01-101723 • 111
ay
Conon°mFederal
Development Services Building - Single Family Permit #:01 - 101723 — 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: JOHNSON
Project Address: 213 SW 325TH PL Parcel Number: 926490 1850
Project Description: REROOF-Tear off existing shake roofing. Re-sheet with 1/2" CDX and install composition shingle
roofing.
Owner Applicant Contractor Lender
John C&Beth E Johnson MCKINLEY CONSTRUCTION&RC NONE NONE
213 SW 325TH PL MCKINLEY CONSTRUCTION&RC
FEDERAL WAY WA 25807 SE 398TH ST
98023-5638 ENUMCLAW WA 98022 NONE
Includes:
Census category: 555-Non-st #1 #2 #3 #4
Occupancy Group: R-3
Construction Type:
Occupancy Load: .............
Floor Area(Sq.Ft.):
.;: no-;... ..............
Census Category
".................. - -structural roofingMechanical No
OccupancyGroup#1 :.....,;:: Plumbin No
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X:...: .:' ofit 28,2 �:
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I hereby certify that the . :;i • i t :;orr ;raf•_. :::lhe const ction on the above described property and
the occupancy and t _. '_: "•:::_ fl :59 - '` MERiles d regulations of the State of • ashin ton and
the City of Federal
Owner or ag- . :<== Date.
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_ REVVED RUCN PERMIT APPLICATION
N>N> FIY MAY 0 1 2001 TION NUMBER: I - - `_
LICATION NUMBER: - -
CITY OF FEDERAL WAY
BUILDING DEPT. ppLICATION 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
A
SITE ADDRESS;,. .3
J S& ''' ‘:;'2,) , ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
i
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): ckiBUILDING El PLUMBING ❑ MECHANICAL ❑ DEMOLITION
El ELECTRICAL Cl ENGINEERING El FIRE PREVENTION SYSTEM�ST
PROJECT DESCRIPTION(Provide detailed description): -iccOF S���P /PSZe (1i .
PROJECT NAME: �d54) C. Z-c)c;let Sd.(l
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
- °6/,.) C_ --aerusd.). 46 ) -?? -s3 .i
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
CONTRACTOR: NAME: / DAYTIME PHONE:
��l �" ��ll� d'6 )fes - 2,g
MAILING ADDRESS(STREET A DRESS;TATE,ZIP): EVENING PHONE:
,CF-07 St ,-?5P/-' ,371. ..e."--/ii//0,-e- -:,-Jef2e (3Eo)�? - ice
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: � FAX NUMBER:
- - (36c.) d - --.7 '
CONTRACTOR'S REGISTRATION NUMBER: jj EXPIRATION DATE:
//�� _. is
(copy of card required) / C1A) G R C] S/,/" F / /
APPLICANT: NAME: / DAYTIME PHONE:
t./)<-..
MAILING ADDRESS(STREET ADDRESS; STATE,ZIP): EVENING PHONE:
0-7 . S . .4714e �.cf, cJ � 22 .S6J' ,22)J - �r//
RELATIONSHIP TO PROJECT: t FAX NUMBER:
❑ ARCHITECT ❑ TENANT [ OTHER(DESCRIBE): O -7*_ ) 1,2 - / ..
.E-,AIL ADDRESS' -
CONTACT PERSON FOR THIS PROJECT: El PROPERTY OWNER El APPLICANT CI CONTRACTOR (0*
■ DETAILED BUILDING INFORMATION -
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ 4e
SPRINKLERED BUILDING? El YES El NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:El YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
•
•
Z
**NEW RESIDENTIAL CONSTRUCTION ONLY* 7
bk
NUMBER OF BEDROOMS: + _MATED SELLING PRICE: $
11111111111111111111111111 CT FLOOR AREAS
FLOOR EX:_ 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 ❑ 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 e City of Federal Way as to any claim (including costs,expenses,and attorneys'fees incurred in the
investigation and def- se o uch claim),wh' h m- se made by any person, including the undersigned,and filed against the City of
Federal Way,but o w•-re such claim ar-e . •of the re'-nce of the city,including its officers and employees, upon the accuracy
of the information •.lied to the city a . .. •f this app ation. ,T
NAME/TITLE• / • / .1Z DATE: 7 dV/j
❑ PROPER OWNER ❑ •PPLICA XCONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION : BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO
COMMUNITY OFVF1 OPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129