09-100568 Building - Commercial
' ay y of Federal Way Q
Community Development Services Permit #: 09-100568-00-CO
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax (253)835-2609 p Q
Project Name: HORAN REAL ESTATE
Project Address: 33903 PACIFIC HY S Parcel Number: 202104 9086
W
Project Description: Reroof-like for like
Owner Applicant Contractor Lender
RICHARD CARSON ACHTEN'S QUALITY ROOFING ACHTEN'S QUALITY RP• ING
9023 139TH AVE SW 418 112TH ST E ACHTEQR923CM /1,
NEWCASTLE WA 98059 TACOMA WA 98445 # 112 •
:445
Censu ateg : 555 - on-s to ro• •g • •rmits
Includes: #1 #3 #4
Occupancy Class: 1
— Construction Type:
Occupancy Ld:
Floor Area(sq.oaft.) 0` 0 0
Mechanical to be Included? No Number of Stories*......... . ...... .. ... ..';.. .... I
Permit for Building Shell Only? No Plumbing to be Included? No
•
PERMIT EXPIRES Tuesday, August 11, 201 •
Permit Issued on Thursday, February 12, 20
I hereby certify that the above information is correct and that the construction on IØab vti 's i rope.rty and
the occupancy and the us will be in a ordance with the laws, rules and regula ns o - •t f Washington
and the City of Federal Way.
Owner or agent: l late:
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 09-100568-00-CO
Owner: RICHARD CARSON
Address: 33903 PACIFIC HWY S
FEDERAL WAY, WA 98003-6812
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.
•
❑ Footings/Setback(4110) ❑ Foundation Wall(4115) ❑ Drainage/Downspout(4040)
Approved to place concrete Approved to place concrete Approved to backfill
By Date By Date By Date
— 0 Re-steel(4215) ❑ Slab/Concrete Floor(4255) 0 Underfloor Framing(4285)
Approved to place concrete or grout Approved to place concrete Approved to sheath floor
By Date By Date By Date
❑ 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 dl o9
❑ 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
O Insulation (4150) 0 Gypsum Wallboard Nailing(4130) 0 Suspended Ceiling Grid (4265)
Approved to install wallboard Approved to install mud&tape Approved to drop tile
By Date By Date By Date
❑ Final-Fire Department(4060) 0 Final-Building(4050)
Approved Approved
By Date By Date
•
For inspector reference only
0 Rough Electrical 0 • FINAL-Electrical
Approved Approved
By Date By Date
Feb 12 2009 1 : 43PM HP LASERJET FAX 253-539-7664 P. 3
.E0 .... _ 0, 6_ 5-6..k
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an
Feosderal way FEB l 2 ccn0 PERMIT
COMMUNITY SF MF • ME EL PL DE EN FP
"� s B71 ' EDERAA LI CATI ON
253-8352607$ 5- / /
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The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
•�22p • PROPERTY INFORML1T1ON
.';3C11
SITE ADDRESS 7J-1 05 D l C. k S. , Il it'Il3 SUITE/UNIT S-
ASSESSOR'S TAX/PARCEL - —— _— LOT SIZE(s
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(gtr.t separate prye fir IerwtlW twat dexrtptlo54 V,6
• PROJECT INFOREIATION
fi7o
TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MEC r7
OLITION 0 ELECTRICAL 0 ENGINEERING- ON SYSTEM
DESORI• v.ON (Prov• • de . .-"'^ ..n c�'wiy inc •-. ' thispermn*wilt))wilt)) "'p.S Vii
�. .a"y 1.--e, -_-_-r'.-, ...0 MA to
Cruna92&vf
I,/ 4
PROJECT NAME(Name of Business or Owner Last Nurse) eka 5-
S PEOPLE INFORMATION
PROPERTY NAME }�� £ O / 'J PRIMARY PHONE
OWNER I
_
jX2pr., .� iw 97 !t
-3 /39 4-�osio oe)
CONTRACTOR RIPNIreEinf3
AP T N EPH C w�,l V`1lfy/1k\ ATgl � .'r/h/wrllIC4S� 3 -I
r1 �\I'Z '.Sk G v TE �P i x 7 t I :V r /J I ELY PHlr -
CnY OP FEDERAL WAY BUSINESS LICENSE NUMBER TIONJDllTE FAX NUMBER
1 Asn •'/ /O & AD �;
\..)e DAM
,( gR ►�trt .C
APPLICANT � APPIlCANT NAME OFFICE PHONE -
a C ADDRESS CITY,STATE.ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect 0 Tenant 0 Agent ❑ Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDFA NAME Per RCW 19.27.095;
.lender u ormatian is required if project value exceeds$5.000
MAILING ADDRESS COY,STATE,ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK 8
SPRINKLERED BUILDING? ❑ YES 0 NO ETRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES o NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGBLINE ❑ TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAHEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
Feb 12 2009 1 : 43PM HLASERJET FAX 2 5 3-539-7664 p. 4
• •• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
8Q.FT. SQ.FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(O COVERED OR I:UNCOVERED?)
GARAGE 0 CARPORT ❑
NUMBER OF FLOORS =ammo morass TOraL mrs immamssr TOTAL' 0d®SF
"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$ lA COPY OF'BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commercial]
COMPRESSORS FURNACES RANGES
DUCTS GAS LOGSETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(ormbistw..ercombo) LAVS(eatbroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS rroliec
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that I am the property owner or authorised agent of the property owner.I certify that to the best of Amy
knowledge, the information submitted in support of this permit application is true and correct.I that I will co
City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I�d that they with ata applicable
of this permit
does not remove the owner's compliancerespansibor with locat,state,or jederal laws regulating construction or environmental laws.
'further agree to hold harmless the City of Federal Way as to any claim(Including costs,expenses, and attorneys' incurred to 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 Ilifiews and employees. upon the accuracy of the information supplied to
the city as a part of this application.
SIGNATURE: DATE
Property Owner and th.r ued -±ent
( }ri, x'
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$1unaiolm 9 ...., .)I)l . .__.. ..�_... .. . . .�......... .... .. ...,.._...,..._.. ...._........._. ,� ...... ..........�
❑NEW a ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT o YES o NO DEMO PERMIT REQUIRED? o YES o NO
_,a..-.
Bulletin#100-January 1,2009 Page 2 of 4 klHandouts\Permit Application