08-103384V
City of Federal Way Buying
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: BAKER
Project Address: 33135 3RD CT SW
- S>ngle Family P er 1t #• 08- 103384 -00-SF
Inspection Request Line: (253) 835 -3050
t Parcel Number: 729802 0250
Project Description: Remove shake roof, Install 1/2 CDX plywood and install comp shingles.
Owner
Applicant
Contractor
Lender
PATRICIA BAKER
MOSS MASTERS
MOSS MASTERS
33135 3RD CT SW
203 S 2ND ST SUITE H
MOSSMM *956OW (9/16/09)
FEDERAL WAY WA
RENTON WA 98057
203 S 2ND ST SUITE H
flu anc Load:
98023 -6183
RENTON WA 98057
Plumbing to be'Tnciudt d`?...
Census Category: 555 - Non - structural roofing permits
Includes:
#1
#2
#3
#4
Occupancy Class:
id
wo
Construction Type:
�
flu anc Load:
. 0 New/ Additional $ t - Bas �� d14� 4��
Mechanical to be Included ? .............. ................Nb
Plumbing to be'Tnciudt d`?...
Ioor Areas . ft.
0
0
0
0
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Saturday, January 10, 2009
Permit Issued on Monday, July 14, 2008
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the us ill be in accordance with the laws, rules and regulations of the State of Washington
City of Federal Way. Owner or agent: ,!:'dthe
Date:1�"w�
id
wo
�
New / Additional cl Feet - 3rd Floor . ....
. 0 New/ Additional $ t - Bas �� d14� 4��
Mechanical to be Included ? .............. ................Nb
Plumbing to be'Tnciudt d`?...
.................. .....N
"
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Saturday, January 10, 2009
Permit Issued on Monday, July 14, 2008
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the us ill be in accordance with the laws, rules and regulations of the State of Washington
City of Federal Way. Owner or agent: ,!:'dthe
Date:1�"w�
.- I _& f THIS CARD IS TO AIN ON -SITE
CITY OFommuni Develo m t Inspection Record
tY p p
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 103384 -00 -SF
Owner: PATRICIA BAKER
Address: 33135 3RD CT SW
FEDERAL WAY, WA 98023 -6183
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)
❑ Underfloor Framing (4285)
Approved
To be done prior to breaking ground
Approved to sheath floor
By
Date
By
Date
By Date
_
❑
❑
Shear Walls (4245)
Floor Sheathing (4105)
❑ Roof Sheathing (4220)
Approved to install flooring
Approved to install siding
Approved to install roofing
By
Date
By
Date
By Date _ _Q
❑
Fire/Draft Stops (4095)
❑
Interim Erosion Control (4370)
scheduling a Framing (4120)
Approved
Approved
trical, Plumbing & Mechanical
ERough-inand
e/Draft Stop inspections must be
By
Date
By
Date
roved. IBC 109.3.4/UBC 108.5.4
❑
Framing (4120)
❑
Insulation (4150)
❑ Gypsum Wallboard Nailing (4130)
Approved to insulate
Approved to install wallboard
Approved to install mud & tape
By
Date
By
Date
By Date
❑ Final Erosion Control (4375)
❑ Final - Building (4050)
Approved
Approved
By
Date
By
ate
For ins ector
❑ Rough Electrical
Approved
By Date
reference
❑ FINAL- Electrical
Approved
By Date
CITY of yt� tiI E I Y E - _ � 3 V , CE COMAfl/N17Y DBVBLOPMBNT S
,1 2008 P E R M IT MF CO ME EL PL DE EN FP
93325 AW.AL AY, WA SOUTH 7 APPLICATION
FSDERAL WAY, WA 98063.9718 D /
253.835.2607• FAX 253435.2609
FEDERAL WAY
The following is regtGE61formation -an incomplete application will not be accepted. Please print legibly (in ink) or type.
y PROPERTY • •
SITE ADDRESS! C9�/P 7 Apt SUITE /UNIT #
ASSESSOR'S TAX /PARCEL 9 2� C ? - 2 C) LOT SIZE (sj)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(AN.A +ep —te page for Ie W ft IVd dsusiPdnN
PROJECT •• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
TION (Provide detailed descriptio f work included on this permit onlul
Dv
��? A�:� -��` �%� ��► ��°";' -'7" S' :nom ��"
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
N PEOPLE INFORMATION
NAME ^ :5,
P RY PH
MAI LWG ADDRES 9
STATE, ZIP
E -MAIL ADDRESS
COMPANY NAME
APP NT NAME
o !'V
0 FF[CE PH� ONE
MAIL O ADDRESS
Z2. 5' dzs'
STATE, ZIP
� U0- Yl*i'?B
CELL PHONE
- G�
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRRTION DATE
FAX NUMBER
CONTRACTOR'S WMISTRATION IrUMB$R
ERPIRATION DATE
E-MAIL ADDRESS
/ywS" S -, o/
0 1
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
( ) -
N RY PHONE EMAIL ADDRESS
NAME
P G
Per RCW 19.27.095.
Lender information is required {/project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE VALUE OF PROPOSED WORK s / $'r �f 3S • O17
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKERAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXIBTING
S . FT.
PROPOSED
SQ.FT.
TOTAL
B . FT.
BASEMENT
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
FIRST
COMPRESSORS
FURNACES
RANGES '
SECOND
GAS LOG SETS
REFRIG. SYSTEMS
o NO
THIRD
a YES a NO
UP /SEPA /SU?
ADDITIONAL FLOORS (DESCRIBE)
a NO
PLATTED LOT?
o YES a NO
DECK (❑ COVERED OR ❑ UNCOVERED ?)
DEMO PERMIT REQUIRED?
a YES
a NO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
za#nra
TaOPO°ao
TOTAL
"VALS7cefnwosr
ToreLraorosaasr
Tor" oil
" *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.
Value of Mechanical Work
(A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITHAPPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
BBQS
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS lcommo�d.q
COMPRESSORS
FURNACES
RANGES '
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
PLEr" NG
BATHTUBS (or Tub /Sho C="
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
LAVS (eathroom Sk*4
URINALS MISC (Describe)
RAINWATER SYST
VACUUM BREAKERS
SHOWERS
WATER CLOSETS (romp
SINKS
WASHING MACHINES .
SUMPS
a NO
I certVg under penalty of perjury that I am the property owner or authorised agent of the property owner. I certVy that to the best 4f my
knowledge, the information submitted in support 4f this permit application is true and correct. I cw tW that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorised 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 snoironmental 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 such flaing, which may be made by any person, including the undersigned, and filed against the city, but only
where such claim arises out of 4 reliance of the city, including its officers and employees, upon the accuracy of the information supplied to
the city as apart of this opplic om lel-) _
SIGNATURE.
o NEW o ADDITION
a ALTERATION
a REPAIR a, TENANT IMPROVEMENT
BUILDING BELEM ONLY?
a YES o NO
BASIC PLAN?
a. YES
a NO
ZONING DESIGNATION
CHANGE OF USE?
a YES
o NO
NEW ADDRESS REQUIRED?
a YES a NO
UP /SEPA /SU?
a YEB
a NO
PLATTED LOT?
o YES a NO
DEMO PERMIT REQUIRED?
a YES
a NO
Bulletin #100 — January 1, 2008 Page 2 of 4 MandoutsTermit Application