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09-10371603uilding - Single Family City of Federal Way Community Development Services Permit #: 09- 103716 -00 -SF P.O. Box 9718 Federal Way, WA 98063 -9718 Ins ection Request Line: 253 835 -3050 Ph: (253) 835 -2607 Fax: (253) 835 -2609 p q Project Name: MACIAS Project Address: 1093 SW 330TH CT Parcel Number: 926495 0280 Project Description: REP - Remove existing roof material and replace with new plywood and 50 year composition Owner Applicant Contractor Lender MICHAEL MACIAS ASSURED EXTERIORS ASSURED EXTERIORS JULIA H MACIAS 12703 86TH AVE E ASSURE *924NG (8/07/10) 1093 SW 330TH CT PUYALLUP WA 98373 12703 86TH AVE E FEDERAL WAY WA 98023 -5327 PUYALLUP WA 98373 Census Category: 555 - Non - structural roofing permits Includes: I 41 I #2 I 43 I #4 F Gccunancv Class: Load: I I I so. ft.) I 4 0 1 0 1 0 New / Additional Sq. Feet - 3rd Floot ` ................0' Mechanical to be Included? ....... .............................No tvcw i riuuuivuai Oy. rcci - E)a�,cuicuL ...................v Plumbing to be Included? .......... .............................No PERMIT EXPIRES Tuesday, March 23, 2010 Permit Issued on Thursday, September 24, 2009 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 /J and the City of Federal Way. �? Owner or agent✓ �� Date: 7 2 `1 C? 40/0 CITY OF Federal Way PERMIT #: Owner: THIS CARD IS TO AIN ON -SITE Construction Ins ction Record INSPECTION REQUE TS: (253) 835 -3050 09- 103716 -00 -SF Address: 1093 SW 330TH CT MICHAEL MACIAS FEDERAL WAY, WA 98023 -5327 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. 0 Floor Sheathing (4105) SWM Precon Site Mtg (4400) 13 Initial Erosion Control (4365) 0 Underfloor Framing (4285) Approved By To be done prior to breaking ground Approved to install Approved to sheath floor By Date By Date By Date 0 Floor Sheathing (4105) Shear Walls (4245) Roof Sheathir El Approved to install flooring E:] Gypsum Wallboard Nailing (4130) Approved to install siding By Date Approved to install By Date Date By Date Date By /% Date i Fire/Draft Stops (4095) Interim Erosion Control (4370) prior to schedulin inspection; Approved Approved Electrical, Plumbing nical Rough -in and FireMraft Stop inspeust be signed -off and By Date By Date approv109.3.4 El Framing (4120) El Insulation (4150) E:] Gypsum Wallboard Nailing (4130) Approved to insulate By Date Approved to install wallboard Approved to install mud & tape By Date By By Date By Date E] Final - Building (4050) Final Erosion Control (4375) Approved Approved By Date By Date 10 -6 ..--c Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date CQ1Z a - l 0 � -Z'Z � ®� RM T R S ' CO ME EL PL DE EN FP co ^ � SE2609 APPLICATION 253 - 8352607• FAX 253 - 8352609 �.at 4 Zpnp P2 BITE Ao 3 C5" (.0 S3D JA- cA- ^ '' of'Ak SUITE /UNIT # ZONING ASSESSOR'S TAR /PARCEL # FAIRE OF PROJECT Homeoumer , (Tenant or Name) � UILDING ❑ PLUMBING ❑ MECHANICAL TYPE OF PERMIT ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION �2..w�.c�ve.. ©ldl Rcra'� .�- Q�s o s� •.•� l wva PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME PR13 ART PHONE PROPERTY OWNER A5 $7 7-116- MAMING ADDRESS, CITY. STATE, ZIP Z -ItAII, I C>q 3 -5 - L-3 -&30 O-ZA- OWNER IS ALSO: CONTRACTOR APPLICANT 0 PROJECT CONTACT NAME PRLfARY PHONE � �-oc 253 33c, [q`t0 rq�� CONTRACTOR MAMING ADDRESS, CITT, STATE, ZIP \2-z o3 42� (0 - �- b w al QX3 -73 FAX - WA STATE CONTRACTOR'S LICENSE # --s EXPIRATION DATE 0 -71 to FEDEBAL WAT EUSINESS LICENSE # ,, V- E *a NAME PRIIIARY PHONE APPLICANT S J6 - MAILING ADDRESS, CITY, STATE, ZIP FAX PROJECT CONTACT ItAlta ii '' ��v v� pRntARY PHONs 3 1 q a (The individual to receive and l ' - respond to all correspondence MAZwo ADDRESS, CITY, STATE, Zip FAX concerning this application) _ ALTERNATE CONTACT NAM PRURARY PHONE E-MAM PROJECT FINANCING NAME OWNER FafANCED Required for projects with value of $5, 000 or more MAMING ADDRESS, CITY, STATE, ZIP PRIMARY PHONE (RCW 19.29.095) I certify under penalty of perjury that I am the property owner or authorised agent of the property owner. I cereVy that to the best of my knowledge, the information submitted in support of this permit application is true and corrocL I cerdfy that I will compty 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 law* regulating construction or environmental laws. I further agree to hold harmless the City of Faderai Way as to any claim (including costs, avpenses, and attorneys' fees incurred in the investigation and defense of such dairy, which may be made by any person, including the undersigned, and filed against the city, but only where such claim arises out of the reliance of the city, including its q e, and employees, upon the accuracy of the information supplied to the city as a part of this application. � j � ~ Z q- ' j"', SIGNATURE: DATE ` PRINT NAME: � � lrG V Ui�'S Bulletin # 100 — 4/17/2009 Page 1 of 4 k:\landouts\Permit Application Value o Mechanical Work $ A COPY OF BID OR ESTIMATE MUST BE PROVIDED Indicate number of each type offixture to be installed or relocated as part of this project. Do not include exLsNngfidures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS (9 BOILERS FURNACES HOT WATER TANKS pao COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. BATHTUBS (.T b /Sh.. C...t,ol LAVS (H.odsinl* TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS IKi«h�/utmW WATER HEATERS (El-ldc) HOSE BIBBS SUMPS WASHING MACHINES TQ1`A1 IIL"1 pRLS Bulletin # 100 — 4/17/2009 Page 2 of 4 k:\Handouts\Permit Application