03-102799 •
•
City of al Way
Community DevelopmentServices Building - in le Family Permit #:03 - 102799 - 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: JACKSON C.b
Project Address: 2231 S 304TH ST Parcel Number: 053700 0130
Project Description: ALT-Nonstructural re-roof of existing residence. Change from shake to 30-year composition
shingles.
Owner Applicant Contractor Lender
William Jackson TEDRICK'S ROOFING INC TEDRICK'S ROOFING INC NONE
2231 S 304TH ST 37220 188TH AVE SE TEDRIRI121NC(5/7/05)
FEDERAL WAY WA AUBURN WA 98092 37220 188TH AVE SE
98003-4807 AUBURN WA 98092 NONE
Includes:
Census category: 555-Non-st #t #2 #3 #4
Occupancy Group: 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
PERMIT EXPIRES January 4,2004.
Permit issues on July 8,2003
I hereby certify that the above information is correct d tha h- snstruction on the above described property and
the occupancy and the use will be in ac • •.s ce w' , - • • s,rules and regulations of the State of Washington and
the City of -ra Way/6,
Own-, or agent: - !�'�/% Date7'
Pii THIS CARD ON THE FRONT OF BUIL NG
CITY OF
.•; Federal WayB LDING DIVISION
INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-835-3050
PERMIT #: 03-102799-00-SF
OWNER'S NAME: William Jackson
SITE ADDRESS: 2231 S 304TH
() 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 FRAMINC
( ) ROUGH PLUMBING: DW`/ Water piping
( ) ROUGH MECHAI' 'CAL Gas piping
( ) Roof
( ' SHEAR WALLS
O Ef2,CTRICAL RC U._rH-'-i Ditch Cover
_:r'`:•RAFTSTCT •
ALT '?,iE . .EO'/Je MUST BE APPR:VED PRIOR TO FRAMING INSPI✓CTi)N
' ) FRAMING/FIRES=P_ll T
THE f'.ii'.' :US'i BE APPROVED PRIOR TO INSULATING OF.SHEE'I'ROC:rIN'_'
( ) INSULATION: Ficcrs Walls Attic
THE AEOVE MUST BE APPROVED PRIOR TO APPLYING SHEETROCK
() WALLBOARD NATLING () SUSPENDED CEILING
THE ABOVE MUST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE
() ELECTRICAL FINAL
( ) PLANNING FINAL
() PUBLIC WORKS FINAL
( ) FIRE FINAL
THE ABOVE MUST BE APPROVED PRIOR TO BUILDING DEPARTMENT FINAL
() BUILDING FINAL
DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED
n
Nrwir
CONSTRUCN PERMIT APPLICATION
CITY OF _„..A.
c'v p APPLICATION NUMBER: OS- ( O 2.29p- 121 SFFe d e ra l APPLICATION NUMBER: -
JUL o 8 2003 APPLICATION NUMBER: - -
**The fgl rkacj aquired information—Please print(in ink)or type**
Please note: 61-4010 U.3...-' grntion Systems and Engineering permits may require a separate application.
.
- - ' _-- ■ PROPERTY INFORMATION . - _
SITE ADDRESS:C7?..R / ^'(J Dye ASSESSOR'S TAX/PARCEL #: 0137 ao - 30
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING o PLUMBING 0 MECHANICAL o DEMOLITION
❑ ELECTRICAL 0 ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT DE C IPTION(ProviOe detailed description):>100/-"7' j,j AcjJ Ai ige.f..- 071:-......--/-4,10-;//
svo .' -°i_IP 3v i.e. a •
PROJECT NAME: Vy(-1ef6/J
II-PEOPLE INFORMATION.
PROPERTY OWNER: NAME: Zili ( ; DAYTIME PHONE. ///h -i v DA/ 1 i2.-s3 )- 29-ady6.
MAILING ADDRESS(STREET ADDRES ;CITY, TE,ZIP):
G2,23/10.3o .,rT- W �`2O.
CONTRACTOR: N `� ( / j DAYTIME PHONE:
Iel_ACI j Ori ( ' cli)� )�a��- WO
MAILING ADDRESS(STREET AD RESS;CITY,STATE.ZIP): i EVENING PHONE'
3 72-2/) APJ' Jiii)21,0w 1J e ( ) -
�—CITY F FEDERAL WAY BUSINFcc LICENSE NUM II — A//' FAX NUMBER: -1
Iw—� (/�CONTRACTOR'S REGISIRA�ON NUMBER: /, � / /—/ /L(/` — — I ( )
EXPIRATION DATE:
•( (cAopy of card required) —C /..3-'tJ /0
/
APPLICANT: NDAYTIME PHONE:. //�/ /` 'i4Od )er,77_yU
M (STREET ADDRESS;CITY, ZIP):
EVENING PHONE:
RELATIONSHIP TO PROJECT: FAX NUMBER
0 ARCHITECT 0 TENANT ❑ OTHER ( DESCRIBE): ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ri APPLICANT ILJ ONTRACTOR
"-II DETAILED BUILDING INFORMATION
EXISTING USE: yes. EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: f^ � PROPOSED VALUATION FOR IMPROVEMENTS: $ /40 apt
SPRINKLERED BUILDING? ❑ YES k-NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO
WATER SERVICE PROVIDER: LAKEHAVEN 0 HIGH LINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: EHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
•
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $_
,. ■ PRO]ECT 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: 0 ELECTRIC ❑ GAS j
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC o GAS I
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 a y person,including the undersigned,and filed against the City of
Federal Way,but only where such claim arises out of •• lint• of the city,including Its officers and employees,upon the accuracy
of the Information suppli.I to the city as a part • a is applicati.n.
L.,
,
NA TITLE: P J4� ' i / DATE: ^J
o ROPER . 0 NER ❑ APPLICANT ❑ CONTRALTO
FOR OFFICE USE ONLY:
❑ NEW.ai H'ADDITION o ALTERATION o REPAIR . "'` ❑TENANT IMPROVEMENT Y"
CENSUS CODE - LOT SIZE:
ZONING DESIGNATION ;;= ' ' ;BUILDING SHELL ONLY? I YES ❑ NO
COMP PLAN DESIGNATION . BASIC PLAN? = = o YES o NO
SECTION- TOWNSHIP RANGE r NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT?:`'❑YES o NO ° . - CHANGE OF USE? ❑YES' `a NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
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