03-104845City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
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Building - Commercial Permit #:03 -104845 - 00 - Co
Project Name: TWIN LAKES SHOPPING CENTER
Project Address: 33610 21ST AVE SW
Inspection request line: 253.835.3050
Parcel Number: 242103 9113
Project Description: Remove existing built-up roofing and replace with UL Class 'A', fire -rated built-up roof; replace sheet,
draw, plumbing and vent flashing.
Owner
Applicant
Contractor
Lender
TWIN LAKES RETAIL LLC
SNYDER ROOFING OF WASH LLC
SNYDER ROOFING OF WASH LLC
NONE
TWIN LAKES RETAIL LLC
20203 BROADWAY AVE
SNYDERWO14MT 6/1/05
Floor Area (Sq. Ft.):
2132 SW 336TH ST
SNOHOMISH WA 98296
20203 BROADWAY AVE
FEDERAL WAY WA 98023
SNOHOMISH WA 98296
NONE
Includes:
Census category: 555 - Non-st
#1
#2
#3
#4 J
Occupancy Group:—_—
Construction Type:
Occupancy panty Load:
Floor Area (Sq. Ft.):
Census Categor................................................ 555 - Non-structural roofing p Mechanical............................................... No
Number of Stories ...... .......................................... I Permit for Building Shell Only......... ............. No
Plumbing................................................ No
PERMIT EXPIRES April 21, 2004.
Permit issued on October 24, 2003
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the u e will be in accordance with the laws, rules and regulations of the State of Washington and
the City of Federal Way
1/'� "� % 1
Owner or agent: � Date: ����� ..-f,�,� 3
VE rCONSTRUCTWN PERMIT APPLICATION
CITY OF �i PPLICKRON NUMBER: - -
Federal Way
� zu�� PPLICATION NUMBER:
PPLICATION NUMBER: _ _ - -
rr�� tV WAY ------ --
* *The following Is regL re6 information - Please print (in ink) or type*
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY INFORMATION
SITE ADDRESS: �(i ?-' .),- A/Z- 6t, i ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PR07ECT INFORMATION
TYPE OF PROJECT (This application): o BUILDING o PLUMBING ❑ MECHANICAL o DEMOLITION
❑ ELECTRICAL o ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): �'(_ (.� t- M SD 'U l_l
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PROJECT NAME:LL-
PROPERTY OWNER: j NAME:
CONTRACTOR:
APPLICANT:
MAILING
(STREET ADDRESS; Cut STATE, ZIP):
DAYTIME PHONE:
NAMM�E:{�
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/ I DAYTIME PHONE:
MAILING ADDRESS (MEET
1 2-liZ %S .k�
ADDRESS; CITY, STATE. �ZIIPP)::
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h� l ,� t�� p� r� /EVENING PHONE
`7 `��% ��l ' \ �� 1 �',) l�C" � � ( ) LW -
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� ` 21. i
I CITY OF FEDERAL WAY BUSINESS LICENSE UMBER:
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
(ropy of card required) `7
EXPIRATION DATE:
01,
/ 2-W� -
NAME:
;x`71 WJE mac-, .%(� C 1.✓� Lc
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
RELATIONSHIP TO PROJECT:
o ARCHITECT ❑ TENANT oiOTHER ( DESCRIBE):
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
DAYTIME PHONE:
lt(Uz T9
EVENING PHONE:
(219' )
FAX NUMBER:
E-MAIL ADDRESS:
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $i I� �✓
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: o YES ❑ NO
WATER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE o TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN o HIGHLINE ❑ PRIVATE (SEPTIC)
wwNEW RLbLULN I LAL v'W-
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE:
- ■ PR03ECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
AIR HANDLING UNIT(S)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHER(S)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S)
FAN(S)
FIREPLACEINSERT(S)
FURNACE(S)
GAS PIPE OUTLET(S)
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINKS)
SUMP(S)
Value of Mechanical Work: $
GAS LOG(S) REFRIG. SYSTEM(S)
HOOD(S) WOODSTOVE(S)
RANGE(S) MISC. ( )
HEAT SOURCE: ❑ ELECTRIC ❑ GAS
URINAL(S) WATER HEATER(S)
VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
WASH MACHINE OUTLET
WATER CLOSET(S) 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 suSh claim arises out of the reliance of the city, including its officers and employees, upon the accuracy
of the information sppplW to t#e city as a part of this application.
NAME/TITLE: ✓�'� �� - i— . DATE: ` + - 2— fi 2Ck
t F
❑ PROPERTY OWNER ❑ APPLICANT"
ONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-6661-4000 a FAX: 253-661-4129
WWW.Ckyoffedera1Way.00M