11-102188Building - Single -Family
CiityDevty of dean DevWayelopment
Permit #- 11-102188 00 -SF
Community Development Services • -
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Fir LE Inspection Request Line: (253) 835-3050
Project Name: MCCOY
Project Address: 37131 8TH AVE S
Parcel Number: 322104 9092
Project Description: ALT - Tear off existing shake roof and reroof with asphalt shingle.
Ownr
Analicant
Contractor
Lender
C DAVID LUNDEN
JENNIFER MCCOY
624 NELSON LN SE
JENNIFER MCCOY
624 NELSON LN SE
TENINO WA 98589
624 NELSON LN SE
TENINO WA 98589
TENINO WA 98589
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
New / Additional Sq. Feet - 3rd Floor .................0 New / Additional Sq. Feet - Basement., ................. 0
Mechanical to be Included? .............. ...............,NO Plumbing to be Included?.. ........ .................No
Zoning Designation................................................RS 35.0
PERMIT EXPIRES Tuesday, November 29, 2011
Permit Issued on Thursday, June 2, 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 City of Federal Way.
Owner or agent: Date:_
THIS CARD IS TO REMAIN ON-SITE
CITY OF - Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 11 -102188 -00 -SF Address: 37131 8TH AVE S
Project: C DAVID LUNDEN FEDERAL WAY, WA 98003-7406
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.
E] Roof Sheathing (4220) F1 Final - Buildi!
Approved to install roofing Approved
By IC Date 61- 1/ By Date
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
UTY - , *ERMIT
Federal -
COMMUNITY DEVELOFtNEAs
APPLICATION
253-835 2607 FAX 253-835-2609
U!J'U�_rfj'Cff[tlFrTl(U'fIV.COl12
JUN
-0 ca
(!Si*� CO ME PL DE EN FP
3�,�30
SITE ADDRESS
OF FED
I�
SUITE/UNIT #
ITY
37 1 r
S c' f c c~' 3
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name%
�'
PROJECT DESCRIPTION
--' 4
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME _
, rN l +e- 6- C
PRIMARY PHONE
O
MAILING ADDRESS /
E-MAIL
CITY
STATE
ZIP
NAME
PHONE
CONTRACTOR
MAILING ADDRESS
r o cJ ,ti P r
E-MAIL
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PHONE
APPLICANT
MAILING ADDRESS ! r
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME
PHONE
(The individual to receive and
respond to all correspondence
MAILING ADDRESS �w � (� %
E-MAIL
concerning this application]
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5,000 or rnore
IRCW 19.270951
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
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 apart of this application.
/
SIGNATURE: -� ��•� ✓ V I C _ DATE
PRINT NAME: t e— M, ,
Bulletin #100— January 1, 2011 Page ] of 3 k:AHandouts\Permit Application
0 •
VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
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.
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
Indicate how many of each type of fLYture to be installed or relocated as part of this project_ Do not include existing fixtures to remain.
BATHTUBS (or Tub/Sh—rCombo)
LAVS (9and Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
SEWER PURVEYOR
DRINKING FOUNTAINS
SINKS )Kitchen/Utility)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
Ai.RES r
Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
COVERED ENTRY
GARAGE El CARPORT El
Bulletin #100 — January 1, 2011
Page 2 of 3
k:\Handouts\Permit Application
a GE
LvRrATaN
_
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
COVERED ENTRY
GARAGE El CARPORT El
Bulletin #100 — January 1, 2011
Page 2 of 3
k:\Handouts\Permit Application