03-104164 _y
City of Federal Way
Community Development Services Bui
ldin - Single Family Permit #:03 - 104164 - 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: CATES
Project Address: 32124 33RD AVE SW Parcel Number: 873190 1070
Project Description: Reroof with sheeting replacement.
Owner Applicant Contractor Lender
Joanne Cates NONE Joanne Cates NONE
32124 33RD AVE SW
FEDERAL WAY WA 32124 33RD AVE SW
98023-2275 NONE FEDERAL WAY WA NONE
Includes:
Census category: 555-Non-st #1 #2 #3 #4
Occupancy Group: na
Construction Type: na
Occupancy Load: —_
Floor Area(Sq.Ft.)s. _
Census Category 555-Non-structural roofing p Mechanical No
Occupancy Group#1 ,. ,............................na Plumbing.. .....c No
PERMIT EXPIRES March 7,2004.
Permit issued on September 9,2003
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 a nt: iirtAt.0 . Date: / 110■•
li'D0- st,-I-s b D !a rt - /Ctl - a3 e--
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WEAVED CONSTRU� PERMIT APPLICATION
CITY OF �..../ APPLICATION NUMBER: 0..3- 10)1 g2 Yj - QQ
Federal Way sEF 0 9 2003 `A`PPLICATION NUMBER: -
CITY OF FEDERAL WAY WPPLICATION NUMBER: - - q
**The folic J4 R,4 dlinformation-Please print(in ink)or type** ‘3� I
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. `44'
• PROPERTY INFORMATION
SITE ADDRESS:32 4- 33r`e kQ SC4) ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT(This application): )UILDING o PLUMBING ❑ MECHANICAL o DEMOLITION
o ELECTRICAL o ENGINEERING ❑/FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): 4 $
luz
4.4,-......s c)� edbz
PROJECT NAME:
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: ; DAYTIME PHONE:
j O-ANt\ e. -I-es i 3) cl27- -7 (,47 iV
MAILING ADDRESS(STREET ADDRESS;cITY,STATE,ZIP):
32 i74- -33 Ale $ 1 /de rsa L- 14 1 v (,t14, erge)23
CONTRACTOR: I NAME: i DAYTIME PHONE:
eilA/41V—■ rho ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): EVENING PHONE:
i ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- - I ( )
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) / /
APPLICANT: I I I IIII NAME:
_ { _ _ DAYTIME PHONE:
-/ � ) q17
7 - 7 6
MAMLIPGD/LSS ET`ADDRESS;r 7STAATE ZIP): EVENING PHONE:
r /- 4 '%o2-
( )
REIATIONSHI•TO PRO)E • FAX NUMB,R:
❑ ARCHITECT VIENANT ❑ OTHER( DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑APPLICANT ❑ CONTRACTOR
• DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VAL ATION $ �a /
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: . =MG 4.'
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
a
**NEW RESIDENTIAL CONSTRUCTION O •
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
• FIXTURES
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)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
• DISCLAIMER/SIGNATURE BLOCK
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 daim(induding costs,expenses,and attorneys'fees Incurred In the
Investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the Information supplied to the city as a part of this application.
NAME/TITLE: DATE:
❑ PROPERTY OWNER ❑APPLICANT ❑CONTRACTOR
..FOR.OFFICE USE ONLY:",.-
-a NEW . .,44,;:17 ADDITION ,,."-. Q ALTERATION � yo,REPAIR .0 TENANT IMPROVEMENT P-21,--
CENSUS'CODE. ' ., LOT
ZONING DESIGNATION ,; - , , ,,, "- . BUILDING SHELL''ONLY?" O YES 1, =❑ NO .. "
=COMP.PLAN DESIGNATION 14ASIEC PLAN'iN4 o YES ❑NO'
SECTION TOWNSHIP -'RANGE ?_" NEW ADDRESS REQUIRED? . ❑YES . "❑ NO
•PLAITED LOT?,";"`❑YES if NO CHANGE OF USE? " "_ ❑YES `fl NO
COMMUNITY DEVELOPMENT E WAY UTH• BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253 61-41
SERVICES•33530 FIRST SO 00 AX. -6 29
www.dtvoffederalway.com
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