01-102529 •
City of Federal Way
Community Development Services Building b .7 ldin - Single Family Per�'it #:01 - 102529 - 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: WOLVIN
Project Address: 3301 SW 323RD ST Parcel Number: 873190 0910
Project Description: RE-ROOF-Tear off existing shake roofing. Over existing plywood sheathing,install 30#felt and
40-year composition shingle roofing. Venting as required. Install continuous metal gutters.
Owner Applicant Contractor Lender
Alice M Wolvin ALLIED CONSTRUCTION INC. ALLIED CONSTRUCTION INC. NONE
3301 SW 323RD ST P.O.BOX 401 ALLIECI131CP(5/1/02)
FEDERAL WAY WA WOODINVILLE WA 98072 P.O.BOX 401
98023-2525 WOODINVILLE WA 98072 NONE
Includes:
Census category: 434-Reside #1 #2 #3 #4
Occupancy Group: R-3
Construction Type: Type V-N _
Occupancy Load:
Floor Area(Sq.Ft.):
Census Category 434-Residential alt/add-no, Mechanical No
Occupancy Group#1 R-3 Plumbing No
PERMIT EXPIRES December 22,2001,IF NO WORK IS STARTED.
Permit issued on June 25,2001
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: —6, — - Date: f D.--__c"----e) /
7-3^pi '( !(2- halt '/2 �,/ON C 5.5
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q541
°F • CONSTRU•ON PERMIT APPLICATION
VV f�Y APPLICATION NUMBER: 0 1 - L Q2 S:)t_ - SF-
APPLICATION
F-
APPLICATION NUMBER: -
APPLICATION NUMBER: - -
**The following is required 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: 3 3 C,/ - 3 23 5�. ASSESSOR'S TAX/PARCEL #: S 7 ,5. ' J O - O l
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
; ,:' • PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
j ❑ ELECTRICAL ❑ ENGINEERING El FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide p det1ailed description): !Cc'-v- ),70),70 ✓`06 - %YI . �2 i t "Y °r -�t�a•-v
Cv ri�ras ! c G!I' ei C9 t...%-e-y— 2 x s f�-� pt(.� w f I- ��- - q- rn C�
( ,u .4r..5 .
PROJECT NAME: tetici0 y ✓t
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
1.C. v(L)(Y' (253) `>-5"2 - 36S'�1
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
33o 1 --S Lx.) 3)3,mac S-1, t (,uc tom ,
CONTRACTOR: NAME: DAYTIME PHONE:
1 644 S-TT (,)*( C (yes)
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
Qo>< L, / (— oc1 I/k (Aik . 4p07Q ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
Lt-300d ,►,J - - ( )
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: ✓ Ii
(copy of card required) 4 1 L t F C 1 I 3 / L e iJ / V I /
APPLICANT: NAME: DAYTIME PHONE:
�e (Leas-) s E. - 74-43
MAILING ADDRESS(STREET ADDRESS;EjCITY,STATE,ZIP): �/.��1 EVENING PHONE:
g /14,-/7LSI SE SYrG 1O}' f_s �C.� 'C- 9c
RELATIONSHIP TO PROJECT: fbc 4C FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): Cc'V't '. (4;2 S) g-+t•.�( - 76( 3-
- ADDRESS: -
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ,'CONTRACTOR
= , ■ DETAILED BUILDING INFORMATION - -
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ 72
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
•
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROTECT FLOOR AREAS -
FLOOR EXISTING SQ.FT. PROPOSED SQ. FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
U-`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 ❑ 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 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 s pplied to theci as a part of this application.
NAME/TITLE: __zetaDATE: 6
❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW El ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION : BUILDING SHELL ONLY? El YES El NO
COMP PLAN DESIGNATION BASIC PLAN? El YES El NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? El YES ❑ NO
PLATTED LOT? El YES El NO CHANGE OF USE? ❑ YES ❑ NO
mMMi IN re nFVFI OPMFNT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX.253-661-4129