03-104486f �
City Federal Way Building - Single F
Community Development Services
33530 1st Way S
Federal Way, WA 98003 -6210
Ph: 253.661.4000 Fax: 253.661.4129
t
1
Project Name: DIRKES
j
Project Address: 30412 21ST AVE SW
Project Description: REP - Te g o exl<� ' g Vk oo f, re ing with new u -Ra eta o
it #: 03 - 104486 - 00 - SF
)ec n request line: 253.835.3050
�!"'" Parcel Number: 122103 9101
(dry- rotted areas only) and reroofing
Owner Appl t Contractor
Edwin es Ima D es RIGG ROO G A G ULRIGG ROOFING NONE
30 ST AVE SW 8TH AVE S AGULRR *055KH 6/4/02
I ERAL WAY FEE WAY WA 98023 35002 28TH AVE SW
23 -2306 FEDERAL WAY WA 98023 NONA
via
Lender
Censu t 555 - Non -st
#1 ' #2
#4
Occupancy Group:
R -3
Construction Type:
v
Occupancy Load-
Floor Area (Sq, Ft.)
Census Category .- ....... ............................. 555-
Occupancy Group #1 ........................................... R-3
Zoning Designation......., ..............RS T
Co
This decision shall not waive co m ce with f City
proposal.
PERMIT .
I hereby fy th a above inforr
the occup a e use will be in
the City of F Way.
Owner or agent: &da
N ki, I � -�
Way codesnpicies, o_fWndards relating to the subject
rchS, 2004.
her 1, 2003
;tion on the above described property and
regulations of the State of Washington and
Date:
Roof sheathing:
Date
FINAL inspection:
Date
City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003 -6210
Ph: 253.661.4000 Fax: 253.661.4129
0
Building - Sin
F ' y ermit #: 03 - 104486 - 00 - SF
Inspection request line: 253.835.3050
Project Name: DIRKES
Project Address: 30412 21ST AVE SW Parcel Number: 122103 9101
Project Description: REP - Tearing off existing shake roof, replacing some sheating (dry- rotted areas only) and reroofing
with new Nu -Ray metal roofing
Owner
Applicant
Contractor
Lender
Edwin A Dirkes & Thelma Dirkes
A G ULRIGG ROOFING
A G ULRIGG ROOFING
NONE
30412 21ST AVE SW
35002 28TH AVE SW
AGULRR *055KH 6/4/02
FEDERAL WAY WA
FEDERAL WAY WA 98023
35002 28TH AVE SW
98023 -2306
1
1 FEDERAL WAY WA 98023
NONE
Includes:
Census category: 555 - Non -st
Occupancy Group:
Construction Type:
Occupancy Load:
Floor Area (Sq. Ft.):
#1
R -3
Type V - N
#2
#3
#4
Census Category .............. ......................... 555 - Non - structural roofing p Mechanical................................................. No
Occupancy Group # 1 ... .................................. ......R -3 Plumbing-, ........... .............. ....... No
Zoning Designation............................................. RS 7.2
CONDITIONS:
This decision shall not waive compliance with future City of Federal Way codes, policies, or standards relating to the subject
proposal.
PERMIT EXPIRES March 29, 2004.
Permit issued on October 1, 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 accordance with the laws, rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: �S\ /7 Dat,:M) I
I POSWIS CARD ON THE FRONT OF BUILDI
CITY Or, 11 BUIRING DIVISION
Federal Way INSPECTION RECORD
INSPEtTION'REQUEST PHONE #: 253-835-3050
PERMIT #: 03-104486-00-SF
OWNER'S NAME: Edwin A Dirkes & Thelma Dirkes
SITE ADDRESS: 30412 21ST SW
( ) FOOTINGS/SETBACKS
( ) DRAINAGE: Line
( ) FOUNDATION WALL
DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED
( ) Connection.
DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED
( ) UNDERFLOOR FRAMING.
( ) ROUGH PLUMBING: DWV
( ) ROUGH MECHANICAL
( ) SHEATHING
( ) SHEAR WALLS
( ) ELECTRICAL ROUGH -IN
( ) FIRE/DRAFTSTOPS
Water piping
Gas pipin
.-7 A -)
Roof Floor
c m7 I
Ditch Cover
ALL THE ABOVE MUST BE APPROVED PRIOR TO FRAMING INSPECTION
( ) FRAMING/FIRESTOPPING
THE ABOVE MUST BE APPROVED PRIOR TO INSULATING OR SHEETROCKING
( ) INSULATION: Floors
Walls
Attic
THE ABOVE MUST BE APPROVED PRIOR TO APPLYING SHEETROCK
( ) WALLBOARD NAILING.
( ) SUSPENDED CEILING
THE ABOVE MUST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE
O ELECTRICAL FINAL_
PLANNING FINAL
O PUBLIC WORKS FINAL.
O FIRE FINAL
THE ABOVE MUST BE APPROVED PRIOR TO BUILDING DEPARTMENT FINAL
( ) BUILDING FINAL
DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED
0 CONSTRUCON PERMIT APPLICATION
CITY OF �./
RECEIVED PPLICATION NUMBER: I9-3 - _ %Q 4 _
Federal Way PPLICATIONNUMBER:
91-T 12003 PPLICATION NUMBER: - -
* *The fotWIyiny(s F &W1rRA1nW)Wbon - Please print (in ink) or type **
BUILDING DEPT, ) 307
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY •. • i
SITE wRFS�S: P ASSESSOR'S TAXIPARCEL #: Z) �3 - 9 L O L
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROJECT • •
TYPE OF PROJECT (This application): ❑ BUILDING o PLUMBING o MECHANICAL o DEMOLITION
o ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): 1°<A - ,h.t,�[T!�
PROJECT NAME:�y�
PEOPLE INFORMATION
PROPERTYOWNER: NAME: f DArnMEPHONE. -
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
CONTRACTOR: ! NAME: DAYrIME PHONE:
MAIll DRESTREET ADDRESS; ATE, ZIP): EVENING PHONE:
CIiY OF FEDERAL WAY BUSINESS LICENSE NUMBER: Q0� FAX NUMBER: I
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(rd required) /� G 1J Lr 3 ,� 14 11 in —�
APPLICANT: NA E: DAYTIME DRONE
�
I MAILING ADDR SS (STREET ADDRESS; CITY, 7ATE, ZIP): EVENING PHONE: i
RECkTIONSHIP-TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE):
E-MAIL ADDRESS:
l
CONTACT PERSON FOR THIS PROJECT: n PROPERTY OWNER ❑APPLICANT ❑CONTRACTOR (_
• • BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/ APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ - d q0
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES o NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE o TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
* *NEW RESIDENTIAL CONSTRUCTION O
NUMBER OF BEDROOMS: ESTIF..a: rD 5t LING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR
EXISTING S . FT.
PROPOSED S . FT.
TOTAL
BASEMENT
SHOWER(S)
GAS PIPE OUTLET(S)
SINKS)
FIRST
SUMP(S)
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S)
BBQ(S) FAN(S)
BOILERS) FIREPLACEINSERT(S)
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S)
PLUMBING
BATHTUB(S)
LAVATORY(S)
DISHWASHERS)
RAIN WATER SYS.
DRINKING FOUNTAIN(S)
SHOWER(S)
GAS PIPE OUTLET(S)
SINKS)
INTERCEPTOR(S)
SUMP(S)
Value of Mechanical Work: $
GAS LOG(S) REFRIG. SYSTEM(S)
HOOD(S) WOODSTOVE(S)
RANGE(S) MISC. ( )
HEAT SOURCE: ❑ ELECTRIC o GAS
URINAL(S) WATER HEATER(S)
VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
WASH MACHINE OUTLET
WATER CLOSET(S) MISC. ( )
�TSCLATMER /STGNOTHRE RLC
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 against4the City pf
Federal Way, but only where such claim aris& t'o'ut of the reliance of the city, including its officers and employees, upon b%-accuracy
of the information supplied to the city as a part of this application.
NAME /TITLE: _L (�C�f JS (ice DATE:
❑ PROPERTY OWNER ❑ APPLICANT t CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063 -9718 • 253 - 661 -4000 FAX: 253 -661 -4129
www.cityof Werelway.corn