07-104985City oevelopm ntS Buildift - Single Family Permit* 07- 104985 -00 -SF
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 8355-260] Inspection Request Line: (253) 835-3050
Project Name: BIRCH
Project Address: 645 SW 331ST ST
Parcel Number: 729803 0120
Project Description: REM - Remove shake roof, install 1/2 inch CDX presidential T/L composition shingle.
Owner
Applicant
Contractor
Lender
BRUCE P BIRCH
GARRY BAKER
MOSS MASTERS
BRUCE P BIRCH
JULIE M BIRCH
MOSS MASTERS
MOSSMM *956OW 9/16/07
645 SW 331ST ST
645 SW 331ST ST
11840 RENTON AVE #109
11840 RENTON AVE #109
FEDERAL WAY WA 98023 -6173
FEDERAL WAY WA 98023 -6173
SEATTLE WA 98178
SEATTLE WA 98178
Census Category: 555 - Non - structural roofing permits
Includes:
#1
#2
#3
#4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Areas . ft.
0
0
1 0
1 0
PERMIT EXPIRES Thursday, September 10, 2009
Permit Issued on Monday, September 10, 2007
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and th se will be in accordance with the laws, rules and regulations of the State of Washington
d the City of Federal Way.
Owner or agent: Date:
Z 10
THIS CARD IS TO MAIN ON -SITE f
ctry a, etommunity Developm nt Inspection - Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 104985 -00 -SF
Owner: BRUCE P BIRCH
Address: 645 SW 331 ST ST
FEDERAL WAY, WA 98023 -6173
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.
❑ Roof Sheathing (4220) ❑ Final - Building (4050)
A proved to install roofing Approved
Date By Date
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
RECEIVE*
I r 1 SEP 1 0 2007•. PERMIT 914
COMMUMTYDSVEL0PMSNTSERVIC&4 {
333 2 VlI•?0 BOX 9718
FRDEM WAY, WA 9 EDERA ;;j%0j .. ,,
pLICATION ss3sso7• FAx 253
u4indlederattuau. M
SF)MF CO ME EL PL DE EN FP
The following is required information— an incomplete application will not be accepted Please print. legibly (in ink) or tWe-
PROPERTY O.
SITE ADDRESS �� SUITE /UNIT #
ASSESSOR'S TAX /PARCEL ti _ _ _ _ _ _ _ LOT SIZE (sf)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot i)
PROJECT •• •
TYPE OF PERMIT
(2bILDING ❑ PLUMBING. ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT. NAME (Name of Business or Owner Last Namel
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
E PEOPLE INFORMATION
NAME PRIMARY PHONE
/;qi%� 249=
MA 1 O ADDRES9. C STATE, ZIP E -MA DDRESS
COMPANY NAME
A5W.ANT NAME
OFFICE PHONE
N
PHONE
) - 0!
Llri ADDRESS t�
Z 7Y
C ATE, ZIP f
C MAPHONE -
FAX NUMB
_ ) q Z-
CRT OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPI N DAT
D
CONTRACTOR'S REGISTRATION NUMB R
EXPIRATION DATE
E MAIL ADDRESS
F'AX U_MBE
d ,-7-
Y�r
� �zpz -
COMPANY NAME
AP PLI NAME
OFFICE PHONE
N
PHONE
LI A RE33 y
CrJX STATE, ZIP f
CELL PHONE
-
RELATI N IP TO PROJECT
F'AX U_MBE
❑ Architect o Tenant ❑ A ❑ Other
Y�r
� �zpz -
RA
NA
PRIMARY PHONE
E -MAIL ADDRESS
PHONE
NAME
Per RCW 14.2.7.095:
Lender information is required ()project value exceeds $5,000
MAILING
1
EXISTING USE PROPOSED USE Q 2
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
f
Av..---
0✓ -
ADDRESS
C11'Y, STATE, ZIP
PHONE
EXISTING USE PROPOSED USE Q 2
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
f
Av..---
0✓ -
PROJECT ••-
AREA DESC N
AREAS
•EXISTING
3 . FT.
PROPOSED
5Q. FT.
TOTAL
S . FT.
BASEMENT
r
GAG WATER HEATERS
MISC (Describe)
FIRST
FIREPLACE INSERTS
HOODS icon
SECOND
FURNACES
RANGES
a NO
THIRD
GAS LOG SETS
REFRIG. SYSTEMS
UP /SEPA /SU?
ADDITIONAL FLOORS (DESCRIBE)
o NO
PLATTED LOT?
o YES a NO
DECK (❑ COVERED OR ❑ UNCOVERED ?)
IAVS Uktb oemM*4
URINALS
MISC (Describe)
GARAGE ❑ CARPORT ❑
RAINWATER SYST
VACUUM BREAKERS
NUMBER OF FLOORS
mesa
rrroroesa
carer
r°r"i's 3RIMar
rorursaPaeroer
ronu.er
"10W 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.
Value of Medumical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS
WOODSTOVES
BBQS
FANS
GAG WATER HEATERS
MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS icon
COMPRESSORS
FURNACES
RANGES
a NO
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
UP /SEPA /SU?
o YESL
o NO
PLATTED LOT?
o YES a NO
BATHTUBS t.nb/-Combq
IAVS Uktb oemM*4
URINALS
MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS Irou q
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I cer ft that to the best of my
knowledge, the igformation submitted In support of this permit application is true and correct. I certo that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorised by the issuance of a permit. 1 understand that the issuance of this permit
or not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws.
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 )� c1st .. which may be made by any person, including the undersigned, and ftled against the city, but only
where such claim arises out o e reliance of the city, including its officers and employees, upon the accuracy of the information supplied to
the city as a part of this app lion. ! A
SIGNATURE:
o NEW a ADDITION
a ALTERATION
a REPAIR a TENANT DOROVEMENT
BUILDING SHELL ONLY?
o YES o NO
BASIC PLAN?
a YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
a NO
NEW ADDRESS REQUIRED?
OYES ONO
UP /SEPA /SU?
o YESL
o NO
PLATTED LOT?
o YES a NO
DEMO PERMIT REQUIRED?
o YES
a NO.
Bulletin # 100 _ August 16, 2007 Page 2 of 4 . MandoutsTermit Application