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02-103664City ofFederal Development Sewices Federal Way CamnunBuilding - Single Family Permit #: 02 - 103.664 -9Q - SF 33530 1st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.1050 Project Name: KIM Project Address: 708 S 288TH LN Parcel Number: 515293 0180 Project Description: SF - Reroof. Shingles to tiles. Owner Applicant Contractor Lender INSIL HIM SAN BENEDETTO CONST INC. SAN BENEDETTO CONST INC. NONE 708 S 288TH LN SAN BENEDETTO CONST INC. FEDERAL WAY WA 19621 INTERNATIONAL BLVD SAN BENEDETTO CONST INC. 98003-3188 SEATAC WA 98188 19621 INTERNATIONAL BLVD NONE Includes: Census category: 434 -Reside #1 112 JI _ #3 #4 J _J Occupancy Group: R-3 Construction Type_: Type V - One -HR Occupancy Load: Floor Area (Sq. Ft.): Census Category ................................................. 434 - Residential alt/add - no Mechanical................................................. No Occupancy Group#1...........................................R-3 Plumbing ................................................. No Fit"01 /10 ov► 07,,,,; L� 4 J, PERMIT EXPIRES February 25, 2003, IF NO WORK IS STARTED. Permit issued on August 29, 2002 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. Date: Owner or agent: �C CONSTRUCTION PERMIT APPLICATION VV FAY L PPLICKRON NUMBER: - APPLICATION NUMBER: - PPLICATION NUMBER: **The following is required information — Please print (in ink) or type** i 13 7 Please note: Electrical, Fire Prevention fystems and Engineering permits may require a separate application. M SITE ADDRESS: sL� ASSESSOR'S TAX/PARCEL #: - LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): TYPE OF PROJECT (This application): )Q BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): PROJECT NAME: PROPERTY OWNER: CONTRACTOR: APPLICANT: NAME:A -Co 5 t L, �, Nt\ DAYTIME PHONE: — ( ) MAILING ADDRESS (STREET ADDRESS; CITY, S,TQTE, ZIP): NAME: ,-( iL co �3 Fpw e- a v 0 DAYTIME PHONE: ( ) - MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: W©G-5, n.? CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required) r./ © A+ x") '/ 9 / NAME: Iq MAILING ADDRESS (ST RELATIONSHIP TO PROJECT: ❑ ARCHITECT ❑ TENANT CONTACT PERSON FOR THIS PROJECT: ❑ EXISTING USE: PROPOSED USE: DAYTIME PHONE: ( ) STATE, ZIP): EVENING PHONE: ( ) FAX NUMBER: ❑ OTHER ( DESCRIBE): ( ) - E-MAIL ADDRESS: ITY OWNER ❑ APPLICANT ❑ CONTRACTOR EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED VALUATION FOR IMPROVEMENT6__!�Zcqoa SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/RE NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) I **NEW RESIDENTIAL CONSTRUCTIO + NLY** . NUMBER OF BEDROOMS: ESTIMATED SELLING PR M $ FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL 'BASEMENT FI SECOND THIRD FOURTH OTHER FLOORS (DESCRIBE DECK GARAGE HOW MANY FLOORS? TOTAL: AIR HANDLING UNIT(S) BBQ(S) BOILERS) COMPRESSOR(S) DUCT(S) CraNG FOUNTAIN(S) PIPE OUTLET(S) Indicate numb6r of EV 0ORATIVE COOLER(S) N(S) FIREPLACE INSERTS) FURNACE(S) GAS PIPE OUTLET(S) PLUMBING LAVATORY(S) RAIN WATER SYS. SHOWER(S) SINKS) WMP(S) of fixture GAS LOG(S) HEAT URINAL(S) VACUUM BREAKER(S) WASH MACHINE OUTLET WATER CLOSET(S) REFRIG.SYSTEM(S) WOODSTOVE(S) MISC. ( ) ❑ ELECTRIC ❑ GAS WATER HEATER(S) ElELE C ❑ GAS MISC. 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 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. NAME/TITLE_DATE: ❑ PROPERTY OWNER 0 -APPLICANT ❑ CONTRACTOR COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-6614000 • FAX: 253-661-4129 www. citvoffedera I wa v. com