98-101210g$—/6»I0
CITY OF FEDERAL WAY II p PERMIT NO: BLD98-0198
33 53 C F i rs t Way South I,"u" L ,�".� ..tl,,. �41 G F-1 q„w•,. II u�� 1 w it I ,,,1".. ISSUED: 0 4/ 09 / 90
Federal Way, WA 95003 Building Inspection Requests 253-661-4140 BY: FC2
253-661-4000 EXPIRES: 10/06/92
ADDRESS:2746 SW 341ST ST
NO_ 010921 --0670
PROJECT DESCRIPTION--(RE-ROOF COMP TO COMP)
OWNER CONTRACTORLENDER
} MR. NAY JOHNSON'S ROOF SERVICE INC
2746 SW 341ST ST 622 S CENTRAL AVE
'EDERAL WAY WA 98023 KENT WA 98032
253-253-4823 859-2777
3 � JONNSRS088KA_
—�— sts CONTRACTORS, PLEASE USE LOCATION CODE ^1732 OMEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY- TAX RATE = 8.6% sst
BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN.........:? FEES:
TYPE OF WORK:ALT USE:RES 1ST.: 0: O:sf STORIES........: 0 REQUIRED PARKING..: 0 SPRINKLERS?......:? BUILDING PERMIT....* $ 81.00
CENSUS CATEGORY ..... :555 2ND.: 0: O:sf HEIGHT.....: 0.00 ft HAZARD CLASS...:? SBCC SURCHARGE.....* $ 4.50
OCCUPANCY GROUP---------- 3RD.: 0: O:sf VALUATION---------- REQUIRED SETBACKS------- FIRE FLOW....: 0 gpm
:? :? :? :? OTHR: 0: O:sf EXIST..$: 0 FRONT.......... 0.00 ft
TYPE OF CONSTRUCTION----- BSMT: 0: O:sf PROP ... $: 5100 SIDE..........: 0.00 ft WATER SERVICE..:?
:? :? :? :? DECK: 0: O:sf REAR........... O.00:ft SEWER SERVICE..:?
OCCUPANT LOAD------------ GAR.: 0: O:sf RECEIVED.:04/09/98
0: 0: 0: 0: TOTL: 0: O:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
UEL TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS ; WATER CLOSETS......: 0 URINALS........: 0 TOTAL FEES $ 85.50
GAS PIPING.: 0 ft HOOD..........: 0 0-3 TON.....: 0 BATH TUBS..........; 0 DRINKING FOUNT.: 0
= FURN<100K..: 0 DUCT WORK.....: 0 3-15 TON....: 0 SHOWERS.... .......: 0 SUMPS..........: 0
GAS HWT.... : 0 WOOD STOVES...: 0 15-30 TON...: 0 LAVATORIES.........: 0 VAC BREAKERS...: 0
CONY BURNER: 0 FURN>IOOK.....: 0 30-50 TON...: 0 SINKS ..............: 0 DRAINS.........: 0
BBQ........ : 0 MISC......... 0 50+ TON.....: 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 WSHR OUTLTS...: 0
GAS LOGS...; 0 > 10,000 CFM: 0 UNDERGROUND.: 0
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK I ART. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF 15%WkCE.
I CERTIFY THAT THE F FURBISHED BY ME IS TRUE CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF ffJEkL WAY REQUIREMENTS WILL BE NET.
r DATE
r
OWNER OR AMEN, _! 1_ �--------
FILE COPY
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FIELD COPY
1
SETBACKS &-FOOTINGS
Date By
7FOUNDATION
WALLS
Date By
7PLUMBING
GROUNDWORK,
Date By
4
SLAB INSULATION
Date By
5
FgOTING_/DOWNSPOUT DRAINS
Date By
6
UNDERFLOOR FRAMING
Date By
7
SHEAR WALLS
0 O gYP'
Date By
8
PLUMBING ROUGH -IN
Date By
9
OAS: PIPING- :..
Date By
10
170
MECHANICAL ROUGH.IN
Date By
11
FRAMINO
Date By
12
INSULATION
Date By
13
OWS - 'IST LAYER
Date By
14
:QW8 -,2ND LAYER.
Date By
15
SUSPE.NDED.CEILINO
Date By
16
PLANNING FINAL
Date By
17
PUBLIC WORKS FINAL
Date By
18
FIRE FINAL:
Date By
19
BUILDING .FINAL
Date _ 2 - f By
20
OTHER
Date By
CDO193 (Rev 4/97)
crry or
U� FiY
PLEASE PRINT
Nui
BUILDING DIVISION
33530 First Way Sorlth
Federal Way, WA 98003
(206) 661-4000
Fax (206) 6614129c
APPLICATION FOR BUILDING PERMIT
APPLICATION # (�k � )qP, (�7 t C-11 R
1? ;. • ai :, f
Address C'
Tenant (if known)
ffal
Lot #
's Tax # Assessor
Building Owner's Name
%�� L�,t / =7//711 V 3"'
Cit
State[Address
i
Phone
Nature of Work I�YD)L
L�
Name (F,M,L)
Address
city
State
zip
Contact Person
Day Phone
Other Phone
Fax
ompany Name
C6
h
Address
j �-
City(�
State VA
zipC
Contact Person _ I
P � � �
Fax
Contractor's # (card must be presented)
Expiration D
15
Verified Y s ❑ No
Name
Address
Ci
State
Zip
Contact Person
Phone
Fax
LEGAL DESCRIPTION
Mo 7'-o-cvrn_A1&tv-ReY-e-r$a_ S&O
G'i>.
x.?'', ;..•
Existing Use
Permit Includes;
Building
Type of Work:
Residential
❑ New
❑ Commercial
❑ Addition
Enter 1st Floor
sq ft
2nd Floor
Area Basement
s_q ft
Decks
Water Availability
❑ Sewer Availabilit
❑ On -Site
Zoning.
Lot Size
Name
Contractor Name
Contact
License #
Proposed Use
❑ Plumbine
❑ Mechanical
C7 Other
❑ Remodel
❑ Number of Units
❑ Deck
0 Garage
_
❑ Shad
❑ Other
sq ft 3rd Floor sq ft
Existing Floor Area
sq ft
sq ft Garage sq ft
Proposed Total Area
sq fj
tic System Availability ❑
Project Valuation
S
_
Existing Blda Valuation
It
Address
State
Address
Phone
IFax
on Date Verified 0 Yes ❑ No
Water Closets Sinks Urinals Lawn
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains 'E.sral'.
ruai -type taiectrio/otnerl
Gas D er
Len th of Gas Piping
Range
Furn <100K BTUs
Gas Log
Furn > 100 BTUs
Fans
Gas Hwt
Hood
Conv Burner
Duct Work
BBQ's
Wood Stn VAA
MECHANICAL EVALUATION ONLY $
Air Handling < = 10,000 CFM
15.30 Tons
Air Handling > = 10,000 CFM
30-50 Tons
Unit Heater
50 + Tons
Miscellaneous
Fuel Tanks
Boilers
Above Ground
0-3 Tons
7_15 Tins
DISCLAIMER: I certify under pmay of perjury that the information furnished by me is true and correct to the (lest of my knowladgc, and further, that I tun authorized by the owner of
the above premises to perform tim work for which permit application is made, I further agree to save hannlaa die City of Federal Way as to any claim {including costs, expaLses, and
atomeye' fees into in ' vestigation and defense of such claim), which may be made by any peraol , including the undersigned, and filed agaitut the City of Federal Way, but only
where such claim Io to liance fthe city, including its officers and employees, upon the accuracy of Ale information supplied to die city as apart of this application.
I rr
Owner/Agent:
Date:
OUHnuq,nn
e[veeo 12/11/00 +
I