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00-104229 I C City of Federal Way Community Development Services Building - Single Family Permit #:00 - 104229 - 00 - SF Feder 1st Ways Inspection request line: 253.661.4140 Federal Way,WA 98003-6210 p q Ph:253.661.4000 Fax:253.661.4129 (3:30pm cut-off for next day inspections) Project Name: LARPENTUER Project Address: 30604 5TH PL S Parcel Number: 241330 0360 Project Description: REROOF-shake to comp with resheet Owner Applicant Contractor Lender Raymond A Larpenteur NONE A G ULRIGG ROOFING NONE 30604 5TH PL S AGULRR*055KH 5/5/01 FEDERAL WAY WA 35002 28TH AVE SW 98003-4011 NONE FEDERAL WAY WA 98023 NONE Includes: Census category: 555-Non-st #1 #2 #3 1 #4 Occupancy Group: R-3 Construction Type: __kType V-N Occupancy Load: 1 Floor Area(Sq.Ft.): Census Category 555-Non-structural roofing p Mechanical No Occupancy Group#1 R-3 Plumbing No PERMIT EXPIRES February 4,2001,IF NO WORK IS STARTED. Permit issued on August 8,2000 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: 4,7 Date: sp... 67-0`D aeaai S)iee,IAy 5d 1j 5 , /1.-5 ks/ir/av 5S • u t,� lid •POST THIS CARD ON THE FRONT OF1ILDING CITY OF• � � BUILIDNG DIVISION VV FN EMR INSPECTION RECORD INSPECTION REQUEST PHONE#: 253-661-4140 Request must be received by 3:30 PM for next day inspection PERMIT #: 00-104229-00-SF OWNER'S NAME: Raymond A Larpenteur SITE ADDRESS: 30604 5TH S O FOOTINGS/SETBACKS () FOUNDATION WALL DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED ( ) DRAINAGE: Line ( ) Connection ,rT�, DO NoT po R LAivUN '; va ' m rmri -AI'PR+ Ea, ( ) UNDERFLOOR FRAMING () ROUGH PLUMBING: DWV Water piping ( ) ROUGH MECHANICAL Gas piping ( ) SHEATHING Roof 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 PRIOR TO BUILDING DEPARTMENT FINAL () BUILDING FINAL DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED • • BUILDING DIVISION Y.Y � ,� -- • 33530 First Way South 4 EDEIL r _ Federal Way,WA 98003 (253) 0 AUG Q2Q91 8 Fax(253)661-4129 CITY OF FEil)EkAL Wi BUILDING DEPT, APPLICATION FOR BUILDING PERMIT PLEASE PRINT APPLICATION # �� 2-C Site addressp 1. r Tenant name Lot# Assessor's Tax # ( \ 'r-41\-r Building Owner's Name Address City f"C'E-r-e?�t<-f' State 41'f Zip -2 3 Phone Description of Work Cj ISS 1�C �w� p F>° 1-eP ........................................................................................... AVM.... .'..... > > > >' > >> ......................................................................... Namo (F,M,L) Address City l✓ y State Z...-"•2 -- Zip Contact Person Day Phone Other Phone Fax il1ED N . . .. Federal Way Business License # � K �D 5 A F Company Name A Address Cify /=r,-;6., )1--i State Zip ff' '3 Contact PersonPhone Fax / 'l� ?-112 f71--4"3; Contractor's #(card must be presented) Expiration Date Verified 0 Yes ❑ No ............................................................................................ .................................:.................. ...................................... Name Address City State Zip Contact Person Phone Fax LEGAL DESCRIPTION • Please Complete Reverse Side xistin Use Proposed Use 9 Permit includes: ❑ Building ❑ Plumbing ❑ Mechanical ❑ Other Type of Work: $L Residential ❑ New ❑ Remodel ❑ #of bedrooms ❑ Deck ❑ Commercial ❑ Addition ❑ Repair ❑ Garage ❑ Shed Enter 1st Floor_ sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft Water Availability ❑ Sewer Availabilit ❑ On Site Septic System Availability ❑ Project Valuation $ A?t)''I Zoning Lot Size Existing Bldg Valuation $ .. ................................................................ .................... .. ................................................................ .................... ..................... ............................................................ .... .. ................................................................ .................... ..................... ............................................................ .... LENLTft <>>«<»<`<<> >>s>«>»>>» < > > ><> For new residential onlyProposed selling cost: $ Name Address City State Zip .......................................................................................... ............................................................................................ ........................................................................................... MEC k�#1.tVI�P►E �ltil7'�iA. .7"�}Ft..................... Contractor Name Address City State Zip Contact Phone Fax License # Expiration Date Verified ❑ Yes ❑ No ........................................................................................... ........................................................................................ ........................................................................................... ......................................................................................... ........................................................................................... #1 U1111 BtI�EG NT l CT£ R < ` >>>> > Contractor Name Address City State Zip Contact Phone Fax License # Expiration Date Verified ❑ Yes ❑ No ......................................................................................... ............................................................................................ ......................................................................................... ............................................................................................ ......................................................................................... F?LUMBIN FtXTURE . OUNT:=: Water Closets Sinks Urinals Lawn Sprinklers Bathtubs Dish Washers Drinking Fountains Other Showers Electric Water Heaters Sumps ............................................................... 'Ltt'::#i.6:.'.:d-""-:----'----"---.-1lIf.ijiigiiiiiii..iiiiiiiii1i:il.i1:iiIIIlIiiiliiiiiiiiigiI.ii.iiiiiIilliiIiliIe:V.i!.iiiPli;. Lavatories Washing Machine Drains 'T'atal Fixture Count ...................................................................................... . ........... ........................................................................... .......... :A,i:...c.-:......................-::-...... ....................... ........... ......... ....................... ...................................... .......... .................................................. .................... ME HANiIGA �3j IT'Ct tJNTaii MECHANICAL EVALUATION ONLY Fuel Type (gas/electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons Furn <100K BTUs Gas Log Unit Heater 50+ Tons Furn >100 BTUs Fans Miscellaneous Fuel Tanks Gas Hwt Hood Boilers Above Ground Cony Burner Duct Work 0-3 Tons Underground BBQ's Wood Stoves 3-15 Tons Total,Jnit:Count DISCLAIMER: 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 permit application is made.I further agree to save harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in 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 supplied to the city as a part of this application. Owner/Agent: 4i-Or ZZEZ-e-Zi Date: gr" q.- Buaon+o.Are , REVISED 508/99