02-103488 . •
CmFederal Way
Community Development Services Building - Single Family Permit #:02 - 103488 - 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: HAGEDORN
Project Address: 2716 SW 341ST ST Parcel Number: 010921 0610
Project Description: RES REP-Reroof. Shake to asphalt comp roofing. Includes new sheeting.
Owner Applicant Contractor Lender
Daniel P&Aimmee B Hagedom Daniel P&Aimmee B Hagedorn Daniel P&Aimmee B Hagedorn NONE
2716 SW 341ST ST 2716 SW 341ST ST
FEDERAL WAY WA FEDERAL WAY WA 2716 SW 341ST ST
98023-7601 98023-7601 FEDERAL WAY WA NONE
Includes:
Census category: 555-Non-st #1 #2 #3 #4
Occupancy Group: R-3
Construction Type: Type V-N r
Occupancy Load:
Floor Area(Sq.Ft.):
Census Category 555-Non-structural roofing p Mechanical No
Occupancy Group#1 R-3 Plumbing No
PERMIT EXPIRES February 11,2003,IF NO WORK IS STARTED.
Permit issued on August 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.
/MIN
Owner or agen . _y_, � Date: PAC/0
POIS CARD ON THE FRONT OF BUILD. s
3
`�r°` ` tECEIVEDCONSTRU ION PERMIT APPLICATION
VV �y APPLICATION NUMBER: (> - L O 34 s_a - p
AUG 1 5 2002 APPLICATION NUMBER: - -
APPLICATION NUMBER: -
IITY OF FEDERAL WAY - —**The foiloWirig't ireQi R J information—Please print(in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
0 . PROPERTY INFORMATION
SITE ADDRESS: 1(( _SW 3c{I ST Sr ASSESSOR'S TAX/PARCEL #: —
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): (eE.StI E:\I r A I. f(CYVI E
S7
e�T- l_EE L. � s Vs' 2. VI d kn-I c/1rzjlci r
PROJECT INFORMATION
TYPE OF PROJECT(This application): BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): A-fev64 6 14 lrW (tO' t it ellorfri 6 S kAICE itenr-, evxtifn6
J J SKeATpiI14(1 rt-T" r 714F... Ai'Pt$(N4 ?-TAS As'M T LoMP Jr 6,.
•
PROJECT NAME:
W PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
bANIEL P EIk e ��Rpet, ).Y).1).1 -3'f0"1
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): it .70Z
,a)((o SU 3'11'r $t. federu( Lill , LA 0ltd23
CONTRACTOR: NAME:
i , 4LL l AM 1 it R J Z. DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING
NING PHONE:
Ict(z) £I„I 3;1( r ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER: / EXPIRATION
PIRATION DATE:
(copy of mrd required) r v r•l y e etrn C
APPLICANT: NAME: e� (Ark
( DAYTIME PHONE:
L)qr l t Et. (AR4teibuRjJ ( S 7`f -3YU?(,7c'IS9
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
3YI47- 9, 1.)2 WA 'ZU2j (as 3 )4,6 - 37c
RELATIONSHIP TO PROJECT: FAX NUMBER
❑ ARCHITECT tkTENANT ❑ OTHER(DESCRIBE): ( ) S 1 Y
�( E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 4KPROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR aim and dan 6 A'}th;•cCy
•
YA DETAILED BUILDING INFORMATION •
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: iZtOPOSED VALUATION FOR IMPROVEMENTS: $ �.YU(/• U(,�
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE El TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIALCONSTRUCTIO.LY** •
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
..-•' 'wxi•c,+: .r+ _ y%«w •...^r.ic2sJivrnair+�s+�:¢a►'yglrii�tlFiAfVRE•7Jlnii+r+!vsb.YsF��:w.r.i.+:.rww�3.o+.iw.&i4e•as+e±:i%r�fiv4�.i9+r...:+w'�sa?!��w.�!k�3+ia+.
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 ❑ 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)
- - /:1-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 claim (including costs,expenses,and attorneys'fees incurred in the
investigation and defense of such claim),which may be made by any person,induding 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: -.i� ,"Or fir DATE: 7/S/0
PROPERTY 0" ER ❑ APPLICA ❑ • RACTOR
-'4,FOR0FFICE USE ONLY:=I
=NEW., ❑ADDITION';���,[I ALTERATION ., _ ',,REPAIR . ❑ TENANT IMPROVEMENT m
••lENSUS CODE:} a n l ti_ I
ZO( IN ESIGNAT(ON ' ,zF _ ;BUILDING H LLONLY? kD YES ,0 NO .
COMP$LAN SIGNATION-` �U VV rt; I'BAI erA.TO? iC'(ES91 1 O•Og 3 1
SECTION`x R _T _R- 4, f £ Ems,[l
_..,:: x � - TOWNSHIP:R r , RANGE. _- v__,. _NEW ADDRESS,REQUIRED? � t�OY,ES ,¢-�❑,PIQ .�,
;PLATTED LOT?. ❑ YES NO CHANGE OF USE? YESf ..LI NOr, _ -
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL.WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtvof federa Iway.com