02-104466 1111, • '
.
City Federal Way
Community Development Services Building - Single Family Permit #:02 - 104466 - 00 - SF
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: NORRIS
Project Address: 2104 SW 349TH PL Parcel Number: 176110 0010
Project Description: REROOF-Tearing off existing shake roof,resheeting,reroofing with composition roof
Owner Applicant Contractor Lender
Robert C&Sandra Norris Robert C&Sandra Norris Robert C&Sandra Norris NONE
2104 SW 349TH PL 2104 SW 349TH PL
FEDERAL WAY WA FEDERAL WAY WA 2104 SW 349TH PL
98023-3071 98023-3071 FEDERAL WAY WA NONE
Includes:
Census category: 555-Nonlst #1 #2 #3 #4
Occupancy Group: tic 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
Zoning Designation RS 7.2
CONDITIONS:
This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to
the subject proposal.
' PERMIT EXPIRES April 7,2003,IF NO WORK IS STARTED.
Permit issued on October 9,2002
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.
Owner or agent: ,.99-4)----e__- Date: "C),•9/..4_.
i gfr
Roof sheathing: 40/
/d/ j .� / Date
FINAL inspection: -
Date
!Ira"
CONSTRU�N PERMIT AP , TION
APPLICATION NUMBER: 4 ,� _ o
0) APPLICATION NUMBER: - -
0,1 vx APPLICATION NUMBER: ---, _. -
**The following is required information-Please print(in ink)or type** 1
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
• PROPERTY INFORMATION
� t
- /
SITE ADDRESS: S!� , Z . it-
ASSESSOR'S TAX/PARCEL#: -
`d I. 3
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
' • PROJECT INFORMATION
TYPE OF PROJECT(This application): {BUILDING ❑ PLUMBING 0 MECHANICAL 0 DEMOLITION
0 ELECTRICAL 0>ENGINEERING❑ FIRE PREVENTION SYSTEM /
PROJECT DESCRIPTION(Provide detailed description): ,/ - /97/16,_ 0/ .�C�/�a�/.,
cam. f. r%41,7---7741.4/ aJ ,,p. f, SY1/7 t �/, %i
PROJECT NAME:
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
N/G/, `/ / (id-Y-7
� �j� CMS /1 05-3 ) a4/ -azo
MAILI9 'O( 1p,(•' id- -ATE,ZIP):
/ L� ( J / / 3
CONTRACTOR: NAME: a_^/ r DAYTIME PHONE:
��/Wv 1 ( ��� ( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- - ( ) -
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) / /
APPLICANT: NAME: DAYTIME PHONE:
_�- - //-,i'i 3 (p53 ) d(( -a2--8?
MAILING�1D� / Sl REST AD ����TE ZIP): �5 PHONE:7/- 77
i RELATIONSHIP TO PR�: FAX NUMBER:
❑ ARCHITECT gENANT ❑ OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT:A ROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
• DETAILED BUILDING INFORMATION �,/
EXISTING USE: Z 4 40419741STING BUILDING ASSESSED/APPRAISED VALUATION $ 7441146&7 k7,S CO
0.
PROPOSED USE: ,54-(14e 4ROPOSED VALUATION FOR IMPROVEMENTS: $ 7'`r00
SPRINKLERED BUILDING? ❑ YES ANO I FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ArNO
WATER SERVICE PROVIDER: cin-LAKEHAVEN 0 HIGHLINE ❑TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: P'LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION 1Y** •
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PRO3ECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
• ■ FIXTURES
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 0 GAS •
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) 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) SINK(S) 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 daim),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 city,induding its officers and employees,upon the accuracy
of the information s lied to the
city a/sofa partofthis application. /e /6(e0.NAME/TITLE: C �r/�5--1.,r — DATE: /e //"v�
- 4DROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:-I
'❑NEW _ __ ❑ADDITION 0 ALTERATION -- _ ❑;REPAIR ❑TENANT IMPROVEMENT
CENSUS CODE: LOT:SIZE: -
_ZONING:DESIGNATION:_ BUILDING SHELL ONLY? :0 YES 0 NO
COMP$PL'ANbESIGNATION BASK PLAN? -"❑YES 0 NO -
3ECTION ;; _'___-TOWNSHIP RANGE NEW ADDRESS REQUIRED? -❑ YES 0 NO
:PLAITED LOT? . ❑YES ❑ NO CHANGE OF USE?. ❑YES 0 NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129