06-101617 City of Federal Way �
Community Development Services Building - Single Family Permit #: 06-101617-00-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: OSMONSON
Project Address: 1109 SW 352ND ST Parcel Number: 502860 1390
Project Description: Reroof with shake to comp; resheathing
Owner Applicant Contractor Lender
WADE OSMONSON MILLER ROOFING ENTERPRISES MILLER ROOFING ENTERPRISES
LORRIE OSMONSON INC INC
16637 ISS-HOBART RD MILLERE167KP 01/30/07
ISSAQUAH WA 98027 16637 ISS-HOBART RD
ISSAQUAH WA 98027
Census Category: 555-Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
instruction Type:
to S'
• ncyLoad:
Area(sq. ft.) 0 0 0 0
6�,7 � r� � � "'` => MN�� J pa' Y;� "�� t ys,. IiC '�,�rS •.: ;, �`.*,. �'i rc
t4Itb ,:,:.t� �.�� ...:. °,a ��;:�''#� « `�� ? ���' • dS�'�`.�,i2E"»�'.�#, ,. �
New/Additional Sq.Feet 3rd Floor. Additional F -Basement. ..0
Mechanical to be Included? No Plumbing to be Included? No
'J�F + .i�i 6 Ili�"wryi - s t "ny.i it :iip .i trym�' duk �
d + 6 a Nom ures mated Nf l " � t I I m
CONDITIONS:
PERMIT EXPIRES Thursday, April 3, 2008
Permit Issued on Monday, April 3, 2006
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: %/_7/14(
• THIS CARD IS TO•MAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-101617-00-SF
Owner: WADE OSMONSON
Address: 1109 SW 352ND ST
FEDERAL WAY, WA 98023-6921
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 Underfloor Framing(4285) Floor Sheathing 105
❑ P• ( ) ❑ g( ) ❑ g((4105)
To be done prior to breaking ground Approved to sheath floor Approved to install flooring
` By Date By Date By Date
❑ Shear Walls(4245) ❑ Roof Sheathing(4220) ❑ Fire/Draft Stops(4095)
Approved to install siding Approved to install roofing Approved
By Date By (A.,) Date %1 (3. 04 By Date
NOTE: Prior __.._..,.._ .. ......
or to scheduling a Framing(4120) ❑ Framing(4120) ❑ Insulation(4150)
inspection;Electrical,Plumbing&Mechanical Approved to insulate Approved to install wallboard
Rough-in and Fire/Draft Stop inspections must be
signed-off and approved. IBC 109.3.4/UBC 108.5.4
By Date By Date
❑Gypsum Wallboard Nailing(4130)- ❑ Final-SWM(4375) ❑ Final-Building(4050)
Approved to install mud&tape Approved Approved
By Date By Date By �v, Date 1771eto
❑Temp.Erosion Maintenance(4370)
Approved
By Date
ctrr or
A R�c `Q� -
F'ederal W � 5 a (0 / 01 17
A�� L PERMIT
C MMURTYDRYSLOFIBNTSERVICES OFCO ME EL PL DE EN FP
33325 AVENUE SOUTH•ro BOX 9718
FEDERAL WA Y,WA 98063-971 8 Cr(OF FED -I CATI O N 2538352607•FAX 253835-2609 + BUILDIN
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The oilowi • is ' fired i ormation-an i . •fete a••lication will not be acce,ted. Please •rint legibi in in or p .
110 f PROPERTY INFORMATION
SITE ADDRESS //O 9 54.,/ 7 5d,t'`� S/-- —/ 4,-:4?' SUITE/UNIT#
'
ASSESSORS TAX/PARCEL# -
_ LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot I)
(Attar&Valuta PaWla en"legal deaeipttmp
11 PROJECT INFORMATION
1
TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ EMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
11_°iHr,, clic,// SX•:lec % E S-./Pe.)` eve'- C.Z; c1L,.•&:-y, 4✓,7st ---1,4_4;:____c-DA-
,
PROJECT NAME(Name of Business or Owner Last ame) C.)cre!L.,e7 SG.°1
6 II1 PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER Vin/"h_ $-- �crr �' OS f•-/csls c� (023"3 )$747'747 -07/96
MAILING ADDRESS CITY,STATE,ZIP of[ lid � i 3 "' / IA/ rry/G/ G/,if. fed3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
/fir,-/ierf GPI .i.a,�x_ /1 // - (/71,25—)35.E -‘,47,e/
MAILING ADDRESS / / 144 �Q/'CITY,STATE,ZIP CELL PHONE
/t t%3 9 .1. �rtjbt.-,--4 ,:-f/ °"t �1:r ,z-54,,,,...4 EXPIRATION DATE �7 FAX NUMBER-/d -M St'
CITY OF FEDERAL WAY BUSIN LICENSE NUMBER
/ / (9,-)-19,,It -2.Z5-4;-
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
/3 / L Le-, e-76'"7 A', / I ,30 16`7
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
11/"4,J i 1 7 j-,fr,s,s V, /r1)•-`'- f✓l, '/- ( ) -
ILING ADDR ✓ CITY,STATE,ZIP CELL PHONE
t? 4 i1 V`'d� ( ) -
RELATIONSHIP TO PROJECT /� FAX NUMBER
❑Architect ❑Tenant ❑Agent ❑ Other(Describe) C.041,0,t ' ( ). -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
) k=
c /v%/7 . T(V)s 311- - Ci01/
LENDER
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) _
)(N1 DETAILED BUILDING INFORMATION
EXISTING USE 5.n, k. .I;_,.,..,,, -a7 M3 r<,/s,"-- PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WO- ' / 3/7. f
SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
•
ADDITIONAL FLOORS(DESC't: )
•
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS I ssr.ruo I orosm I �
**NEW HOMES ONLY** NUMBER OF BEDROOMS _ MATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be ins • -d or re.•• d as part of thisproject. Do not include existing fuctt4res to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS iceomvretes WOODSTOVES
BOILERS FIREPLACE INSERTS GES MISC(Describe)
COMPRESSORS FURNACES GA. WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING •
BATHTUBS i. b/Sho ercombot SHOWERS WATER CLOS ono MISC(Describe)
DISHWAS. RS SINKS DRINKING FOUNTAINS
GAS P •. OUTLETS SUMPS RAINWATER SYST
W I NO MACHINES URINALS HOSE BIBBS
LAYS(Bathroom stab VACUUM BREAKERS ELECTRIC WATER HEATERS
•
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the '•rmation 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 pram!- s 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
person,including the undersigned,and filed against the City of Federal Way,but only where such claim
such claim),which may be made 6y any p n, g g ed, f l ag ty f W! !/
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 DATE
(Signature) (Title)
RELATIONSHIP TO PROJECT ci Owner O Agent a Contractor 0 Architect 0 Other
•
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