08-102773,. , %
Applicant
City of Federal Way
Buildio
Community Development Services
-
P.O. Box 9718
203 S 2ND ST SUITE H
Federal Way, WA 98063 -9718
FEDERAL WAY WA 98023 -6183
Ph: (253) 835 -2607 Fax: (253) 835 -2609
203 S ST SUITE H WA 8023 -6183
J
Single Family Permit Wt. 08-102773-00-SF
Inspection Request Line: (253) 835 -3050
FProject Name: LOATS
Project Address: 33143 3RD CT SW Lan P nT/Lcomp 9802 0270
Project Description: REP - Remove shake roof, install 1/2 CDX plywood, install p iden ition
shingles
Owner
Applicant
Contractor e
JEFFREY E LOATS
MOSS MASTERS
MOSS MASTERS E L
33143 3RD CT SW
203 S 2ND ST SUITE H
MOSS *956OW (9/1 3314 CT„iS
FEDERAL WAY WA 98023 -6183
RENTON WA 98057
203 S ST SUITE H WA 8023 -6183
(sq. fkl
0 0 0
RENT WA 98057
W
Census Category: 555 - x structurVr 1nW
Includes:
# 1.
#4
Occupancy Class:
IL
C .._. ction Type:
11L V
c Load:
(sq. fkl
0 0 0
1 0
.hg
A'
New / afi� Elo
l New„/ A tion Scl "t et iasemen� .� g
to be Include ........ No atii ing to be irt6tiid ih ......... ......... ........... o
ltofixtures Associated With This Permit r!
PERMIT EXPIRES Saturday, December 6, 2008
Permit Issued on Monday, June 9, 2008
I hereby certify that the above ' formation is correct and that the construction on the above described property and
the occupancy and the us be in accordance with the laws, rules and regulations of the State of Washington
and City of Federal Way.
Owner or agent: Date:
Fill, ALED
THIS CARD IS TO MAIN ON -SITE '
CITY OF �''°-� Community Develop nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 102773 -00 -SF
Owner: JEFFREY E LOATS
Address: 33143 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 I By Date
—0
Floor Sheathing (4105)
Shear Walls (4245)
E] Roof Sheathing (4220)
Approved to install flooring
Approved to install siding
to install roofing
By
Date
By
Date
�JAppyrove�d
By % %'�' "G/ Date 1
[]
0
NOTE: Prior to scheduling a Framing (4120)
Fire/Draft Stops (4095)
Interim Erosion Control (4370)
Approved
Approved
inspection; Electrical, Plumbing & Mechanical
Rough -in and Fire/Draft Stop inspections must be
By
Date
By
Date
signed -off and approved. IBC 109.3.4/UBC 108.5.4
[]
Framing (4120)
❑ Gypsum Wallboard Nailing (4130)
Insulation (4150)
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
B
Date A
For inspector reference only _
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
ewer
CflKWNAYDBVBLOPAt8NP86R E R M IT aCj�i SF F CO ME EL PL DE EN FP
939968uAVSNUY,WA f•P060X �N o 9 20 CO
5343S-L WAY, X 5343s.26a
?SJ•aJ5 -9607• FAX ?SJ- aJ5•?609
POF FEDERAL WAY
The joilowtng to required Iation - an incomplete application will not be accepted. Please print legibly (in in14 or type.
SITE ADDRESS •3,3
ASSESSOR'S TAX /PARCEL 9
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1 )
PROnCT p+�•�.v�•�•aeord••��
INrOMIATION
TYPE OF PERMIT :�d BUILDINO ❑ PLUMBING ❑ MECHANICAL
LOT SIZE (s,)
❑ DEMOLITION 0 ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DEDRIPTION (Provide detailed gescnption of worbin&*d on this permit onU
PROJECT NAME (Name of Business or Owner t N ) -�1 LUGj
PICOPLr, INFOMIATION
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
NAME�'�
PRIMARY) PH
MAIM Q11RIMS ?
31y 31
C , STATE, ZIP
E -MA DDRES3
COMPANY NAME
APPLICANT NAME
APP"NT NAME
OFFICE PHONE
CITY. STATE, ZIP
CELL PHONE
[IFLIAX—INUMBZR
RELATIONSHIP TO PROJECT �
MAIL O ADD
( _
CITY $LATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS
UCENSE NUMBER
EXPIRVION DATE
FAX NUMBER
CONTRACTOR'S REO UMIPATION NVMSI R
XXPIRATION DATE
EMAIL ADDRESS
M
LcI
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAIUNO ADDRESS
CITY. STATE, ZIP
CELL PHONE
[IFLIAX—INUMBZR
RELATIONSHIP TO PROJECT �
❑ Architect ❑ Tenant - -Agent ❑ Other
( _
NAME 61 PRIMARY PHONE EMAIL ADDRESS
V lW 3
NAME
Per RCW 19.27.095. - -
Lender Waroutdon is required if project vogue *=sede;S,000
MAIUMO ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING USE PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK ITJ V T
SPRINKLERED BUILDING? a YES a NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? a YES a NO
WATER SERVICE PROVIDER o LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN ❑ HIGHLINE 11 PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
S . FT.
TOTAL
60. FT.
BASEMENT
a YES a NO
BASIC PLAN?
FIRST
a NO
ZONING DESIGNATION
SECOND
CHANGE OF USE?
a YES
a NO
THIRD
a TES a NO
UP /SEPA /SU?
ADDITIONAL FLOORS (DESCRIBE)
a NO
PLATTED LOT?
a YES o NO
DECK (0 COVERED OR ❑ UNCOVERED?
DEMO PERMIT REQUIRED?
a YES
a NO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
Of6
t1°DiOf10D
TOTAL
SOULS100""0M
"VAL Mordmor
TOM 4?
"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.
mise:t[eivie:e� .. .
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE
INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS.
BATHTUBS (or Tab /stmr C..J a
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
OAS LOG SETS
IAVS jmw. om sk*4
RAINWATER SYST
SHOWERS
SINKS
SUMPS
OAS PIPE OUTLETS
GAS WATER HEATERS
HOODS (cemmr,rd� q
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS trwi q
WASHING MACHINES .
WOODSTOVES
MISC (Describe)
MISC (Deacribe)
I cortIb under penalty of perjury that I am tho property owner or authorised agent of the property owner. t
knowledo% the Wermation submitted in support qf this permit application is true and correct. I cer' im that to the best q j ble
cerKltt that I will eornpiy with all applicable
City of Federal Wag regulattens pertaining to the work authorised by the issuance qf 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 ty of Federal Way as to any claim (including costs, expenses, and attormw4e fees Incurred in the
investigation and dgfense of such c , hich may be made by any person, including the undersigmer4 and filed against the city, but only
where such claim arises out of the rs of the city, including its officers and employees, upon the accuracy of the information supplied to
the city as apart of this appiteaKon.
SIGNATURE: /9iL�I �� //�..... DATE
a NEW a ADDITION
a ALTERATION
a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
a YES a NO
BASIC PLAN?
a.YES
a NO
ZONING DESIGNATION
CHANGE OF USE?
a YES
a NO
NEW ADDRESS REQUIRED?
a TES a NO
UP /SEPA /SU?
a YES
a NO
PLATTED LOT?
a YES o NO
DEMO PERMIT REQUIRED?
a YES
a NO
Bulletin #100 —January 1, 1008 Page 2 of 4 MandoutAPermit Application