00-103676 • S
City Federal Way
Community Development Services Building Single Family Permit #:00 - 103676 - 00 - SF
un
335301st ways
Federal Way,WA 98003-6210 Inspection request line: 253.661.4140
Ph:253.661.4000 Fax:253.661.4129 (3:30pm cut-off for next day inspections)
Project Name: ANDERS
Project Address: 29601 3RD AVE S Parcel Number: 186270 0250
Project Description: RES REPAIR-shake to comp with resheet
Owner Applicant Contractor Lender
H Homer Anders NONE MCKINLEY ROOFING NONE
29601 3RD AVE S MCKINCR045N9(7/2/01)
FEDERAL WAY WA 25807 SE 398TH ST
98003-3665 NONE ENUMCLAW WA 98022 NONE
Includes:
Census category: 555 -Non-st #1 #2 #3 #4
Occupancy Group: R-3
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
PERMIT EXPIRES January 2,2001,IF NO WORK IS STARTED.
Permit issued on July 6,2000
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the u - will 9, 'n accordance with th- aw • les and regulations of the State of Washington and
the City of Federal W. . ,
Owner or agent: Date: (c:7C,/
POS1111,IIS CARD ON THE FRONT OF BUILDI.
E EZ—R._ BUILIDNG DIVISION
VV FIY INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-661-4140
Request must be received by 3:30 PM for next day inspection
PERMIT #: 00-103676-00-SF
OWNER'S NAME: H Homer Anders
SITE ADDRESS: 29601 3RD S
O FOOTINGS/SETBACKS () FOUNDATION WALL
DO NOT POUR CONCRETE UNTIL THE ABOVE IS '
( ) DRAINAGE: Line ( ) Connection
DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED 111
() UNDERFLOOR FRAMING
() ROUGH PLUMBING: DWV Water piping
( ) ROUGH MECHANICAL Gas piping
( ) SHEATHING Roof 7/7/U'O $ Floor
( ) SHEAR WALLS
( ) ELECTRICAL ROUGH-IN Ditch Cover
( ) FIRE/DRAFTSTOPS
ALL THE ABOVE MUST BE APPROVED PRIOR TO FRAMING INSPECTION
() FRAMING/FIRESTOPPING
ti 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
O PUBLIC WORKS FINAL
( ) FIRE FINAL
THE ABOVE MUST BE APPROVE.,)D P OR O IpR EPAENT FINAL
BUILDING FINAL / ��
DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVE, D
BUILDING DIVISION
11114".°F
• _ 33530 First Way South
EOE- _ Federal Way,WA 98003
VV Ay (253)661-4000
JUL 0 b 2000 Fax(253)661-4129
viii I tar rt;i.J-IAL vtiMlt"
BUILDING DEPT.
APPLICATION FOR BUILDING PERMIT
PLEASE PRINT APPLICATION # 0,75"'• 1113/a 3 G
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Site addre
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Tenant name 1�J6� Lot # Assessor's Tax #
Building fOwner' Nam Address �r-9--,K'"
nn � ..s7- -',fir=y ..
City eci", C.< -
. JCk___ /, ,
State 9(' Zip fd C)O 3 Phone
Description of Work /� ''-4)00)7= -
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Name (F,M,L)
Address /
p -� /
City ,.., -'-7,,-,2-<r-z c/4.' ,.cJ 1, e —' c State „/..-C.,--1 Zip ��ce' C"'.
Contact Person �,/ Day Phone Other Phone Fax
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BUBJ lli OZO.NT A.Crf3Fi` ' >[MM:Mi Federal Way,Business License
Company Name
(r..-.--;;<•71;77,e-C-e'..--- -r--/ i jr. .e•-:---.4"e'l- --Z-'r c--
Address „7 / 5 •
`� � l .sem-- �� S`
City��y)`//1L c 4 .t 1 State Z-4- c)' .Zip P;o c----->
Contact Person c Phq e Fax
Contractor's #(card must be presented) � Expiratio ate Verified -Yes 0 No
/h. (/�..-74,,rC/c7o5'c--- J .7 ��r,
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Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
•
Please Complete Reverse Side
.$'1' I,JCTU xisting Use Proposed Use
Permit includes: El Building El Plumbing El Mechanical lZVOther` ,./161.:/':/'
Type of Work: `'Residential ❑ New ❑ Remodel El #of bedrooms El Deck
l
El Commercial El Addition El Repair El Garage El 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 Availability El On-Site Septic System Availability El Project Valuation $ / z_021
Zoning I Lot Size Existing Bldg Valuation $
L:ENI3ERi For new residential only - Proposed selling cost: $
Name Address
City State Zip
iVIFC ANICAC.Z.ONTRACTQR .__...........
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified El Yes El No
:pLuiviBiNatO111..RL4CTQRnimimmiNd
............................
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified El Yes El No
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PLUM 131N FIXTi:IRE:COUNT<><>> >> >>
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fixture Count
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MI"GHA IIC L1JNt Ct IJ_717:m '>''<> 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 Teital:Unit 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. rther 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 ..y.• •et by p- on,including the undersigned,and filed against the City of Federal Way,but only
where such claim arises out of r> ance• r ; it Mehl.' g its off•«< . d employupon •accuracy of the information supplied to the city as a part of this application.
Owner/Agent: 1
..m Date:
//7 .�i
BUILDING.APP
REVISED 5/1B/99