05-104845City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
ph: (253) 835-7000 Fax: (253) 835-2609
Building - Single Family Permit #: 05 - 104845 - 00 - SF
i'
Project Name: DE GUZMAN
Project Address: 3200811TH AVE SW
Project Description: Reroof; shake to comp; replace sheathing
Inspection request line: (253) 835 -3050
Parcel Number: 926493 0020
Owner
Applicant
Contractor
Lender
Joey V Deguzman & Virginia J Degu:
Joey V Deguzman
Joey V Deguzman
NONE
32008 11TH AVE SW
32008 11TH AVE SW
Construction Type:
Type V - B
FEDERAL WAY WA
FEDERAL WAY WA
32008 11TH AVE SW
Occupancy Load:
Floor Area ( _ F
98023 -5548
98023 -5548
FEDERAL WAY WA
NONE
Includes:
Census category: 434 - Reside
#1
#2
#3
#a
Occupancy Group:
R -3
Construction Type:
Type V - B
Occupancy Load:
Floor Area ( _ F
.......................... aa,. 434 Residential alt/add - na , Mechanical ......................... s „..........
...........................T2 -3 Plumbing .... .. ..a,..w ........
20, 2006.
Permit issued on September 21, 2005
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 and
the City of Federal ay.
Owner or agent: Date:
! THIS CARD IS TOWMAIN ON -SITE
CIT„ OF A Community Development Inspection Record
Federal Way IVR INSPECTIOI ilREQUEST PHONE # (253) 835 -3050
PERMIT #: 05- 104845 -00 -SF
Owner: JOEY V DEGUZMAN
Address: 32008 11 TH AVE SW
FEDERAL WAY, WA 98023 -5548
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.
❑
Temp. Erosion Control (4365)
❑ Plumbing Groundwork (4190)
❑
Underfloor Framing (4285)
To be done prior to breaking ground
Approved to cover
Approved to sheath floor
By
Date
By Date
By
Date
❑ Shear Walls (4245)
❑
Roof Sheathing (4220)
❑
Floor Sheathing (4105)
Approved to install flooring
Approved to install siding
Approved to install roofing
By
Date
By Date
By
G� Date le /O p�
NOTE: Prior to scheduling a Framing (4120)
❑
Framing (4120)
❑
Fire/Draft Stops (4095)
Approved
inspection; Electrical, Plumbing & Mechanical
Approved to insulate
Rough -in and Fire/Draft Stop inspections must be
By
Date
signed -off and approved. IBC 109.3.4/UBC 108.5.4
By
Date
❑ Gypsum Wallboard Nailing (4130)
❑
Final - SWM (4375)
❑
Insulation (4150)
Approved to install wallboard
Approved to install mud & tape
Approved
By
Date
By Date
By
Date
Final - Building (4050) I I UTemp. Erosion Maintenance (43
Approved Approved
By GeAj Date /& . /,;,.� fi-( By Date
Federal Way
co wf DEVE LOPY B N• T PO S BBROVX 1( 9 x7+S 1 8 S G
2 200
5 PERMIT
3332
FEDERAL WA Y, WA 9 8063 -9718
2S383S•2607+FAX2S343S•26of-,)[Y O C „ Epa "�- L I C ATI O
N
ING
ThefollOwing is required information - an incomplete =11cation will not be
SF F CO ME EL PL DE EN FP
xcepted. Please print leoiblu fin inkl or turia_
SITE ADDRESS .3 "L 00 �3 (ITN A V I' SUITE /UNIT i .
ASSESSOR'S TAX /PARCEL i1 _ _ _ _ - ` _ LOT SIZE (s,)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(A— *ePa-te~fWkn9ft t97d derwWbN
PROJECT •- •
TYPE OF PERMIT '� BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION 0 ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this en it onlul ki
L' / p -rte 5. (1� I ( S / w� e 1
PROJECT NAME (Name of Business or Owner Last Name) Le V (' n r1 i V i tJ L�
PEOPLE •• •
PROPERTY
OWNER
ONTRACTOR
APPLICANT
NAME • PRIMARY PHONE
MAILING ADDRESS CITY, STATE, ZIP
Z.vv , Ord Ave- <-,-w Fec��� � inJ� L'i 5 Z 3
COMPANY NAME
LEV6i_ (urVST2L4c..T /vN
APPLICANT NAME
JErSf >�
OFFICE PHONE
-
MAIUNG ADDRESS
eo (Sox ��, - ,��
CITY, STATE, P
_ fig �,� c'61
CELL PHONE
�. ,� 3 7S
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
PIRATION DATE •-
FAX NUMBER
( ) -
CONTRACTORS REpISTRATION NUMBER (copy of card required with each application)
EXPIRATION DATE
I E V E i_ CL P-t 5 --?-C
y
U3 /01 / a�—
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP —
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
( ) -
AREA DESCRIPTION EXISTING PROPOSED TOTAL
S . FT. S . FT. SO. FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED ?) '
GARAGE D CARPORT O
L70e[efo lRomscD 'rOYM. ..__ ..........._....... .._.
NUMBER OF FLOORS
' *NEWHOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
number of each type of fixture to be installed or relocated as part of this project. Do not include existing factures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
BBQS
FANS
HOODS (cemmerciaq
WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES
MISC (Describe)
COMPRESSORS
FURNACES
GAS WATER HEATERS
DUCTS
OAS PIPE OUTLETS
PLUMBING
BATHTUBS (ortuh /Shawwrcow"
SHOWERS
WATER CLOSETS Ra+kq
MISC (Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
OAS PIPE OUTLETS
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE BIBBS
LAVS uhram aiwo
VACUUM BREAKERS
ELECTRIC WATER HEATERS
I cenVy under penalty of perjury that the Wormation furnished by me is true and correct to the best of my knowledge, and further, that I
am authorised by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way, but only where such claim
arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application. cat
NAME /TITLE te4AJ, DATE 1 i -1
(Signature (ride)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent ❑ Contractor ❑ Architect ❑ Other
Bulletin # 100 — January 7, 2005
Page 2 of 4
MI- landoutsWermit Application