCUPANT LOAD------------ GAR,: 0: O:sf RECEIVED.:10/03/96 9 � )
� : 0: 0: 0: 0: T4TL: 0: O:sf � IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:? J
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I FUEL TYPES.:? ? fANS..........: 0 BOILERS/COMPRESSORS 4 I�ATER CLOSETS......: 0 URINALS........: 0 � TOTAL FEES S 112.50 '
� 6AS PIPING.: 0 ft HOOD,.....,.... 0 0-3 HP....... 0 BATH TUBS........... 0 DRINKING FOUNT.: 0 � �
N<100K... 0 DUCT WORK,..... 0 3-15 HP...... 0 � SNOWERS............. 0 SUMPS,.......... 0 ( �
HWT....: 0 WOOD STOVES...: 0 15-30 NP....: 0 LflVATOAIES.........: 0 VAC BREAKERS...: 0 � �
� CONV BURNER: 0 FURN>100K....., 0 30-50 HP..... 0 SIHKS............... 0 DRAINS.......... 0 � �
� BBQ......... 0 MISC..,........ 0 5+ HP........ 0 DISH WASHERS........ 0 LAWN SPRINKLERS: 0 ( �
� GAS DRYER..: 0 AIR NAHDLING UNITS fUEI TANKS--------- ELEC NTR NEATERS...: 0 OTHER FIXTURES.: 0
� RANGE......: 0 <=10,000 CFM: 0 ABOVE GROUND; 0 LAUN WSNR OUTLTS...: 0 ! j
I GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 ( �
�____==__--_��---------------------- -- - --____ -______--_____-_=___----- ----------------______ __--__ _- ---- - - -----1 - �
____________ _________�--z-���-.-----�_-------- ---------______________--__-_-_______________-=__=_=-=_-----�=�r�=_�-�=�;______�;_=��-���=�s���=�__===
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO TARTED .-Rf IITIAL AMD 6RADIN6 PERMITS EXPIRE OME YEAR AFTER DATE Of ISSUAMCE.
I CERTIFY TINIT TNE IRf�tMAT N fURNISHED IS NI�O�II TO T BEST OF M11 KN08LED6E A8D THE APPLICA CITY OF FEDERAL MAY REQUIREMENTS YILL BE MET.
;`
,. , .
OWNE AGENT __ _.. . _..���.____.�.. _..�'�� �
_ _ � ' __.-------------------.._..___. DAT�_.�._��-----
FILE COPY
� G ,
City of Federal Way
����
�� �' APPLICATION FOR BUILDING PERMIT r
- ����=
PLEASE PR/NT � ' � ��� ,r-,
APPL/CAT/ON#: i� � �,. 2 ,
SITELOCATION ,add�ess 5� ��-�� �_ � /
Tenant (if known) �ot !F As ss r' T #
����i`(� -- �1 �;.
Building Owner Name Address �
�i �� � ;� ' ��� ,d'r.�il" /J G.�� ���
City �r State �� Zip Phone C'
� �
Nature of Work DL, if✓� f= ,�p�;-=-j / _ , _���-�" � — L/
/�
APPLICANT ;; <; _ ,
Name (F/M,J.)
�--- A
Address
City State Zip
Contact Person Day Phone Other Phone Fax
BUII,DYN,G COI�TRACTOR :
:.;
Compeny Name���- \
f � ,���_ —.-`�
Address
� �} %� U:
City /y , G Z State
Zip
Contact Person � Phone p�,�
� ,/r<.��j/.:�. �.'rlf,-�i_1
� ' l ; , - �� . ,�- .
Contractor's #(card must be presented) Expiration Date Verified p Yes O No
F _C,
aRc�rECT ' _ >
Name
Address
City State Zip
Contect Person Phone Fax
LEGAL DESCRIPTION
t
P/ease Comv/ete Reverse Side
. CD0492(Rev 4/9y�
STRUCTIIRE F isting Use oposed Use
,
M Permit includes: uiiding ❑ Plumbing �] Mechanical ❑ Other
Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck
y ❑ 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 O On-Site Septic System Availability O Project'Valuatian S �
Zoning Lot Size Existing 61dg Valuation $
LENDER
Name Address
City State Zip
�cr�Arr�c�. �orrr�cTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration �ate Verified ❑ Yes ❑ No
__ . ....... .. _ _. . ......... __
_.__ _ _ . __ __
_ ........... ........... _.. _
_... ........ ... ___... _......... _
PI:�ING CONTRACTOR:
Contractor Name Address
City State Zip
Contact Phone Fax
License # Ekpiration Date Verified � Yes O No
rLtr�nvG �ru� courrr
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fxiure Coun� >
_ _ _ . _ _ _
MECHA.IV�CAX. UNIT C�U1�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 Heatar 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Ta�ks
Gas Hwt Hood Boilers Above Ground
Conv Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons 7otal Unit Count
DISCLAIMER: I certify under penalty of pery'ury that the information fumished by me is true and correct to the beet of my knowledge and further that I am authorized by the owner
of tha above pramises to perform the work for which permit application is made.I(urther agree to save harmless the City of Federal Way as to a�y claim�including costs,expenses,
end attomeys'tees incurred in investigetion and defense of such claim►f which mey be made by eny person,including the undersigned,end filed egainst tha City of Federel Way,
but only where such claim a�ses out of the reliance of t Cit ,inclu ing itc ificers end employees,upon the accurecy of the inform ion supplied to the City es e part of this
application. i"'�
� /'
Ovtlrer/A Date: /�.i � �
a � j
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