11-101193 City of Federal Way
• •ilding - Single Family
Community Development Services Permit #: 11-101193-66-5F
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: GREY
Project Address: 31108 5TH WAY S Parcel Number: 241330 0040
Project Description: ALT-Resheet roof surfaces with OSB over existing skip sheeting for mew laminated comp
shingle roof.
Owner Applicant Contractor Lender
CHRISTOPHER S GREY D&L CONSTRUCTION D&L CONSTRUCTION
31108 5TH WAYS 32733 111TH PL SE DLCON**211MA (7/1/12)
FEDERAL WAY WA 98003-4049 AUBURN WA 98092-4739 32733 111TH PL SE
AUBURN WA 98092-4739
Census Category: 555 -Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 0 0 0 0
e
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement... .........0
Mechanical to be Included No Plumbing to be Included9No
� � `„� � .a�� �..k�,..
PERMIT EXPIRES Monday, September 26, 2011 •
Permit Issued on Wednesday, March 30, 2011
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 Cp of Federal Way.
Owner or agent: tisu\.(7/vi R y Date: 3b6 21/i
® 4 4 11
4%. THIS CARD IS TiarMAIN ON-SITE
e Construction I ection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 11-101193-00-SF Address: 31108 5TH WAY S
Project: CHRISTOPHER S GREY FEDERAL WAY, WA 98003-4049
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.
Roof Sheathing(4220) El Insulation (4150) El Gypsum Wallboard Nailing(4130)
Approved to install roofing Approved to install wallboard Approved to install mud&tape
By Date 3 //1/ By Date 'By Date
J
❑ Final-Building( 050)
Approved
Date
❑ Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
. .
, /
- / (..."
n i / q 3
..,.... _ _
• •
1, . MIT F CO ME PL DE EN FP
Federal WayI i
A li
• C .
COW,NITY DEVELOPMENT SERVICES . 3 .
Et CATION
253-835-2607.FAX 253-835-2609
18'1 67
Of
MO 3 0 Zcl
SITE ADDRESS 0 iv E ERAL\NAY SUITE/UNIT#
F,-.1) ,, ( L,/,„./ £'4A9- /F02.3
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 600
TYPE OF PERMIT ) UILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) ch r I's orry
,...
,
Re-Mr..i1P - /&^S hee-64" npa- -St..4-,rreees 4,4.1-,d-A 2h Al'e
PROJECT DESCRIPTION
Detailed description of work to Otlte--7-- 400/3d))1Ix -C kl)g, ,..0)7 ee---C4iit5- 121 ---- 170A.1 1.€4,144A IA,
be included on this permit only
(22,7-rviatac.1;714\T V1 ,c,A:lye roc&
NAME PRIMARY PHONE
PROPERTY OWNER Chris G-
re 206- 304'-/9 4 i/
MAILING ADDRESS E-MAIL
311 oe - _Pito- coy S7t)
CITY STATE ZIP
re.Thk"r24/ W kik Itoev? ,
NAME PHONE
D 1- 1-., CaYI-COCVC-ii g5-3-235'-03 3-2,
MAILING ADDRESS E-MAIL
CONTRACTOR 3,2-93?- /1)7-b, / s,c--- cod/4 o 40-/(o)-4 c 4 veo i
CITYSTATE ZIP FAX
a vizi., wt,f- geo 9.2 A53-737— ,/ia 6.
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
bi-COH*4 2/1/44 A 07/ 0) / /gsZ ',20-09-033/12—CO-Bs._
NAmErvy, I:364,4:111e PHONE
..25 -,W-810,410' •
APPLICANT MAILING ADDRESS E-MAIL
3X733 ii)T7i 19- -St- above
CITY STATE ZIP . FAX
8 LiWAI t.A4-- qe-09,
PROJECT CONTACT NAME PHONE
(The individual to receive and 1---(Thaln 0 LA-eitle e-7--Y-U)--RID 44P'
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application) ahp Yr akove
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
. X OWNER-FINANCED
Required value of$5,000 or more (AA)i e-).- - Chr,3 Orr).
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
above
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: 444A.:e TO (31 - ---- DATE 349 4
PRINT NAME: `T. ..an i'e.( Adi 3u Cril e
Bulletin#100-April 14,2010 Page 1 of 3 k:\Handouts\Permit Application
•
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VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many of each type of fixture to be in •lled or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS F• 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
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Indicate how many of each type of fixture to be ' tailed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/shower Combo) S(Hand Sims) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(iactcic)
SUMPS WASHING MACHINES ii'iiii `�? •.` %%i'i?'•ii
HOSE BIBBS .........:.�:......�...`..::::::.�::::::
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CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEAENT3
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING 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 IISE
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FIRST FLOOR(or Mobile Home)
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COVERED ENTRY
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GARAGE 0 CARPORT 0
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• 87QSTIlfO PROPOSED TOTAL
Area Totals
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ESTIMATED SELLING PRICE$ # OF BEDROOMS
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Area Construction #of
AREA DESCRIPTION Occupancy Group(s) Type StoriesAdditional Information
is S uare Feet
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ADDITION
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Area Construction #of
AREA DESCRIPTION Occupancy Group(s) Additional Information
in Square Feet Type Stories
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TENANT AREA ONLY
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Bulletin#100—April 14,2010 Page 2 of 3 k:\Handouts\Permit Application