07-104731CRY of
Federal W— by !AGE 1 �� -'`-
S PERMIT S MF CO ME EL PL DE EN PP
OOMAftlRITYDEVELOrM - PSERVIC$S
33315 d*• AVENUE 30!171! • PO 80X 9718 � A�PL'ICATION*
FEDERAL WAY, WA 98063 -9718 ^ U G
253413S4607- 253-83S-2609 f AY
QF gEP�
The following is regA 4j "A n - an incomplete application will not be accepted Please print. legibly (in ink) or type.
SITE ADDRESS SUITE /UNIT 9
ASSESSOR'S TAX /PARCEL 9 _ _ _ _ _ - _ _ _ _ LOT SIZE (sj)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
PROJECT •• •
TYPE OF PERMIT jAMDING ❑ PLUMBING. ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT. NAME (Name of Business or Owner Last Namel Le X
-PEOPLE •• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME t
PRIMARY PHONE
APK1 N
-
J
MAIL ADDRE
CITY, STAT , ZIP 1
MA RES8
ANY NAME
1 (l
APK1 N
CITY, STATE, ZIP
OFFICE PHONE
t
— f
C , STA , ZIP C .7
CELL P NE
J
-
y OA DR
❑ Architect ❑ Tenant ji-Bgent ❑ Other
STA E ZIP
LL P O ,
/
C OF FED RAI
M
FAX NUMBER
A
� TI
NUMB R
7F TION D
E-MAIL ADDRESS
7 �
COMPANY NAME
APPLICANT N E
OFFICE PHONE
CITY, STATE, ZIP
r
t
DRESS
MAILJN A :29E'
c7�Kv /' i
C , STA , ZIP C .7
CELL P NE
J
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ji-Bgent ❑ Other
( -
NAME PRIMARY PHONE E- MAILADDRESS
FAME
Per RCW 19.9.7.0951
Lender information is required if project value exceeds $5,000 "
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
7
PROJECT •.-
AREA DESC ON
BASEMENT
AREAS
•EXISTIN
S . FT.
PROPOSED
S . FT.
TOTAL
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
SECOND
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
THIRD
SUMPS
o YES
o NO
ADDITIONAL FLOORS (DESCRIBE)
o YES o NO
UP /SEPA /SU?
DECK (❑ COVERED OR ❑ UNCOVERED ?)
a NO
PLATTED LOT?
a YES a NO
GARAGE ❑ CARPORT ❑
DEMO PERMIT REQUIRED?
a YES
o NO
NUMBER OF FLOORS
sal rtsa
►aorossa
TWAL
T- AZsztsrarosr
rorecmtvoeaoar
WEAL MP
"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 f xtures to remain.
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQ3 FANS GAS WATER HEATERS MISC (Describe)
BOILERS FIREPLACE INSERTS HOODS �commerdd►
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG. SYSTEMS
BATHTUBS (.Tub /Shower combo)
I.AVS pmth.sh*q
URINALS
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS (refkq
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
o YES
MISC (Describe)
I certVy under penalty of perjury that I am the property owner or authorised agent of the property owner. I cw tVy that to the beat of my
knowledge, the information submitted in support of this permit application is true and correct. I
City of Federal W regulations pertaining to the work authorised c %ll that 1 will comply with all his permit
Way � Pew 9 by the issuance of a permit. I understand that the issuance of this permit
does 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 !! of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the
investigation and dgfense of such claim, htch may be made by any person, including the undersigned, and flied against the city, but only
where such claim arftes out of the r of the city, including its oA9cers and employees, upon dhe accuracy of the information supplied to
the city as apart o his plieati
SIGNATURE. DATE
Property Owner and /or Authorized Agent !!
A3 NEW a ADDITION
a ALTERATION
o REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY?
a YES. o NO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED?
o YES o NO
UP /SEPA /SU?
a YES
a NO
PLATTED LOT?
a YES a NO
DEMO PERMIT REQUIRED?
a YES
o NO
Bulletin # 100 = August 16, 2007 Page 2 of 4 . MandoutsTermit Application
, h
City of Federal Way Building - Single Family Permit #• 07- 104731 -00 -SF
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: LEMON -._.
Project Address: 3740 SW 335 CT
Parcel Number: 109961 0370
Project Description: REP - Tear off existing roof, install new plywood, felt & composition shingles
Owner
Applicant
Contractor
Lender
SCOTT LEMON
CHETS ROOFING
CHETS ROOFING
3740 SW 335TH CT
2630179TH AVE S
CHETSRCOOOBE (7/3/08)
FEDERAL WAY WA 98023
KENT WA 98032
26301 79TH AVE S
Ocr anc Load:
KENT WA 98032
Census Category: 555 - Non - structural roofing permits
Includes:
#1
#2
#3
#4
Occupancy C1 ass:
Construction Type:
Ocr anc Load:
F1tgr Areas . ft.
d
1 0
1 0
1 0
New / Addide
Mechanical to
Floor...
PERMIT EXPIRES Thursday, August 27, 2009
Permit Issued on Monday, August 27, 2007
I hereby certify that the above informati is orrect and that the construction on the above described property and
the occupancy an he Le will b Aia-y-ordcance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date:
id
' THIS CARD IS TO REMAIN ON -SITE
C1_1Y or Community Development Inspection Record
Fe 6ral Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 104731 -00 -SF
Owner: SCOTT LEMON
Address: 3740 SW 335 CT
FEDERAL WAY, WA
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 Precon Site Mtg (4400)
❑
Initial Erosion Control (4365)
Date
Approved
Fire/Draft Stops (4095)
Approved to install wallboard
To be done prior to breaking ground
By
Date
Approved
By
Date
❑ Underfloor Framing (4285)
Approved to sheath floor
By Date
❑ Roof Sheathing (4220)
Approved to install roofing
By G { j Date Al .31,-
❑ Framing (4120)
Approved to insulate
By Date
❑
Floor Sheathing (4105)
Approved to install flooring
By
Date
❑
Fire/Draft Stops (4095)
Approved to install wallboard
Approved
By
Date
❑ Underfloor Framing (4285)
Approved to sheath floor
By Date
❑ Roof Sheathing (4220)
Approved to install roofing
By G { j Date Al .31,-
❑ Framing (4120)
Approved to insulate
By Date
❑
Insulation (4150)
❑ Gypsum Wallboard Nailing (4130)
❑
Final Erosion Control (4375)
Approved to install wallboard
Approved to install mud & tape
Approved
By
Date
By bate
By
Date
❑ Final - Building (4050) ❑ Interim Erosion Control (4370)
�Ipproved �kr Approved
By Date By Date
For inspector
❑ Rough Electrical
Approved
By Date
reference only
❑ FINAL - Electrical
Approved
By Date