05-105123City of
Community Development Way Building - Single Family Permit #: 05 - 105123 - 00 - SF
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718 c
Ph: (253) 835 -7000 Fax: (253) 835 -2609 Inspection request line: (253) 835 -3050
Project Name: DIENST
Project Address: 30128 3RD PL S Parcel Number: 795450 0090
Project Description: Reroof from shake to shingle. New sheathing.
Owner
Applicant
Contractor
Lender
Alan J Dienst & Emily J Dienst
DAVEY INC
DAVEY INC
NONE
30128 3RD PL S
14509 S 276TH PL
DAVEYI *011NJ 08/04/07
Type V - B
FEDERAL WAY WA
KENT WA 98042
14509 S 276TH PL
j Occupancy L
I, Floor Area (�`� �
98003 -4077
--
KENT WA 98042
NONE
Includes:
Census category: 555 - Non -st
#1
#2 �j
#3
#4
Occupancy Group — — —
�s
L_
R -3
Construction Type
Type V - B
j Occupancy L
I, Floor Area (�`� �
--
......................... 555 - Non - structural roofing D ! Mechanical ...........................
PERMIT EXPIRES April 3, 2006.
Permit issued on October 5, 2005
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: Date: �0 - J"7 C) J-
THIS CARD IS TO MAIN ON -SITE
CITY OF tommunityDevelo m nt Inspection n Record
Federal Way IVR INSPECTIION REQUEST PHONE # (253) 835 -3050
PERMIT #: 05- 105123 -00 -SF
Owner: ALAN J DIENST
Address: 30128 3RD PL S
FEDERAL WAY, WA 98003 -4077
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.
❑ Temp. Erosion Control (4365)
To be done prior to breaking ground
By Date
0 Plumbing Groundwork (4190)
Approved to cover
By Date
❑ Underfloor Framing (4285)
Approved to sheath floor
By Date
❑
Floor Sheathing (4105)
❑ Shear Walls (4245)
❑
Roof Sheathing (4220)
Approved to install flooring
Approved to install siding
Approved to install roofing
By
Date
By Date
By C
W Date /Q . 7-
❑
Fire/Draft Stops (4095)
NOTE: Prior to scheduling a Framing (4120)
❑
Framing (4120)
Approved
inspection; Electrical, Plumbing & Mechanical
Approved to insulate
Rough -in and Fire/Draft Stop inspections must be
By
Date
signed -off and approved. IBC 109.3.4/UBC 108.5.4
By
Date
❑
Insulation (4150)
❑ Gypsum Wallboard Nailing (4130)
❑
Final - SWM (4375)
Approved to install wallboard
Approved to install mud & tape
Approved
By
Date
By Date
By
Date
❑ Final - Building (4050) ❑'
Approved
By Date /o�li By
p. Erosion Maintenance
Approved
Date
C"T. A FIECEIVF#
Federal Way PERMIT
Com uA�1rDEYE60FmEN CT 0 5 2410
333258m AVENUE 8WA 9 • POBOX 9718 , LI C ATI O N
FEDERAL WAY, WA 98063 -971d
253 -83S -2607• FAx 253 -835@ ffY OF FE D E R
www.dltalletleralwavmm BUILDING DEPT,
The following is required information — an inco fete licallon will not be
SITE ADDRESS -- U1°�'0 Z -7l S Fj 01,
ASSESSOR'S TAX /PARCEL #
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
1
kF CO ME EL PL DE EN FP
Please
SUITE /UNIT #
LOT SIZE (sj)
or
(Attad.>tepa atapagalorkmftk otdmorWmQ
PROJECT •- •
TYPE OF PERMIT )4BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description o work included this Permit onlUj
-- _ - -
PROJECT NAME (Name of Business or Owner Last Name)
PEOPLE INFORMATION
PROPERTY
OWNER
CONTRACTOR
APPLICANT
NAME PRIMARY PH NE
i4 -�
MAILING ADDRESS CITY STATE, ZIP
juq
COMPANY NAME
.1�/IC.
APPLICANT APPLICANT N ME
(
OFFICE PHONE
��- lYc �i - WD
MAILING D CrIY, ST TE, ZIP
srmlft ,fit- -
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
./ /
( 1 -
--B' L
CONTRACTOR'S REOISTRATION NUMBER (copy of cud x gmkvd with owk yPH -U-4 EXPIRATION DATE
�c 1L k / /
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP –
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
( -
AREA DESCRIPTION EXISTING PROPOSED TOTAL
s . FT. s . FT. s .
BASEMENT
FIRST
SECOND
THIRD
FOURTH • .
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS RXWIWO PROP0510 TOTAL .. ......... .. ..
"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 fixtures to remain.
MECIZANICAL
Value of Mechanical Work $
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
BBQS
FANS
HOODS (comme,dq
WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES
MISC (Describe)
COMPRESSORS
FURNACES
GAS WATER HEATERS
DUCTS
GAS PIPE OUTLETS
PLUMBING
BATHTUBS IwTub /shoaercombo)
SHOWERS
WATER CLOSETS (roseq
MISC (Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE BIBBS
LAVS ieauueomsin"
VACUUM BREAKERS
ELECTRIC WATER HEATERS
I e nt(& under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorised by the owner of the above premises to perform the work for which the permit application is made. 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
each claim), which may be made by any person, including the undersigned, and filed against the City of Federal Way, 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 a part of
this application.
NAME /TITLE ��r DATE
ftwure) (Title)
RELATIONSHIP TO PROJNCT ❑ Owner ❑ Agent Contractor O Architect O Other
Bulletin # 100 — January 7, 2005 Page 2 of 4 k\Handouts\Permit Application