12-1033380 Ouilding - Single Family
City of Federal Way FILE
Community & Econ. Dev. Services Permit #: 12-103338-00-SF
33325 8th Ave S
Federal Way, WA 96003 Inspection Request Line: 253 835 -3050
Ph: (253) 835 -2607 Fax: (253) 835 -2609 p a
Project Name: VEDVICK
Project Address: 124 S 300TH PL Parcel Number: 891420 0410
Project Description: REP - Remove existing cedar shake roofing and replace with composition shingles
Owner
Al2 lin cant
Contractor
Lender
THOMAS S VEDVICK
HONG'S GENERAL
HONG'S GENERAL
OWNER IS LENDER
CLAUDIA VEDVICK
CONSTRUCTION
CONSTRUCTION
124 S 300TH PL
223 BREMERTON AVE SE
HONGSGE892BJ (1/11/13)
Occupancy Load-
FEDERAL WAY WA 98003 -4310
RENTON WA 98059
223 BREMERTON AVE SE
Floor Areas . ft.
0
RENTON WA 98059
1 0
Census Category: 555 - Non - structural roofmg permits
Includes:
#1
#2
#3
#4
Occupancy Class:
Construction Type:
Occupancy Load-
Floor Areas . ft.
0
1 0
1 0
0
New / Additional Sq. Feet - 3rd Floor ....................0
Mechanical to be Included? ....... .............................No
New / Additional Sq. Feet - Basement ...................0
Plumbing to be Included? ......... .............................NO
PERMIT EXPIRES Tuesday, January 15, 2013
Permit Issued on Thursday, July 19, 2012
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: Date:
1/0! (0 /170
CITY OF
Federal Way
19 D1 490 11 IVA
12- 103338 -00-SF
THIS CARD IS TO ON -SITE
Construction In rection Record
INSPECTION REQUE TS: (253) 835 -3050
Address: 124 S 300TH PL
Project: THOMAS S VEDVICK FEDERAL WAY, WA 98003 -4310
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.
Final Erosion Control (4375) Final - Building (4050)
Approved Approved
By Date Date_ Z l
SWM Precon Site Mtg (4400)
Initial Erosion Control (4365)
❑
Underfloor Framing (4285)
Approved
By
To be done prior to breaking ground
Approved to install siding
Approved to sheath floor
By
Date
By
Date
By
Date
Final Erosion Control (4375) Final - Building (4050)
Approved Approved
By Date Date_ Z l
Floor Sheathing (4105)
Shear Walls (4245)
Roof Sheathing (4220)
Approved to install flooring
By
Date
Approved to install siding
Approved to install roofing
By
Date
By
By
Date
By /�e_ Date 7— 2LI— 12
Fire/Draft Stops (4095)
Interim Erosion Control (4370)
Prior to scheduling a Framing inspection;
Approved
Approved
Electrical, Plumbing & Mechanical Rough-in and
By
Date
By
Date
FireMraft Stop inspections must be signed -off and
approved. IBC 109.3.4
❑
Framing (4120)
Insulation (4150)
❑ Gypsum Wallboard Nailing (4130)
Approved to insulate
Approved to install wallboard
Approved to install mud & tape
By
Date
By
Date
By Date
Final Erosion Control (4375) Final - Building (4050)
Approved Approved
By Date Date_ Z l
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
Fe PERMIT
Federal w�3rECEIVED�
COMMUNITY
DEVEeL�OPME_T SERVICES
607. 607• FX 253u835 2 L V
APPLICATION
do % 2
CITY OF FEDERAL WAY
MF CO ME PL DE EN FP
rj 0
SITE ADDRESS CDS
`'
� Q ,
SUITE /UNIT M
PROJECT VALUATION
$ � C,-0 C) a�/
ZONING
ASSESSOR'S TAR /PARCEL M
� f ( <1_ -4
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name /Homeoumer Last Name)
V 0 /
(
PROJECT DESCRIPTION
Detailed description of work to
r
Ge_lArKX N
be included on this permit only
PROPERTY OWNER
NAME � � \jc/
PRIMARY PHONE
MAILING ADDRESS
E -MAIL
CITY
STATE
ZIP
NAME 4006 f �
PHONE
ko6
MAILING ADDRESS
&9_ �� Q
E -MAII.
CONTRACTOR
CITY
STATE
ZIP
FAX
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v ° v' v
ot fo
WA STATE CONTRACTOR'S LICENSE 0
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE N
NAME ^ , [ ,,
PHONE
APPLICANT
MAILING ADDRESS
E -MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME
An
PHONE
(The individual to receive and
MAILING ADDRESS
EMAIL
respond to all correspondence
concerning this application)
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME:
PHONE
E -MAIL
PROJECT FINANCING
NAME
OWNER- FINANCED
Required value of $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized 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 authorized 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 supplied to the city as apart of this application.
SIGNATURE: 77axl� D ATE
PRINT NAME:
Bulletin #100 —January 1, 2011 Pagel of 3 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK *
(a copy of bid or estimate must be provided)
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS
FANS
GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS
HOODS (Commercial)
BOILERS
FURNACES
HOT WATER TANKS (cas)
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
D CTING
GAS PIPING
WOODSTOVES
Indicate how maAg of each type of facture to be installed or relocated as part of this project. Do not incl de existing fixtures to remain.
BATHTUBS (or To ho— Combo)
LAVS (Hand Sinks)
TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAK S
DRINKING FOUNTAINS
SINKS (Kitchen /utility)
WATER HEAT S (Electric)
HOSE BIBBS
SUMPS
WASHING CHINES s �
CRITICAL AREAS ON PROPERTY? WATER PU YOR
EXISTING /PREVIOUS USE LOT SIZE (In Sgnaze
SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING F E SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No ❑ Yes ❑ No
Bulletin #100— January], 2011 Page 2 of 3 k:\Handouts\Permit Application