01-101818City Federal Way
Community Development Services Building - Single Family Permit #:01 - 101818 - 00 - 5h
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: SMITH
Project Address: 916 S MARINE HILLS WAY Parcel Number: 515296 0750
Project Description: RES REP - Reroof with "Gerard" stone coated steel tiles. Cover over existing shake roof.
Owner
Applicant
Contractor
Lender
Patrick D Smith
LIFETIME ROOFING TECHNG INC
LIFETIME ROOFING TECHNG INC
NONE
916 S MARINE HILLS WAY
14019 8TH ST SUITE B
LIFETRT033BG (9/19/01)
FEDERAL WAY WA
BELLEVUE WA 98007
14019 8TH ST SUITE B
98003-3189
BELLEVUE WA 98007
NONE
Includes
Census category: 555 - Non-st #1 #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
PERMIT EXPIRES November 4, 2001, IF NO WORK IS STARTED.
Permit issued on May 8, 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�W.
Owner or a % 1 Date: }
b
awr �
i
POS" "HIS CARD ON THE FRONT OF BUILDF "
BUILDING DIVISION
INSPECTION RECORD
INSPECTION REQUEST PHONE #: 253-835-3050
PERMIT #: 01 -101818 -00 -SF
OWNER'S NAME: Patrick D Smith
SITE ADDRESS: 916 S MARINE HILLS
O FOOTINGS/SETBACKS _ ( ) FOUNDATION WALL
DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED
O DRAINAGE: Line ( ) Connection
DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED
() UNDERFLOOR FRAMING
O ROUGH PLUMBING: DWV
() ROUGH MECHANICAL
O SHEATHING
() SHEAR WALLS
O ELECTRICAL. ROUGH -IN
() FIRE/DRAFTSTOPS
ALL THE ABOVE MUST BE APPROVED PRIOR TO FRAMING INSPECTION
Water piping
Gasig
&AVey,-e With
> res
Roof _ lour
Ditch Cover
( ) FRAMING/FIRESTOPPING
THE ABOVE MUST BE APPROVED PRIOR TO INSULATING OR SHEETROCKING
O INSULATION: Floors _ Walls _ Attic
THE ABOVE MUST BE APPROVED PRIOR TO APPLYING SHEETROCK
O WALLBOARD NAILING __ ( ) SUSPENDED CEILING
THE ABOVE MUST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE
O ELECTRICAL FINAL
() PLANNING FINAL
O PUBLIC WORKS FINAL
O FIRE FINAL
THE ABOVE MUST BE APPROVED � =5-7
DINGPARTMENT FINAL—BUILDING FINAL jjj
DO NOT OCCUPY TH IS BUILDING UNTIL BUILDING FINAL IS APPROVED
Y.,a. � �. 0. jl� CONSTRUC, _JN PERMIT APPLICATION
VV RY—
�� APPLICATION NUMBER: - _ _
1oF�N PPLICATION 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.
r PROPERTYa
SITE ADDRESS: 'L J , al �4,ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
w ; ■ PROJECT INFORMATION
TYPE OF PROJECT (This application): BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description)-
( � ,0 S-inwk. C��A7 E a3 -5�
PROJECT NAME:��
PROPERTY OWNER:
CONTRACTOR:
4NO
■ PEOPLE INFORMATION
NRME: 5`7-SI77 /T/� Z]"7y) ONE
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
C /A S` L�w� �kL L S mzl
NAME:9
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, Li P): y
SFAX
EVENING PHONE:
CITY OF FEDERAL WAY 8US1N
LICENSE NUMBER:
NUMBER:
CONTRACTOR"$ REGISTRATION NUMBER:
+�
EXPIRATION DATE:
(copy of card required)L
L L
APPLICANT: NAME,
r4l"O"el" /d
MAILING ADDRESS (STREET ADDRESS; CITY,
RELATIONSHIP TO PROJECT:
❑ ARCHITECT ❑ TENANT
ATE, ZIP):
.5t7 b'
❑ OTHER ( DESCRIBE):
'rte 7
DAYTIME PHONE:
EVENING PHONE:
c ) J-2, -,
('uMA) 71,,,'7- /,fO,
E-MAIL ADDRESS
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
DETAILED BUILDING INFORMATION
EXISTING USE: S _ EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED USE: r _ PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ 1V0 FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES 460
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
-tel
"NEW RESIDENTIAL CONSTRUCTION ONLY"
_ NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PR03ECT FLOOR AREAS
FLOOR
EXISTING S . FT.
PROPOSED S . FT.
TOTAL
BASEMENT
BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES ❑ NO
FIRST
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO
MECHANICAL
SECOND
AIR HANDLING UNIT(S)
EVAPORATIVE COOLER(S)
THIRD
REFRIG. SYSTEM(S)
BBQ(S)
FAN(S)
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
WOODSTOVE(S)
BOILERS)
FIREPLACE INSERT(S)
RANGE(S)
MISC. ( }
COMPRESSOR(S)
FURNACE(S)
GARAGE
HOW MANY FLOORS?
DUCT(S)
GAS PIPE OUTLET(S)
TOTAL:
❑ ELECTRIC ❑ GAS
namaTMERIRTaNaTilRE nur.
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 informatiq_n_�upjgieq to the city as p(paAW his app 'ratio I
NAME
❑ PROPERTY OWNER ❑ APPLICANT L"f CONTRACTOR
DATE:
FOR OFFICE USE ONLY: L
❑ NEW ❑ ADDITION ❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES ❑ NO
Indicate number of each type of fixture
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO
MECHANICAL
AIR HANDLING UNIT(S)
EVAPORATIVE COOLER(S)
GAS LOG(S)
REFRIG. SYSTEM(S)
BBQ(S)
FAN(S)
_. - HOOD(S)
WOODSTOVE(S)
BOILERS)
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)
namaTMERIRTaNaTilRE nur.
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 informatiq_n_�upjgieq to the city as p(paAW his app 'ratio I
NAME
❑ PROPERTY OWNER ❑ APPLICANT L"f CONTRACTOR
DATE:
FOR OFFICE USE ONLY: L
❑ 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 DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • P.O. BOX 9718 - FEDERAL WAY, WA 98063-9718 - 253-661-4000 • FAX: 253-661-4129