09-100792 Building - Single Family
City of Federal Way
Community Development Services Permit : 09-100792-00-S F"
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050
IPh:(253)835-2607 Fax (253)835-2609 P q
Project Name: CARLSON
Project Address: 36027 3RD AVE S Parcel Number: 113780 0240
Project Description: REP-Tear-off old roof,re-sheet,and install new composition
Owner Applicant Contractor Lender
WAYNE E CARLSON - CE'S ROOFING LLC BRUCE'S ROOFING LLC
36027 3RD AVE S 27605 SE 4 ST ST BRUERL9 '(629/10
1 •
FEDERAL WAY WA 98003-8622 ENU a LAW A 9 22 605
E MC O
+A 022
Censu.,Categ 55 -N n-str ctu 1 r i 1 fi g per is
Includes: #1 #2 #4
! zecL;
p
rn
Ilif
Floor Area(sq.ft.) ?Iv'''.
0tig;4 0 (6:) 0
'ui /.., ne. a n. aFr„� �' r 'u .,aa. 6' ,m +«
New/Additional Sq.Feet-3rd Floor........ .........0 dditio Sq.Feet-Basement.,............. .0
Mechanical to be Included? ” No ' umbin_ ee •e Included .........,„ '......... ......Nlo
a , .::. _. , f '-
} "',\F!'*.'" , h iar ,'. r"` ni `m i / ''.4.71-'' � i .« : ,n, fit , 3�,l > / �;,.„,:e• ,
PERMIT EXPIRES Sunday, August 30, 2009
Permit Issued on Tuesday, March 3, 2009
I hereby certify that the above information is correct and that the construction on the abo - des ib d • ••e and
the occupancy and th use will be in accordance with the laws, rules and re lations oft a '_: e • •
hin on
and the City of Federal Way. /
Owner or agent: e: 'c.).,,,r
i --/.3 Yo ._e 1 (,)
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 09-100792-00-SF
Owner: WAYNE E CARLSON
Address: 36027 3RD AVE S
FEDERAL WAY, WA 98003-8622
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.
❑ SWM Precon Site Mtg(4400) ❑ Initial Erosion Control(4365) ❑ Underfloor Framing(4285)
Approved To be done prior to breaking ground 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 Date 3
❑ Fire/Draft Stops(4095) ❑ Interim Erosion Control(4370) NOTE: Prior to scheduling a Framing(4120)
Approved Approved inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be
By Date By Date signed-off and approved. IBC 109.3.4/UBC 108.5.4
•
❑ Framing(4120) ❑ Insulation (4150) ❑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) ❑ Final-Building(4050)
Approved Approved
By Date By Date
•
•
•
' I
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
ECVIIV ED .
�l0 MO - / OA 7 Z—
Federal Way MAR 0 3 2�O�ERMIT - 1 ' - 9 - - - �
COMMUNI1YDEVELAPMENT SERVICES MF CO ME EL PL DE EN FP
33325STMAVENUESOVIH.PO S!
FEDERAL y ji- FEAppi eATION
WA 98063-87fb . / /
253-835-2607WAY.•FAX 253835--g8p{
CL)S
The following is required information-an incomplete application will not be accepted. Please print legibly(n ink)or type.
Z. • PROPERTY INFORMATION
Z
SITE ADDRESS- 3 Go � k✓e s SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 1 I J /Z To _ oz. L/ 0 LOT SIZE(4)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
for lengthy legal ;on)
• PROJECT INFORMATION
TYPE OF PERMIT '' ING ❑PLUMBING ❑ MECHANICAL
❑DEMOLITIONBUILD ❑ ELECTRICAL ❑ ENGINEERING 0
FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
+e��- 0 c 014 rdJ.1 1 r e-S 4- 10e/P / . t St. 4 new Cc'ti,PJS- C me
PROJECT NAME(Name of Business or Owner Last Name) C G r i 56v\
II PEOPLE INFORMATION
PROPERTY
NAME PRIMARY PHONE
OWNER W t`f,. € Ct...c 156r\ (253)Z'y - 62_2-c/
MAILING ADDRESS Cm,STATE,ZIP E-MAIL ADDRESS
3 too Z? 3 itt/e .S f e. QrA,( 1.),:y 1 bO 3
CONTRACTOR COMPANY NAME APPLICANT NSE OFFICE PHONE
6 r�ceS /�ZvuF nS
7-re 'TIE
Sreq tAe (�5�' )K Zs- - ) 3-“...MAI TNG DRESS Cm.STATE,ZIP CELL PHONE
2T s- .SE 1/4Js --CA /Z 1,7& .ic(e 2 ( ) -
CIY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
( ) -
�' CONTRACTOR'S REGISTRATION IIVMBER EXPIRATION DATE E-MAIL ADDRESS
6dzkcre. Ly6yL1 C-2. .)/4)
COMPANY NAMEAPPLICANT NAME OFFICE PHONE
t3rtceS it vV ,;N 5 Tat'n - .5-i, ,5v.e_ ( V ) ?S - ail.
MAII.ING ADDRESS Cm,STATE,TIP CEII,PHONE
27(00 S 12 yt)) /� mc(. Sv -? ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant ❑Agent 0 Other ( ) -
PROJECT NAME J PRIMARY PHONE E-MAIL ADDRESS
CONTACT 7--,+- 4� 14 e_. (Z,v6 ) 3 y - v
LENDER NAME Per RCW 19.27.095:
Lender iqformation is required if project value exceeds$5.000
MAILING ADDRESS Cm,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ /5/-000
SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑TACOMA ❑PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN ❑ HIGULINE ❑ PRIVATE(SEPTIC)
PROJECT FLOOR AREAS ,
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.F . SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
RESTING PROPOSED TOTAL TOTMLma6mamsr TOTML MOMS=SP aorALsr
NUMBER OF FLOORS
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
In FIXTURES
Indicate number of each type of f Lxture to be installed or relocated as part of this project: Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$ (A 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 LOG SKIS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(orThhb/Shower Combo) LAVS Bat,00mswam! URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS awe)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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 Wag 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, aid,Jiled 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
SIGNATURE: i� DATE 33-
Property Owner and/or Authorized Agent
FOR OFFICE USE ONLY
o NEW ❑ADDITION ❑ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? ❑YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES ❑NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? ❑YES ❑NO
Bulletin#100—January 1,2009 Page 2 of 4 k\Handouts\Pennit Application