01-103849 'C ity of Fiede''ul Way
rm • •
Community Building •
- Single Family Permit #:01 - 103849 - 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: ROBERTS
Project Address: 4605 SW 316TH PL Parcel Number: 211551 0310
Project Description: REPAIR-Demolish fire damaged structural and finish materials. Reconstruct roof truss system,
siding,drywall and window in attached garage.
Owner Applicant Contractor Lender
Frederick C Roberts AACE CONTRACTING AACE CONTRACTING AMERITECH
4605 SW 316TH PL 3902 W VALLEY HWY N SUITE 4E AACECIR06402 8/29/02
FEDERAL WAY WA 98023-2183 AUBURN WA 98001 3902 W VALLEY HWY N SUITE 41: t :'
AUBURN WA 98001
Includes:
Census category: 434-Reside #1 #2 #3 #4
Occupancy Group: U-1
Construction Type: Type V-N
Occupancy Load:
Floor Area(Sq.Ft.):
Basic Plan No Census Category 434-Residential alt/add-no
Mechanical No Occupancy Group#1 U-1
Plumbing No
PERMIT EXPIRES April 7,2002,IF NO WORK IS STARTED.
'.� Permit issued on October 9,2001
I hereby certify that the above info . '• • ect and that the construction on the above described property and
the occupancy and the use wi •- ors a' : with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: /Fr I ` Date: 10— 7— O�
POST.IS IS CARD ON THE FRONT OF BUILDIN •
CRT C``
BUIL NG DIVISION •
VV FrY INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-835-3050
PERMIT #: 01-103849-00-SF
OWNER'S NAME: Frederick C Roberts
SITE ADDRESS: 4605 SW 316TH
( ) FOOTINGS/SETBACKS ( ) FOUNDATION WALL
DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED
( ) DRAINAGE: Line ( ) Connection
DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED
() UNDERFLOOR FRAMING _
( ) ROUGH PLUMBING: DWV Water piping
( ) ROUGH MECHANICAL Gas piping
( ) SHEATHING Roof /d Z '''I"o( JFloor
() SHEAR WALLS /b - 2 9-
() ELECTRICAL ROUGH-IN_ Ditch
CCove
O FIRE/DRAFTSTOPS_ � '/ f
ALL THE ABOVE MUST BE APPROVED PRIOR TO FRAMING INSPECTION
( ) FRAMING/FIRESTOPPING
® b, THE ABOVE MUST BE APPROVED PRIOR TO INSULATING OR SHEETROCKING
() INSULATION: Floors /2, ' p/ Cc,J Walls /2. - 3 - or L W Attic
THE ABOVE MUST BE APPROVED)PRIOR TO APPLYING SHEETROCK "
() WALLBOARD NAILING / Z.' 7 — O/ C.. () SUSPENDED CEILING
111111111P''THE ABOVE MUST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE
() ELECTRICAL FINAL l- Z 3 6 2_
( ) PLANNING FINAL
() PUBLIC WORKS FINAL
( ) FIRE FINAL
THE ABOVE MUST BE APPROVED PRIOR; O BUILDING DEPARTMENT FINAL
( ) BUILDING FINAL / — Z 3 - Q ?
DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED
�s37
_ REED
�.ar �—
L I iON PERMIT APPLICATION
VV FAY L OGT 0 2 2001ErKFI
NUMBER: _0 1 - I ( 3 1 - S c
NUMBER: - -
( ITY OF FEDERAL WAY P N NUMBER: -
BUILDING DEPT. -
**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: He.O 5 5Q 3 i CD h ►°L ASSESSOR'S TAX/PARCEL #:
.SLI�.� L - 0310
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
,'• ' • - ■ PROJECT INFORMATION
TYPE OF PROJECT(This application): ® BUILDING ❑ PLUMBING ❑ MECHANICAL LX.DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): re)b-C tr vis s y 5 f e-P, F. .- 5 4 ''45 c / —"4-//3
5i d, :rs / Cir7 4 /f' I 4....0•.ti .1060 $ (tot 1 -•' tiS
PROJECT NAME: pb(Ari-5
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: , DAYTIME DAYTIME PHONE:
ick ober11..5 (253) Goa,- 943Q
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
CONTRACTOR: NAME: DAYTIME PHONE:
CPr A E Com-+rgcr ,'v j ()-53 ) 8-33- 9751
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: I !
3 ` `/''OF FEDE /�WAY BUSINESS LICENSE U4NII BFJC E, �w fu. LI'2- (2 O 40)7, o - 5 0 ` Z.!
FAX NUMBER:
Aob��,) �4 . - - (-153) 133 - 525
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: 1
(copy of card required) /' g- C.- e S, T /( D 5p Y Q 2 Or / .0 / 0 .Z
APPLICANT: NAME: � DAYTIME PHONE: !
A4Co- 6-le- YMM
nn '1 C Gr c -e (.-5 3) 53 3- ci 751
MAILLII`NNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): /� } .L I /� EVENING PHONE:
\y,P •\cON\i -5\ C0NOSa.H OPROJE Li 0'q Uc.( a4J -/ �V• `L4 4 hc„,i, (io(� ! 3O So/Z!
1( FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE):Co IV%RCACTOI (25i) ' y T - 5-2.s7 1
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT XCONTRACTOR i
■ DETAILED BUILDING INFORMATION
EXISTING USE: /(e$ EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ Z 2-5, 0490
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ S 00O
SPRINKLERED BUILDING? ❑ YES Ctifir FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES K,NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
•
**NEW RESIDENTIAL CONSTRUCT'
O
NUMBER OF BEDRO( ' ,'��O •[IMATED SELLING PRICE: $
111111111.1111E -
<V QQ\40ry-tiQ' ' RO]ECT FLOOR AREAS
FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL
BASEMENT ,c
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 th- .: _ ederal Way as to any claim(including costs,expenses,and attorneys'fees incurred in the
investigation and defense of clai ),w'• h may be made by any person,including the undersigned,and filed against the City of
Federal Way,but only wh• = ? ch c .im arise. out of the reliance of the city,•ncluding its officers and employees,upon the accuracy
of the information sup. jtyas a p:it of this application. /
NAME/TITLE: DATE: 6 O y O/
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
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
Cf1MMI INITY flFVFI OPMFNT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
1
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( CONSTR_U _ ION PERMIT APPLICATION
VV FEN-. APPLICATION NUMBER: eV- /40 '� i6� -
APPLICATION NUMBER: - -
JAN 2 q 2001 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._
- ..,. .. ;,;I.PROPERTY INFORMATION . -
Gc7 3Z 'L,
SITE ADDRESS: `/ �,y'j�/1.47,7 ��SS ASSESSOR'S TAX/PARCEL #: / 2 QV O
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
r' - ,<: : •.■ PROTECT INFORMATION • . -. . .
TYPE OF PROJECT(This application): ,BUILDING ❑ PLUMBING El MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):)5fj ,OP/P2 S - f//t//TS ; VdV, Z/Dz/
-M'1, omits—, 2/1 , 2/0 7
.€PAbe/r,P-P //Ze-7
PROJECT NAME: 77_/i2E.. e—4/r ••- ?)te.(_,iC5
- -_.-.1111 PEOPLE INFORMATION .
PROPERTY OWNER: NAME: GES✓ ,4,c6DAYTIME PHONE:
f�vlN T7�� /C 1� e-3-'-7-4 (�� c).— (/E:--4/T ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
izei/i X -/ ,ST; mac;, l) t c etek:,, Aill y5rrD-
CONTRACTOR: NAME: DAYTIME PHONE:
77P--/G-LJI-rK 6"/C7.-. 6. CZi- /4V(. (-&-C) 775' -z.:-5-O7 �
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
/747 5, � 575./1 Ti36,6, -pr<- ,' 9`y`'•0( ) -
,
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
Z0 - / e3 03 S'- BL- (405") -77"- /7
CONTRACTOR'S REGISTRATION NUMBER:
_ / /'' j /" EXPIRATION DATE:
(copy
(copy of card required) -27K / 4 U (7 O 5- lCi 9 //e/ ise,/
APPLICANT: NAME: DAYTIME PHONE:
/1-177/471/ / /7- (4")(0 ) /;" ; - ele./7 J
MAI (STREETEVENING PHONE:
-
R � �'r5 ' 1C i /���s 7 J F )
RELATIONSHIP TUWCT:
FAX NUMBER:
El ARCHITECT ❑ TENANT jeOTHER(DESCRIBE):2*%.) -(" 4(4( /&, f( ) -
E-MAI ADDRES .
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER {APPLICANT ❑ CONTRACTOR K
- .'■ DETAILED BUILDING INFORMATION - -
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ /1" ,, g.'" 7
7
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)
1) 0/J 02'8
• • y.
**NEW RESIDENTIAL CONSTRUCTION ONLY**
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 75— Cx Q tom'__(x ((/
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) El 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 supplied to the city as a 'art of t s application.
NAME/TITLE: y—� /7 DATE: r4-1/6/
❑ PROPERTY ER i •PPLIC•NT ❑ CONTRACTOR
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 El NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO
rr\MMi INrrV nrvcl(1PMFNT cFPVIcFC.ficin FIRST WAY SO1ITH•P(1 BOX 9718•FFIIFRAI WAY.WA 9R063-9718-253-661-4000-FAX. 251-661-4179