05-104960r
0 •
City ofFe
Community Development Services
Building - Single Family Permit#: 05- 104960 - 00 - SF_
velen
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: TURNER
Project Address: 35311 19 AVE SW Parcel Number:926975 0090
Project Description: Remove 1 layer of comp shingles,checking sheathing,replace if necessary,installing 40 year laminate.
Owner Applicant Contractor Lender �+(0•-
TONY TURNER A.G.ULRIGG ROOFING A.G.ULRIGG ROOFING NONE p�i
35311 19TH AVE SW PO BOX 23023 UGULRR*055KH 07/27/07 V� �ZM� •
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 PO BOX 23023 O V •
FEDERAL WAY WA 9/1)14 0 t
Includes: VV
Census category: 555 #1 #2 #3 1 #4
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Occupancy Group: R-3
Construction Type: Type V-B —J
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Occupancy '.., ir
Floor Area +i -- ryr j
Cent Category+ * ," 555 Mechanical _
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PERMIT EXPIRES March 26,2006.
Permit issued on September 27,2005
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. ��jj��AA
Owner or agent:____J��1' ZGal '''' Date: y^ 7~...,4--
.
DATE INSPECTOR AREA ANI) TYPE OF INSI'ECTION
g/7,Y/r /G-41` ,-e/Pc /)&))2.
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THIS CARD IS TOAIN ON-SITE-
CITY OF Pommuni Development Inspection ty p pect on Record
IVR INSPECTION REQUEST PHONE #(253) 835--0
Federal Way 3 50
y Q � �
PERMIT#: 05-104960-00-SF
Owner: TONY TURNER
Address: 35311 19 AVE SW
FEDERAL WAY, WA
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) ❑ Plumbing Groundwork(4190) ❑ Underfloor Framing(4285)
To be done prior to breaking ground Approved to cover Approved to sheath floor
By Date By Date By Date
[0_ 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 / Date 0 e/a
•
❑ 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) OTemp.Erosion Maintenance(4370)
Approved Approved
By Date By Date
.
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EP 2 7 2005 Q 5 - __[ 0 /�
Federal way PERMIT /
COMMUMrY DEVELOPMENT SERVICES CITY OF FEDERAL /� MF CO ME EL PL DE EN FP
3J395dmRLWAY,WA9•P0 BOX 9718 APPLICATI'FEDERAL WAY,WA 98063-9718 DEPT PT. ��
253-835-2607.FAX 253-83S-2609 g a.,rn / I
ioww.diyo(Rderaiway.com T
The ollowi • is re, fired in ormation-an inco •iete a••lication will not be acce•ted. Please •rint le•1b1 n in or
IN PROPERTY INFORMATION
SITE ADDRESS , 3553// / 9J /'f"C SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ LOT SIZE(fl
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for to, by kgal deoaiptlan)
• PROJECT INFORMATION
TYPE OF PERMIT $(BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only
PA,' Acm542- I LAI-y.e..... e_orn,,,e,--- V - 7,z v/....1-45____
PROJECT NAME(Name of Business or Owner Last Name) -
MI PEOPLE INFORMATION
PROPERTY NAME
.� •y-� PRIMARY PHONE
OWNER / )j!q / 4/v?e-0` coki3) SW -C)3�3 Z
MAILING ADDt ESS CITY,STATE,ZIP
3531/ 19 .s ,r-e_ e-.- e,1- f _-3
CONTRACTOR COMPANY NAME // APPLICANT NAME
(�� OFFICE PHONE
11. -•-•(/'.. UN'-4, S-'\CIT,(,"4'-\ .P 1,k,\�. c0-'3)N 1"Y ?oz?
MAILING ADDRESS te-v.6 0,,?( : R•30-13 1P�I'4-Y A-4A (, )5 6.3A -4,/1.2y
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE .= FAX NUMBER
O - Qs- I Q -3 42 1 L-B L /)--' 31 )5 ( )
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
APPLICANT CO PANY NAME APPLICANT NAME OFFICE PHONE
6` 6- U`i^`� v It� -4, ` �XY1 (-1)3) O 7
- r .',.=,7 MAILING ADDRESS CITY,STATE,ZIP
CELL PHONE
FLAT ONS@ o PROJECT 4130?-3 PEA w' 9 i '3 b >3) 673 d�2 y
FAX NUMBER
❑ Architect ❑Tenant ❑Agent ❑ Other(Describe) el)4t4,"4-w- z.` ( ) -
■ CONTACT NAM\k PRIMARY PHONE E-MAIL ADDRESS
n IAA,-.-Ute 0-5 Gl�- a/ 7
LENDER
? ,d°!'y z "-:$c,,'.4,1 .r4,r:af 1%94r u! k to■ $:; NAME
MAILING ADDRESS CITY,STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 5.1-i2 C)
SPRINKLERED BUILDING? O YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES ❑ NO
WATER SERVICE PROVIDER a LAKEHAVEN O HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
_ SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH .
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
NUMBER OF FLOORS
RESTING PROPOSED F� F k r,4,„
sr n
**NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
•
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(cummerdy WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Showercombo) SHOWERS WATER CLOSETS(root) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Baouoomswcy VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
•I certify 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 authorized 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
such 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 (14,0-1.---. DATE 9-2J
7^-- S'''
(Signature) (Tide)
RELATIONSHIP TO PROJECT ❑ Owner ❑Agent Contractor ❑Architect ❑ Other
l 'i)mss ,gt 0 ;1,t1 o 4 ;=.i ve + fr u;(,r I , ;qr7,;s) I 3,for .
)�e;It. $4i €. el t n i�f f v,)a' srtt�� � = p 7y,
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rfli■il+(e't 51-'') ‘1,'t i( p r r� 4 L,011,
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Bulletin#100—January 7,2005 Page 2 of 4 k\ andouts\Permit Application