09-102000Z(Q Wilding - Single Family
City of Federal Way Permit #: 09 -102000-00-SF
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718 � 253 Request 835 -3050 Inspection Re Line:
Ph: (253) 835 -2607 Fax: (253) 835 -2609 p q
Project Name: CLEVENGER
Project Address: 2626 SW 343RD ST
Parcel Number: 294450 0210
Project Description: REP - Tear off shake roofing. Over skip sheathing, install 1/2" CDX plywood and
composition shingle roofing system.
Owner
Analicant
Contractor
Lende r
DAVID & PATRICIA CLEVENGER
MOSS MASTERS
MOSS MASTERS
2626 SW 343RD ST
203 S 2ND ST SUITE H
MOSSMM *956OW (9/16/09)
FEDERAL WAY WA 98023 -7600
RENTON WA 98057
203 S 2ND ST SUITE H
RENTON WA 98057
Census Category: 555 - Non - structural roofing permits
Includes: I #1 I #2 I #3 I 44
Occunancv Class:
E ��anc Load: I I I_
t�aea (sa. ft.) 1 0 1 0 1 0 .a :_ 0
New / Additior��il" :l det :.. rd Floo r, * ......... ...:�. ; ;` ; 1" ewl Addi n g. P t - Base s Y
Mechanical to be Included? .... ............................... No Plumbing to be Included? ....................................... No
PERMIT EXPIRES Saturday, November 28, 2009
Permit Issued on Monday, June 1, 2009
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
0 tX a th ity of Federal Way.
Owner or agent: Date:
FINALED b11t/OQ
• THIS CARD IS TMAIN ON -SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 09- 102000 -00 -SF
Owner: DAVID & PATRICIA CLEVENGER
Address: 2626 SW 343RD ST
FEDERAL WAY, WA 98023 -7600
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
By Date
❑ Floor Sheathing (4105)
Approved to install flooring
By Date
Initial Erosion Control (4365)
To be done prior to breaking ground
By Date
❑ Shear Walls (4245)
Approved to install siding
By Date
❑
Fire/Draft Stops (4095)
❑
Interim Erosion Control (4370)
Date
Approved
Final Erosion Control (4375)
Approved
By
Date
By
Date
❑
Framing (4120)
Approved to insulate
By
Date
❑
Final Erosion Control (4375)
Approved
By
Date _j
❑ Insulation (4150)
Approved to install wallboard
By Date
❑ Final - Building (4050)
Approved
Date
❑ Underfloor Framing (4285)
Approved to sheath floor
By Date
❑ Roof Sheathing (4220)
Approved to install roofing
By ( "Date
NOTE: Prior to scheduling a Framing ](4120) inspection; Electrical, Plumbing.& MecRough -in and Fire/Draft Stop inspections signed -off and approved. IBC 109.3.4/UB
❑ Gypsum Wallboard Nailing (4130)
Approved to install mud & tape
i
By Date
i
• For inspector reference only
❑ Rough Electrical D FINAL - Electrical
Approved Approved
By Date By Date
jJUN-01-09 07:56 AM MOSS MASRE-71Q 20677281862 P.01T
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y PERMrr L 6 v v
CO MAIUMNDSV&.0PMKNrSRRVICSS PERMIT SF MF CO ME LL PL DE EN FP
J99 ?S � kU WA , A7f0 • p e0X 9710 APPLICATION
�'RA6RAL WAY, WA 9AObJ -4111 To
955•/96- ➢607.1'Alf ?sJ -s J?• ?609 /
IL't!'. If!+6tiu31QiSiQ!(1i11101A.Eil!!
The fglio0aing is required WOFination - an incoMplets application will not be accepted. Please print legibly fin inkj or
type.
SITE ADDRESS aggj„ ?
ASSEssoR's TAX /PARCEL 0
LOT SIZE (i0
LEGAI. DESCRIPTION (e.9, Acme Estates, Lot 1)
'1K°°ti •aw.ur.o.ferw„ouW MPw a..a�Ne,y
TYPE OF PERMIT t)II,b (I ❑ PLUMBING ❑ MECHANICAL
O DEMOLITION 0 ELECTRICAL Q ENGINEERING ❑ FIRE PREVPAgTION SYSTEM
PROJECT UPTION (Provide deta�ta des tion of work}jtcluded on t�R permit enlu)
PROJECT NAME (Name of&Waas or Ownerl agbram )
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTINQ USE
NAME
-PIUMAIne PHONE
A0 IL O AD F2 BS pprY T& ,up &•MAILAD
tC5WFANY RAMS NT NAME
C& Mo
Ii��
b- _
M JlIL1 A D ZIP
CILL PHONE
CITY OF rmSmL WA I EXPIRATI ON DATE
A!!
FAX NUMBEW
CO :l ■ RM15TRATION IrummmR i rIZAT10
_
/
riQ
COMPANY RAW
APPLI ME
0MCN PHOMN
+
MAIL4119
CrrY, STATS, E
caLL PAONB
RILAT KIIHIP TO
AX NuMa
Q Architect o Tenant o Agent la Other
_
RY PHONE
1-MAILADDRESS
NAME
Per Raw 19,97 0960
tender ItVlor nm ion to reent -4 j prq/set ealu■ axaeedd $5,000
MA IFRO ADDRESS
CITY, STATE, PROWN
EXISTING AS8E88ED /APPR4IeziD VALUE •_
SPRINICi URFM HUMI)MG4 A YES o NO
WATER BERVICp PROVIDER Q LAKEHAVXN
SEWER SERVICE PROVIDER C LAKEHAV=
PROPOSED USE
„... _VALIM OF PROPOSED WORK b 04 OV
FIRE SUPPRESSION SYSTEM PRoPOBED /RZQUIRED9 a TES o NO
o HIGHLINE O TACOMA 0 PRIVATE (WELL)
0 RIORLINE 0 PRIVATZ ISEPTICI
A
4 .
AREA DESCRIPTION
- - ----
EXISTING
89. FT.
PROPOSLD
8Q. FT:..�_._
'- TOTAL
....__._.....I�T,
BASEMENT
BBQS __
- ..._ -___ FANS
OAS WATER HEATERS —_� M18C (Describe)
FIRST
FIREPLACE INSERTS
HOODS toa.m4
- - --
SECOND
_ RANGES
DUCTS
OAS LOO SETS
THIRD
o YES o NO
- - --
- --
ADDITIONAL FLOORS (DESCRIBE)
a NO
PLATTED LOT?
o YES a NO
DECK (0 COVERED OR O UNCOVERED ?)
DEMO PERMIT REQUIItED?
a YES
b NO
OARAGE 0 CARPORT O
NUMBER OF FLOORS
a0 s
sllotoseo
tout
TOTAL Mr
4Mareoroesssr
ra ilp.
•'NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE � .. - ._ _. _ _.._......._._..w....._____
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing futures to remain.
Vatue of Mechanical Work $ -
_ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED MTN APPLICATION)
AIR HANDLINO UNITS
EVAPORATIVE COOLERS
OAS PIPE OUTLETS _„ WOODSTOVRS
BBQS __
- ..._ -___ FANS
OAS WATER HEATERS —_� M18C (Describe)
BOILERS
FIREPLACE INSERTS
HOODS toa.m4
COMPRESSORS
_ ___ FURNACES
_ RANGES
DUCTS
OAS LOO SETS
REFRIO, SYSTEMS
BATHTUaS 1.. Tubisn,,... c.mb.l LAVB lea w .a eww
DISHWASHERS RAINWATER SYST
DRINKING FOUNTAINS SHOWERS
iQ 43TAtIC WATER HEATERS SINKS
HOSE BIRDS BUMPS
URINALS Miss (Describe)
VACUUM BREAKERS
WATER CLOSETS (Telly
WASHING MACHINES
I asrtft under penalty of perjury that I am the prapertg ounwr or authorised agent of the propor#y ownan f cart* that to the boot of Nay
knowledge, the ivvfrrveation submitted in support of tMo permit application is Arum and aerreat. I aeri;* that ! Will aofnplW with all appGoabts
city of yederat Wag regulations pertaining to the work authorised 6y the ieeuanao of a permit 1 understand that the iesuaddo of this pormit
dose not remove the ownsr's responsibility jbr compliance with leant, seats, ar fadmrat taws regulating eanstruntion or environmental laws.
I further agree to hold harmless the City of rederat Way as to any claim (including costs, mpsnses, and atiornsys' jinn incurred in the
investigation and defense of suohatpimis which may be made by any person. including the undersigned, and filad against the city, but onto
whore such otaim arises out of elianee of the city, inaludin its ofjloom and omployeese upon the accuracy of the Information supplied to
the ally a apart of this oppN on.
a NEW d ADDITION
o ALTERATION
o REPAIR o TENANT IIMIPROVEM>l;>`IT
BUILDING BHZLL ONLY?
o YES o NO
BASIC PLAN?
a YES
a NO
EONIHO DESIGNATION
CHANGM OF USX?
a YES
ONO
NEW ADDRE88 REQUIRED?
o YES o NO
UP /SEPA /SUP
o YES
a NO
PLATTED LOT?
o YES a NO
DEMO PERMIT REQUIItED?
a YES
b NO
Bulletin #100 — January 1, 2006 Page 2 of 4 k \Handouts \Permit Application
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