09-104339City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: KEITNER
Project Address: 36506 1ST PL SW
Building - Single Family
Permit #: 09- 104339 -00 -SF
Inspection Request Line: (253) 835 -3050
Parcel Number: 113960 0090
Project Description �- Reroof to include IN tear =of o old roof, re- eet and install new composition All
w r
li nt
C ra t
_Lender
KURTIS ITN
BRj RO FIN
CE OOFIN LLC
365061 S
5 SE IST
j22
UBBRUCE 964L9 9/10)
FEDERAL WA A 9802 -738
LA WA
605 _ T ST
door Areas . ft. 0
0
ENUMCLAW WA 98022
0
New
c:Le us f f orry: 555 Y>rst tural roofing permits
111 e �
#3
#4
Occupancy Class:
Construction T e:
Occupancy Load:
door Areas . ft. 0
0
0
0
3rd Floor .........
PERMIT EXPIRES Tuesday, nber 0
Permit Issued on Thursday, Nove I hereby cer tify that the above information is correct and that the con a above described property and
the occupancy and the se will be in accordance with the laws, rules and re lations of the State of Washington
and the City of Federal Way. a
Owner or agent: Date: / / ' 6--
THIS CARD IS TO REMAIN ON -SITE
r
Cl" OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835 -3050
PERMIT #:
09- 104339 -00 -SF Address: 36506 1 ST PL SW
Owner: KURTIS KEITNER FEDERAL WAY, WA 98023 -7381
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)
E]
Initial Erosion Control (4365)
Shear Walls (4245)
Underfloor Framing (4285)
E]
Approved
By
To be done prior to breaking ground
Approved to install siding
Approved to sheath floor
By
Date
By
Date
By
Date
Floor Sheathing (4105)
E]
Shear Walls (4245)
Roof Sheathing (4220)
E]
Approved to install flooring
By
Approved to insulate
Approved to install siding
Approved to install roofing
By
Date
Date
By
Date
By Date �� 9 0
By
Date
By
Date
Interim Erosion Control (4370)
Fire/Draft Stops (4095)
Prior to scheduling a Framing inspection;
Approved
Approved
Electrical, Plumbing & Mechanical Rough -in and
By
Date
By
Date
Fire/Draft Stop inspections must be signed -off and
approved. IBC 109.3.4
Framing (4120)
E]
Insulation (4150)
E]
Gypsum Wallboard Nailing (4130)
By
Approved to insulate
By
Date
Approved to install wallboard
By
Date
Approved to install mud & tape
By
Date
By
Date
By
Date
Final Erosion Control (4375)
E]
Final - Building (4050)
Approved
Right of Way -~
Approved
By
Approved
By
Date
Date
By
Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way -~
Approved
By
Date
By
Date
By
Date
Z-& -,7,f7p
.,OF A, xiECEIV?4ERMIT
P
com Federal WayNo V 0 5 20
'APPLICATION -835 -260 3�Y4fi,ILq
PDA, .
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(STMF CO ME EL PL DE EN FP
Bulletin #100 — 4/21/2009 Page 1 of 4 k:\Handouts\Perniit Application
SITE ADDRESS NO g-C>G 1.5�
Surrx/uNrr #
ZONING
ASSESSORS TAX/PARCEL #
L o
NAME OF PROJECT
(Tenant or Homeowner Name) e 1 V1 ?-V-
kBUILDING 11 PLUMBING 13 MECHANICAL
TYPE OF PERMIT
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
feac -o otil ro,4 I ne-sim+ osVA- (I flev (ot,00.S.1-An
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NJAM PRUMA" MOM
KeJrltr )YS"I -Y Z3
PROPERTY OWNER
MAUMG ADDRESS. CITY. STATIC. ZIP
3(oso(o 14 el Sw
OWNER IS ALSO: [] CONTRACTOR ❑ APPLICANT ❑ PROJECT CONTACT
NAIWIZ
PRUdART PRONE
zS -1356
CONTRACTOR
MAIIING ADDRESS. CITY. STATIC. ZIP
Z700Y &C, Y01 &7,k-,Cf&k, f So
FAX
WA STATIC CONTRACTORS LICENSE #
EXPIRATION DATE
FEDERAL WAY BUIIHKICSS LICENSE 0
6 1 L U C G 9- L I (o 17
0� 12do
NAPE
PIUUM PHONIC
CX)Ph 5
(3( 0)Yz5- (3yr.
APPLICANT
mAnino ADDRESS. crrr. STATE. ZD? "
FAX
Z7S-OY
PROJECT CONTACT
NAM
Tre,
PRIDGM MONIC
o7
(The individual to receive and
ct -e-
fo
mmmG ADDRESS. CITY, sTATE, ZIP
FAX
respond to an correspondence
concerning this application)
2,760s- SE (N
AIT1CFMTz CONTACT RAM:
PRDMRT PRONE
x-NUM
PROJECT FINANCING
NA=
❑ OWNER-FRIANCED
Required for projects with
mAniNG ADDRESS. CITT. STATIC. ZIP
PVJMAKr FROM
value of $5,000 or more
UZCW19.27.095)
I cerft under penalty of Ped'aw that Z am the property saner or authorised agog of the property honer. I certft that to the
best of my knowledge, the information submitted in support of this permit application is true and correct. I cartUo that I will comply
with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. Z understand that
the Issuance of this permit does not remove the owner's responsibility for compliance with 1-1 state, or federal laws regulating
construction or environmental lam.
(further agree to hold harmless the CUM of Federal Way as to any claim (Including costs, oWnaw, and attorneys' fees incurred
In the investigation and d0ense of Such claim), which may be —do 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 officers and amployess, upon the accuracy of the
ftfor-ation supplied the ci apart of this application.
77:�7 0
SIGNATURE: DATE
PRINT NAM- TrO-4 k� 0, 1 K -f—
Bulletin #100 — 4/21/2009 Page 1 of 4 k:\Handouts\Perniit Application
GENERAL
MECHANICAL FIXTURES
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number of each offtyttire
to be installed or relocated as part of this project. Do not include exisHMfixtures to remain.
AIR HANDLING UNITS
FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS HOODS (Commemtal)
BOILERS
FURNACES HOT WATER TANKS )Gan)
COMPRESSORS
GAS LOG SETS REFRIGERATION SYST
DUCTING
GAS PIPING WOODSTOVES
GENERAL
PLUMBING
FIXTURES
WATER PURVEYOR
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existingftdures
to remain.
BATHTUBS (or Thb /Shower Combo)
LAVS )Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
❑ Yes ❑ No
DRINKING FOUNTAINS
SINKS pntohen /umtty)
WATER HEATERS W—bir)
COVERED ENTRY
HOSE BIBBS
SUMPS.
WASHING MACHINES
TOTAL FRTURES
GENERAL
INFORMATION
PROJEC^T�VALUAMON
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF =SMG n@ROVESERNM
$ �iI
Additional Information
New Blrvu DM
$
EXISTING /PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRUGMER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
ADDITION
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
Additional Information
New Blrvu DM
FIRST FLOOR (or Mobile Home)
ADDITION
SECOND FLOOR
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
COVERED ENTRY
AREA DESCRIPTION
Area
In Square Feet
Occupancy Grou ps)
Construction
DECK
Additional Information
TOTAL
GARAGE ❑ CARPORT ❑
UNAR? AREA only
OTHER (describe)
Pgonwr AREA OIILY
Area Totals
PROPOSED
TWµ
••N" HONKS ONLY"
ESTIMATED SELLING PRICE $
1 # OF BEDROOMS
COMMERCIAL
- NEW /ADDITION
AREA DESCRIPTION
Area
in Square Feet
Occupancy Group(s)
p
Construction
# of
Stories
Additional Information
New Blrvu DM
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area
In Square Feet
Occupancy Grou ps)
Construction
# of
Stories
Additional Information
TOTAL
UNAR? AREA only
Pgonwr AREA OIILY
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