04-101564City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003 -6210
Ph: 253.661.4000 Fax: 253.661.4129
Building - Single Family Permit #: 04 - 101564 - 00 - SF
Inspection request line: 253.835.3050
Project Name: SALVATION ARMY SF RESIDENCE
Project Address: 1902 SW 329TH PL Parcel Number: 010456 0170
Project Description: REP - Remove shake roof, resheet roof and cover with composition shingles.
Owner
Applicant
Contractor
Lender
SALVATION ARMY
LEGENDS ROOFING CO INC
LEGENDS ROOFING CO INC
NONE
PO Box 9219
PO BOX 844
LEGENRC984DN 3/15/06
Occupancy Load:
SUMNER WA 98390
PO BOX 844
PO Box 9219 !Seattle, WA 98109 -0:
—�
SUMNER WA 98390
NONE
Includes:
Census category: 434 - Reside
#1
( #2
#3
#4
Occupancy Group:
Construction Type:
R -3
Type V - N
Occupancy Load:
Floor Area (Sq. Ft.):
—�
Census Category ........ ......................................... 434 - Residential alt/add - no Mechanical ......................... .................. No
Occupancy Group #1......[ . ............................R -3 Plumbing ......:.... No
Zoning Designation ....... ........ ............................ RS 5.0
I hereby certify that the
the occupancy and the t
the City of Federal VVAS
Owner or agent:
PERMIT EXPIRES October 24, 2004.
Permit issued on April 27, 2004
eve information is correct and that the construction on the above described property and
will bA1 accordance with the laws, rules and regulations of the State of Washington and
d (e-
Date: A-1-1- D"1
_57- � -5 - C-) </ WW4!�'��
–AIL
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Federal Way _ L
COMMUM7Y DEVELOPMENT SE VICES , �T �" "; ' MF CO ME EL PL DE EN FP
33530 FIRST WAY SOUTH • PO BOX 9718 (A
FEDERAL WAY, WA 98063 -9718 ? P L I C T l 1 G f'•i =
253 - 6614115 FAX 2536614129 i • �'
www.dfuoni &ralway.com
The foiiowing i- PG�{i�i lll9lf�tfgRChri GInPiRYltlYllytete application will not be accepted. Please print legibly (in ink) or tune. ?'J�
I
SITE ADDRESS � `° IT #
ASSESSOR'S TAX /PARCEL # -
LOT SIZE (s�
` T
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page for lengthy legal desvipoon)
PROJECT • •
TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
9-e"VF--i�- S ) )"il4LLI3 sc�i-1 (D
� y L ►1�K�TE ('Cn4' PaS 117 MJ .
PROJECT NAME (Name of Business or Owner Last Name)
PEOPLE J •- •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME � �� �� � T RIMARY PHONE
'lam) 2dl - 4co
MAVING ADDRESS CITYATE
,D i �k q`2l ,1IGGnn�� W
COMPANY NAME
t� ► �cj t &t l ML t
APPL CANT NAME
\)$-no C)Lsojx'�
OFFICE PHONE
(29" ) '
- 3197
MAILING ADDRREJS�Sj
CITY, STATE, ZIP �}�1� (//►�/��/G�
/CELL PPHHONE��j�
0656
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
d 4 -1 ,-I--B
EXPIRATION DATE
FAX NUMBE�R�p
PRIMARY PHONE
E -MAIL ADDRESS
L
CONTRACTORS REGISTRATION NUMBER (copy of cud required with each application)
_ (4 � t-1 C- `� ki
EXPIRATION DATE
3
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
FAX NUMBER
( ) -
NAME
PRIMARY PHONE
E -MAIL ADDRESS
Per RCW 19.27.095: Lender information is ::
required if project value exceeds $5,000
NAME
MAILING ADDRESS
CITY, STATE, ZIP
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $ '� I
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER 11 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING S . FT.
PROPOSED S . FT.
TOTAL
BASEMENT
o ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
FIRST
BASIC PLAN? ❑ YES
o NO
SECOND
CHANGE OF USE? o YES
THIRD
NEW ADDRESS REQUIRED? o
YES o NO
FOURTH
o NO
PLATTED LOT? ❑ YES ❑ NO
ADDITIONAL FLOORS (DESCRIBE)
a NO
DECK(COVERED ?)
GARAGE /CARPORT
HOW MANY FLOORS?
TOTAL. EXISTING
TOTAL. PROPOSED
TOTAL. EXISTING AND PROPOSED
— xEWHOMES ONLY ** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECELAHICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG. SYSTEMS
BBQS FANS HOODS (c--ii) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC (Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
BATHTUBS (or Tub /Shower Combo) SHOWERS WATER CLOSETS (ru;ieq MISC (Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS (13 thr Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
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 I
am authorized by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold
harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the investigation and defense of
such claim), which may a made by any person, including the undersigned, and filed against the City of Federal Way, but only where such claim
arises out of the relian of the -ty, including its officers and employees, upon the accuracy of the information supplied to the city as apart of
this application. y� {� n y
NAME/ TITLE /� St'FlL'J1'� W DATE " v''� `
RELATIONSHIP TO
F p —')
❑ Owner ❑ Agent ❑ Contractor ❑ Architect ❑
FOR OFFICE USE ONLY
o NEW o ADDITION
o ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑ YES o NO
BASIC PLAN? ❑ YES
o NO
ZONING DESIGNATION
CHANGE OF USE? o YES
o NO
NEW ADDRESS REQUIRED? o
YES o NO
UP /SEPA /SU? o YES
o NO
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REQUIRED? ❑ YES
a NO
Bulletin # 100 — March 30, 2004 Page 2 of 4 k \Handouts — Revised \Permit Application