01-101492• � r y , �
CormunitCity Development Services Building - Single Family Permit #:01 =101 92 - 00 - F
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: SODERGREN
Project Address: 143 S 295TH PL Parcel Number: 543721 0060
Project Description: RES REP - Reroof with "Gerard" Stone coated steel tiles. Cover over existing shake roof.
Owner
Applicant
Contractor
Lender
Robert C & Louise C Sodergren
NONE
LIFETIME ROOFING TECHNG INC
NONE
143 S 295TH PL
LIFETRT033BG (9/19/01)
FEDERAL WAY WA
14019 8TH ST SUITE B
98003-3659
NONE
BELLEVUE WA 98007
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 October 13, 2001, IF NO WORK IS STARTED.
Permit issued on April 16, 2001
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 ag t: Date: y AfK—
POS�HIS CARD ON THE FRONT OF BUILD
Y BUILDING DIVISION
VV FIY INSPECTION RECORD
INSPECTION REQUEST PHONE #: 253-835-3050
PERMIT #: 01 -101492 -00 -SF
OWNER'S NAME: Robert C & Louise C Sodergren
SITE ADDRESS: 143 S 295TH
()
FOOTINGS/SETB
ACKS 7�7it1�� p () FOUND}�ATION WALL
l i�� c Y�
N�9
..,. AaY;rm�ai��l1
O DRAINAGE: Line O Connection
110-
��.�L� APPR VF�i
( ) UNDERFLOOR FRAMING
( ) ROUGH PLUMBING: DWV
( ) ROUGH MECHANICAL.
( ) SHEATHING.
( ) SHEAR WALLS
( ) ELECTRICAL ROUGH -IN
( ) FIRE/DRAFTSTOPS
( ) FRAMING/FIRESTOPPING
( ) INSULATION: Floors
( ) WALLBOARD NAILING_
( ) ELECTRICAL FINAL
( ) PLANNING FINAL
( ) PUBLIC WORKS FINAL
( ) FIRE FINAL
( ) BUILDING FINAL ,Sj
Water piping
Gas
Roof /*;* t1- Floor.
Walls
Ditch Cover
Attic
( ) SUSPENDED CEILING.
0
INSPECTION LOG
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CRY OF .T --�-IFVVEDICONSTRUCWN PERMIT APPLICATION
-�� lEEI C-�=— PPLICATION NUMBER:
[APR 6 NO"!
APPLICATION NUMBER: _ _ _ _ — _ _ _
APPLICATION NUMBER: - -
LI K Y Or FLOERAL WA — — — — — — — — —
**The following is re 1&8l i%AfFfFTen — Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY• •
SITE ADDRESS: 177 Z9J/ ASSESSOR'S TAX/PARCEL #:
— — — — — — — — — —
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PRO3ECT INFORMATION -
TYPE OF PROJECT (This application): BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECT
■ PEOPLE INFORMATION
PROPERTY OWNER:
W
CONTRACTOR:
APPLICANT:
NAM . DAYTIME PHONE:
oQ�2T r- aZ I
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
/�13 5,=_ 29;,-71,11t
NAME: ..��
lee,4o u ,� /mac
DAYTIME PHONE:
(�d-) 7�j -7a3 �
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): r
.t%E g1711ST�t'T" 5�� �.�CC�✓GJ�, w%9 900
EVENING PHONE:
')
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
z- / F r� ?
EXPIRATION DATE:
9/ / /-/ / Zoo/
(copy of card required)
NAME: --1 DAYTIME PHONE:
C/-�6c f G✓ � �C�1� G/.c/6�P ( 4-i ) 76
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): a EVENING PHON L—
/,4,-,0/? 14
� '4 f4` r` �� L�,Evti.E ( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): (�%�) 7c 7 - 1?63
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT *NTRACTOR
DETAILED BUILDING INFORMATION
EXISTING USE:
PROPOSED USE:
EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED VALUATION FOR IMPROVEMENTS: $
L, 8La
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
❑ NO
U
"NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PRO]ECT FLOOR AREAS I
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION
AIR HANDLING UNIT(S)
FIRST
GAS LOG(S)
REFRIG. SYSTEMI(S)
BBQ(S)
SECOND
HOOD(S)
WOODSTOVE(S)
BOILER(S)
THIRD
RANGE(S)
MISC. ( )
COMPRESSOR(S)
FOURTH
DUCT(S)
OTHER FLOORS (DESCRIBE)
HEAT SOURCE:
❑ ELECTRIC ❑ GAS
DECK
T'
BATHTUB(S)
GARAGE
HOW MANY FLOORS?
URINAL(S)
WATER HEATER(S)
DISHWASHER(S)
TOTAL:
VACUUM BREAKER(S)
❑ ELECTRIC ❑ GAS
DRINKING FOUNTAINS)
JK
']TSCLOTMER/STGNATURE BLC
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 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 of Pie reliance of the city, including its officers and employees, upon the accuracy
of the information suVplieJa-tWcity as a part of tVy app ions
GIdSh
/,
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
FOR OFFICF IMF ONLY:
DATE: te —/ 4� - Z-) J/
❑ NEW ❑ ADDITION ❑ ALTERATION
Indicate number of each type of fixture
CENSUS CODE:
LOT SIZE:
MECHANICAL
BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION
AIR HANDLING UNIT(S)
EVAPORATIVE COOLER(S)
GAS LOG(S)
REFRIG. SYSTEMI(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
T'
BATHTUB(S)
LAVATORY(S)
URINAL(S)
WATER HEATER(S)
DISHWASHER(S)
RAIN WATER SYS.
VACUUM BREAKER(S)
❑ ELECTRIC ❑ GAS
DRINKING FOUNTAINS)
SHOWER(S)
WASH MACHINE OUTLET
GAS PIPE OUTLET(S)
SINK(S)
WATER CLOSET(S)
MISC. ( )
INTERCEPTORS)
SUMP(S)
']TSCLOTMER/STGNATURE BLC
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 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 of Pie reliance of the city, including its officers and employees, upon the accuracy
of the information suVplieJa-tWcity as a part of tVy app ions
GIdSh
/,
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
FOR OFFICF IMF ONLY:
DATE: te —/ 4� - Z-) J/
❑ NEW ❑ ADDITION ❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO
CHANGE OF USE? ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH - P.O. BOX 9718 - FEDERAL WAY, WA 98063-9718 - 253-661-4000 - FAX: 253-661-4129