11-103465 • building - Single Family
Way
CommunityCityof DevelopmentFederalServices Permit #: 11-103465-00-SF
P.O.Box 9718 17'"':"+d 7 "Sr..-Lli
Federal Way,WA 98063-9718
' ; Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609
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Project Name: WALDRUP
Project Address: 30121 1ST AVE S Parcel Number: 062104 9115
Project Description: ALT-Tearing off existing shake roof,installing new plywood and composition shingles.
Owner Applicant Contractor Lender
LORETTA WALDRUP SHARP HOMES LLC SHARP HOMES LLC
BILL WALDRUP 20314 132ND AVE NE SHARPHL947P7(7/16/13)
30121 1ST AVE S WOODINVILLE WA 98072 20314 132ND AVE NE
FEDERAL WAY WA 98003 WOODINVILLE WA 98072
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
_ —a 44'1
_:.
Additional Permit Inforr anon �
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
Mechanical to be Included? No Plumbing to be Included? No
o Fixtures Associated Witt;T is Permit,I! ,, 1
PERMIT EXPIRES Tuesday, February 21, 2012
Permit Issued on Thursday, August 25, 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
d the City of Federal Way.
Owner or agent: ie:/// )C
Date: f1 7-5-s-(/
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THIS CARD IS TO REMAIN ON-SITE
CITY OF
• Construction Lection Record
Federal WayINSPECTION REQUESTS: (253) 835-3050
PERMIT #: 11-103465-00-SF Address: 30121 1ST AVE S
Project: LORETTA WALDRUP FEDERAL WAY, WA 98003-3643
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.
El Roof Sheathing (4220) CI Final -Building(4050)
Approved to install rooting Appru‘ed
By /, Date 8-07.6,—// By 0 v' Date rl, ) _‘ 1-r-
❑ Rough Electrical111 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
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Feiera •PERMIT •MF CO ME PL DE EN FP
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COMMUNITY DEVELOP a Y/
253-835-2607•FAX 253-835-2609 APPLICATION a 8
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SITE ADDRESSOF SUITE/UNIT#
017D0 0 Z(wU 4'(//( fa) 9.450_,-
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
-
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
TYPE OF PERMIT /7
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION Kk4,1 .et,
NAME OF PROJECT
-(Tenant Name/Homeowner Last Name) (/ / �)/J ; 7�`'
PROJECT DESCRIPTION (�yJC•(/t
Detailed description of work to {�j 6.)Q -(a9 e- Cf1 f'W., 0 A'" CeE f' oN
•
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER .,OpLI (g L 2) p 1;, 7 5-(4 76-1/3
MAILING DRESS 5I< E-MAIL
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NAME
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MAILING DRESS ` E-MAIL
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CONTRACTOR
CITY STATE ZIP FAX
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WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
./1/ f12,-9Y 7 P-7 _/ /i // /
NAMEcr/4-u-' �^i1 G V
/ PHONE
APPLICANT MAILING ADDRESS G E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME n _ /� /1 1i>,n / PHONE
(The individual to receive and , ��`L ��L `�G L'f7 /L u(�-/V
respond to all correspondence
MAILING ADDRESS / E-MAIL
concerning this application) _
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
0 El OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) 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 arty 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:
(27p DATEPRINT NAME: G t 7--iarez e-
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Bulletin#100—January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
• • if
VALUE OFMECHAMCAL 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 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 l l #L # )
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
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
4'1424114114711=Prir:EWASFA.,Mr, 354,2, 1101:01VATISANar4tri
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-- -- _--
FIRST FLOOR(or Mobile Home)
COVERED ENTRY
GARAGE ❑ CARPORT ❑
EXISTING
Area Totals
ESTIMATED
PROPOSED TOTAL
ESTIMATED SELLING PRICE$ #OF BEDROOMS
o
AREA DESCRIPTION
Area Occupancy Group(s) Construction # of Additional Information
in Square FeetType Stories
:ILD R;
ADDITION
try 1 a " Asa � 1
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet .e Stories
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TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application