10-103297 " wilding - Single Vamily
City of FederaWay Permit #: 10-103297-00-S
F
Community Development Services
P.O.Box 9718
Federal Way, Fax
(253 9718
835- Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 FILE p q
Project Name: GRUBER
Project Address: 1024 S 324TH PL Parcel Number: 150240 0440
Project Description: REP-Tear off existing cedar shakes; over existing 1/2" CDX plywood,install composition
shingle roofing. Replace sheathing as necessary.
Owner Applicant Contractor Lender
MAXINE GRUBER AMERICAN GENERAL AMERICAN GENERAL
1024 SW 324TH CT CONTRACTORS INC CONTRACTORS INC
FEDERAL WAY WA 98003-5930 PO BOX 981 AMERIGC923B8(1/31/11)
KENT WA 98035 PO BOX 981
KENT WA 98035
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
•
New/Additional Sq.Feet 3rd Floor 0 New l Additional Sq.Feet-Basement 0
Mechanical to be Included? No Plumbing to be Included? No
PERMIT EXPIRES Saturday, January 29, 2011
Permit Issued on Monday, August 2, 2010
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 a- -ws, •.es and regulations of the State of Washington
�� 'l of Feder. ay.
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Owner or agent: _ et�/� Date:
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THIS CARD IS TO REMAIN ON-SITE
CITY OF ' liliConstruction Inspction Record
WayFederal INSPECTION RE UESTS: 253 835-3050
PERMIT#: 10-103297-00-SF Address: 1024 S 324TH PL
Owner: MAXINE GRUBER FEDERAL WAY, WA 98003-5930
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) El Initial Erosion Control(4365) 0 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 QC Dates_3 ,j
•
❑ Fire/Draft Stops(4095) 0 Interim Erosion Control(4370) Prior to scheduling a Framing inspection;
Approved Approved Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed-off and
By Date By Date approved. IBC 109.3.4
El Framing(4120) El Insulation(4150) ❑Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
.0 Final Erosion Control(4375) 0 Final-Building(4050)
Approved Approved
By Date BC3 Dates 6—(c)
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
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CRY 9fi Y ®:� 24PERMIT 'l CO ME PL DE EN FP
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COMMUNITY DEVELOPMENT SERVLC U`^ AF " I CATI O N . -1404
253-835-26070 FAX 253-835-2609 yy
www.cituo((ed lwa t V� � Q 4`
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SITE ADDRESS SUITE/UNIT•
/0 g 4/ So. 202 Y ril" ,ii, /---ecileet',4 6 Wofyi f003
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL S
$ /5'ooc' /257. ? r1 YV - .CI_ LL2
TYPE OF PERMITING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) 671C/A i'
PROJECT DESCRIPTION fi t svctr�/!bf C "le -/200/'= ct.5. /4-7;/ i-.---r t /
Detailed description of work to r /2y '(,i.( �C-7,kS7'r 1J. �'-"' rf es,,,.....-- /kit,, - , ",ig„s-�
be included on this permit only l
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NAMEONE
PROPERTY OWNER //
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MAILING ADDRESS
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NAME ` PHONE
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, i GAD E-MAIL Ci.C/.C6.1)CONTRACTOR far Wil � rites C'til✓,i(r7- '
CITY ®/�7--- STATE(4iq �%7Q j fir- r:9,,j (F, 5:3/f
WA STATE CONTRACTOR'S LICENSE a EXPIRATION DATE FEDERAL WAY BUSINESS u S
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APPLICANT °G COX ?6/ �j/tcic/ G'�
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PROJECT CONTACT / /' �ff PHONE
(The individual to receive and a�� /7 ' s ,/, G� ..sem C ( do-&0.1.5.-- ?Poo
respond to all correspondence ' ' GAD 8 MAn
concerning this application) ,� pX / tvj°hCCGP Q'CV:Ct.",
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ALTERNATE CONTACT NAME: PHONE E-MAIL
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PROJECT FINANCING Nnere u/OWNER-FINANCED
Required value of$5.000 or more
(RCW 19.27.095) MAILING ADDRESS.CITY,STATE.ZIP PHONE
I certify under penalty of perjury that I am the property owner or authorised 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 W any claim(including costs,expenses,and attorneys'fees incurred in
the investigation and defense of such claim),which m-, - . . by any person,including the undersigned,and filed against the city,
but only where such claim arises out of the reli, . he city, including its officers and
employees, upon the accuracy of the
information supplied to t = ,:,_ as a .n.
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SIGNATURE //�'.4.( 'F fi I�� Com_ �`V C" DATE
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PRINT NAME: / L/ ,7 /L ! / -ef/l..c; ,f 3 s, �r-C- „j�2(-. '/
Bulletin#100-April 14,2010 Page 1 of 3 k\Handouts\Pennit Application