07-103254r City oed y
Community Development Services Busing - Single Family Permit #: 07- 103254- 00�-SF
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: CLINE
Project Address: 1083 SW 332ND PL
`= `__1 `. Parcel Number: 926495 0660
Project Description: ALT - Tear off cedar shake roof and reroof with asphalt shingle.
Owner
Applicant
Contractor
Lender
LOLA JEANETTE CLINE
R COUSINEAU CONST
R COUSINEAU CONST
LOLA JEANETTE CLINE
1083 SW 332ND PL
102 E ST SE
RCOUSC *011NP 3/17/09
1083 SW 332ND PL
FEDERAL WAY WA
AUBURN WA 98002
102 E ST SE
FEDERAL WAY WA
98023 -5351
New / Addtta�l, .Feet =Ord
AUBURN WA 98002
98023 -5351
Census. Category: 555 - Non - structural roofing permits
Includes:
#1
#2
#3
#4
Occupancy Class:
„ 3"
:
T
,,Construction Type:
cu anc Load:
New / Addtta�l, .Feet =Ord
Floar,
0
Areas . ft.
0
0
0
0
t
a
�lI tlR " Oft-
O?,. 0
„ 3"
:
T
.. 5
New / Addtta�l, .Feet =Ord
Floar,
0
New] Addttzional q. feet - Baset 1i
Mechanical to be Iticltrded ?......
[I �
- lumbing td hi uded"1
.............. ..:....... .........I
Zoning Designation ................... .............................RS
7.2
No Fixtures Associated With This Permit 11
PERMIT EXPIRES Sunday, June 14, 2009
Permit Issued on Thursday, June 14, 2007
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
the City of Federal Way.
Owner or agent: Date: ��� ® z
THIS CARD IS TO AIN ON -SITE
CITY OF Community Developme ft ,Inspection Records
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 103254 -00 -SF
Owner: LOLA JEANETTE CLINE
Address: 1083 SW 332ND PL
FEDERAL WAY, WA 98023 -5351
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
❑ SWM Preconstruction Site Mtg ❑ Initial Erosion Control (4365) ❑ Underfloor Framing (4285)
Ap ("00) To be done prior to breaking ground Approved to sheath floor
By Date By Date By Date
_
❑
Floor Sheathing (4105)
❑ Gypsum Wallboard Nailing (4130)
❑ Shear Walls (4245)
Final Erosion Control (4375)
Approved to install wallboard
Approved to install flooring
Approved to install mud & tape
Approved to install siding
r
By
By
Date
By Date
By Date
By
❑
Fire/Draft Stops (4095)
NOTE: Prior to scheduling a Framing (4120)
❑
Approved
inspection; Electrical, Plumbing & Meehan ical
Rough -in and Fire/Draft Stop inspections must be
By
Date
signed -off and approved. IBC 1093.4/UBC 108.5.4
By
Roof Sheathing (4220)
Approved to install roofing
Framing (412
Approved to insulate
Date
❑
Insulation (4150)
❑ Gypsum Wallboard Nailing (4130)
❑
Final Erosion Control (4375)
Approved to install wallboard
Approved to install mud & tape
Approved
By
Date
By Date
By
Date
Final - Building (4050) LJ Interim Erosion Control (4370)
Approved J Approved
By 0 Date ,J� /1 /) —ff By Date
7
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
* A city OF U
Federal Way BMj-t -— q JN 14 2007 PER 1� SF MF CO ME EL PL DE EN FP
COMMUNITY DEVELOPMENT SERV!
33325 8T" AVENUE SOUTH • PO 90X 9718 A�/{/1{/T� p L I C AT I O N
FEDERAL WAY, WA 9 18 /a�_ • a1Y TD
2S3 -835 -2607• FAX 25 W#0 FEDER --
vni)R).6l. a denaiwat.mu UILDING DEPT.
The following is required information — an incomplete application will not be accepted. Please print legibly (in ink) or type..
PROPERTY •. •
SITE ADDRESS 8�t 5 2�
c� r 3:3 i�Z[{,gy SUITE /UNIT #
I OF
ASSESSOR'S TAX /PARCEL # LOT SIZE (sj
LEGAL DESCRIPTION (e.g. Acme Estates, Lot i)
(Attach separate page for lengthy legal desoiPti eq
PROJECT • - •
TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of w9rk included on this permit only)
PROJECT NAME (Name of Business or Owner Last Name)
PEOPLE •- •
,PROPERTY
OWNER
CONTRACT %,
V"
COPY of card mcinbed �-
wtth each appll —tier
APPLICANT
NAME / %,•Q.
/
OFFICE PHONE
PRIMARY PHONE
CITY, STATE, ZIP
�
RELATIONSHIP TO PROJECT -
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
MAILING ADDRESS
r
CELL PHONE
CITY, STATE, ZIP
E -MAIL ADDRESS
CO PANY AME
APPLICA NA•Myr'F
OFFICE PHONE
MAILING AD E
CITY, STATE, ZIP
/NT
RELATIONSHIP TO PROJECT -
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
CELL PHONE
iLINO AMRESS
CITY, STATE, 1P
CITY OF FEDERAL WAY USSIN -7%8S LICENSE N /UMB !R EXPIRATION DA E
FAX NUMBER
/.
CONTRACTOR REGISTRATION NUMBER EXPIRATION DATE
E -MAIL ADDRESS
_0
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING AD E
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT -
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
PROJECT NAME PRIMARY PHONE E -MAIL ADDRESS
CONTACT -
LENDER
EXISTING USE
NAME
Per RCW 19.27.095:
Lender information is required (%project value exceeds $5,000
MAIL
CITY, STATE, ZIP
PHONE
PROPOSED USE _
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $_
SPRINKLERED BUILDING? ❑ YES 0"' FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? , ❑ YES &a.�
WATER SERVICE PROVIDER I9'6AKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑QA EEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DES C PTION
EXISTING
S
PROPOSED
SIR. FT.
TOTAL
S .F
BASEMENT
BBQS .
FANS
GAS WATER. HEATERS MISC (Describe)
FIRST
FIREPLACE INSERTS
HOODS (eommereiq .
COMPRESSORS
,SECOND
RANGES
DUCTS
GAS LOG SETS
THIRD
o YES o NO
UP /SEPA /SU?
ADDITIONAL FLOORS (DESCRIBE)
o NO
PLATTED LOT?
o YES o NO
DECK (0 COVERED OR ❑ UNCOVERED ?)
DEMO PERMIT REQUIRED?
o YES
D NO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
ausrtsa
rnoroeao
TOTAL
TOM s
•ronttrROPOMNJ'
70TAL8T
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SLING PRICE $
Indicate number of each type of fixture toW installed or relocated as part'of this project. Do not include existing fixtures to remain.
Value of Mechanical Work $
(A COPY OF BID OR ESTIMATE MUST BE INCLUDED WI7`AAPPMCATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
BBQS .
FANS
GAS WATER. HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS (eommereiq .
COMPRESSORS
FURNACES T—
RANGES
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
$A BS (or Tubtshamwcom6o)
LAVE (sui- immsb*o
URINALS MISC (Describe)
SHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS (rolleq
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
o. YES
o NO
NEW ADDRESS REQUIRED?
o YES o NO
I certi6 under penalty of perjury that the ir4%rmation 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 claimh 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
ignature) (Title)
RELATIONSHIf TO PROJECT Owner ❑ Agent Contractor ❑ Architect O Other
D NEW a ADDITION
o ALTERATION
o REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES o NO .
BASIC PLAN?
o YES
a NO
ZONING DESIGNATION
CHANGE OF .USE?
o. YES
o NO
NEW ADDRESS REQUIRED?
o YES o NO
UP /SEPA /SU?
D YES
o NO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
o YES
D NO
Bulletin #100 —April 2, 2007 . Page 2 o('4 k\HandoutsYermit Application