08-104999 • wilding -
City of Federal Way • Single FamilyPermit #: 08-104999-00-S F
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: BROWN
Project Address: 34010 37TH AVE SW Parcel Number: 147330 0020
Project Description: REP-Reroof-remove existing composition and replace with new composition which
includes replacing approx. 5 sheets of plywood.
Owner Applicant Contractor Lender
SAMUEL BROWN LEGACY ROOFING INC LEGACY ROOFING INC
34010 37TH AVE SW 9680 153RD AVE NE LEGACRI005ND(1/5/10)
FEDERAL WAY WA REDMOND WA 98052 9680 153RD AVE NE
98023-2942 REDMOND WA 98052
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
ga ;
Nev ,:10
/Additional Sq.Feet-3rd Floor.. 0 New/Additional Sq.Feet-Basement....... .........0
Mechanical to be Included? No Plumbing to be Included? No
PERMIT EXPIRES Monday, April 20, 2009
Permit Issued on Wednesday, October 22, 2008
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: � Date: I G/2 2 Cg)
THIS CARD IS TO MAIN ON-SITE -
Y
CITY OF it THIS
Development Inspection Record
p
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-104999-00-SF
Owner: SAMUEL BROWN
Address: 34010 37TH AVE SW .
FEDERAL WAY, WA 98023-2942
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 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) 0 Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By ' Date By 11J Date f I.3. 08
❑ 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
- signed-off and approved. IBC 109.3.4/UBC 108.5.4
By Date By Date
❑ Framing(4120) 0 Insulation (4150) ❑Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By • Date By Date
O Final Erosion Control(4375) ❑ Final-Building(4050)
Approved Approved
_
By Date By G(..Jt Date/f.ea_ 0,01,
•
For inspector reference only
0 Rough Electrical 0 • FINAL-Electrical
Approved Approved .
By Date By Date
r ° OIll 4/ 3
sb
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Federal Way pCj9'
µ 111 ARMIT
COMMUN,TY DEVELOPMENT SERVICES '� SF MF CO ME EL PL DE EN FP
333258TM AVENUE SO[IfH.POBOX97,8,,. JPPLI L CATIONTD253- 507•FAX09 \ -/ /
....................
The following is re•uired information-an incom•lete a••lication will not be acce,ted. Please print le•'bly(in ink)or
• PROPERTY INFORMATION
SITE ADDRESS 30/0 374114m- S h/ 9 8-02 3 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sf
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate pagefar lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PR JECT D.S RIPTI(Provide detailed description of work included on th ermit onl ti
nia elYteaszitYlux, Q..._evt,t ti-E,
PROJECT NAME(Name of Business or Owner Last Name) 6V'O1,AJ &)
�oum
I
IN PEOPLE INFORMATION ►Mu
PROPE
RY
OWNER Y NAME (1 �Y v W I�/ ( ...3) 3SNIE 2
OWNER c.... 0,11/1 `^•' C _ /y/r
7IP /MAILND0SJS 2)7 i. J16/ Ga/ Y 110 2-3
CONTRACTOR C MPANY NAME
��✓//� •• PLICANT N OEM E P ONE.
MAILING DRESS • • CAM � ��Iv (It � -����
11V U 0 /5: 4 /4 ,V. _ C .ZI'�•�l. WI— •O Z (CELLPHONE -'273f
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER/1EXPIRATI N DATE FAX NUMBER
--0 7! o '� 5 6 -B L ij / 3` / 0 ( ) -
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
413 4.-*,!....____ A-e„. ,--L-_,' d -2 it ,11 bi / (,,,, //0
APPLICAN COMPANY NAME APPLICANT NAME OFFICE PHONE
Inolv‘*1
.....INI..9 ADDRESS CITY.STATE.ZIP - CELL PHONE -
E_C
(
RELATIONSHIP TO PROJECT FAX NUMBER
a Architect ❑Tenant ❑Agent a Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE
E-MAIL ADDRESS
( ) - -- -
LENDERy /�_ Per R0471927.095:
Lender information is NAME
Nfequired if proect value exceeds$5,000
MAILING ADDRESS CITY,STATE.ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WO $ 5 3 73 ✓—
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQ D? ❑ YES ❑ NO
WATER SERVICE PROVIDER a LAKEHAVEN ❑ HIGHLINE 0 TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE a PRIVATE(SEPTIC)
? • 111
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT 0
NUMBER OF FLOORS ExISTQYG 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 offixture to be installed or relocated as part of this project. Do not Include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG,SYSTEMS
BBQS FANS HOODS(Commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or'Rib/Shower Combo) SHOWERS WATER CLOSETS Iroflet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLIES SUMPS RAINWATER SYST
WASHING MACHINES - URINALS HOSE BIBBS
LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
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 relian of the city,including its offic s and employees,upon the accuracy of the information supplied to the city as a p of
this application.
(O2 Z 6
NAME/TITLE DATE tr
(Signature) (Title)
RELATIONSHIP TO PROJECT Cl Owner ❑ dkoatZtor ❑Architect Cl Other
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? o YES a NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? a YES ❑NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? ❑YES ❑NO
Bulletin#100—January 1,2006 Page 2 of 4 k\I-Iandouts\Permit Application