08-105610• Building - Single Family
City of Way
Community Development Services Permit #: 08- 105610 -00 -SF
P.O. Box 9718
Federal Way, WA 98063 -9718 Inspection Request Line: 253 835 -3050
Ph: (253) 835 -2607 Fax: (253) 835 -2609 p q
Project Name: GRAY
Project Address: 1809 SW 330TH ST Parcel Number: 010455 0060
Project Description: REP - Tear off existing shake roofing. Install 7/16" OSB sheathing and 30 -year
achitectural roofing system.
Owner
Applicant
Contracto
Lende r
#4
MARK & MARIE GRAY
WASHINGTON STATE ROOFING
WASHINGTON STATE ROOFING
1809 SW 330TH ST
26828 MAPLE VALLEY HWY SUIT]
WASHISR924BH (1 /8 /10)
FEDERAL WAY WA 98023 -5461
MAPLE VALLEY WA 98038
26828 MAPLE VALLEY HWY SUIT
Floor Areas . ft.)
1 0
MAPLE VALLEY WA 98038
0
1 0
Census Category: 555 - Non - structural roofing permits
Includes:
41
92
#3
#4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Areas . ft.)
1 0
0
0
1 0
?4 ..,.ter . .. .....r, .ss...S�, 4.01
PERMIT EXPIRES Tuesday, May 19, 2009
Permit Issued on Thursday, November 20, 2008
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and th se will be in accordance with the laws, rules and regulations of the State of Washington
�an e C' of Federal Way. //
Date:_6�
Owner or agent:
THIS CARD IS TO *MAIN ON -SITE
CITY OF ommuni tY Development Inspection Record
Federal way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 105610 -00 -SF
Owner: MARK & MARIE GRAY
Address: 1809 SW 330TH ST
FEDERAL WAY, WA 98023 -5461
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)
Approved to insulate
❑
Initial Erosion Control (4365)
❑ Underfloor Framing (4285)
Final Erosion Control (4375)
Approved
Approved
Date
To be done prior to breaking ground
Approved to sheath floor
By
Date
By
Date
By Date
[]
Floor Sheathing (4105)
❑
Shear Walls (4245)
❑ Roof Sheathing (4220)
Approved to install flooring
Approved to install siding
Approved to install roofing
By
Date
By
Date
By 0 155�Date
❑
❑
Fire/Draft Stops (4095)
Interim Erosion Control (4370)
NOTE: or to scheduling a Framing (4120)
Approved
Approved
iElectrical, Plumbing.& Mechanical
Fire/Draft Stop inspections must b e
By
Date
By
Date
approved. IBC 109.3.4/UBC 108.5.4
❑
Framing (4120)
Approved to insulate
By
Date
❑
Final Erosion Control (4375)
Approved
By
Date
❑ Insulation (4150)
Approved to install wallboard
By Date
❑ Final - Building (4050)
Approved
For inspector reference only
❑ Gypsum Wallboard Nailing (4130)
Approved to install mud & tape
Date
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
17) Cr411c& /CI'1 A
C".'A 0
Federal way Nov 2 o ZooPERMIT
COMMUNITY DEVELOPMENT SERVICES SF MF CO ME -�L DE EN FP
33325 8711 AVENUE SOUTH • PO BOX 9718
FEERAL WAY, WA 253 -8 607• FAX 253 -83C.r O F F EMMWATI O N
www.cituoffederalwau.com C ® S
The following is required irtformation - an incomplete application will not be accepted. Please print legibly (in ink) or type.
SITE ADDRESS l.2 0 9 6W 3 30'&;SA f� Er&l WA /UNIT #
ASSESSOR'S TAR /PARCEL #
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page for lengthy legal descrtptiow
LOT SIZE (sf)
TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on
'I n,T <I /. Ilio rvr�Ao -' '. alp. P 17 1, n,,
PROJECT NAME (Name of Business or Owner Last Namel
PROPERTY
NAME I
PRIMARY PHONE
OWNER
ffia r i �
(2.6-6) -
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
MAILING ADDRESS
CITY, STATE, ZIP
E- MAILADDRESS
_
�� AD V6e l4i
gv 330
Ff A W t'�g8,D
--
CK�7� fi a:st�II�3i
--i
APPLICANT
PROJECT
CONTACT
LENDER
COMPANY NAM
APPLICANT NAME
APPLICANT NAME
OFFICE PHONE
CITY, STATE, ZIP
t
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
( ) -
-
_
�� AD V6e l4i
0'l[
CITY, ST SIP �O
(ELL PHONI
-`
CITY OF FEDERAL WA BUSINESS LICE SE NU
d o% IO 3
ER EXPIRA ON DATE
6013E 1,213 Off
FAX NUMBER
(a5-3) Gad
- Zd I
CONTRACT R
OR'S 'K REGISTRATION NUMBER
l�v 6715 15 a 13
EXPIRATION DATE
-n
E -MAIL DRESS
i ~
k rood'
COMPANY
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
( ) -
E PRIMARY PHONE E- MAILADDRESS
r>
a5-N(" - s �r
NAME
Per RCW 19.27.095:
Lender irtformation is required if project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING USE Cf-S (GI.`eYl r `P— -:5 (. Ce I It ht Wt 1 IV PROPOSED USE !M Ad6S
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $ I o� ► diJ[/ . V i/
SPRINHLERED BUILDING? ❑ YES NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES 0*0
WATER SERVICE PROVIDER ii LAKEHA LIVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
b, cum
C7
0
AREA DESCRIPTION
EXISTING
FT.
PROPOSED
S . FT.
TOTAL
S . FT.
BASEMENT
❑ YES ❑ NO
BASIC PLAN?
FIRST
❑ NO
ZONING DESIGNATION
SECOND
CHANGE OF USE?
❑ YES
❑ NO
THIRD
o YES n NO
UP /SEPA /SU?
ADDITIONAL FLOORS (DESCRIBE)
o NO
PLATTED LOT?
n YES n NO
DECK (❑ COVERED OR ❑ OVERED ?)
DEMO PERMIT REQUIRED?
n YES
n NO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
ensruro
rxoroean I T0—
Tarv. znsrmo sr
Taru.rx IDSM sr
TOTAL Sr
* *NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ '�<—
Indicate number of each type of
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS /
DUCTS
Tub /Shower Combo)
DRINIq iG FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
be installed or relocated as par?�<this project. Do not include existing fixtures to remain.
(A COPY OF BID OR ESTIMATE MUST NCLUDED WlfH APPLICATION
EVAPORATIVE COOLERS GAS PIPE ETS WOODSTOVES
FANS GAS WATER TERS MISC (Describe)
FIREPLACE INSERTS HOODS (Commerdap
FURNACES RANGES
GAS LOG SETS REFRIG. SYSTEMS
LAVS (Batbroom sins) URINALS MISC (Describe)
RAINWATER SYST VACUUM BREAKERS
SHOWERS WATER CLOSETS (Toilet)
SINKS WASHING MACHINES
SUMPS
I certM under penalty of perjury that I am the property owner or authorized agent of the property owner. I aertVy that to the best of my
knowledge, the igforrnation submitted in support of this permit application is true and correct. I certify that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorized 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 City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the
investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city, but only
where such clai es out of the re ce of the city, including its officers and employees, upon the accuracy of the igformation supplied to
the city as a p f is application.
r
SIGNATURE DATE V V
Property Q&6er and /or Authorized Agent
❑ NEW n ADDITION
❑ ALTERATION
n REPAIR n TENANT IIVIPROVEMENT
BUILDING SHELL ONLY?
❑ YES ❑ NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
❑ NO
NEW ADDRESS REQUIRED?
o YES n NO
UP /SEPA /SU?
n YES
o NO
PLATTED LOT?
n YES n NO
DEMO PERMIT REQUIRED?
n YES
n NO
Bulletin #100 - January 1, 2008 Page 2 of 4 MliandoutsTermit Application