09-103238 �, • `Building - Single Family
City of Federal Way (�
Community Development Services Permit #: 09-103238-00-SF
PO.Box 9718
Federal Way,WA 98063-9718
Ph (253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: OMSBERG F ILE
Project Address: 34338 27TH AVE SW Parcel Number: 294450 0010
Project Description: REP- reroof existing home with a change of materials to include new plywood
Owner Applicant Contractor Lender
DONALD OMSBERG ARTISAN DESIGN BUILD INC ARTISAN DESIGN BUILD INC
34338 27TH AVE SW 1911 SW CAMPUS DR UNIT 671 ARTISDB944L8(6/28/10)
FEDERAL WAY WA 98023-7624 FEDERAL WAY WA 98023 1911 SW CAMPUS DR UNIT 671
FEDERAL WAY WA 98023
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
wore-
Additional Permit lnformatton F
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq. Feet- Basement 0
Mechanical to be Included`? No Plumbing to be Included9 No
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Tuesday, February 16, 2010
Permit Issued on Thursday, August 20, 2009
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use wit be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date: er/ 9%)/
•
Ffl'4Awt t c'
THIS CARD IS TO R AIN ON-SITE .
CITY OF -- • Construction Insction Record
Fedetal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 09-103238-00-SF Address: 34338 27TH AVE SW
Owner: DONALD OMSBERG FEDERAL WAY, WA 98023-7624
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) D 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
. . . .
0 Floor Sheathing(4105) 0 Shear Walls (4245) 0
Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By Date $ 2A.ko s
o Fire/Draft Stops(4095) 0 Interim Erosion Control(4370) Prior to scheduling alFraming inspection
Approved Approved il Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed-off and
By Date By Date approved. IBC 109.3.4
0.0 Framing(4120) 0 Insulation (4150) 0 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) 0 Final-Building(4050)
Approved '/Approved /�
By Date By 74 L/ Date 1 t!
❑ Rough Electrical `El Final Electrical Right of Way
Approved Approved1=1 Approved
By Date By Date By Date
A,
curior PERMIT VIF CO ME EL PL DE EN FP
Federal Way
APPLICATION /
COMMUNITY DEVELOPMEMf SERVICES
253-835-2607•FAX 253-835-2609
www.cituoffederalwau.com
b"]' ,- yin
SITE ,27*1 04i ,
SUITE/UNIT# ZONING ASSESSOR'S TAX/PARCEL# e
- _
__
,v,„..,,r,,,„!:::. ,„::::-.7-:7 7,;:irrlw.:'. , ``,,,,,,, ',-,,: ,,,,:,,,,lf,,.... ...:43,074:AvFms=7-7311mcfm;,ir.,,,,,,,.'TN,!;:lli . - -— '
NAME OF PROJECT •
(Tenant or Homeowner Name) C O ' eopc.
0'BUILDING .� PLUMBING 0 MECHANICAL ���®
TYPE OF PERMIT 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE 12'ICE 'TION#` VVA fi
: ' . 10-if ...a<L4Ari ,_, - I '
PROJECT DESCRIPTION A4 9_C n�2',� �.
Detailed description of work to P'
be included on this permit only 941 L- J 4 NG( ,
a '41 , ',1.414,.a a„,,,,, ;” :g4::',R..; °-
NAME PRIMARY PHONE
PROPERTY OWNERVe i p - - (_�)r3)Jo - ')) /
MAILING ADDRESS,CITY,STATE.?IIP E-MAIL
OWNER IS ALSO: El CONTRACTOR 0 APPLICANT 0 PROJECT CONTACT
NAME PRIMARY PHONE
4 r, Gik. tk - • ; . 4 -I #1( ( 1' ) (.5 - 'f )' A)
CONTRACTOR MAILING ADDRESS,CITY,STATE,ZIP - I�.duk )U,;a FAX
a
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
Ai,' ±l Mit-g ,i . , • /'. • /
NAME PRIMARY PHONE
APPLICANT r ` ►' • ._ . ( : '. ) _, ''i
i,1
MAILING ADDRESS,CITY,STATE,ZIP FAX
t (T (( :=`G:-:' :1 - '6 if #96/ ( ) -
PROJECT CONTACT NAME f V.) PRIMARY PHONE
(The individual to receive and a.',1 i XII ,, ( ) -
respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP FAX
concerning this application) ( )
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
( )
PROJECT FINANCING NAME i
OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(RCW 19.27.095) ( ) -
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the
best of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply
with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that
the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred
in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the
city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information suppli the citj Ea )
aappa'rt of this application.
SIGNATURE: �� DATE �'/ ?'//
PRINT NAME: j," / /J. �Z •.c
Bulletin#100—4/17/2009 Page 1 of 4 k:\Handouts\Permit Application
Ola
MECIANIC , :
Value of Mechanical Work$ (A COPY OF'BID OR ESTIMATE MUST BE PROVIDED)
Indicate number 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
`Y.W,A•, d'�a
Indicate number 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 TOTAL FIXTURES
GENERAL INFORMATION
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
• }
$ %, 11(Y) C� $
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
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
33
COVERED ENTRY
DECK
GARAGE 0 CARPORT 0
`Ir12(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY*"
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL NE; /ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
?'^ COMMERCIAL ,. O ttit'EN I ROVEl
AREA DESCRIPTION Area Construction # of
Occupancy Group(s) Additional Information
in Square Feet Type Stories
TOTAL BUILDING •
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—4/17/2009 Page 2 of 4 k:\Handouts\Permit Application