02-1030470 V 1 •
City or Federal Way
Community Development Services Building - Single Family Permit #: 0 - 103047 - 00 - F
c `�
33530 1st Way S J� % 2 M
Federal Way, WA 98003 -6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: HOLT
Project Address: 2027 S 304TH ST Parcel Number: 053700 0040
Project Description: RES ALT /ADD - Tear off existing shingle & sheathing, install new shingle. Revised to add new
covered porch area on 7/23/02.
Owner
Applicant
Contractor
Lender
GARY & BRENDA HOLT
GARY & BRENDA HOLT
GARY & BRENDA HOLT
NONE
2027 S 304TH ST
2027 S 304TH ST
Construction Type:
Type V - N
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
2027 S 304TH ST
Occupancy Load:
FEDERAL WAY WA 98003
NONE
Includes:
Census category: 434 - Reside
#1
#2
#3
#4
Occupancy Group:
R -3
Construction Type:
Type V - N
Occupancy Load:
Floor Area (Sq. Ft:):
Census Category .................. ............................... 434 - Residential alt/add - no - Mechanical.................. ............................... No
OccupancyGroup #I ............ ............................... R -3 Plumbing.................. ............................... No
CONDITIONS:
1. No building shall encroach onto any building setback line or easement shown or not shown.
2. This decision shall not waive compliance with future City of Federal Way codes, policies, or standards relating
to the subject proposal.
PERMIT EXPIRES February 11, 2003, IF NO WORK IS STARTED.
Permit issued on July 18, 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:
Framing: 6 /.;,,1 !i'-L S
Date
Roof sheathing: �%J/�lrL 5S
Date
FINAL inspection: ��/� �� 2
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
Project Name: HOLT
0 1 r 0
Building - Single Family Permit #:02 - 103047 - 00 - SF
Inspection request line: 253.835.3050
Project Address: 2027 S 304TH ST Parcel Number: 053700 0040
Project Description: REROOF - Tear off existing shingle & sheathing, install new shingle
Owner
Applicant
Contractor
Lender
GARY & BRENDA HOLT
GARY & BRENDA HOLT
GARY & BRENDA HOLT
NONE
2027 S 304TH ST
2027 S 304TH ST
Construction Type:
Type V - N
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
2027 S 304TH ST
Occupancy Load:
FEDERAL WAY WA 98003
NONE
Includes:
Census category: 555 - Non -st
#1
#2
#3
#4
Occupancy Group:
R -3
No
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 14, 2003, IF NO WORK IS STARTED.
Permit issued on July 18, 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: a� Date:
t �,r t y A(0"A�
Roof sheathing:
g
FINAL inspection:
Date
Date
crryo fi-- C ED
tuo
8 2002
r
CONSTRUCTION PERMIT A13PLICATION
APPLICATION NUMBER:
APPLICATION NUMBER:
Y OF FEDERALWAY PPLICATION NUMBER:
U l
l36lLXAi� 9VJ cj is required information - Please print (in ink) or type **
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY INFORMATION
SITE ADDRESS: ZC) ASSESSOR'S TAX /PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PR03ECT INFORMATION'
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): r7p-2 `rQC� �k I �i S VL�� `Q Ikrn, U(
PROJECT NAME:
PEOPLE •• •
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
NAME: :� I � (L S) ONE:
CTAY
MAI��LIN��Gpp ADDRE✓SjS (STREET ADDRESS; CITY,, SSTA , ZIP):
0a;7- 1 _> Vy- -b �
NAME: nn ��((
-5A��� 1�� /'t
DAYTIME PHONE:
( ) -
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required)
DAYTIME PHONE:
NAME: ` ( / Q vei u
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: _
(z,3
)11-5' - 717
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): tWYN �_ ( ) -
CONTACT PERSON FOR THIS PROJECT:
❑ CONTRACTOR
EXISTING BUILDING ASSESSED /APPRAISED VALUATION $
PROPOSED USE: 5� k, l (�_, , PROPOSED VALUATION FOR IMPROVEMENTS: $ EOM r
SPRINKLERED BUILDING? ❑ YES KNO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: T "KEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: f7tAKEHAVEN 11 HIGHLINE 11 PRIVATE (SEPTIC)
r
i
i
r
* *NEW RESIDENTIAL CONSTRUCTIO Y **
1
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PR03ECT FLOOR AREAS
FLOOR
EXISTING S . FT.
PROPOSED . FT.
TOTAL
BASEMENT
SHOWER(S)
GAS PIPE OUTLET(S)
SINK(S)
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) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILERS) FIREPLACE INSERTS) RANGE(S) MISC. ( )
COMPRESSOR(S) FURNACE(S)
DUCTS) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S)
LAVATORY(S)
DISHWASHERS)
RAIN WATER SYS.
DRINKING FOUNTAIN(S)
SHOWER(S)
GAS PIPE OUTLET(S)
SINK(S)
INTERCEPTOR(S)
SUMP(S)
URINAL(S)
WATER HEATER(S)
VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
WASH MACHINE OUTLET
WATER CLOSET(S) 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 infonmation supplied to a city as a part of this application. QQ
NAME /TITLE : / DATE: 1 CS O Z—
FP OPERTY OWN ❑ APPLICANT ❑ CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 980639718 • 253 - 6611000 • FAX: 253-661 -4129
www.citvofederalway.com