04-102673City of Fedeiral Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003 -6210
Ph: 253.661.4000 Fax: 253.6( L4129
Building - Commercial Permit #: 04 - 102673 - 00 - CO
Project Name: CCD ENTERPRISES
Project Address: 533 S 336TH ST
Project Description: Reroof hot mop to torch down; Building A
Inspection request line: 253.835.3050
Parcel Number: 926480 0260
Owner
Applicant
Contractor
Lender
CURRAN PROPERTIES
FIELDS ROOF SERVICE, INC.
FIELDS ROOF SERVICE, INC.
NONE
1601 5TH AVE #1703
FIELDS ROOF SERVICE, INC.
FIELDRS262LI
SEATTLE WA
25924 78TH AVE S
FIELDS ROOF SERVICE, INC.
98101 -1657
KENT WA 98032
25924 78TH AVE S
NONE
Includes:
Census category: 555 - Non -st #1 �- _ #2 -- #3 �I #4 �
Occupancy Group:
FConstruction Type: i L
Occupancy Load:
I
Floor Area( Sq Ft):
Census Category....._.: ................................ 555 -rNon- structural roofing p', Mechanical................ ........ . No
Nltmllerdf Stories ............ I Permit for Building Shell Only.:.._ No
Plumbing.: ........: .................. No
PERMIT EXPIRES January 3, 2005.
Permit issued on July 7, 2004
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: �r�� Date: 7 /7! o
G�?
INSPECTION LOG
DATE
INSPECTOR
OK
,66 R/REJ.
AREA AND
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al
D ci
-717-21,0
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THIS CARD IS TO "'?MAIN ON -SITE •
CITY OF %,ommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 04- 102673 -00 -CO
Owner:
Address: 533 S 336TH ST
FEDERAL WAY, WA 98003 -6329
This card is part of your required inspection documents.
Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible
(read left to right, top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your
inspector if you are unsure about any of the inspections or the inspection sequence. On -going inspections
are logged on the back of this card.
❑
Footings /Setback (4110)
❑
Foundation Wall (4115)
❑ Drainage/Downspout (4040)
Approved to place concrete
Approved to place concrete
Approved to backfill
By
Date
By
Date
By Date
❑
Plumbing Groundwork (4190)
❑
Re -steel (4215)
❑ Slab /Concrete Floor (4255)
Approved to place concrete or grout
Approved to cover
Approved to place concrete
By
Date
By
Date
By Date
❑
Underfloor Framing (4285)
❑
Floor Sheathing (4105)
❑ Shear Walls (4245)
Approved to sheath floor
Approved to install flooring
Approved to install siding
By
Date
By
Date
By Date
❑
Roof Sheathing (4220)
❑
Fire/Draft Stops (4095)
NOTE: Prior to scheduling a Framing (4120)
Approved to install roofing
Approved
inspection; Electrical, Plumbing & Mechanical
Rough -in and Fire/Draft Stop inspections must be
By
Date
By
Date
signed -off and approved. 1B'C 109.3.4/UBC 108.5.4
❑
❑
Framing (4120)
Insulation (4150)
❑ Gypsum Wallboard Nailing (4130)
Approved to insulate
Approved to install wallboard
Approved to install mud & tape
By
Date
By
Date
By Date
❑
Final - Fire Department (4060)
❑
Suspended Ceiling Grid (4265)
❑ Final - Planning (4070)
Approved to drop the
Approved
Approved
By
Date
By
Date
By Date
❑ Final - Public Works (4080) ❑ Final - Building (4050)
Approved ,� Approved
By Date By / v% Date 7 %i? ,
ar A
Federal Way
COMMLW77 DEVELOPMENT SERVICES
33530 FIRST WAY SOUTH • PO BOX 9718
FEDERAL WAY, WA 98063 -9718
253 - 6614115• FAX 2536614129
www.atwf(edemlwaymm
The followina is reauin
PERMIT
APPLICATION
- an
SITE ADDRESS !!a�83 5,'M- S+nu � , Fewer~ ( (.,)4,/
ASSESSOR'S TAx /PARCEL 8 q— -T- 0— -
tiu3$s
SF M CO ME&PL DE EN FP
o;7 / OG °Y
26d. Please mint Ieaibtu /in tick) or type.
SUITE /UNIT N
LOT SIZE (sf)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach sepamle pa9e/or ]ergfhy hyal de�lbn)
PROJECT • ' •
TYPE OF PERMIT �BUA.DING ❑PLUMBING ii MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detgiled description of work included on this permit only
12c�o � l erino l� I g 4-"1.2c,-me -vt+ u -find- v6koo H #�YG(, AiCe k
PROJECT NAME (Name of Business or Owner Last Name( l T-) ekyTa z l 5b -� /ti G
PEOPLE • •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EIKISTING USE
NAME
PRIMARY PHONE
MAILING ADDRESS
/G7o 511 Ade. , Su-le 1703
CITY, STATE, ZIP
SecliIC (,.(A NI(A
COMPANY NAME
le JA �co� Sec,r� /,UC,
APPLICANT NAME
�'V�;c,Incel }�lo���e_�os
OFFICE PHONE
(LS-1 ) 8sz - Y9Ty
MAILING ADDRESS
259zY 70'
CITY, STA7, ZIP
ve- (a,4 MD3Z,
CELL PHONE
I ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
Zo _p L_1 v _L a L L - B L
FAX NUMBER
)gsz -� /s9%
CONTRACTOR'S REGISTRATION NUMBER (copy of card "quired with each appHoatkm) EXPIRATION DATE
COMPANY NAME
he l�s (�cy� Seri C�
APPLIC� NAME
M, "'t I,
OFFICE PHONE
(z S ) 8sz YS7Y
MAILING ADDRESS
z -S5zV 7?Lt Ave- su'it
CITY, STATE, ZIP
Kel.,.+ UA j4o37-
CELL PHONE
( )
RELATIONSHIP TO PROJECT 1 t
❑ Architect ❑ Tenant ❑ Agent �ther (Describe) CQ'i 'Tr `��
FAX NUMBER
V S-3 ) 7 7
NAME I��c� l h
C 0
z) Ha -YS7Y
E-MAH ADDRESS
Par RCW19.47.095.- LenQerlmforImaon is
required (rprvjwt wine exceeft 05,000
NAME
MAILING ADDRESS
CITY, STATE, ZIP
ERISTUFG ASSESSED /APPRAISED VALUE $_
SPRINKLERED BIID.DDYG? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKERAVEN
SEWER SERVICE PROVIDER ❑ LAKEHAVEN
PROPOSED USE
VALUE OF PROPOSED WORK
FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL(
❑ HIGHLINE ❑ PRIVATE (SEPTIC(
PROJECT
GAS LOGS
AREA DESCRIPTION
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL,
BASEMENT
RANGES
MISC (Describe(
FURNACES
FIRST
BASIC PLAN?
GAS PIPE OUTLETS
o NO
SECOND
SHOWERS
WATER CLOSETS F'ov<q
MISC (Describe(
THIRD
DRINKING FOUNTAINS
NEW ADDRESS REQUIRED? o YES o NO
SUMPS
FOURTH
❑ YES
URINALS
HOSE BIBBS --
ADDITIONAL FLOORS (DESCRIBE)
VACUUM BREAKERS
ELECTRIC WATER HEATERS
.
DECK(COVERED ?)
GARAGE /CARPORT
HOW MANY FLOORS?
rorur.�rero
sorer. rsoecsm
mru.xmew�rsorovsa
—NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Value of Mechanical Work $
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS (wr b /mh rcombo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
FANS
HOODS
WOODSTOVES
FIREPLACE INSERTS
RANGES
MISC (Describe(
FURNACES
GAS WATER HEATERS
BASIC PLAN?
GAS PIPE OUTLETS
o NO
ZONING DESIGNATION
SHOWERS
WATER CLOSETS F'ov<q
MISC (Describe(
SINKS
DRINKING FOUNTAINS
NEW ADDRESS REQUIRED? o YES o NO
SUMPS
RAINWATER SYST
❑ YES
URINALS
HOSE BIBBS --
VACUUM BREAKERS
ELECTRIC WATER HEATERS
.
I certgX under penalty of perjury that the information furnished by me is true and carrect to the best of my knowledge, and further, that I
ant authorised by the osmer 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 ytclading coats, 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 o lcers and employees, upon the accuracy of the ivgbr matron supplied to the city as a part of
this application. /
NAIdE /TITLE /`tc�dlC� /' (�it7or�E - DATE !! /G
(Sygiature) intle)
RELATIONSHIP TO PROJECT o Owner o Agent (Contractor o Architect o Other
FOR OFFICE USE ONLY
o NEW o ADDITION
❑ ALTERATION
o REPAIR o TENANT INI]PitOVEMBNT
BUILDING SHELL ONLY? o YES o NO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED? o YES o NO
UP /SEPA /SU?
❑ YES
o NO
PLATTED LOT? o YES o NO
DEMO PERNUT REQUIRED?
o YES
o NO
Bulletin # 100 — March 30, 2004 Page 2 of 4 k\I landouts — RevisedlPemvt Application