03-101926 City of Federal Way •
Community Development Services Building - Single Family Permit #:03 - 101926 - 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: RAY
Project Address: 32125 33RD AVE SW Parcel Number: 873190 0690
Project Description: Reroof composition with composition
Owner Applicant Contractor Lender
Benjamin L Ray &Julie M Ray Benjamin L Ray Benjamin L Ray NONE
32125 33RD AVE SW 32125 33RD AVE SW
FEDERAL WAY WA FEDERAL WAY WA 32125 33RD AVE SW
98023-2275 98023-2275 FEDERAL WAY WA 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 c Mechanical No
Occupancy Group#1.,..: „.............................R-3 Plumbing ....... No
Zoning Designation .RS 7.2
PERMIT EXPIRES November 9,2003.
Permit issued on May 13,2003
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: i1 +� Date: J 63-
07/ 4/740 )
1
�® 111110EIVED CONSTRUC III PERMIT APPLICATIO 4
CITY OF �� APPLICATION NUMBER: - i al 1 2 C2-CIO
Federal Way MAY 1 3 2003 APPLICATION NUMBER: -
'APPLICATION NUMBER: - -
CITY OF FEDERAL WAY g(�
**The follow I iQj� J'formation—Please print(in ink)or type** 1 3
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
_ II PROPERTY INFORMATION
SITE ADDRESS: --7Z/Z5 .7-7A)• 4'4,Z. -"- ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
IN PROJECT INFORMATION
TYPE OF PROJECT(This application): /p4UILDING ❑ PLUMBING ❑ MECHANICAL 0 DEMOLITION
o ELECTRICAL o ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): /?�� (�:� 2t2J '✓J
{ PROJECT NAME:
■ PEOPLE INFORMATION .
PROPERTY OWNER: NAME. �- ■ DAYTIME PHONE
�� 4� .4. /mot' ; (ZS.y )g 3S - 894
MAILING ADDRES STREET ADDRESS;CITY,STATE,ZIP): ,,
3Z/Z 3` ,J'..�..C/ /f+vE- ..1 -
�d£is/� c✓.� , � �+, 9E36Z 7 s
CONTRACTOR: NAME: l/ { DAYTIME PHONE:
( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): . EVENING PHONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- - ( )
CONTRACTORS REGISTRATION NUMBER: f I EXPIRATION DATE:
(copy of card required) ,5 ti�9L ,j Q(�c4?�/t l /
APPLICANT: I NAME: DAYTIME PHONE:
, ?-' T/ E ,' &t..-- - ( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: { FAX NUMBER:
0 ARCHITECT o TENANT o OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER o APPLICANT ❑ CONTRACTOR
'` ■ DETAILED BUILDING INFORMATION `
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ f
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $� C) ) ..-
o�
SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES 0 NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE o TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN o HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONO
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) RANGES) 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)
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC o 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:
o PROPERTY OWNER o APPLICANT o CONTRACTOR
FOR..OFFICE USE ONLY
ftNEW - .,,,p ADDITION M ,a,ti ALTERATION;? I: !0 REPAIR,„,;4*.0 TENANTxIMPROVEMENT „
CENSUS CODE g I M ,, . S O:
'ZONING DESIGNATION, . = s BUILDING SHELL ONLY? DYES `>❑ NO;
COMP PLAN DESIGNATION t�W 4 k
�.,- , ...� ��,.
'SECTION .- TOWNSIiIP , RANGE O; -, ,NEWADDRESS REQUIRED? ” , o`YES
PLATTED LOT? .x b YES o,NO ,�^ • °CHANGE OF USE?,: , D YES' �'NO;
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www,dtvoffederalway.cam