15-105326 40 !lading - Single Family
City of FederalWay Permit #: 15-105326-00-S F
Community Econ.& Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph (253)835-2607 Fax:(253)835-2609
Project Name: JOHNSON
Project Address: 32219 24TH AVE SW Parcel Number: 873180 0200
Project Description: REP-Tear off cedar shake roofing;install plywood over skip sheathing and Presidential
composition shingle roofing system.
Owner Applicant Contractor Lender
JACK C JOHNSON JACK C JOHNSON OWNER IS CONTRACTOR OWNER IS LENDER
ROBIN R JOHNSON 32219 24TH AVE SW
32219 24TH AVE SW FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
Census Category: 555 -Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class: R-3
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq.ft.) 0 0 0 0
Additional Permit Information
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
Occupancy#1-Construction Type. Type V-B Mechanical to be Included? No
Occupancy#1-Class R-3 Plumbing to be Included9 No
Occupancy#1-Use Residence(1 or 2
family)
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Saturday, April 16, 1i;,.
Permit Issued on Monday, October 19, 4s"
1.4ait ii,,,
,,
I hereby certify that the above information is correct and that the construction on the above des • rty and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
/u and the City of Federal Way.
Owner or agent: (.. - Date: /0- 101 .-- 2,015—
CITY OP • THIS CARD IS TO AIN ON-SITE Federal WayConstruction In ection Record
~
INSPECTION REQU TS: (253)835-3050
PERMIT#: 15-105326-00-SF Address: 32219 24TH AVE SW
Project: JACK C JOHNSON FEDERAL WAY, WA 98023-2506
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.
o Roof Sheathing(4220) 0 Final-Building(4050)
Approved to install roofing Approved
By PAL Date (e_a$-is B Date 11� IU fc
® Rough ElectricalCI Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
1..w� a , ♦ ` ,..
E
411111. CEIVEDPERMIIAPPLICATION
"TM OFOCT 1 9 2015 41Federal Way
CITY OF FEDERAL WAY
CDS /+�`
PERMIT NUMBER S _ 1 0 J Z 0 - S 'V I t `f
s
TARGET DATE
SITE ADDRESS SUITE/UNIT#
emir/ e y `1 „d it) q.40(
i tJ4.9go
PROJECT VALUATION ZONING ASSE OR'S TAX/PARCEL#
TYPE OF PERMIT [JILDING ❑ PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF (2.49114,(42-6-$4-
..
6-$4-
PROJECT DESCRIPTION /2 4,o Guirlt r A a,t,
..ciAt.A1 )
Detailed description of work to G fiat' ( /44, 21 p/4 UBill)
be included on this permit only / 0
jL.IH��f�
NAME PRIMARY PHONE
PROPERTY OWNER ( eta?? cy:o...444,42.4„, 3 g`7S-ffq,34J
MAILING AD REBS .lam E-MAIL o
9:Lid�3aa I`� a5'le i�!- 1� n) jc j A.._j 6 3�Ga1rt.Ad
CITY /.3.( 4 /I�+ vNAME io, PHONE
1.1'1.. It:A. Q (il. ii .C/U+C+-' }j"I/
MAILING ADDRESS E-MAIL
CONTRACTOR �' e
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME11nnAA PRIMARY PHONE
4a-rnpp
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING Eis OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
0
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 may be made by any person,including the undersigned,and filed against the city,
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.
SIGNATURE: DATE fa— ! i r o{
,di--42-0—
PRINT NAME: �ljC_G %./...Q71 J 0
Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
! !
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fifixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
FIRST FLOOR(or Mobile Home)
'_/ •4�4 �� �//,�'// r/�/'�,/ F,.'"*j /,/ z /"/'r' /'!,'fir ,'✓tF s/// `a✓,' ////
COVERED ENTRY
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/ ✓ �
f �,e .,z •y.;, e�f/, -r F,.nr /:,, :yr / r a ..._.___—__..____...._...._._.._.___.................__..__...._._ ..............._._____.__....__......
GARAGE ❑ CARPORT ❑
r _ _.__._._...._.__._.... - ..._.._..--..... _._..._.._.___ ...
F
r/.
Area TotalsEXISTINGPROPOSED TOTAL
ESTIMATED SELLING PRICE$ I #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
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ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
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TENANT AREA ONLY
Bulletin#100-January 1,2013 Page 2 of 3 k:\Handouts\Permit Application