08-104093 Building - Single Family
City of Federal Way
Community Development Services Permit #: 08-104093-00-SF
P.O.Box 9718
Federal Way, F Inspection Request Line:98063-9718 (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609
Project Name: KING lg ,k '�'.
Project Address: 34320 27TH AVE SW °i .,--4.3Parcel Number: 294450 0040
Project Description: RE-ROOF- remove shake roof,install CDX plywood and install comp roofing.
Owner Applicant Contractor Lender
MICHAEL KING MOSS MASTERS MOSS MASTERS
34320 27TH AVE SW 203 S 2ND ST SUITE H MOSSMM*9560W (9/16/09)
FEDERAL WAY WA RENTON WA 98057 203 S 2ND ST SUITE H
98023-7624 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.) 0 0 0 0
Additional Permit Information
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 Sunday, March 1, 2009
Permit Issued on Tuesday, September 2, 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 w I be in accordance with the laws, rules and regulations of theS tate of Washington
and the Ci of Federal Way.
Owner or agent: ,Date' ,.-- Z,--- d
le; tjiflita
THIS CARD IS TO RAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-104093-00-SF
Owner: MICHAEL KING
Address: 34320 27TH AVE SW
FEDERAL WAY, WA 98023-7624
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.
0 SWM Precon Site Mfg(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 L. lr..J Date 9_ 3 Uj
❑ Fire/Draft Stops(4095) 0 Interim Erosion Control(4370) NOTPrior to scheduling a Framing(4120)
Approved Approved iE:inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be
By Date By Date signed-off and approved. IBC 109.3.4/UBC 108.5.4
❑ Framing(4120) ❑ 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) ❑ Final-Building(4050)
Approved Approved
By Date By AZ7 Date //5//if
•
• •
For inspector reference only _
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
ctn ofAipesi_ togo - -
Pederal WayR ECEI4P[PERMIT E R M I T y s M
F CO ME EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
333258THWUE SOUTH• BOX 9718 SEP 0 2 zAP P L I CAT I O N To /
FEDERAL WAY,WA 9806363.9778
253-835-2607•FAX 253-835-2609 J
www.atuolfederalwau.aim
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The foliowin(�•"{3M ijan incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION�)
SITE ADDRESS_ 3c 32 d 22. 4 i/� f Z( SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# ,_- __ _ LOT SIZE(s)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
IN PROJECT INFORMATION
TYPE OF PERMIT ,l]BUILDING 0 PLUMBING 0 MECHANICAL
~
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT D CRIPTION(Provide detailed description of wo Included on this permit only)
/ e- pL2-' M,e/ - <oi;r
S LL C-- >c, / tvvo,0
._Zig.S�4c-c-- ;,0 ,.Ji-v-L r/L v# D 5; , 0) V r r
PROJECT NAME(Name of Business or Owner Last Name) hi-if--- Ki itiq
• PEOPLE INFORMATION
PROPERTY NAME n j 1 PRIMARY PHONE
OWNER /� f L- ( `� /NF 9 (-'253) - _
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
3 L13 Z2 -�-m-1/-- S 6> F L cca- u 4 _--,
CONTRACTOR COMPANY NAME ArPtICANT NAME OFFICE PHONE
in c ' j L2 ,�( )) ? 0142
MAILING.,)ADDRESS S-L 2 C) --) 46) E,ZI P CGr.;4- (4 )NE ?- T IGC2
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER (I/' EXPIRATION4DATE � FAX NUMB)ER - it
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
h1 c,s 5 , rvi jS U k/ l—/6— C ci.
APPLICANT COMPANYNAME APPLICANT NAME OFFICE PHONE
�?•ir r ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) - _
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other ( ) -
PROJECT NAM PRIMARY PHONE E-MAIL ADDRESS
CONTACT -\T if)L�,P_r (i-71-6/(713 - -•? ,-3 -
LENDER NAME Per RCW 19.27.095:
— 16,- Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ /(r (-5-ES.-. -SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
f PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ. FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 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 ICommoroia!)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Polio
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 re3iance of the city, includin• its officers and employees, upon the accuracy of the information supplied to
the city as a part of this application:
SIGNATURE: /E:V44-24 DATE
Property/Owner an./or Authorized Agent
a NEW a ADDITION a ALTERATION a REPAIR a 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? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application