16-104463 Building - Single Fairly
City of Federal Way
Community&Econ.Dev.Services Permit #: 16-104463-00-SF
33325 8th Ave S _::
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: ELIASON
Project Address: 29600 3RD AVE S Parcel Number: 186270 0300
Project Description: REP-Tear off shake roofing&install composition shingle roofing system.
Owner Applicant Contractor Lender
BRENT D ELIASON BRENT D ELIASON ACHTEN'S QUALITY RFNG CON
ALETHA D ELIASON 29600 3RD AVE S INC
29600 3RD AVE S FEDERAL WAY WA 98003-3665 ACHTEQR923CM(2/16/18)
FEDERAL WAY WA 98003-3665 410 112TH ST S
TACOMA WA 98444
Census Category: 555 -Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class: R-3
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq.ft.) 0 0 0 0
Additional Permit Information
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
Calculated Structure Valuation 18900.00 Occupancy#1 -Construction Type. Type V-B
Mechanical to be Included No Occupancy#1-Class R-3
Plumbing to be Included? No Occupancy#1-Use Residence(1 or 2
family)
No Fixtures Associated With This Permit 1!
PERMIT EXPIRES Wednesday, March 8, 2017
Permit Issued on Friday, September 9, 2016
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. c�
Owner or agent: 751.----t- £ < Date: 1 S
FINALED
THIS CARD IS TO REMAIN ON-SITE
��~ Construction Inspection Record s
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16-104463-00-SF Address: 29600 3RD AVE S
Project: BRENT D ELIASON FEDERAL WAY, WA 98003-3665
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.
El Roof Sheathing(4220) _❑ Final-Building(4050)
Approved to install roofmg Approved
By AA) Date 91)6i/62 By 1,40 Date o ka VS,
0 Rough ElectricalELI Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
� p PERMIT�IPPLICATION
CITY OF 4"/' Sr �y 9 P V
Federal Way
jay 2016
PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
�/�/ CITY OF FEDERAL 253-835-2607+FAX 253-835-2609+permitcenter(ticitvoffederalway.com
FcA L WAY
l uCDS
PERMIT NUMBER / c _ i O 1 Y (/ 3 _ S TARGET DATE /2 F 1 `�
SITE ADDRESS �/ SUITE/UNIT#
2%O0 1 It I K A f}-`/E,. S 001-14 A-- \t0A-y %---'4
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ / 8) 'da . '--- 1 8 X 2 ^7 0 _ 03 DT)
TYPE OF PERMIT RBUILDING ❑ PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
,i 0c,,(=" icc4_cc ti r . e -k)A-2 rfA-KE �( cA-C( A
PROJECT DESCRIPTION
Detailed description of work to '( C O t't C'OS ter No p--),
be included on this permit only
NAME .. PRIMARY PHONE
Ze T EUcA- erl ZS-3—c29—DS77
PROPERTY OWNER MAILING ADDRESS E-MAIL
25.a o f R b /4-V E. Sova bd E-I I mt S O/l.@_,JA-01-m",:-Q--
CITY STATE ZIP
NAME /4-et(��-',1t S 2s3- 5 , --7663
MAILING ADDRESS E-MAIL
CONTRACTOR I o t elk-L ! '
0`M ' I I 2 T . 'o J i r(
CITY STATE ZIPFAX
,,ii
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
A C H-1-SIS C>23 c N\ / /
NAME PRIMARY PHONE
T.veE7Vr eC--fA-S Zs3-c2}- O37')
MAILING ADDRESS E-MAIL
APPLICANT 2,6 od 771-1 ,1) A YC-' S . 1) .CI e_) 6.50°.e_, k er-i'
^^°a
CITYS t ZIP7.�ty FAX
�elY
NAME PRIMARY PHONE
PROJECT CONTACT 3i?- 'f 64 i AC 4 E. 2 S 3 22.s- 3(0 .81--
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 1 0 1 I ZTl4 S-f-r2• 5 a 01-1-1
concerning this application) CITY STATE ZIP FAX
_ __._...._ T4-Cc)AAA - - ".f1r 946`I tt.41
NAME. _____ __.. __
PROJECT FINANCING Er..-OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
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,
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.
'6SIGNATURE: /)‘- E.ei a r—"—" DATE Q% S ET' I k
PRINT NAME: 3, F7vt t Li( O'r.)
Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
• •
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
BATHTUBS(or Tub/shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS Kitchen/Utility( WATER HEATERS(eteetrjo(
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
S1 COND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHE tiles )
Area Totals EXISTING PROPOSED TOTAL
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area m Occupancy Group(s) Construction #of Additional Information
Square FeetType Stories
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area m Occupancy Group(s) Construction # of
Square Feet p y Additional Information
TypeStories
TOTAL BUIL DING
TENANT AREA ONLY
OJECT AREA ONLY
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application