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09-1000424 Applicant Contractor City of Federal Way Community Development Services' y �i P.O. Box 9718 JOAN TABRUM 2008 S 372ND ST Federal Way, WA 98063 -9718 BRUCERL964L9 (6/29/10) 2008 S 372ND ST Ph: (253) 835 -2607 Fax: (253) 835 -2609 ENUMCLAW WA 98022 27605 SE 401ST ST Project Name: TABRAN Project Address: 2008 S 372ND ST Building - Single Family Permit #: 09- 100042 -00 -SF Inspection Request Line: (253) 835 -3050 Project Description: REP - Tear -off old roof, re- sheet, and install new composition Parcel Number: 721265 1710 caner Applicant Contractor Lender JOAN TABRUM BRUCE'S ROOFING LLC BRUCE'S ROOFING LLC JOAN TABRUM 2008 S 372ND ST 27605 SE 401ST ST BRUCERL964L9 (6/29/10) 2008 S 372ND ST FEDERAL WAY WA 98003 -7570 ENUMCLAW WA 98022 27605 SE 401ST ST FEDERAL WAY WA 98003 -7570 ENUMCLAW WA 98022 Census Category: 434 - R s e is a /a ha ge in number of units Includes: A IV #2 #3 T:� #4 Occupancy Class: V I Construction T e: Occu anc Load: IT Floor Areas . ft. 0 0 0 PERMIT EXPIRES Monday, July 6, 2009 Permit Issued on Wednesday, January 7, 2009 I hereby certify that the above information is correct and that the construction of the occupancy and the use will be in accordance with the laws, rules and regul and the City of Federal Way. Owner or agent: ��5S3v3o ». 4ik THIS CARD IS TO REMAIN ON -SITE - CITY OF Community Development Inspection Record Federl, Y Vav IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT th 09- 100042 -00 -SF Owner: JOAN TABRUM Address: 2008 S 372ND ST FEDERAL WAY, WA 98003 -7570 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 CA 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 ❑ Initial Erosion Control (4365) To be done prior to breaking ground By Date _ ❑ Floor Sheathing (4105) ❑ Shear Walls (4245) Approved to install flooring Approved to install siding By Date By Date ❑ Fire/Draft Stops (4095) Approved By Date ❑ Framing (4120) Approved to insulate By Date ❑ Final Erosion Control (4375) Approved By Date O Rough Electrical Approved By Date ❑ Interim Erosion Control (4370) Approved By Date ❑ Insulation (4150) Approved to install wallboard By Date ❑ Final - Building (4050) Approved By Date For inspector reference ❑ Vnderfloor Framing (4285) Approved to sheath floor By Date ❑ Roof Sheathing (4220) Approved to install roofing By Date „ U NOTE: Prior to scheduling a Framing (4120) inspection; Electrical, Plumbing & Mechanical Rough -in and Fire/Draft Stop inspections must be signed -off and approved. IBC 109.3.41UBC 108.5.4 ❑ Gypsum Wallboard Nailing (4130) Approved to install mud & tape By Date O FINAL - Electrical Approved By Date FederaM7 PERMIT ��° w>�rnYDEVErAT�nn,sE c� S CO ME EL PL DE EN FP 333255�AI�N.NUE SOU1f7•PO BO ELI CATI O N / / FEDETau . wa sso SE s 253 -835 -2607• FAX 253-5.35 -2609 ��E^ The foi� I quF veCgFlnation - an incomplete application will not be accepted. Please print legibly (in ink) or type. PROPERTY ,. , SITE ADDRESS fj '37 2 111 5f SUITE /UNIT # ASSESSOR'S TAX /PARCEL # 7 1 Z 6 S - ! '7 LOT SIZE (sn LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) (Aff -h -pn,.w ~ I— L,gft kg.1 des.Vt- J PROJECT •• • TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this hermit onlu) iia,r- jf d J, rL,. f re- - s A5J7,4 tic w C onjeus,49->1 PROJECT NAME (Name of Business or Owner Last Name) PROPERTY OWNER CONTRACTOR PROJECT CONTACT LENDER EXISTING USE 0 PEOPLE INFORMATION NAME �Id �brt"' PRIMARY PHONE -9 j MATTING ADDRESS cv 5 �7 Z CITY, STATE, 2aP Ft�t,4 rw►_. l f ttto3 1 E-MAIL ADDRESS - - COMPANY NAME APPIJCANTNAME Tre., OFFICE PHONE (9-0 ) Te's- - l3�S1; 13rk6es go. re•� r 6 w e- (Saa ) Z,sr - MAILING ADDRESS CPIY. STATE, zjp CELL PHONE / S4- �! ❑ Architect ❑ Tenant ❑ Agent ❑ Other CITY OF �� = A� �JST� �� NUMBER EXPII2AT[ON DATE (AX NUMBER – CONTVACTOWS REGISTRATION NNpIABER 1+. a-ERATION DATE E- MAILADDRESS d?14CFZLGL Wo COMPANY NAME Per RCW 19.27.095: Lender i>4formation is required (f project value exceeds $5,000 OFFICE PHONE 9 1316 es l o o , re•� r 6 w e- (Saa ) Z,sr - MAILING ADDRESS S" o 5� a- CITY. STATE. ZIP w� &32i� CEIL PHONE (2�b) 3 - rs fa RELATIONSH[P TO PROJECT FAX NUMBER ❑ Architect ❑ Tenant ❑ Agent ❑ Other N PRIMARY PHONE E -MAIL ADDRESS NAME Per RCW 19.27.095: Lender i>4formation is required (f project value exceeds $5,000 MAILING ADDRESS CITY. STATE, ZIP PHONE PROPOSED USE EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK . • SPRINEZIXRED BUI ING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /RPQU]RED? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGEMME o TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER ❑ IAKEHAVEN ❑ HIGHLINE 11 PRIVATE (SEPTIC) AREA DESCRIPTION EXISTING FT. PROPOSED SQ. FT. TOTAL SQ. FT. BASEMENT GAS WATER HEATERS MISC (Describe) BOILERS FIREPLACE INSERTS FIRST COMPRESSORS FURNACES RANGES SECOND GAS TAG SETS _ REFRIG. SYSTEMS THIRD CHANGE OF USE? ❑ YES ❑ NO ADDITIONAL FLOORS (DESCRIBE) UP /SEPA/SU? ❑ YES DECK (❑ COVERED OR ❑ UNCOVERED ?) PLATTED LOT? ❑ YES ❑ NO DEMO PERMIT REQUIRED? GARAGE ❑ CARPORT ❑ ❑ NO NUMBER OF FLOORS �rwio rxoroea>a tares, rnnwrr�rsrrvsr mrwcrsvros®sr rorscw **NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ Indicate number of each type offlxlure to be installed or relocated as part of this project Do not include existing flxlures to remain Value of Mechanical Work (A COPY OF BID OR EST [MATE MAST BE INCLUDED WITH APPLICATION) AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES BBQS FANS GAS WATER HEATERS MISC (Describe) BOILERS FIREPLACE INSERTS HOODS (cuomiaq COMPRESSORS FURNACES RANGES DUCTS GAS TAG SETS _ REFRIG. SYSTEMS BATHTUBS (orlbb /shower Comb.) DISHWASHERS DRINHING FOUNTAINS EIF.('TRIC WATER HEATERS HOSE BIBBS LAVS (safe o sepia) URINALS MISC (Describe) RAINWATER SYST VACUUM BREAKERS SHOWERS WATER CLOSETS (rbad) SINKS WASHING MACHINES SUMPS I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I cert(f l that to the test of my knowledge, the information submitted in support of this permit application is true and correct. I cert(/y that I will comply with all applicable City of Federal Way regulations pertaining to the war* authorized by the issuance of a permit. I understand that the issuance of this permit does not remove the owner's nesponslbdtty for compliance with local, state, or federol laws regulating construction or environmental lams. 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 Jiled against the city, but only where such claim arises out 4f the reliance of the city, including its q,(licers and employees, upon the accuracy of the information supplied to the city as apart of thjp application. SIGNATURE: Owner and /or Authorized ( - ?- a 1 FOR OFFICE USE ONLY ❑ NEW ❑ ADDITION ❑ ALTERATION o REPAIR ❑ TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES ❑ NO BASIC PLAN? ❑ YES ❑ NO ZONING DESIGNATION CHANGE OF USE? ❑ YES ❑ NO NEW ADDRESS REQUIRED? ❑ YES ❑ NO UP /SEPA/SU? ❑ YES ❑ NO PLATTED LOT? ❑ YES ❑ NO DEMO PERMIT REQUIRED? ❑ YES ❑ NO Bulletin #100 —January 1, 2009 Page 2 of 4 k\Handouts\Pernrit Application