02-105125City of Federal Way Building - Single Family Permit #:02 -105125 - 00 - SF
Commmity Development Services
33530 1st Way S
Federal Way, WA 98003-6210 Inspection request line: 253.835.3050
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: STRAH
Parcel Number: 010455 0100
Project Address: 32916 17TH AVE SW
Project Description: RE -ROOF - Remove existing wood roof and install sheathing and asphalt shingles for existing
residence.
Owner Applicant
Betty C Strah Betty C Strah
PO BOX 23485 PO BOX 23485
FEDERAL WAY WA 98093-0485 FEDERAL WAY WA 98093-0485
Includes:
#1
Census category: 555 -Non-st _
Construction Typ,
R-3
.V -N
Occupancy Load:
Floor Area (Sq Ft.):
Census Category ....... .... 555 -!Non-stivcturalroofing p
Occupancy Group #1 ........................... .... ....... .... R-3
Zoning Designation ............................................. RS 5.0
Contractor
Betty C Strah
NONE
PO BOX 23485
FEDERAL WAY WA 98093-0485 1 NONE
Lender
#2 #3 #4
Mechanical................................................ No
Plumbing................................................. No
PERMIT EXPIRES May `14, 2003, IF NO WORK IS STARTED.
Permit issued on November 15, 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: �/ �`�-- D .2
Owner or agent:
POSfHIS CARD ON THE FRONT OF BUILD
«nom BUI DING DIVISION
WN) Fro.-- INSPECTION RECORD
INSPECTION REQUEST PHONE #: 253-835-3050
PERMIT #: 02 -105125 -00 -SF
OWNER'S NAME: Betty C Strah
SITE ADDRESS: 3291617TH SW
( ) FOOTINGS/SETBACKS
( ) DRAINAGE: Line
( ) UNDERFLOOR FRAMING
( ) ROUGH PLUMBING: DWV
( ) ROUGH MECHANICAI
( ) SHEATHING
( ) SHEAR WALLS
( ) ELECTRICAL ROUGH -IN
( ) FOUNDATION WALL
( ) Connection
ixww SLBmTL n .�a.a
Water piping
Gas piping
Roof Floor
Ditch Cover
O FIRE/DRAFTSTOPS
ag
CM -Sm.",
. 7T BEAPPRO�DPR�' .NOR
W.
() FRAMING/FIRESTOPPING
F_
�SMI�oAPPROVEDd10
ORATOfiNSTLu
( ) INSULATION: Floors
( ) WALLBOARD NAILING
Walls
Attic
STB$APRQVED PR�OI2 Tom
LI'IIGHE�
( ) SUSPENDED CEILING.
..T'A G SIAL'
NOWN, MOP
uT�E. DROVED PROt TO mow.. _ j
( ) ELECTRICAL FINAL
( ) PLANNING FINAL
( ) PUBLIC WORKS FINAL
( 1 FTR F. FINAL
4F
4 9 0
CONSTRUCTION PERMIT APPLICATION
.iol.c�
moEa l— RECEIVED PPLICATION NUMBER:-
uV E3Y PPLICATION NUMBER: _ _ - _ _ _ _ _ - - -
NOV 1 5 ZOOZ . PLICATION NUMBER:
**The folio p jb in rq� bri —.Please Print (ih ink) or type**
iIRR1 1!!'' ��F''ECJ�H WAY l
Please note: Electrical, Fire Prevertt�tl�r�yR' �.Englneering permits may require a separate application. —
G-" �/� �1 ' ASSESSOR'S TAX/PARCEL #: ® � , Q
SITE ADDRESS: W, (
LEGAL DESCRIPTION OF SUBJECT PROP RTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERING El FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
J _ TQ _ _ _ V_ ✓Lz-a
PROJECT NAME'
PROPERTY OWNER: I NAME:
e_
CONTRACTOR'
APPLICANT.
P O P cox
NAME:
MAILIN AD ESS (SIRE AOI
CITY OF FEDERAL WAY BUSINE`
CONTRACTOR'S REGISTRATION
(copy of card required)
NAME:
MAILING AD�(IIPIIT
S; CITY, STATE, IP :
SS, Cr1Y, STATE, ZIP):
ICENSE NUMBER:
MBER:
i
ESS; CITY, STATE, ZIP):
RELATIONSHIP TO PROIEU:
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE):
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
EXISTING USE:
PROPOSED USE'
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
7j .r- o
DAYTIME PHONE:
`EVENING PHONE:
FAX NUMBER:
`EXPIRATION DATE:
DAYTIME PHONE:
\EEVENING PHONE:
l
FAX NUMBER:
E-MAIL ADDRESS:
EXISTING BUILDING ASSESSED/ APPRAISED VALUATION $
PROPOSED VALUATION FOR IMPROVEMENTS: $
❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE:
%k
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S)
BBQ(S) FANGAS LOGS() S) REFRIG. SYSTEM(S)
BOILERS) FIREPLACE INSERT(S) RA GESS— WOODSTOVE(S)
COMPRESSOR(S) FURNACE(S) () MISC. ( )
DUCT(S) — GAS PIPE OUTLET(s) () HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) DISHWASHER(S) RAINWATER SYS. VACUUM BREAKERS WATER HEATER(S)
DRINKING FOUIYTAIN(S) SHOWERS () ❑ELECTRIC ❑ GAS
GAS PIPE OUTLET(S) () WASH MACHINE OUTLET
INTERCEPTOR(S) SINK(S) WATER CLOSET(S)
I certify under penalty of perjury that the information furnished by me is true and co
further, that I am authorized by the owner of the above premises to perform rrect to the the work for which the best of my knowledge, and
further agree to hold harmless the City of Federal Way as to any claim (including costs, a permit application is made. I
investigation and defense of such claim), which may be made b an _ �n�, and attorneys' fees incurred in the
Federal Way, but only where such claim arises out of the reliance of the city, n, including the undersigned, and filed against the City of
of the information supplied to the city as a part of this a plication. including its officers and employees, upon the accuracy
NAME/TITLE•_Z :/
Y DATE: / iQ
PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
%-UMMUNITY DEVELOpMENr SERVICES . 33530 FIRST WAY SOUTH • PO BOX 9718 - FEDERAL WAY, WA 98063-9718 • 253-661
-4000
www.dtyoff-ig�afwav com ' FAX: 253-661-4129