01-103268 A
City of Fedcral Way Building - Single Family Permit #:01 - 103268 - oo - SF
Community Developnxnt Scrvices
33530 lst Way S
Federal Way,WA 98003-6210
Ph:253.66I.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: WHITNEY
Project Address: 31612 45TH PL SW Parcel Number: 211551 0150
Project Description: RES REROOF-Tear off& resheet 1/2 cdx,insta(ling taminated shingle
Owner Applicant Contractor L.ender
Carol A Whimey A G ULRiGG ROOFING A G ULRIGG ROOFING NONE
31612 45TH PL SW 35002 28TH AVE SW AGULRR*OSSKH 6/4/02
FEDERAL WAY WA FEDERAL WAY WA 98023 35002 28TH AVE SW
98023-2188 FEDERAL WAY WA 98023 NONE
Includes:
Census category: 555-Non-st #1 #2 #3 #4
Occupancy Group: R-3
Construction Type: Type V-N
Occupancy L,oad:
Floor Area(Sq.Ft.):
Census Category................................................. 555-Non-structural roofing p Mechanical................................................. No '
Occupancy Group#1...........................................R-3 Plumbing................................................. No
Zoning Dcsignation.............................................RS 7.2
PERMIT EXPIRES February 16,2002,IF NO WORK IS STARTED.
Permit issued on August 20,2001
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 Wa
Owner or agent: c� Date: ���''�l
r
PO HIS CARD ON THE FRONT OF BUILD
� ��� BUILDING DIVISION
uv HY INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-835-3050
PERMIT #: 01-103268-00-SF
OWNER'S NAME: Carol A Whitney
SITE ADDRESS: 31612 45TH SW
( ) FOOTINGS/SETBACKS ( ) FOLJNDATION WALL
DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED
( ) DRAINAGE: Line ( ) Connection
� �'` DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED
( ) UNDERFLOOR FRAMING
O ROUGH PLUMBING: DWV Water piping
( ) ROUGH MECHANICAL Gas piping
( ) SHEATHING Roof Floor
( ) SHEAR WALLS
( ) ELECTRICAL ROUGH-IN Ditch Cover
( ) FIRE/DRAFTSTOPS
ALL THE ABOVE MUST BE APPROVED PRIOR TfJ FRAMING INSPECTION ` ".
�
( ) FRAMING/FIRESTOPPING _ �� � � �� 1 ��� �,
��'� ' THE ABOVE MUST BE APPROVED PRIOR TO INSULATING OR SHEETROCKING ,
( ) INSULATION: Floors Walls Attic
����� �� THE ABOVE MUST BE APPROVED PRIOR TO APPLYING SHEETROCK`
( ) WALLBOARD NAILING ( ) 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 PRIO TO BUILDING DE�ARTMENT FINAL
( ) BUILDING FINAL � �� �/ ,������,
DO;NOT=OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED :
� �b��
��� �- CONSTRU( �N PERMIT APPLICATION
.
�V �y�� PPLICATION NUMBER: � � - I U � Z � � - G o
PPLICATION NUMBER: - -
PPLICATION NUMBER: - -
**The following is requi�ed i�formation-Please print(in ink)or type**
Please note: Electrical, Fi�e Preve�tio Systems and Engineering permits may require a separate application.
. � . . . �
SITE ADDRESS: �I�F \Z �"�S'�'`�''P �- S "`= ASSESSOR'S TAX/PARCEL #: � I � ��j L - �� �O
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACN SEPARATE DESCRIPTION IF LENGTHY):
• � • • •
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PRO7ECT DESCRIPTION (Provide detailed description): ��--R�=��- �`-4-�' u� " �(`�—S I��e�- - ��z L�O�
�✓�S�t\\w�.c 1'�1�i►"'���n-1Pd�3 Vv�.-t�
PROJECT NAME: �f�.��
• • • • •
PROPERTY OWNER: rvAME: . DAYTIME PHON[:
�(.�s r i�.1 �. �. �7-S ) ��Y - 3 1 9 � j
MAI�ING ADDRESS(STREET ADDRESS;CITY,STAT ZIP):
• ,L ` -�- 11- �---� t.,,�-�- L' �`=�-
CONTRACTOR: N^ME: � DAYTIME PHONE:
, '�_ �.. �f„\r i ����-� �-7 �J ) `��I -7 i�/7 I
MAILING ADDRESS(SfF2EEf ADDRESS; ,STATE,ZIP): EVENING PHONE:
� P-�- 3�� a.���- �-5 3 > > -�� �- i
CITY OF FEDERAI WAY BUSINESS IICENSE NUMBER: FAX NUMBER:
- - � � -
CONTRAQOR"5 REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) � �
I APPLICANT: NAME: DAYTIME PHONE:
� �
�� MAILING ADDRESS(SIREEf ADDRE55;CITY,STATE,ZIP): EVENING PHONE: I
\ �
RELATIONSHIP TO PRO)ECT: FAX NUMBER: �
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): � � -
EMAIL ADDRESS: �
CONTACT PERSON FOR THIS PROJECT: ❑ P OPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
. . • . • .
� EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
f� L/ r7� �� . .3 t�;
PROPOSED USE: �'�� r""� � PROPOSED VALUATION FOR IMPROVEMENTS: $ 7 a
t SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
� WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
i SEWER SERVICE PROVIOER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
Y'NEW RESIDENTIAL CONSTRUCTION ONLY**
NUME3ER OF BEDROOMS: ESTIMATED SEL�ING PRICE: $
• • . • -
FLOOR EXISTING S .FT. PROPOSED S .FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL•
►
Indicate nurnber of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
ggQ(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(5) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC. ( )
INTERCEPTOR(S) SUMP(S)
. •
I certify under penalty of perjury th t 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 part of this application.
NAME/TITLE: �-�'`'�7 1 �%�^^" f DATE: "�J ���
❑ 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