The URL can be used to link to this page

03-100725 • . City of Federal Way Community Development Services Building - Single Family Permit #:03 - 100725 - 00 - SF 33530 1st Way S Federal Way,WA 98003-6210 Ph:253.661.4100 Fax:253.661.4129 Inspection request line: 253.835.3050.-- Project Name: KING COUNTY HOUSING AUTHORITY Project Address: 30517 12TH PL SW - Parcel Number: 178850 0035 Project Description: REP-Tear off existing composition roof and plywood. Install 5/8 CDX on entire roof and torch down roofing system. Owner Applicant Contractor Lender HOUSING AUTHORITY OF KING ANDERSON ROOFING,INC. ANDERSON ROOFING,INC. NONE 15455 65TH AVE S P.O.BOX 2050 ANDERRI055DA(3/1/05) SEATTLE WA ISSAQUAH WA 98027 P.O.BOX 2050 98188-2534 ISSAQUAH WA 98027 NONE Includes: Census category: 555-Non-st #1 #2 #3 #4 Occupancy Group: R-3 Construction Type: Type V-N Occupancy Load: Floor AI ca(Sq.Ft.): Census Category 555-Non-structural roofing p Mechanical No Occupancy Group#1 R-3 Plumbing No PERMIT EXPIRES August 18,2003. Permit issued on February 19,2003 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 Wa Owner or agent: Date: o2 –/9-03 Ir ,bj14 /iv / C017-erciPt fi441, 43/5/ • CONSTRaTION PERMIT APPLICATION CITY OF APPLICATION NUMBER: 03- 1_U O Federal Way RECEIVED APPLICATION NUMBER: _ — - _ _ _ - _ FEB 1 9 2003 APPLICATION NUMBER: _ _ - _ _ _ - - — **The following is required information-Please print(in ink)or type** Please note: ElectricaQgr PAlkEnlii6RElskiiiia and Engineering permits may require a separate application. 121 UILDING DEP • PROPERTY INFORMATION SITE ADDRESS: 305 +)7 - l e21 g• ASSESSOR'S TAX/PARCEL#: - ��alera./ GC% -y/I (A / qv) LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): • PROJECT INFORMATION TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): I e-Gir o �'X i S 14411 Co V1r1�C S l• n fna anei pi yl r cOd• Ihs$4( ( 9(8" Cr)x. ay\ e ' 11vr roc 4 (a2erox. 56 s flee-{s). ties f n.E Pt p (cC To r c_k Do co r, ro©F�� S y5 el►'►. PROJECT NAME: I US e. dZ 3 Dh r\ ( e r* _ K i pis c 1 TDos lvj • PROJECT INFORMATION J COri /4y PROPERTY OWNER: NAME: DAYTIME PHONE: en ��.,.+y �iovs'i r c C�f9h,QC4 ;john serf l�e�k� (aC ) 9'11 -©/ "2 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): (,w Ane(ovEr Park VV. /T v kl.t9 i , �,1�- O3 g($8 CONTRACTOR: NAME: DAYTIME PHONE: C t rs®n k l r\� (Lla5) 3'69 - /3)3 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): ce(I PHONE: P.O. gox .2o so J s& ia,h V//sr ci8O27 (c/ 5) F6N - s12-7O CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: 0 6 -2 2 (-/ 7 - 6d ( s) 5s7 - 4/zs2_ CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required) A- M .D E R R 1 0 5 5 D P d 3 / CI l ©S APPLICANT: NAME: DAYTIME PHONE: �or\-1-ra z�r — s� abe.ov ( ) 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 CONTRACTOR • PROJECT INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ CC�� PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ S.3.z5 SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION .Y** 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) 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 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 su. •lied to the ci, part of this application. NAME/TITLE: A/,.i .� . � :�� DATE: e2" O3 ❑ PROPERTY OWNER ❑APPLICANT ❑CONTRACTOR FOR OFFICE USE ONLY: I o NEW ❑ADDITION ❑ALTERATION ❑ REPAIR ❑TENANT IMPROVEMENT CENSUS CODE: LOT SIZE: ZONING DESIGNATION: BUILDING SHELL ONLY? ❑YES ❑ NO COMP PLAN DESIGNATION BASIC PLAN? ❑YES o NO SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? a YES o NO PLATTED LOT? ❑YES ❑ NO CHANGE OF USE? ❑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.atyoffederalway.com