02-104894City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: KELLY
Project Address: 312 SW 325TH PL
Building - Single Family
Permit #: 02- 104894 -00 -SF
Inspection Request Line: (253) 835 -3050
Parcel Number: 926490 0920
Project Description: SF - Single Family Re -roof; shingle to "gerard" stone coated steel tile
Own r
Applicant
Contractor
Lender
GEOFFREY C(E) KELLY
LIFETIME ROOFING TECHNG INC
LIFETIME ROOFING TECHNG INC
312 SW 325TH PL
14019 8TH ST SUITE B
LIFETRT033BG (9/19/01)
Type V - N
FEDERAL WAY WA
BELLEVUE WA 98007
14019 8TH ST SUITE B
Occupancy Load:
98023 -5639
BELLEVUE WA 98007
Census Category: 555 - Non - structural roofing permits
Includes:
#1
42
#3
#4
Occupancy Class:
R -3
Construction Type:
Type V - N
Occupancy Load:
Floor Areas . ft.
0
0
0
0
PERMIT EXPIRES Saturday, May 24, 2003
Permit Issued on Tuesday, November 5, 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:
Date:
T
;°f � RECEIVED CONSTR#�ON PERM IT A CATION
VV �Y AWL
APPLICATION NUMBER:
5
Nu v U 2002 APP LICA I ION NUMBER: - -
APPLICATION NUMBER: - -
CITY OF FEDERAL. WAY - - - - -
* *The followili "{ 'vrmation - Please print (in ink) or type ** k'
Please note: Electrical, Fire Prevention ^Systems and Engineering permits may require a separate application.. l
SITE ADDRESS:3ZZ `j k) 3 ZS ?N A ASSESSOR'S TAX /PARCEL #: _ _ _ _ _ V - _ _ _ —
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): i"UILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): RC, 900'; � u S C zdt7%V
199" 57ZWAF. - Co g -ice 57rlr L 774
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
NAME:
1-I 1h�(E P49 F 1
DAYTIME PHONE:
(f<zI ) 74�r X937
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
/A 41 414 9rAl ST ,fS ,. �
Ecc,E ✓aF t�19 ���
EVENING PHONE:
( 1` -
CITY OF FEDERAL WAY BUSINFSVLICENSf NUMBER:
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required) / F
''-
APPLICANT: NAME: ,,� DAYTIME PHONE:
_ 3
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): rjpsy �� r."- T EVENING PHONE:
ovDD 7 �7,?Uov ( )5-0-0w—
RELATIONSHIP TO PROJECT: FAX NUMBER
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): ( )
E- MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
EXISTING USE:
PROPOSED USE:
EXISTING BUILDING ASSESSED /APPRAISED V.
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
PROPOSED VALUA
RE SUPPRESSION SYSTEM
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
A
* *N LCONSTRUCTIO LY **
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE:
FLOOR
EXISTING S . FT.
PROPOSED S . FT.
TOTAL
BASEMENT
RA E(S)
FURNACES)
RST.
HEAT
SE D
THIRD
FOURTH
OTHER FLOORS (DES BE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
7Z--
AIR HANDLING UNIT(S)
8BQ(S)
BOILERS)
COMPRESSOR(S)
DUCT(S)
BAT B(S)
HWASHER(S)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
Indicate tuber o ch type of fixture
MECHANI
PLUMBING
APORATIVE COOLERS)
GAS LOG(S)
FANS)
OD(S)
FIREPLACE INSERTS)
RA E(S)
FURNACES)
GAS PIPE OUTLETS)
HEAT
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINK(S)
S)IMP(S)
URINAL(S)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
REFRIG.SYSTEM(S)
WOODSTOVE(S)
MISC. ( )
❑ ELECTRIC ❑ GAS
WATER HEATER(S)
El ELECTRI ❑ GAS
MISC.
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 supWilpd 191he„ city as a part gf)tfiis"plicVon.
I ��l4 4 DATE:
R, _ ✓ % r
❑ PROPERTY OWNER ❑ APPLICANT 1.ONTRACTOR
COMMUNITY DEVELOPMENT SERVICES- 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063 -9718 • 253-661 -4000 • FAX: 253-661 -4129
www.CitYOffedeg1way. rom