01-102089 . r
Community Development Services Building - Single Family Permit #:01 - 102089 - 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: EUBANKS
Project Address: 33905 28TH PL SW Parcel Number: 010920 0640
Project Description: RES RE-ROOF-Tear off existing shake roof&apply sheathing over existing skip sheathing; apply
laminate roofing material for existing single family residence,subject to field inspection.
Owner Applicant Contractor Lender
Steven S Eubanks WEATHER GUARD WEATHER GUARD NONE
33905 28TH PL SW 14200 1ST AVE S SUITE 175 WEATHG*027KL 9/29/01
FEDERAL WAY WA TUKWILA WA 98003 14200 1ST AVE S SUITE 175
98023-7716 TUKWILA WA 98003 NONE
Includes:
Census category: 555-Non-st #2
Occupancy Group:
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
Zoning Designation RS 7.2
PERMIT EXPIRES November 21,2001,IF NO WORK IS STARTED.
Permit issued on May 25,2001
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: yt71' ` /� � Date: 5 - -O l
POS=HIS CARD ON THE FRONT OF BUILDI*'
- BUIE ING DIVISION
&?v FiY INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-835-3050
PERMIT #: 01-102089-00-SF
OWNER'S NAME: Steven S Eubanks
SITE ADDRESS: 33905 28TH SW
( ) FOOTINGS/SETBACKS ( ) FOUNDATION WALL
DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED
( ) DRAINAGE: Line ( ) Connection
DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED
( ) UNDERFLOOR FRAMING
( ) ROUGH PLUMBING: DWV Water piping
() ROUGH MECHANICAL Gas piping
() SHEATHING Roof f/30/,1 I 7-n -Floor
( ) SHEAR WALLS
() ELECTRICAL ROUGH-IN Ditch Cover
( ) FIRE/DRAFTSTOPS
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
() ELECTRICAL FINAL
( ) PLANNING FINAL
() PUBLIC WORKS FINAL
( ) FIRE FINAL
THE ABOVE MUST BE APPROVED P 0 TO BUILDING ARTMENT FINAL
O IL
BUILDING FINAL 0' / �1
DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED
E CONSTRU ON PERMIT APPLICATION
--1=1Jt ECEIVED APPLICATION NUMBER: Q( - de7e-e, 7-L,-
S�.)..) AY
t�� 2 APPLICATION NUMBER: -
_ pp F!� APPLICATION NUMBER: - -
CI t8k �� �..required 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: J 3 9 OS 5 ,9 Pi, ASSESSOR'S TAX/PARCEL #: Q a220 - 4/61.fa
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
! TYPE OF PROJECT(This application): $BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
1 ❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): Tea.c CD- ,X l 51--i r f8 _s/lake ,,''c� -
A Ep ) 7//c.Q shec�4-1, ., over skip shecdW r , APP/y
• a , )OL on i el ca".... r o of-I►� , J
vifilt34/-6974%-il- e----vgA7v/zs'
Y
PROJECT NAME:
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
; ■ WO k ,..J��r (as3)s38 - 3e/ 8
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
I4F 33 9O5 s uo a$ P1 ,
CONTRACTOR: NAME: TVl DAYTIME PHONE:
1&) e 0 e� ua ra ( a0(n) 94-1(49 - -13q
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
' U, o X
55- 1O -T'u.k w:la W IA O( 8'13? ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- - ( )
CONTRACTOR'S REGISTRATION NUMBER: /' y� /'� (� EXPIRATION DATE:
(copy required) 1dC E A I 1J G 2 0 3 . . L / /
co of card r wired
APPLICANT: NAME: DAYTIME PHONE:
Sire- ce214-72-. ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( ) -
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) - . .
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT Cl CONTRACTOR
• DETAILED BUILDING INFORMATION
EXISTING USE: �/ /)--- EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: .i/ t- PROPOSED VALUATION FOR IMPROVEMENTS: $ y/ aoc� °o
SPRINKLERED BUILDING? El YES 251260 FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES i 10
WATER SERVICE PROVIDER: - EHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
• •
**NEW RESIDENTIAL CONSTRUCTION ONLY**
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 ofthe 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 information A_supplied to the city as a part of this application. C
NAME/TITLE: {'ivy- //110. DATE: 5 - as 5
❑ PROPERTY OWNER ❑ APPLICANT V CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION : BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO
MMn1I INTTV OFVFI OPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY.WA 98063-9718•253-661-4000-FAX: 251-661-4129