03-102451 •
City of Federal Way
Community Development Services Building - Commercial Permit #:03 - 102451 - 00 CO
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: S E&A OFFICE BUILDING
Project Address: 33811 9TH AVE S Parcel Number: 926480 0170
Project Description: Tear off hot tar roof and install new modified biumen torch down roof
Owner Applicant Contractor Lender
ROGER HAZARD RUMSEY CONSTRUCTION RUMSEY CONSTRUCTION NONE
28815 PACIFIC HWY S RUMSEY CONSTRUCTION RUMSEC*984PM
FEDERAL WAY WA 98001 13021 107TH ST E RUMSEY CONSTRUCTION
PUYALLUP WA 98374 13021 107TH ST E NONE
Includes:
Census category: 437-Conine #1 #2 #3 #4
Occupancy Group:
Construction Type:
Occupancy Load:
Floor Area(Sq.Ft.):
Census Category ...437-Commercial alt/add Mechanical No
Number of Stories......: 1 Permit for Building Shell Only....: ..No
Plumbing.....: No
PERMIT EXPIRES December 10,2003.
Permit issued on June 13,2003
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the us • •- accorda;41 'th the laws,rules and regulations of the State of Washington and
the City of Federal W.
Owner or agent: %IA .1//4 I °,/ Date: / _
��ED CONSTRU 0
CITY OF V C�N PERMIT APPLICATION
Federal Way �, �Q�1�, APPLICATION NUMBER: 03- J oz sT _scro
aur t Arm a� _. v r
���ON NUMBER:
CITY OF FEDERAL WA`f 0 r APryP((++LI ON NUMBER: - - I
'�Thegbfiban 'is-required£ OZ btidrn NPlease print(in ink)or type**
Please note: Electrical, Fire Prevention Syste • . • , -ering permits may require a separate application.
II ib -
■ PROPERTY INFORMATION
SITE ADDRESS: 7 .?*9 1/ 1-114kl SQ, ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING o PLUMBING 0 MECHANICAL 0 DEMOLITION
❑ ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): 11"4?- p (i( .II&/ .tioi2 I'1,/ GY`jL(
/4/S t4// /'7 e 4, ,L;-7 //-(, # b di r0.7 Pfr, ferz e4 dUkib. /*tire
It (PROJECT NAME: L e / SE 2v A u f f fi LL d-
• PEOPLE INFORMATION - .'
PROPERTY OWNER: NAME: '/ DAYTIME PHONE
g0?e2 /14 A Z 9frei f (253 ) r7w - ('GGG
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
i I
' 1
CONTRACTOR: NAME: DAYTIME PHONE
nUP75y/ ‘'‘)A., s obcA/07 ( As3 90s- 0031
MAILING ADDRESS(STREET ADDRESS;e9CITY,STATE,
�ZIPP): ( 9 EVENING PHONE*
CITY/OF e)z WAY BUSINESS/7 NUMBER fl j,i / ,/ " g?7 V (25-3) 0 6 96V'
FAX NUMBER:
- - ( ( 25-3) T'tQ - Zr/q
CONTRACTOR'S REGISTRATION NUMBER: IR
SFS o(/ n i EXPIRATION DATE:
(copy of card required) D ( r /Q / �/ /Q
APPLICANT: NAME: DAYTIME RHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: i
( )
j FAX NUMBER:
0 ARCHITECT 0 TENANT 0 OTHER( DESCRIBE): } ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER o APPLICANT ❑ CONTRACTOR I
-■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ /^), lam'(/ X.
raj 1
SPRINKLERED BUILDING? J
❑YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONL• 4110
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROSECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
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)
L- LAVATORY(S) URINALS) 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)
SINKS) 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 daim arises out of the reliance of the dty,induding its officers and employees,upon the accuracy
of the Information supplied to the dty as a part of this application.
NAME/TITLE: J ,2 i'i J L% 1 Qy /PI 414 4,e1 • DATE: 6 - 12 -o?
o PROPERTY OWNER ❑APPLICANT/ Q3 CONTRACTOR
FOR OFFICE USE ONLY:
U NEW 0 ADDITION iii ALTERATION cl REPAIR ❑TENANT IMPROVEMENT 1=
CENSUS'CODE.
Tr.. :LOT SIZE: _ .
;ZONING DESIGNATION::' , P.. _ _.; .. ,:BUILDING SHELL ONLY? BYES e-=❑ NO '
COMP,PLAN DESIGNATION BASIC PLAN?- - 11 YES -1=LINO'
SECTION-?,,, ;TOWNSHIP =' `RANGE .NEIN ADDRESS REQUIRED? • ❑YES ❑ NO
-PLATTED LOT?:,:`❑YES o N0 `' •CHANGE OF USE? o YES'>'`'a NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www,citvoffederalwav,com i
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