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04-103717 City of Federal Way S Community Development Services Building - Single Family Permit #:04 - 103717 - 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: COLLIER Project Address: 32811 6TH AVE SW Parcel Number:926491 0750 Project Description: Reroof; shakes to comp Owner Applicant Contractor Lender Dennis E Collier &Susan L Collier Dennis E Collier Dennis E Collier NONE 32811 6TH AVE SW 32811 6TH AVE SW FEDERAL WAY WA FEDERAL WAY WA 32811 6TH AVE SW 98023-5625 98023-5625 FEDERAL WAY WA NONE Includes: #2 #3 — — #4 1 _ #1 Census category: 555-Non-st Occupancy Group: �R-3 —I- — r Construction Type: Type V-N 1 li Occupancy Load: Floor Area(Sq.Ft.): J F-- Census Category............... .555-Non-structural roofing p Mechanical No Occupancy Group#1...; ..R-3 Plumbing... No PERMIT EXPIRES March 14,2005. Permit issued on September 15,2004 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 Feder. v ay. Date: C Sr-a Owner or agent: ail e (It THIS CARD IS TO MAIN ON-SITE. CITY OF ommunity Developm nt Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 04-103717-00-SF Owner: DENNIS E COLLIER Address: 32811 6TH AVE SW FEDERAL WAY, WA 98023-5625 This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card. 0 Temp.Erosion Control(4365) 0 Plumbing Groundwork(4190) \ 0 Underfloor Framing(4285) To be done prior to breaking ground Approved to cover Approved to sheath floor By Date By Date By Date •❑ Floor Sheathing(4105) 0 Shear Walls(4245) 0 Roof Sheathing(4220) Approved to install flooring Approved to install siding Approved to install roofing By Date By Date By 4 ,--- Date ?//� ❑ Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120) ❑ Framing(4120) Approved inspection;Electrical,Plumbing&Mechanical Approved to insulate Rough-in and Fire/Draft Stop inspections must be By Date signed-off and approved. IBC 109.3.4/UBC 108.5.4. By Date ❑ Insulation(4150) 0 Gypsum Wallboard Nailing(4130) 0 Final-SWM(4375) Approved to install wallboard Approved to install mud&tape Approved By Date By Date By Date ❑ Final-Building(4050) ❑Temp.Erosion Maintenance(4370) Approved Approved By Date CA z./ By Date - NIL arrOF4011/1 III ci _ 43 7 t r7- • Federal Way PERMIT t FCOMEELPLDEENFP COMMUNITY DEVELOPMENT SERVICES " 3332AVENUE SOUTH.Po 9718 FED APPLICATION FEDERAL WAY,WA 98063-9718 � / / 253-835-2607•FAX 253-835-2609 unowdt not federal wa u.com The following is required information-an i plete ap•licatil*z WHi : •t,..e accepted. Please print legibly(in ink)or type. , . '- 11 PROPERTY INFORMATION SITE ADDRESS d?2-cJ{� 6 t �j-e. �(.44` SUITE/UNIT# lvk° ASSESSOR'S TAX/PARCEL# _ _- LOT SIZE(s) i 1 LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) I •• separate page for lengthy legal desc(p ion) `=.'. ' �, PROJECT INFORMATION ' TYPE OF PERMIT BUILDING 0 PLUMBING 0 MECHANICAL DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM P OR TCT DESCRIPTION(Provide det ailed des7PLZ( on of rk included on this permit only) 1 I eat Y O'Cf SAA I to `�-11 ° dss 'T'ro k toaA ' PROJECT NAME(Name of Business . • nerLas a>jle) Dem/,,'s , )L///e).- - _ . . LI PEOPLE INFORMATION PROPERTY NAME P PRIMARY PHONEOWNER MAp( w2sG At �, (defier- ATE.ZIP (04)et - sDO .30W/ Op 0gq t A-(e�,S'63, CITY,l el0 tura.Q 1 e'Oa7...,s"C — CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE MAILING ADDRESS CITY,STATE,ZIP LL PHONE CITY OF FEDE•- L WAY BUSINESS LICE .E NUMBER EXPIRA •N DATE FAX NUMBER - -B L / / ( CONTRACTOR'S REGISTRATION NUMBER(co. o and required with each application( EXPIRATION D-" / APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE ( ) - MAILI ADDRESS CITY,STATE,ZIP CELL PHONE ( RELATIONSHIP TO PROJECT - FAX NUMBER ❑ Architect 0 Tenant 0 Agent ❑ Other(Describe) ( ) - ChNT' T NA ,\.\\p„,................._............."/".--------"- •. . - `-*NE - -• ADD•x_ LENDER Per RCW 19.27.095: Lender information is NAME required if project valueexceeds$5,000 MAILING ADDRESS CITY,STATE,ZIP • DI : 1 • : IP Ili 11( • i 1) : ot. • _ ip EXISTING USE PROPOSE v EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF P•:'•-•P,.-3 - - ' SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRE•. - ' • WATER SERVICE PROVIDER ❑ LAKEHAVEN a HIGHLINE a TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) • ' " PROJECT FLOOR AREAS _--:_—. --- TOTAL AREA DESCRIPTION EXISTING SQ.FT. PROPOSED Q.FT. 11111111111111111111111111111111 SECOND IRD 1111111rAmmiAllial FOUR ADDITIONAL F►o IRS(DESCRIBE) DECK(COVERED?) GARAGE/CARPORT TOTAL EXISTING TOT PROPOSED TOTAL EXISTING AND PROPOSED HOW MANY FLOORS? "'NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SE G PRICE $ FDLTZTRES •- - -i .. Indicate number of each type offixture to be installed or reloc. •d •- •art of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $ AS LOGS REFRIG.SYSTEMS AIR HANDLING UNITS EVAP►v TIVE COOLERS REF G.SYSTEMS F H c►DS(comm«o,al{ MISC(Describe) BOIL IREPLACE INSERTS G" BOILERS GAS WAT' ' HEATERS COMPRESSORS FURNACES DUCTS GAS PIPE OUTLETS PLUMBING WATER CLOSETS 0...k.) MISC(Describe) BATHTUBS . .b/Shower combo) SHOWERS SINKS DRINKING FOUNTAINS DISH. •" `ERS RAINWATER SYST AS PIPE OUTLETS S MPS NALS HOSE BIBBS WASHING MACHINES + UUM BREAKERS ELECTRIC WATER HEATERS LAVS(Bathroom su,ks) ' ISCLIER/SIGNATEBLOCR -'-•----;-":-••••:''_ ` _ M _ _ -` that I that the l anon furnished by me is true and ico correct ao pplication best of st on myis knowledge, further further, agree hold I certify unbyr pe own rof f the /'+ am authorized by the athe above precis to performc the work for and p harmless the City of Federal Way as to arty 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 oft fiance of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of this applica •• ' � N ) _ Jj � DATE `-'� '� ��' ©y NAME/TITLE / atUr {Titled Il (Signature) ! RELATIONSHIP TO PROJECT wner ❑ Agent ❑ Contractor 0 Architect o Other FOR OFFICE USE ONLY , It: ENANTMT❑REPAIBUILDING SHELL ONLY? ; T10N BASIC CHANGESE?UP/SEPA ?NEW ADDRESS REQUIRED?PLATTED LOT? YES a NO DEMO PERMIT REQUIRED? ❑YES ❑NO a Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application