16-105396 A
Building - Single Family
City of Federal way Permit #:16-105396-00-SF
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: ZICKERT
Project Address: 33011 26TH AVE SW Parcel Number:894520 1040
Project Description: REP-Replace(21)squares of metal roofing.Replace(10)sheets of decking.Replace(7)
squares of flat roof TPO and(7)squares of flat roof decking.Replace(3)skylights like for like.
Owner Applicant Contractor Lender
JEFFREY J ZICKERT NAIDA KHANNORTHWEST HOME DEPOT AT HOME
6955 FORT DENT WAY UNIT 202 PERMIT INC SERVICES
TUKWILA WA 98188-2554 9808 31ST AVE SE 3600 LIND AVE SW
EVERETT WA 98208 RENTON WA 98057
Census Category: 555-Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.)
Additional Permit Information
Mechanical to be Included/ No Is this an Online or O.T.C.application No
Plumbing to be Included/ No Comprehensive Plan Designation SF-High-Density
Residential
Zoning Designation RS 7.2
Total Valuation:26,792.00
" . cam-
PERMIT EXPIRES Saturday,13 May,2017
Permit Issued on Monday,November 14,2016
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.
Owner or agent:9 ••••• ....., --
Date: l t/114/1 v
PiAt
4/4E10
+ - •
THIS CARD IS TO REMAIN ON-SITE
CITY OF
Construction Inspection Record
Fetrl Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 16 105396 00 Address: 33011 26TH AVE SW
Project: BONNIE K ZICKERT FEDERAL WAY WA 98023-2881
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.
0 SWM Precon Site Mtg(4400) Z❑ Initial Erosion Control(4365) 0 Footings/Setback(4110)
Approved To be done PRIOR to breaking ground Approved to place concrete
By Date By Date By Date
•
® Underfloor Framing(4285) 0 Floor Sheathing(4105) ® Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
0 Roof Sheathing(4220) 0 Fire/Draft Stops(4095) 0 Interim Erosion Control(4370)
Approved to install roofmg Approved Approved
By� ' Date ' — l' C7 By Date By Date
Prior to scheduling a Framing inspection; Ei Framing(4120) El Insulation(4150)
Electrical,Plumbing&Mechanical Rough-in Approved to insulate
and Fire/Draft Stop inspections must be signed-
off
pPr Approved to install wallboard
and approved. IBC 1093.4 By Datei.By Date
•72 Gypsum Wallboard Nailing(4130) ,I 1S ••14
yp ❑ Final Erosion Control(4375) ❑ Final-Building(4050)
Approved to install mud&tape Approved Approved
By Date ••By Date By`p j Date (G'
❑ Rough Electrical ❑ Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVE • •e * A- 1 (0 3 9 (P
Fe ieralway NOV 09 2016 PERMIT
®
COMMUNITY DEVELOPFCO ME EL PL DE EN FP
333258w AVENUE SOMENTUTH•1 1 F CDS PLICATION TD
RALgp
FEDERAL WAY,WA 98063-9718 / /
253-835-2607.FAX 253-835-2609
www.cituoffederalwati.com
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS 33011 26th Ave SW SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 8945201040 _ _ __ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot I)
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT ,1 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onip)
RESIDENTIAL REROOF. REPLACE 21 SQUARES METAL ROOFING. REPLACE 10 SHEETS DECKING.
REPLACE 7 SQUARES FLAT ROOF TPO AND 7 SQUARES FLAT ROOF DECKING.REPLACE 3 SKYLIGHTS LIKE FOR LIKE.
PROJECT NAME(Name of Business or Owner Last Name) Bonnie Zickert
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER Bonnie Zickert (253 ) 508-4524-
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
33011 26th Ave SW Federal Way, WA 98023
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Home Depot At Home Services ( 800 ) 381 -5699
' 609 MAILING ADDRESS CITY,STATE,ZIP CELL PHONE -
3600 Lind Ave SW#150 Renton 98057 1r )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
20-03-101448-00-B 12/31/2016 ( ) -
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
HOMED**972RQ 02/03/2017
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Northwest Permit Inc. Naida Khan ( 360 ) 945-2787
AILING ADDRESS CITY,STATE,ZIP CELL PHONE
II
't` '7, M 9808 31st St SE Everett WA 98208 ( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant gi Agent 0 Other (888 ) 400-0383
PROJECTNAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT Naida Khan/ Northwest Permit (360 ) 945-2787 naida@nwpermit.com
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE Residential PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ 26792.00
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
• •
a PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS EXISTING PROPOSED TOTAL. TOTAL EXISTING SF TOTAL PROPOSED SF 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(commerciet)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS paths..sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Toilet)
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 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.
Digitally signed Naida Khan
Naida Khan
DN:cn=Naida Khan,o=Northwest Permit
SIGNATURE: Inc.,.ou,email=naida@nwpermitcom,c=-US DATE
Property Owner and/or Authorized I we6.11.0910.32.08-08'00'
FOR%O USE.ONLY
o NEW a ADDITION o ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES a NO BASIC PLAN? o YES ❑NO
ZONING DESIGNATION CHANGE OF USE? ❑YES a NO
NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? o YES ❑NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? ❑YES ❑NO
Bulletin#100—January 1,2008 Page 2 of 4 16Handouts\Permit Application