09-1040614#uilding -Single #a`miiy
City of Federal Way .//��
Community Development Services Permit #: 09- 104061 -00 -S F
P.O. Box 9718
Federal Way, WA 98063 -9718 Inspection Request Line: 253 83
Ph: (253) 835 -2607 Fax: (253) 835 -2609 p q ( % 5 -3050
Project Name: MOORE
Project Address: 30102 2ND AVE SW Parcel Number: 233730 0330
Project Description: REP - Tear off existing 3 tab install 50 year compostition shingles. Repair plywood as
needed.
Owner
Applicant
Contractor
Lender
EDWARD C MOORE
STATE ROOFING, INC
STATE ROOFING, INC
30102 2ND AVE SW
PO BOX 53
STATER1101JW (12/21/09)
FEDERAL. WAY WA 98023 -3903
MONROE WA 98272
PO BOX 53
MONROE WA 98272
Census Category: 555 - Non - structural roofing permits
ll�El= fixtures Assalaedlth This
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PERMIT EXPIRES Tuesday, April 13, 2010
Permit Issued on Thursday, October 15, 2009
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 Way.
Owner or agent: Dately
pINN4,1000 /o/zi /ai
THIS CARD IS TO MAIN ON -SITE
CITY OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835 -3050
PERMIT #: 09- 104061 -00 -SF Address: 30102 2ND AVE SW
Owner: EDWARD C MOORE FEDERAL WAY, WA 98023 -3903
Scheduled inspections may befailed 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.
rl
SWM Precon Site Mtg (4400)
El
Initial Erosion Control (4365)
Shear Walls (4245)
Underfloor Framing (4285)
Gypsum Wallboard Nailing (4130)
Approved
Approved to insulate
To be done prior to breaking ground
Approved to install siding
Approved to sheath floor
By
Date
By
Date
By
Date
o Final Erosion Control (4375) Final - Building (4050)
Approved Approved
By Date By Date m Z�
Floor Sheathing (4105)
Rough Electrical
Approved
Shear Walls (4245)
Roof Sheathing (4220)
Gypsum Wallboard Nailing (4130)
Approved to install flooring
Approved to insulate
Approved to install siding
Approved to install roofing
By
Date
By
By
Date
By Date
Date
By Date
❑
Prior to scheduling a Framing inspection;
Fire/Draft Stops (4095)
Interim Erosion Control (4370)
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
o Final Erosion Control (4375) Final - Building (4050)
Approved Approved
By Date By Date m Z�
Framing (4120)
Rough Electrical
Approved
Insulation (4150)
Final Electrical
Approved
Gypsum Wallboard Nailing (4130)
Approved to insulate
By
Approved to install wallboard
Approved to install mud & tape
By
Date
By
By
Date
By Date
o Final Erosion Control (4375) Final - Building (4050)
Approved Approved
By Date By Date m Z�
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
a"e..&
Federal Wav PERMIT F CO ME EL PL DE EN FP
COMWMDl pLICATION
253-895-2607• F 2609
urww. dhwfie&ra[wau. com
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SUITEMNIT ZONING I ASSESSOR'S TAR / ARCEL 8
NAME OF PROJECT�R/ `� -
(Tenant or Homeowner Name) /11' -d
Xla
UILDING ❑ PLUMBING ❑ MECHANICAL
TYPE OF PERMIT ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
a DE
PROJE 3 T,+ �3
CT BCRIBTION
Detailed description of work to 2 C O d i
be included on this permit only iVeir D 67
NAME PRIMARY PRONE
PROPzRTT OWNER J04'V'41z -P E° (�S3) 93 -v6/-r-
MAILING ADDRESS, CITY, STATE, ZIP E-MAIL
OWNER IS ALSO: [:] CONTRACTOR APPLICANT PROJECT CONTACT
NAME PRIMARY PHONE
CONTRACTOR MAILING ADDRESS, CITY, STATE, ZIP c�� f N S " FAR
WA STATE CONTRACTOR'S LICENSE M zxFiRATION DATE FEDERAL WAY BUSINESS LICENSE N
NAME PRIMARY PHONE
APPLICANT q d e-z,< .S'ci - 91-3 Z.
MAILING ADDRESS, CITY, STATE, ZIP FAX
PROJECT CONTACT NAM PRIMARY PHONE
(The individual to receive and -
respond to all correspondence MAILING ADDRESS, CITY, STATE, ZIP FAX
concerning this application)
ALTERNATE CONTACT NAME: PRIMARY PHONE E -MAIL
PROJECT FINANCING NAME
Required for projects with OWNER - FINANCED
value of $5,000 or more MAILING ADDRESS, CITY, STATE, ZIP PRIMARY PHONE
(RCW 19.27095)
r ► _
I certify under penalty of perjury that I am the property owner or authorised agent of the property owner. I certify that to the
best of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply
with all applicable City of Federal Way regulations pertaining to the work authorised by the issuance of a permit. I understand that
the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the. City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred
in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the
city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information suppliie�d' to the city as a part of this application.
SIGNATURE: _s ) DATE 19
PRINT NAME:
Bulletin #100 — 4/17/2009 Page 1 of 4 kAHandouts\Permit Application
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (w Tub /shower combos
LAVS (H.oa Sh*4
TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS patcb— /utaity)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES TOTAL FII[TVRES
GENERAL INFORMATION
PROJECT VALUATION
WATER PURVEYOR
SEWER PURVEYOR,
VALUE OF EXISTMO IMPROVEMEWM
.$ r �i l� 7✓
EXISTII o /PREVIOUS USE
LOT SIZE (In Sgnue Faet)
EBISTMG FIRE SPRMUXR SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
[]Yes ❑ No
❑ Yes ❑ No
AREA DESCRIPTION Area Construction # of
in Square Feet Occupancy Gmup(s) Type Stories I Additional Information
ADDITION
AREA DESCRIPTION I Area I Occupancy Group(s) Conduction I St of Additional Information
in Square Feet
TENANT AREA ONLY
Bulletin # 100 — 4/17/2009 Page 2 of 4 k:\Handouts\Permit Application