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09-103229
Building - Single Family City of Federal Way Community P Developmer.O.Box 9718 tt Services Permit #: 09-103229-00-SF Federal Way,WA 98063.9718 Inspection Request Line: (253)835-3050 FILEPh (253)835-2607 Fax (253)835-2609 p a Project Name: WILLIAMS Project Address: 29851 12TH AVE SW Parcel Number: 515320 0105 Project Description: REP-Install new roof which includes plywood caner A• 'I�,,t 'mot., Lender JAMES WILLI S WAR ROO'; G C 1 ST • ' `OOF I G I JAMES WILLIAMS 29851 12TH A ''" 30046 1,1 - E S S - ,fARI108DK !./1/11) 29851 12TH AVE S FEDERAL WAY WA 8023-6473 FEDERAL AY WA 023 3 046 16T SW FEDERAL WAY WA 98023-6473 1 .Y , •.023 C s t : 555 - Nontil2 ct toilt:00°.#3 l mg permits . Incl es: 1 #4 • Occupancy C ,s Construction Type: Occupancy Load: Floor Area(sq. ft.) 0` 0 0 0 w, New/Additional Sq.Feet-3rd Floor... 0 New/Additional Sq.Feet-Basement..........:........0 Mechanical to be Included? No Plumbing to be Included? .. o v 3 - No Fixtures Associated With Thi e`er' ...„t l! ,A i. n0 PERMIT EXPIRES Tuesday, Febr ry 10 Permit Issued on Thursday, Augus 20, 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 acc. •.nce with the laws, rules and regulations of the State of Washington .nd the City of Federal Way. Owner or agent: � Date: c_ 20-dy 3.-'4 ( ( 3-- --1 -31 -3 THIS CARD IS TO REMAIN ON-SITE CITY OF • .y Construction Inspection Record ""` Federal Way INSPECTION REQUESTS: (253)835-3050 PERMIT#: 09-103229-00-SF Address: 29851 12TH AVE SW Owner: JAMES WILLIAMS FEDERAL WAY, WA 98023-3407 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) -❑ Initial Erosion Control(4365) 0 Underfloor Framing(4285) Approved To be done prior to breaking ground Approved to sheath floor By Date By Date By Date Floor Sheathing(4105) ❑ Shear Walls(4245) El Roof Sheathing(4220) Approved to install flooring Approved to install siding Approved to install roofing By Date By Date By G, (j Dates. , d g, El Fire/Draft Stops(4095) ❑ Interim Erosion Control(4370). Prior to scheduling a Framing inspection; Approved Approved Electrical,Plumbing&Mechanical Rough-in and Fire/Draft Stop inspections must be signed-off and By Date By Date approved. IBC 109.14 0 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) 0 Final-Building(4050) Approved Approved By Date By Date I El Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date -----. -4.11.. c.y.Fib ao - - ) - la 5„2 ,4) Federal Way PERMIT e\1%) t. COMMUNTIT DEVELOPMENT SERVICES ® MF CO ME EL PL DE EN FP 3332E D AVENUE SOUTH 6 97X9718 APPLICATION To FEDERAL WAY,WA 98063-4718 / / 253-835.2607•PAX 2538354609 gge��=,nay fp(!�yl..rq(r�!p tf.rgrn �{. (in�.y,� The following is required information-an incomplete application will not be accepted Please print legibly(in ink)or type. Ell PROPERTY INFORMATION e=ADDRESS Z q ' 37 I .17 ,WE f I U 71T• _ ASSESSOR'S TAX/PARCEL# —— —— AUG LOT SIZE(sf) Tr, G2© 211 LEGAL DESCRIPTION(e.g.Anne EStOty�Lot 1) p+. 1 1� C 0r FET, ■ , �� II PROJECT INFORMATION TYPE OF PERMIT . 1(IRLDING ❑PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed desc iption of work included on this permit onlu) /NfpA-UL- NiZIA) PCCf- 1A) pIl(air1 PROJECT NAME(Name of Bps or Owner Last Name) IN PEOPLE "o INFORMATION PROPERTY OWNER NAME ✓ wr p -4/07 2u5/ /2...'04vesiA.) CZ E'ZIPG .itti E-MAIL ADDRESS CONTRACTOR COMPANY NAME N1/Utikr- I;lU Anwar `. 09'14— r5 orW - OT/ IrAIIIN �REc /69 V. r toG J,.1 Cn Z' , 7ELLPH ONE - CITY OF FED W BUSINESS LICENSE NUMBER EXRRAT DATE FAX NUMBER geO— 4900 0/5-00et- ( ) •S R spy IS A?IOI(DATE E-MAIL ADDRESS S7 W -3'(ete.D k_ 5-1-zoo/ APPLICANT COMPANY NAME - APPLICANT NAME OFFICE PHONE ( ) - MAILING ADDRESS CITY,STATE,ZIP CELL PHONE ( ) - RELATIONSHIP TO PROJECT FAX NUMBER ❑Architect ❑Tenant ❑Agent ❑ Other ( ) - PR NAME PRIMARY PHONE E-MAIL ADDRESS CONTACT ( ) - LENDER NAME Per RCW 19.27.095: • Lender information is required(f project valor exceeds$5,000 MAILING ADDRESS CITY,STATE,ZIP PHONE ) - • DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WOKS $ 9'q 7.-C 60 SPRINKLERED BUIl DING? ci YES ❑NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑NO WATER SERVICE PROVIDER ❑LAKRHAVEN ❑ HIGHLINE ❑TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER ❑LAKEHAVEN ❑ HIGHMNE ❑ PRIVATE(SEPTIC) • PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. SQ.FT. SQ.FT. BASEMENT FIRST SECOND THIRD • ADDITIONAL FLOORS(DESCRIBE) DECK(0 COVERED OR ❑UNCOVERED?) GARAGE ❑ CARPORT ❑ soros PROPOSED TOTAL TOM ICESTSNhsF 70TAL PROMO=SF TOTAL SF NUMBER OF FLOORS *'NEW HOMES ONLY NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indicate number of each type of frn're to be installed or relocated as part of this project. Do not include existing firtures to remain. MEGLI IICAL Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST'BE INCLUDED WITH APPLICATION) AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES BBQS FANS GAS WATER HEATERS MISC(Describe) BOILERS FIREPLACE INSERTS HOODS(connoQOai COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS REFRIG.SYSTEMS PLC URINALS MISC(Describe) BATHTUBS(or Tab/Shower combq IAVS(BffiInoom sml� DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS creikt ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS SIGNATURE I certify wider 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 Wag as to any claim(Including costs,expenses,and attorneys'fees incurred in the investigation and defense of such claim), which be made by ang person, including the undersigned, and filed against the city, but only where such claim arises of the reliance of including its officers and employees,upon the accuracy of the information supplied to the city as a part of this ,,, lioatioa g SIGNATURE: DATE F_ 2c)_U/ ' Owner and/or th. Agent FOR OFFICE USE ONLY ❑NEW ❑ADDITION o ALTERATION o REPAIR ❑TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? a YES n NO ZONING DESIGNATION CHANGE OF USE? o YES o NO NEW ADDRESS REQUIRED? o YES ❑NO UP/SEPA/SU? o YES o NO PLATTED LOT? ❑YES a NO DEMO PERMIT REQUIRED? o YES ❑NO Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Peimit Application