06-104957s
City of Federal Way Buiing - Single Family Perm #: 06- 104957 -00 -5 F
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050
Project Name: SMITH
Project Address: 29117 1ST AVE S Parcel Number: 119600 0005
Project Description: REP - Reroof w /sheathing & 6" rigid foam insulation
Owner
Applicant
Contractor
Lender
LETHCO SMITH
LETHCO SMITH
205 SW 299TH PL
205 SW 299TH PL
205 SW 299TH PL
FEDERAL WAY WA
FEDERAL WAY WA
FEDERAL WAY WA
98023 -3570
98023 -3570
98023 -3570
0
0 0
Census Category: 434 - Residential alt /add - no change in number of units
Includes:
#1
#2
#3 #4
Occupancy Class:
instruction Type:
u ancy Load:
--
Area s. ft.
0
0
0 0
PERMIT EXPIRES Monday, September 29, 2008
Permit Issued on Friday, September 29, 2006
I hereby certify that the above infor ion is correct and that the construction on the above described property and
the occupancy and the u I b ir1,1accordance with .laws, rules and regulations of the State of Washin on
` nd the C o 9 ede Way.
Owner or agen Date:
THIS CARD IS TO MAIN ON -SITE
CITY of tommunity Developm nt Inspection Reco'rd'
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 06- 104957 -00 -SF
Owner; LETHCO SMITH
Address: 29117 1 ST AVE S
FEDERAL WAY, WA 98003 -3675
This card is part of your required inspection documents Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible (read left to right, top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence On -going inspections
are logged on the back of this card.
❑ Temp. Erosion Control (4365) ❑ Underfloor Framing (4285) ❑ Floor Sheathing (4105)
To be done prior to breaking ground Approved to sheath floor Approved to install flooring
By Date By Date By Date
❑ Shear Walls (4245) ❑ Roof Sheathing (4220)
Approved to install siding Approved to install roofing
By Date By
NOTE: Prior to scheduliug a Framing (4120) ❑ Framing (4120)
inspection; Electrical, Plumbing & Mechanical Approved to insulate
Rough -in and Fire/Draft Stop inspections must be
signed -off and approved. IBC 109.3.4/UBC 108.5.4
By Date
❑
Fire/Draft Stops (4095)
Approved
By
Date
❑
Insulation (4150)
Approved to install wallboard
By
Date
❑ Gypsum Wallboard Nailing (4130) ❑ Final - SWM (4375) ❑ Final - Building (4050)
Approved to install mud & tape Approved A ro ed
B Date B Date B /4 Date
�j
Y Y Y e
[]Temp. Erosion Maintenance (4370 1
Approved
By Date
RECEWD
AL CITY OF ' E 2
Federal way 9 Zoos PERMIT
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sY53- 835 -2607- FAX 253. 835 -26 0 9 � O FED R BC PLI CATI O N N u eBUIDNG ED FBDSR 98063-9718
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The followina is required information - an incomplete application udIl not be
SITE ADDRESS
ASSESSOR'S TAX /PARCEL N (DC) - L) 0—
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page f- le wOw legal dcs -ipd -4
Please print lea0hi /in ink► or
SUITE /UNIT #
LOT SIZE (sj)
TYPE OF PERMIT lkBUILDING . ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
PROJECT NAME (Name of Business or Owner Last Name) 1� l
PEOPLE •• •
PROPERTY
NAME- PRIMAIg PHONE
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $ i�L,'VIJV
SPRINKLERED BUILDING? ❑ YES iq NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER W LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER 117E LAKEHAVEN . ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
COMPANY NAME
APPLICANT NAME
MAILING ADDRESS
CITY , ZIP
MAILING ADDRESS
CITY, STATE, ZIP
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
RELATIONSHIP TO PROJECT
CITY, STATE, ZIP
/CELL PHONE
l � -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
B L
FAX NUMBER
CONTRACTORS REGISTRATION NUMBER (copy of card required with each application(
EXPIRATION DATE
EXISTING USE PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $ i�L,'VIJV
SPRINKLERED BUILDING? ❑ YES iq NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER W LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER 117E LAKEHAVEN . ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant
❑ Agent ❑ Other (Describe)
EXISTING USE PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $ i�L,'VIJV
SPRINKLERED BUILDING? ❑ YES iq NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER W LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER 117E LAKEHAVEN . ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
SECOND
THIRD
FOURTH
EXISTING I PROPOSED I TOTAL
GARAGE ❑ CARPORT ❑
susnso rsorrossso rora.
NUMBER OF FLOORS
"NEW HOMES ONLY"" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
SHOWERS
WATER CLOSETS (T.a q
Value of Mechanical Work $
SINKS
DRINKING FOUNTAINS
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
BBQS
FANS
HOODS (commercial)
BOILERS
FIREPLACE INSERTS
RANGES
COMPRESSORS
FURNACES
GAS WATER HEATERS
DUCTS
GAS PIPE OUTLETS
BATHTUBS for Tub /Shower Combo)
SHOWERS
WATER CLOSETS (T.a q
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE BIBBS
LAVS (Bathroom sinln)
VACUUM BREAKERS
ELECTRIC WATER HEI
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
I certify under penalty of perjury that the in, formation furnished by me is true and correct to the best of my knowledge, and further, that I
am authorised 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 mad an arson, t eluding the un rs ned, filed against the City of Federal Way, but only where such claim
arises out of the reliance of city, ci ding officers and mplo es, the accuracy of the it formation supplied the city a part of
this application.
NAME /TITL DATE
(Signature) (Title)
RELATIONSHIP TO PROJECT q Owner ❑ Agent ❑ Contractor ❑ Architect o Other
Bulletin #100 —January 1, 2006 Page 2 of 4 k\Handouts\Pennit Application