10-100442 "'Building - Single Iamily
City of Federal Way ��,//,
Community Development Services Permit #: 10-100442-00-SF
P.O.Box 9718
Federal-260, Fax::(253)935- Inspection Request Line: 253 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p a
Project Name: GRILL
Project Address: 30224 27TH AVE S Parcel Number: 798480 0080
Project Description: REP-Remove existing shake roof and replace any existing rotten decking and install a 30
yr shingle
Owner Analicent Contractor Lender
JOHN&BETTY GRILL TEDRICK'S ROOFING INC TEDRICK'S ROOFING INC
30224 27TH AVE S 37220 188TH AVE SE TEDRIRI121NC(5/7/11)
FEDERAL WAY WA 98003 AUBURN WA 98092 37220 188TH AVE SE
AUBURN WA 98092
Census Category: 555 -Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
truction T A.e: 444° " '4
c `pancy Load:
oo
AX.rea s'.ft. 0 0 0 0
New/ ' `fr Floor , r w!Additi ctatSit t-Basement
Mechanical to be Included9 No Plumbing to be Included' No .
1 .
F y '
PERMIT EXPIRES Saturday, July 31, 2010
Permit Issued on Monday, February , 2010
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 law-, rules and regulations of the State of Washington
ity of F-decal Way.
Owner or ag , i/
oFi e,1 710
THIS CARD IS TO REMAIN ON-SITE
CITY OF
• Construction Ins STS ction Record " r
Federal Way INSPECTION REQUE : (253)835-3050
PERMIT#: 10-100442-00-SF Address: 30224 27TH AVE S
Owner: JOHN & BETTY GRILL FEDERAL WAY, WA 98003
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.
0 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) El Shear Walls(4245) ❑ Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By JiC Date 27212047
❑ Fire/Draft Stops(4095) 0 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 1093.4
o Framing(4120) 0 Insulation (4150) 0 Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
O Final Erosion Control(4375) El Final-Building(4050)
Approved Approved
By Date By / .Cep Date 2,7,1/041/�1 e
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
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NAME OF PROJECT ge(Tenant or Homeowner Name) d L,
❑BUILDING ❑ PLUMBING ❑ MECHANICAL.
TYPE OF PERNaT
040/7/7 ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
f
Nat i z `- '/ 1/ A,a-1 ieoc 9 „,.'"' '
PROJECT DESCRIPTION 4-77:4/r• 4, " . 2) Y. ;,�/•-Z .-' X1 2
Detailed description of work to
be included on this permit only
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PHONE NAME PRIMARY
PROPERTY OWNER J /J) &Fge. / 6.23') g- f ofte
MAILING ADDRESS,CITY ATE,
ZIP EMAIL
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OWNER IS ALSO: '7i CONTRACTOR 0 APPLICANT 0 PROJECT CONTACT
NAME PRIMARY PHONE
A717/f1, Z/C Pa) 82,' 3Yya
CONTRACTOR MAILING ADDRESS,CITY,93ATE,ZIP FAX
3- /9 g x,yu Aid / mss G,- %/22. ( ) -
WA STATE CONTRACTOR'S LICENSE C EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE•
•-i 'Die leilahOL 5 / 7 / / t h- ot-i-Lf____ed ,
NAME PHONE
APPLICANT ( )MAILING ADDRESS,CITY,STATE,ZIP FAX
)
PROJECT CONTACT NAME
_y/.�,� �� a0_PRIMARY PHONE
(The individual to receive and Z- i iii/ f , ,' e,e /( )70-- „2 07
respond to all correspondence MAILING ADDREss,CITY, ATE,ZIP , FAX
concerning this application) '7 /�lj7 ✓� /f' '•' 4F'%,17 ( ) -
ALTERNATE CONTACT NAME: `Ir ( PRIMARY!�PHONEE E-MAIL
l )
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(RCW 19.27.095)
( ) -
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred
in the investigation and defense of such claim), which •. •- made by any person, including the undersigned, and filed against the
city, but only where such tat=arises out of the • - of t ty, including its officers and employees, upon the accuracy of the
information supplied to city as a pa anon.
DATE'�
/C 2/IL ”/��/ ��
SIGNA
PRINT . 1.• -J4w`. / .. /15-/.0/C,
Bulletin#100-January 1,2010 Page 1 of 4 k:\Handouts\Pennit Application
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Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number 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(commerci i) -
BOILERS FURNACES HOT WATER TANKS(c.)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODS�TrOVES
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Indicate number of each type of fixture to be installed or relocated as part of this project Do not include existing fixtures to remain.
BATHTUBS(or Tab/shower combo) LAVS(Henri Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(ritchen/utiittyy) WATER HEATERS(riectric) -
HOSE BIBBS SUMPS WASHING MACHINES TQTALFIXTURES
GENERA. I FC) IVi ' ON
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTDIG IMPROVEMENTS
$ 95? $
EXISTING/PREVIOUS USE LOT SIZE Na Square Feet) EXISTDIG FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes ❑ No
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AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMEN.
FIRST FLOOR(or Mobile Home)
.SECQND F"F, : R
—
• COVERED ENTRY
I? .::
GARAGE ❑ CARPORT ❑
OTHER tdesertbe ...
.... .. .. EXISTA0 PROPOSED TOTAL
Area Totals
*.N swsokres ollitlr'*
ESTIMATED SELLING PRICE$ #OF BEDROOMS
...........:
AREA DESCRIPTION Area Construction #of
Occupancy Group(s) Additional Information
in Square Feet Type Stories
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ADDITION
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AREA DESCRIPTION Area Construction #of
Occupancy Groups) Additional Information
in Square Feet Type Stories
TOt B13ILDING : s
TENANT AREA ONLY
:AREA OZU.Y
Bulletin#100–January 1,20W Page 2 of 4 k:\Handouts\Pernrit Application