07-101679 City of Federal Way Buildlig - Commercial Permit *07-101679-00-C4)
community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: EVERGREEN BANK
Project Address: 1300 S 320TH ST Parcel Number: 082104 9241
Project Description: REP-re-roof,Tear off 2 existing roof systems and install torchxlown roofing.
Owner Applicant Contractor Lender
DERALD E MARTIN ROOFCORP OF OREGON ROOFCORP OF OREGON
MARGARET A MARTIN PO BOX 69315 ROOFCWI007Q1 (06-06-07)
ELLENSBURG WA SEATTLE WA 98168 PO BOX 69315
98926-0862 SEATTLE WA 98168
Census Category: 437-Commercial alt/add /conversion
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq. ft.) 0 0 0 0
° n it
New/Additional Sq.Feet-1st Floor 0 ;5 Nev Additional Sq Feet end
New/Additional Sq.Feet-3rd Floor. 0 New/Additional Sq.Flet-Basement--......--{t
New/Additional Sq.Feet-Deck 0 New/Additional Sq.Feet-Garage 0
Mechanical to be Included? No Number of Stories 1
New/Additional Sq.Feet-Other 0 Permit for Building Shell Only? No
Plumbing to be Included? No New/Additional Sq.Feet-Total 0
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Thursday, April 2, 2009
Permit Issued on Monday, April 2, 2007
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. C�
Owner or agent: NO ( Date:
--
DATE INSPECTOR AREA AND TYPE O1 INSPECTION
16-o1 . G c...,) VZ Esc 407
THIS CARD IS TO MAIN ON-SITE
e
CITY OF it Developm nt Insp
ection Record
Federal Way
IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07-101679-00-CO
Owner: DERALD E MARTIN
Address: 1300 S 320TH ST
FEDERAL WAY, WA 98003-5340
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.
O Footings/Setback(4110) ❑ Foundation Wall(4115) ❑ Drainage/Downspout(4040)
Approved to place concrete Approved to place concrete Approved to backfill
By Date By Date By Date
❑ Re-steel(4215) ❑ Slab/Concrete Floor(4255) 0 Underfloor Framing(4285)
Approved to place concrete or grout Approved to place concrete Approved to sheath floor
By Date By Date By Date
O 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 By /1---(4 .-/--- Date 4*-2
❑ Fire/Draft Stops (4095) NOTE: Prior to scheduling a Franung(4120) t ❑ Framing(4120)
Approved inspection;Electrical,Plumbing&Mechanical Approved to insulate
Rough-in and Fire/Draft Stop inspections must be
B Date signed-off and approved. IBC 109.3.4/UBC 108.5.4 ByDate
y ��.
❑ Insulation (4150) 0 Gypsum Wallboard Nailing(4130) ❑ Suspended Ceiling Grid(4265)
Approved to install wallboard Approved to install mud&tape Approved to drop tile
By Date By Date By Date
❑ Final-Fire Department(4060) ❑ Final-Building(4050)
Approved Approved
By Date B .' Dateilt--7-05
REll!
VED !
V
Cm�:� APR 422007 0 - L _o� 1_ 2. I_
Federal Way �� 'ERMIT
COMMUNITY DEVELOPMENT SERVICES Bu,rt r rko RAL SF MFC ME EL PL DE EN FP
3332F D R LWAY,WTfA•PO971 9718 )L°�"� ` PLICATION m --
FEDERAL WA 98063-9718
253-835-2607•FAX 253-835-2609
www.cituoffederalwcw.com
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS 1300 S 320TH ST SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# ("9 S 2- I 0 - 6T z \ LOT SIZE(sf
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT Ar BUILDING 0 PLUMBING 0 MECHANICAL
❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detnilad description of work included on this permit onuJ
RE-ROOF. TEAR OFF 2 EXISTING ROOF SYSTEMS AND HAUL AWAY .IVA u 'OrC L , •LO 1, _
T-11 nut
PROJECT NAME(Name of Business or Owner Last Name) i y Q( rQ v.v` <
• PEOPLE INFORMATION
PROPERTY NAME Q� �W L a^ PRIMARY)HONE
OWNER e -
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
962 6sk.-'-A-
' r72-(„
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
ROOFCORP OF OR ( 206 ) 439 - 9991
MAILING ADDRESS CnY,STATE,ZIP CELL PHONE
PO BOX 69315 SEATTLE, WA, 98168 ( 206) 786 _ 2252
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
00.s i 0( a.(0-2- - OC> t Z .- 3% 0.-1 ( 206 ) 439 - 9995
COPY of card regolred ____
, +� CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
with gg�application `� sam@roofcorp.com
APPLICANT C. 1 NAME APPLICANT NAME OFFICE PHONE
• VVa Yam ( ) -
0 -I DRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑Tenant ❑Agent ❑ Other ( ) -
PROJECTNAME(1 PRIMARY PHONE E-MAIL ADDRESS
CONTACT \\BOJ ( ) -
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) _
• DETAILED BUILDING INFORMATION
EXISTING USE BANK PROPOSED USE BANK
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 17,700.00
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
35
• M
f ) IN PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD //.
ADDITIONAL FLOORS(DESCRIBE)
z
DECK(0 COVERED OR 0 UNCOVERED?) /
GARAGE ❑ CARPORT 0
NUMBER OF FLOORS EXISTING *POSED TOTAL TOTAL EXISTING
SF TOTAL PROPOSEDSr TOTAL SF
,,
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type of fixture 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(Commerdan
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(orTb/Shower Combo) LAVS(Bathroom Strata) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST \ VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(rodeo
ELECTRIC WATER HEATERS . SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further,that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way,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.
0
NAME/TITLE Q,61 DATE OiOZ 07
I.p . (Title)
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent 1.1 Contractor ❑Architect ❑ Other
FOR OFFICE USE ONLY
o NEW ❑ADDITION o ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? ❑YES ❑NO
ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO
NEW ADDRESS REQUIRED? o YES ❑NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? ❑YES o NO
Bulletin#100—January 1,2007 Page 2 of 4 k\Handouts\Permit Application