10-103479City of Federal Way
Community Development Services
AK)olicant
P.O. Box 9718
FILE
Federal Way, WA 98063-9718
WASHINGTON LIFETIME
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: WOODRUFF
Project Address: 32528 26TH AVE SW
Building - Single Family
Permit #: 10 -103479 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 896590 0080
Project Description: REP - Tear off existing composition roofing. Over existing 3/8 " plywood sheathing, install
1/2" CDX sheathing and composition shingle roofing system.
Owner
AK)olicant
Contractor
Lender
KATHLEEN E WOODRUFF
WASHINGTON LIFETIME
WASHINGTON LIFETIME
32528 26TH AVE S
ROOFING
ROOFING
FEDERAL WAY WA 98023-2554
26828 MAPLE VALLEY HWY SUIT]
WASHILR907BM (1/11/12)
MAPLE VALLEY WA 98038
26828 MAPLE VALLEY HWY SUIT
MAPLE VALLEY WA 98038
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 1 0
Mechanical to be Included?...................................No Plumbing to be Included? ....................................... No
PERMIT EXPIRES Tuesday, February 8, 2011
Permit Issued on Thursday, August 12, 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 i 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 #: 10 -103479 -00 -SF Address: 32528 26TH AVE SW
Owner: KATHLEEN E WOODRUFF FEDERAL WAY, WA 98023-2554
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]
SWM Precon Site Mtg (4400)
Initial Erosion Control (4365)
Shear Walls (4245)
Underfloor Framing (4285)
Approved
Approved
By
To be done prior to breaking ground
Approved to install siding
Approved to sheath floor
By
Date
By
Date
By
Date
E]
Floor Sheathing (4105)
E]
Shear Walls (4245)
Roof Sheathing (4220)
Approved
Approved to install flooring
By
Approved
Approved to install siding
Approved to install roofing
By
Date
Date
By
Date
Bye Date
❑
Fire/Draft Stops (4095)
Interim Erosion Control (4370)[Fire/Dr:affttStop
eduling a Framing inspection;
Approved
Approved
bing & Mechanical Rough -in and
By
Date
By
Date
inspections must be signed -off andpproved.
IBC 109.3.4
Framing (4120)
Insulation (4150)
E] Gypsum Wallboard Nailing (4130)
Approved to insulate
Approved to install wallboard
Approved to install mud & tape
By
Date
By
Date
By Date
Final Erosion Control (4375)
E]
Final - Building (4050)
Approved
Right of Way
By
Approved
By
Date
Date
By
Date
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
RE�Ei�ED
C
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CITY OF ....:. ASG .1 �, I ' /�, — —L-7 ? y / //
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Federal Way MM IT �- — — — — —
COMMUNITY DEVELOPMENT SERVICES F FEpER CSF_ F CO ME EL PL DE EN FP
33325 8n4 AVENUESOUTH • PO APPLICATION
FEDERAL
L WAWAY. WA 98063- l-°
253.835.2607• FAX 253-835-2609
wwwxituoi(ederalwauxom a
The following is required information - an incomplete application will not be accepted. Please print legibly (in ink) or type.
PROPERTY/ •• •
SITE ADDRESS
,rj a� .' .'h 4v s(,,)r� i+s'jF{a! t/.. SUITE/UNIT #
ASSESSOR'S TAX/PARCEL #! 7 6 - LOT SIZE (st)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page (or lengthy legal deseriptroN
PROJECT• •
TYPE OF PERMIT 5 BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRI�fPTION (Provide detailed description of work included on this permit onlu)
I�Qr6at f1a, S��'I'nG aV2r �M ds�
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
E PEOPLE INFORMATION.
NAME
V
p�Q +4�, y0 J r 4+�
PRIMARY PHONE
/ y
(2, ,. ) aqc -0939
MAILING ADDRESS
2,;-tA 4ve. Sw
CITY. STATE, ZIP
E-MAIL ADDRESS
A4E>
2S-29
fq AQ,. i W,2
rf 4th
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
Wass 'rhv
7;/0--r 6'..'e -SR
-
( ) 7 3s S-22 t
MAILING AD ESS
C , STATE, ZIP
CELL PHONE
CIN OF FEDERAL WAY MUSINESS tI N E NUMBER EXPIRATION DATE
FAX NUMBER
)
lE-MAIL
CONTRACTOR'S REGISTRATION NUMBER®/ EXPIRATION DATE
ADDRESS
5.14SY-171-R I -wI L
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CIN, SPATE. ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
NAME_
N-1 � r u;:T-
PRIMARY PHONE
( ) _
E-MAILADDRFSS
NAME:
Per RCW 19.27.095:
Lender information is required if project val exceeds $5,000
MAILIN,9 DDRESS
--caY.,,STATE. ZIP
NE
EXISTING USE ) I" lam._- PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK,
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE (SEPTIC)
� PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING
FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
NEW ❑ ADDITION
AIR HANDLING UNITS
EVAPORATIVE COOL�ERS GAS PIPE OUTLETS WOODSTOVES
FIRST
FANS ✓ GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE IN§ERTS HOODS (Commercial)
SECOND
FURNACES rr RANGES
DUCTS
GAS LOgSETS REFRIG. SYSTEMS
THIRD
u NO
NEW ADDRESS REQUIRED? o YES o NO
UP/SEPA/SU?
ADDITIONAL FLOORS (D BE)
o NO
PLATTED LOT? o YES c NO
DEMO PERMIT REQUIRED?
DECK (❑ COVERED OR ❑ UNCO ?)
❑ NO
GARAGE O CARPORT O
NUMBER OF FLOORS
11 TING
-OPOS1
TOTAL
TOTAL E87 MG SF
PROPOSED SF
TOTAL SF
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING RICE $
Indicate number of each type of fixture to be installed or relocated as part offh' roject. Do not include existing fixtures to remain
MECHANICAL
Value of Mechanical Work $
(A COPY OF BID OR ESTIIATE MUST BE INC D WI'T'H APPLICATIOM
NEW ❑ ADDITION
AIR HANDLING UNITS
EVAPORATIVE COOL�ERS GAS PIPE OUTLETS WOODSTOVES
BBQS
FANS ✓ GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE IN§ERTS HOODS (Commercial)
COMPRESSORS
FURNACES rr RANGES
DUCTS
GAS LOgSETS REFRIG. SYSTEMS
BATHTUBS (or Tub/Shower Combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
L' VZ- (Bathroom Sinks)
RAINWATER SYST
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
WATER CLOSETS (Toliet)
WASHING MACHINES
MISC (Describe)
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:
Owner and/or Authorized
FOR OFFICE USE ONLY
NEW ❑ ADDITION
a ALTERATION
o REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO
BASIC PLAN?
❑ YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
u NO
NEW ADDRESS REQUIRED? o YES o NO
UP/SEPA/SU?
o YES
o NO
PLATTED LOT? o YES c NO
DEMO PERMIT REQUIRED?
13 YES
❑ NO
Bulletin #100 — January 1, 2008 Page 2 of 4 k\Handouts\Permit Application