02-103561 • •
TmunityFederal Way Building - Commercial Permit #:02 - 103561 - 00 - CO
Development Services st Way S
Way,WA 98003-6210
661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Name: QWEST COMMUNICATIONS
Project Address: 1900 S 288TH ST Parcel Number: 332204 9159
Project Description: CO-Reroof; replacing with flat asphalt rigid installation
Owner Applicant Contractor Lender
QWEST COMMUNICATION INC WAYNE'S ROOFING INC WAYNE'S ROOFING INC NONE
6300 S SYRACUSE WAY#700 13105 HOUSTON RD
ENGLEWOOD CO SUMNER WA 98390 13105 HOUSTON RD
80111-6727 SUMNER WA 98390 NONE
Includes:
Census category: 437 Comm #1 #2 t #3 #4
Occupancy Group:
Construction Type:
Occupancy Load: .-IIt
Floor Area(Sq.Ft.):
Census Category 437-Commercial alt/add Mechanical No
Number of Stories 1 Permit for Building Shell Only Yes
Plumbing No
PERMIT EXPIRES February 16,2003,IF NO WORK IS STARTED.
Permit issued on August 20,2002
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: r Date: e—ZO —02
Roof ceyloi \ s
1//o/o
1
.00 •
;°r G CONSTRUCTION PERMIT APPLICATION
VV f�Y�ZRL APPLICATION NUMBER: Q a- O $b4 -�-
APPLICATION NUMBER: -
APPLICATION NUMBER:_ _ _ - -
**The following 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: 141 00 -emu(I-Y eA ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
`..■ PRO]ECT INFORMATION .
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): Abr.a — (STI••1 LA t.F)•
L+.. — i+ _ .-..�- !mil 1-6-6 a Zy_T,udre-c
( j 1-rI-- N4_Lj 414 S M oiot�( Vic- -
PROJECT NAME:
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
MAILING lA r tO (24I) *-4183
EET ADDRESS;CITY,STATE,ZIP): �
CGDo c . '2511 k44 Arra ( W A- Gt i3 1'L
CONTRACTOR: NAME: C DAYTIME PHONE:
(,�/ ►' 4 iZ k) -t,- t�,� (Zc3) 8(i -444 F
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
1C i t-AaL v> ('z w4 4'c3�c3 ( ) -
OF FEDERAL WAY BUSINESS LICENSE NUMBER: L.� ( FAX NUMBER:
(2;3 ) e63 -e3(1
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required)
APPLICANT: NAME: DAYTIME PHONE:
�_it,y..lA Vb4-i47‘)( c . r✓(.Jc A/AfecR ( )MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑TENANT ❑ OTHER(DESCRIBE): ( ) -
E-MAIL RESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER PPLICANT ❑ CONTRACTOR Jake IJA M?(200F//I(-L�Tttf
■ DETAILED BUILDING INFORMATION
EXISTING USE: 4w(ZG44-04- EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE:��`�,�� PROPOSED VALUATION FOR IMPROVEMENTS: $ (41( )'7
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
• k.
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• PRO3ECT FLOOR AREAS -
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
. ;. � ,� .. ,�. 3, taFIXTURESxr: � �> ..• �. : ,;.4. N...�a�:r...� :
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 claim),which may be made by any person,induding 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 supplied to the city as a part of this application.
NAME/TITLE: <�� T720 J F.c�( ANAL-ff DATE: -Zo-672__
❑ PROPERTY OWNER 111 APPIrCANT ❑ CONTRACTOR
-FOR OFFICE USE ONLY -
rg...+ - ® ,®... L_ &�xt .sue y. r, �- _x ss' cwt .,r
¢ADD�O�i�����... �1 TERATION'::;'��.,�®. REPAIR �:®,�TEf�ANT�Ih(PRQ�,LMENT ... ..•� 5r a DE r„ : �-& s..x two 'iI.OT LCE �'� ��.. R �. �...:.. -- " .; �il. �;.
O 1 `G'� '43UILD -G SHELLONLY? 'D ES C '
n*F" i.ESIG O �` �a, BAS G ? -1.62W,... G
ECTIUN � OWNSHIP GRANGE , ,`„NEVI ADDRESS- UI%RED?'
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Pt 7TED LOT? ❑ NO .4-w E F UE d S . C wO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtvoffederatway.00m