08-101427City of Federal Way
Community Development Services Bui in - Single Family Permit #.
08- 101427 -00 -SF
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050
Project Name: BISHOP
Project Address: 33613 5TH PL SW 43 Parcel Number: 729805 0190
Project Description: Remove shake roof; install 1/2 cox plywood /presidential T/L shingles
Owner
Applicant
Contractor
Lender
JOHN K BISHOP JR
MOSS MASTERS
MOSS MASTERS
ANN P BISHOP JR
6922 S 125TH ST
MOSSMM*956OW 9/16/09
33613 5TH PL SW
SEATTLE WA 98178
6922 S 125TH ST
FEDERAL WAY WA
SEATTLE WA 98178
98023 -8307
Census Category: 555 - Non - structural roofing permits
Includes: I #1 1 #2 I #3 #4 I
OCCUDancv Class:
No fixtures Associated With This Permit!!
PERMIT EXPIRES Wednesday, March 24, 2010
Permit Issued on Monday, March 24, 2008
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the will be in accordance with the laws, rules and regulations of the State of Washington
nd he City of Federal Way.
Owner or agent: - Date:
THIS CARD IS TO MAIN ON -SITE `
C„� m t p
OF fommunity Develo Inspection Record
p
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 101427 -00 -SF
Owner: JOHN K BISHOP JR
Address: 33613 5TH PL SW
FEDERAL WAY, WA 98023 -8307
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
❑ Initial Erosion Control (4365)
To be done prior to breaking ground
By Date
❑ Footings /Setback (4110)
Approved to place concrete
By Date
❑
Foundation Wall (4115)
❑
Drainage/Downspout (4040)
Date
❑
Slab /Concrete Floor (4255)
❑
Framing (4120)
Approved to place concrete
Approved to insulate
By
Approved to backfill
Approved to place concrete
By
Date
By
Date
By
Date
❑
❑
Floor Sheathing (4105)
❑
Underfloor Framing (4285)
Shear Walls (4245)
Approved to sheath floor
Approved to install flooring
Approved to install siding
By
Date
By
Date
By
Date
❑
Fire/Draft Stops (4095)
Approved
By
Date
❑
Framing (4120)
Approved to insulate
By
Date
❑ Interim Erosion Control (4370)
Approved
By Date
❑ Insulation (4150)
Approved to install wallboard
By Date
❑ Gypsum Wallboard Nailing (4130) ❑ Final Erosion Control (4375) ❑ Final - Building (4050)
Approved to instal l mud & tape Approved Approved
By Date By Date By % Date
fA
For insp ctor reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
ECEI
ERMIT ���� -� Fedmlw
COMIA/NnYDSIBLOPI(BNTSSRV![II AR 2 4 "APPLICATION
93915 3� AVBNU85'OU7f! • PO SOX 97
FBDBBdL WAY, X 93069-9918 Tp
159.395.1607• PAX 159.335.1609 L
OF FEDERAL WAY
The following is required ixtion - an incomplete application will not be accepted.
SITE ADDRESS
s
ASSESSOR'S TAX /PARCEL 9
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Anna+ PWfarIewewhod l
PROJECT INFOMIATION
9 - - 12 1 -1-'* -2 Z�
MF CO ME EL PL DE EN FP
Please print legibly (in iniq or type.
SUITE /UNIT 9
LOT SIZE (sn
TYPE OF PERMIT �1 BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT,AYSCRIPTION (Provide detailed description o;"rk &r�ded on this hermit onlul
")
PROJECT NAME (Name of Business or Owner LastLast Name1
PEOPLE •• •
PROPERTY
OWNER
CONTRACTOR
Pm (3 �Z,( � L- , 3
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME
PHONE
O CE PHONE
I?
-WI?
q ADD S �.•; �, qm STATE, ZIP
E -MAIL ADDRESS
COMPANY NAME
APP�QANr NAME
O CE PHONE
MAILING, ADD EMS
CITY, STATE, ZIP
CELL PHONE
1��
FAX NUMBER
5 17S/ tL4
CITY, STATE, ZIP
C41.4 PHONE
`17
CITY OF FEDERAL WAY BUST E83 L[CSNSE NUM ER
EXPIRATION DATE
FAX NUMBER
CCN72ACTOR'6 AE4 tBTRATION NVMBYR
ZXPIRATION DATS
E-MAIL ADDRESS
o .S )
� 141-
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING, ADD EMS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
( _
IMARY PHONE ` NAM//j_�7/`T+ //L l7
PP
✓f� S�C1 S iL�La Z EMAILADDRE88
NAME
Per RCW 19.27.095.
Lender Wormattion is required if prefect value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
(
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK
SPRINKLERED BUILDING? O YES o NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? a YES a NO
WATER SERVICE; PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
BASEMENT
EXISTING
S . FT.
PROPOSED
S . FT.
TOTAL
S . FT.
FIRST
SHOWERS
ELECTRIC WATER HEATERS
SINKS
SECOND
SUMPS
ZONNO DESIGNATION
THIRD
CHANGE OF USE?
GYM
a NO
ADDITIONAL FLOORS (DESCRIBE)
a YES a NO
UP /SEPA /SU?
DECK (11 COVERED OR O UNCOVERED?)
o NO
PLATTED LOT?
a YES o NO
GARAGE O CARPORT I]
DEMO PERMIT REQUIMM?
o YEA
o NO
NUMBER OF FLOORS
suaroro
*"O
TOTAL
rorasasrmosr
rorut rsoraeee OF
MAL er
**NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate. number of each type of fixture to be installed or relocated as part of this project. Do not include existing furtures to remain.
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLIC,ATIONJ
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS.
EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
FANS GAS WATER HEATERS MISC (Describe)
FIREPLACE INSERTS
FURNACES
GAS LOO SETS
BATHTUBS (ern,b /Sbo -r combo)
LAVS poduvem sb wf
DISHWASHERS
RAINWATER SYST
DRINKING FOUNTAINS
SHOWERS
ELECTRIC WATER HEATERS
SINKS
HOSE BIBBS
SUMPS
HOODS (commudq
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS (roaeq
WASHING MACHINES .
MISC (Describe)
J cwt{ under penalty of peyary that I am the property owner or authorised agent of the property owner, t
knowlake, the ir{formation submitted in co tyk that t wllle� Hud to the ben q/ my
support et j this permit application is trw and correct. t mpul with all applicable of )federal Way regulations pertaining to the work authorised by the issuance of a permit, t 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.
t 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 dojense of ch claim►, which may be made by any person, including the undersigned, and filed against the city, but only
where such claim arises o" the reliance q f the city, including its officers and employees, upon the accuracy of the in formation supplied to
the city as a part q f this OAication. n ,
SIGNATURE:
Authorized
a NEW a ADDITION
a ALTERATION
a REPAIR o TENANT IMPROVEMENT
BUILDING SBELL ONLY?
a YES o NO
BASIC PLAN?
a. YES
ti NO
ZONNO DESIGNATION
CHANGE OF USE?
GYM
a NO
NEW ADDRESS REQUIRED?
a YES a NO
UP /SEPA /SU?
a YES
o NO
PLATTED LOT?
a YES o NO
DEMO PERMIT REQUIMM?
o YEA
o NO
Bulletin #100 — January 1, 2008 Page 2 of 4 MandoutsTermit Application