05-1059494.
•
City of Federal Way
Community Development Services Building - Singles amily Permit #: 05 - 105949 - 00 - SF
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -7000 Fax: (253) 835 -2609 Inspection request line: (253) 835 -3050
Project Name: NYBERG
Project Address: 225 SW 331ST PL Parcel Number: 729802 0020
Project Description: Tear off shake roof, re- sheath with CDX plywood; install new comp shingles
Owner
Applicant
Contractor
Lender
James A Nyberg & Linda L Nyberg
PLATINUM ROOFING
PLATINUM ROOFING
NONE
225 SW 331 ST PL
1319 V ST NW
platir]96lp6 10/26/06
FEDERAL WAY WA
AUBURN WA 98001
1319 V ST NW
98023 -6182
AUBURN WA 98001
NONE
Includes:
Census category: 555 - Non -st
Construction
Floor
Census . ..................
................
I hereby certify that the above
the occupancy and the use wi
the City of Federal Way.
Owner or agent:
#1 #2
R -3
ieV -B
#3
Mechanical ...............................................
Plum, bine ........n ...Q, ..........
Permit issued on November 18, 2005
is correct and that the construction on the ab ve described property and
lance with the laws, rules and regula o e tate of Washington and
• • ate: 1 { { g r
J
5
#4
THIS CARD IS TO m AIN ON-SITE
CITY OF toommum-kyDevelo e t Inspection n Record
Federal
Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 05- 105949 -00 -SF
Owner: JAMES A NYBERG
Address: 225 SW 331ST PL
FEDERAL WAY, WA 98023 -6182
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) ❑ Plumbing Groundwork (4190) ❑ Underfloor Framing (4285)
To be done prior to breaking ground Approved to cover Approved to sheath floor
By Date By Date By Date
❑ Floor Sheathing (4105)
Approved to install flooring
By Date
❑ Shear Walls (4245)
Approved to install siding
By Date
❑
Fire/Draft Stops (4095)
NOTE: Prior to scheduling a Framing (4120)
By
Approved
inspection; Electrical, Plumbing & Mechanical
❑
Framing (4120)
Rough -in and Fire/Draft Stop inspections must be
By
Date
signed -off and approved. IBC 109.3.4/UBC 108.5.4
❑
Final - SWM (4375)
❑
Insulation (4150)
By
❑ Gypsum Wallboard Nailing (4130)
Approved to install wallboard
Approved to install mud & tape
By
Date
By Date
❑
Final - Building (4050)
❑Temp. Erosion Maintenance (4370)
Approved
Approved
By
Date
By Date
❑
Roof Sheathing (4220)
Approved to install roofing
By
Date
❑
Framing (4120)
Approved to insulate
By
Date
❑
Final - SWM (4375)
Approved
By
Date
NO V *
Federal Way ` _PERMIT
cn*"O'�
333325SmAVVENUESOUTH -POBO 9718 SUILOIiEy��AL
FEDERAL WAY, WA 98063.9718 (1' � L I r A T I O N
253 -835 -2607• FAX 253835 -2609 1 11 v 1
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ng
—w- re nformation -an incomplete application will not be accepted. Please print legibly n ink) or type.
SITE ADDRESS 2 S J W ,�' 1 SUITE/UNIT #
ASSESSOR'S TAX /PARCEL Ik _ _ LOT SIZE (sp
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separatsPage far kwft Ival d- .ripd -)
• • •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work inqfuded orythis ermit onl
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY LNAI OWNER
CONTRACTOR COI
I
Cm
APPLICANT
ADS S W
t
- -B' L
,RACTORS RE41ST TION NUMBER (copy of card required with each ap
rM K V MdGK
.31
I EXPIRATION DATE
%0 IX 6 10,6
R
NY NAME
APPUCA� MEOFFICE
PHONE
ADDRESS
CITY, STATE, ZIP —
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent
❑ Other (Describe)
FAX NUMBER
( � _
AREA DESCRIPTION EXISTING PROPOSED TOTAL
S . FT. S . FT. SO. FT.
BASEMENT
FIRST
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
NUMBER OF FLOORS
"NEW HOMES ONLY" NUMBER
Indicate number of each type
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS ✓'
E70SM0 PROPOSM TOTAL
)F BEDROOMS ATIMAT
of fixture to be installe r relocated as part
BNIW'C S (or Tub /Shower Combo)
DIS ASHERS
AS PIPE OUTLETS
WASHING MACHINES
LAVS in.th— sit-A
Do not include existing fixtures to remain.
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
FANS
HOODS(commerciq
WOODSTOVES
FIREPLACE INSERTS
RANGES
MISC (Describe)
FURNACES
GAS WATER HEATERS
GAS PIPE OUTLETS
SHOWERS
WATER CLOSETS (roueq
MISC (Describe)
SINKS
DRINKING FOUNTAINS
SUMPS
RAINWATER SYST
URINALS
HOSE BIBBS
VACUUM BREAKERS
ELECTRIC WATER HEATERS
I cert;jy 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 p n, including the undersigned, and filed against the City of Federal Way, but only where such claim
arises out of the reliance oft ty, t i ng its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
NAME /TITLE DATE
(Signature) (Title)
RELATIONSH PROJECT ❑ Owner -5Y'Agent ❑ Contractor ❑ Architect ❑ Other
Bulletin # 100 — January 7, 2005 Page 2 of 4 Mflandouts\Pcrmit Application