03-101165City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003 -6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: WCHS
luil ommercial Permit #:03 - 101165 - 00 - Co
Inspection request line: 253.835.3050
Project Address: 2025 S 341ST PL i Parcel Number: 212104 9048
Project Description: REmoval of existing PVC roofing and coverboard. Installation of new torchdown roof system
Owner
Applicant
Contractor
Lender
Galen E Rogers
ASSOCIATED ROOFING INC
ASSOCIATED ROOFING INC
NONE
3444 CAMINO DEL RIO N #20
P O BOX 82894
ASSOCRI16206 (511100)
SAN DIEGO CA
KENMORE WA 98028
P O BOX 82894
Occupancy Load:.
92108 -1712
KENMORE WA 98028
NONE
Includes:
Census category: 437 - Comm
#1
#2
#3
#4
Occupancy Group:
Construction Type:
Occupancy Load:.
Floor Area (Sq, Ft.):-
Census Category ....... . ............................... 437 - Commercial alt/add Mechanica l............................ ..............'
Number of Stories ......... .. ...........................:..1 Permit for Building Shell Only...;.............
Plumbing.... ....................... ..................... No
PERMIT EXPIRES September 22, 2003.
Permit issued on March 26, 2003
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in acc dance with the laws, rules and regulations of the State of Washington and
the City of Feder 1 ay,
Y
Owner or agent: Date: 241.03
,°` nE 2 b t? CONSTRUCTION PERMIT APPLICATION
uv FryPPLICATION NUMBER: Ogg - Q �p
- -- --
Cr(y OF FED<<RAL 1�VA APP LICATION NUMBER:
)3UILDIN`. DEPT, APPLICATION NUMBER:
* *The following is required information —Please print (hi ink) or type **
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
SITE ADDRESS: G —/ / R ASSESSOR'S TAX /PARCEL #:Z12._10 9 _ g CIO Lin f\
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): J�c 6�
TYPE OF PROJECT (This application): XUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑E/N1GIINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description s �i:, - -• l I (C 5 V N L-- lax
CavLz 2:4) S*14 L a1_1t5
e �dca 7!z�v S-b-e ed
PROJECT NAME:
',PEOPLE INFORMATION
PROPERTY OWNER: NAME: /"� I! / A (e
DD
MAILING ADDRESS EET ADDRESS; Crr STATE, ZIP):
CONTRACTOR:
APPLICANT:
e'z -gZZ8'
/ t� gSU2l,.
NAME: 1
ksS c t A � V1�
J�lc—
DAYTIME PHONE: `
(2 6 )36Y -yYYs
MAILING AO�RES REET ORE ...J �. Sll+TE
l,� /„
/jv4oy�,
EVENING PyGt!(;;
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
Zo 00A
050 1-7
FAX NUMBER��'•'
(Onrc,)5e-
CON TRACTOR'S REGISTRATION NUMBER:
(copy of card required) '�
EXPIRATION DATE:
D S / i ./ v / D 4
NAME:
D YTIME PHONE:
&DDRffESS �� I�TCi b c� )&
MAISTREETA DRES� CITY, STATE, IP): EVENING PH0
RELATIONSHIP TO PROJECT: FAX NUMBER: /
El ARCHITECT ❑TENANT OTHER (DESCRIBE : (ta ) -3
-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
EXISTING USE: EXISTING BUILDING ASSESSED /APPRAISED VALUATION S 11fGA-
PROPOSED USE:
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER
PROPOSED VALUATION FOR IMPROVEMENTS: $ ;201 fpx50 - 00
FIRE SUPPRESSION SYSTEM PROPOSED / REQUIRED: ❑ YES ❑ NO
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ LAKEHAVEN 11 HIGHLINE ❑ PRIVATE (SEPTIC)
* *NEW RESIDENTIALCONSTRUCTION OR"** MW
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
_ _... ■ - PR03ECT BOOR AREAS
FAN
- FLOOR
EXISTING S .
PROPOSED S . FT.
TOTAL
BASEMENT
AIR HANDLING UNIT(S)
FIRST
GAS LOG(S)
REFRIG. SYSTEM(S)
BBQ(S)
SECOND
HOOD(S)
WOODSTOVE(S)
BOILER(S)
THIRD
RANGE(S)
MISC. ( )
COMPRESSOR(S)
FOURTH
DUCT(S)
OTHER FLOORS (DESCRIBE)
HEAT SOURCE:
❑ ELECTRIC ❑ GAS
DECK
BATHTUB(S)
GARAGE
HOW MANY FLOORS?
URINAL(S)
WATER HEATER(S)
DISHWASHERS)
TOTAL:
VACUUM BREAKER(S)
❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S)
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 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.
NAME /TITLE: DATE:
❑ PROPERTY OWNER ❑ APPLICANT ?1q,011NTRACTOR
COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 98063 -9718 - 253-661 -4000 - FAX: 253-661 -4129
www. dtyoffederalway. com
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S)
EVAPORATIVE COOLER(S)
GAS LOG(S)
REFRIG. SYSTEM(S)
BBQ(S)
FAN(S)
HOOD(S)
WOODSTOVE(S)
BOILER(S)
FIREPLACE INSERTS)
RANGE(S)
MISC. ( )
COMPRESSOR(S)
FURNACE(S)
DUCT(S)
GAS PIPE OUTLET(S)
HEAT SOURCE:
❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S)
LAVATORY(S)
URINAL(S)
WATER HEATER(S)
DISHWASHERS)
RAINWATER SYS.
VACUUM BREAKER(S)
❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S)
SHOWER(S)
WASH MACHINE OUTLET
GAS PIPE OUTLET(S)
SINK(S)
WATER CLOSET(S)
MISC.( )
INTERCEPTOR(S)
SUMP(S)
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 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.
NAME /TITLE: DATE:
❑ PROPERTY OWNER ❑ APPLICANT ?1q,011NTRACTOR
COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 98063 -9718 - 253-661 -4000 - FAX: 253-661 -4129
www. dtyoffederalway. com