02-102950City Federal Way
Community Development Services Building - Single Family Permit #:02 - 102950 - 00 - SF
33530 1st Way S
Federal Way, WA 98003 -6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: MOSS
Project Address: 5122 SW 327TH PL Parcel Number: 189832 0170
Project Description: REROOF - Tear off existing roof, replace sheathing, apply new 30 -yr 3 -tab shingle
Owner
Applicant
Contractor
Lender
James D Moss
SUCCESS ROOFING INC
SUCCESS ROOFING INC
NONE
5122 SW 327TH PL
23605 156TH AVE SE
SUCCERI153L7 5/1/03
Type V - N
FEDERAL WAY WA
KENT WA 98042
23605 156TH AVE SE
Occupancy Load:
98023 -1942
KENT WA 98042
NONE
Includes:
Census category: 555 - Non -st
#1
#2
#3
#4
Occupancy Group:
R -3
Construction Type:
Type V - N
Occupancy Load:
Floor Area (Sq. Ft.):
Census Category .................. ............................... 555 Non- structural roofing p Mechanical.................. ............................... No
Occupancy Group # 1 .............................. ,............ R -3 Plumbing.................. ............................... No
PERMIT EXPIRES January 8, 2003, IF NO WORK IS STARTED.
Permit issued on July 12, 2002
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 accordance with the laws, rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent at /n Date:
Roof sheathing:
FINAL inspection:
7AJ(a�
D 0 311
ate
e*rM
BY
� �{N MEI.OPMENi DEPAR'fMEM �i+^/"
!Of
APPLICATION FOR BUILDING PERMIT
Tenant Of known)
Merino Owner's Name
Nature of Work
Address '::� ] )o ,
Lot 0
Address �y
a vv
BUMLMG Dxvxmo..N
33530 First W&V South
Fedwaml 98-03
(253) 66140M
Fax (253) 66114/1,29''
Assessor's Tax #
Company Name i , , „
Address ac �� C
Piz) off"
State VXA ZI
Contact Person r Phone Fax
Contractor's 0 (card must be Presented! Expiration Date Verified D Yes t7 No
-- - - - -- 0 C�l Su�C�R /� >. 7 cif -3 -��n ;?
.COAL DESCRIPTION
i t^
. � 1 . a . .. . .. __ -
Alk
a
Name
Address
1 ..t.
Contractor Norm
Address
Ex vtinq U's
Stele
Proposed Use
Contact
Permit ir.c,cdes:
Fax
O suifdimg
a Plumbing
O Mechanical
❑ Other
Type of ',York:
C] Residential
O Now
0 Remodel
O Number of Units _
0 Dock
Unit Heater
O Commercial
O Addition
0 Garage
❑ Shed
0 Other
Enter 1 it Floor
ea ft
2nd Floor sa ft
3rd Floor sip ft
Existing Floor Arse
e4 tt
Area Besemerd
go ift
Decks og ft
Gera e ag ft
Proposed Total Area
s ft
Water Avallstility
❑ Sewer AveilabM
0 0 S6ptjo System.Avellabllity
0
west Valuation
! J.
Zonis
_Site
lot Slze
Existing Bldg Valuation
f!
Name
Address
1 ..t.
Contractor Norm
Address
City
Stele
zip
Contact
Phone
Fax
License I
Ex pi lion Date
Verified O Yes 0 No
,�:.- �. a +�er�so'. -'
`acs;
Water Closets
Sinks
Contractor Neme
Address
city -
State
zip
Contact � %
Phone
Fax
licence P
Expiration oats
Verified O Yes 0 No
Water Closets
Sinks
Vrinals
Lawn S rinklere
Bathtubs
Dish .•hare
Drinking Fountains
Other
Shower
Et tric Water Heaters
Surrys
Lan h of Gas PiVfng
Lavatories
4osWina Mschino
Drains
T L f F
DISCMIA ER: I catily under peasky a[pequ y titer the infrxtrution furnished by or u Uue And correct to the bat army ktwwiodge. and finite,, that I erg autbw;2w by the oww of
the shove premiva to perform the work box which pererit ApplioA ad it made, l &Mher ao= to save hawlea the City of Federal Way as to any claim (includ'we cost; egwww and
ettomeye Asia inc u * a invetigatiat and defeasc ofauoh claiml, which may bs made by &I persft irtchrdatS the underslp ed. estd Gkd aiaiw the City of Federal way. bid ottly
where wch ok im trigs out of the lei NN$ of tits eitl'. including ilA *siesta and employes, upon the 11100 WY of the information supplied t the city as • pan of this yglicatioa
Owner{Agenl �V, 0, tTK/ _ Date•
6^0M.A.
ac�mo Y7Mt
MECHANICAL EVALUATION
ONLY 0
Fuel Type (electric /other)
Gas Dryer
Air Handling < = 10,000 CFM
15.30 Tons
Lan h of Gas PiVfng
Rana
Air Handling > - 10,00Q CFM
30-50 Tons
Fvrn <IOOK BTUs
Gas Log
Unit Heater
SO+ Tons
Furn > 100 8TUa
Fens
Mieeellonsous
Fuel Yanks
Gas HW%
Hood
Sailors
Above Ground
Conv Svrner
Duct Work
0 -3 Tone
Under round
88Q's
Wood Stoves
1 3 -1S Tons
TotstUriitCautst
DISCMIA ER: I catily under peasky a[pequ y titer the infrxtrution furnished by or u Uue And correct to the bat army ktwwiodge. and finite,, that I erg autbw;2w by the oww of
the shove premiva to perform the work box which pererit ApplioA ad it made, l &Mher ao= to save hawlea the City of Federal Way as to any claim (includ'we cost; egwww and
ettomeye Asia inc u * a invetigatiat and defeasc ofauoh claiml, which may bs made by &I persft irtchrdatS the underslp ed. estd Gkd aiaiw the City of Federal way. bid ottly
where wch ok im trigs out of the lei NN$ of tits eitl'. including ilA *siesta and employes, upon the 11100 WY of the information supplied t the city as • pan of this yglicatioa
Owner{Agenl �V, 0, tTK/ _ Date•
6^0M.A.
ac�mo Y7Mt