05-104337 • 0
City of Federal Way Building - Single Family Permit#: 05 - 104337 - 00 - SF
Community Development Services i�►�
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: BENSON
Project Address: 638 SW 331ST ST Parcel Number:729803 0080
Project Description: Reroof from shake to comp
Owner Applicant Contractor Lender
Samuel A Benson &Cheryl R Benson WAYNE'S ROOFING INC WAYNE'S ROOFING INC NONE
638 SW 331ST ST 13105 HOUSTON RD
FEDERAL WAY WA 13105 HOUSTON RD
98023-6173 \SUMNER WA 98390 NONE
Includes:
Census category: 555-Non-st #1 #2 #3 #4
Occupancy Group: R-3
Construction Type: Type V-B
Occupancy Loa+, 1
Floor Area F .)=
Census-category„u....r..... 555-Non-structural roofing Mechanical ;rur.......... i d
Occupancy#1. Class. ..„ `.R 3 la1umbing „ .,r..
1 11 ,; t fir.
t1 - gym r ,
PERMIT EXPIRES February 21,2006.
Permit issued on August 25,2005
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 Wa I
Owner or agent: Date: e ,1,<- ,�
g f
.4sihr.
PITHIS CARD IS TO 1IAIN ON-SITE
CITY OF
ommunity Development Inspection Record
Federal Way IVR INSPECT TI!JN REQUEST PHONE# (253) 835-3050
PERMIT#: 05-104337-00-SF
Owner: SAMUEL A BENSON
Address: 638 SW 331ST ST
FEDERAL WAY, WA 98023-6173
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.
❑ Temp.Erosion Control(4365) ❑ Plumbing Groundwork(4190) ❑ Underfloor Framing(4285)
To be done prior to breaking ground Approved to cover Approved to sheath floor
By Date By Date By Date
•
❑ Floor Sheathing(4105) 0 Shear Walls(4245) 0❑ Roof Sheathing(4220)
Approved to install flooring Approved to install siding Appro ed to install roofing
By Date By Date By C....- Datt5.s-Z 6 •,Q
i---
•
❑ Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120) ❑ Framing(4120)
Approved inspection;Electrical,Plumbing&Mechanical Approved to insulate
Rough-in and Fire/Draft Stop inspections must be
ByDate signed-off and approved. IBC 109.3.4/UBC 108.5.4: By Date
•
•
ElInsulation(4150) 0 Gypsum Wallboard Nailing(4130) ❑ Final -SWM(4375)
Approved to install wallboard Approved to install mud&tape Approved
By Date By Date By Date
•
•
.❑ Final-Building(4050) ❑Temp.Erosion Maintenance(4370)
Approved Approved
By r -W Date q• 2e_) ,5--- By Date
• IGA, i
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4 carr o� V — J. _..01(,_ 3
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Federal way AUG '`ti,c) PERMIT
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COMMUNITY DEVELOPMENT SER7" VICESF CO ME EL PL DE EN FP
33325 8AVENUE SOUTH•PO BOX 9718 of F E00 CATI O N
E
FEDERAL WAY.WA 98063971 O�F E IU
2538352607•FW
AX 25383526 , O1N +
w ww.cituotlede ralwat1.com
The ollowin• is re•uired in ormation-an incom•lete a.•lication will not be acce,ted. Please .rint le•ibi (in ink)or t .
p C • PROPERTY INFORMATION /�
SITE ADDRESS G 3 6 — +� 33 t r f D cc .. t w A SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 1 2. 3l e� c J - 0 n (e ,
� 0 LOT SIZE(s
.
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) ,ry,q 17.,. t: . , '0W Ek 1,...-i- e
(Attach separate page for lengthy legal description
• PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
$112.1e '�`It%S'Atste S06'Akk.E R.nvf1N(e•i IT%.4 Si ALL '/1" CIX Q�14.4o.) ovQn Fxis r i %
Sloe SNEAK A*44.( a►..STAIk. t4 ram ('RE5\sA:lav\90- 'S\. CatoteiS NS.," SNhw4,l`S
PROJECT NAME(Name of Business or Owner Last Name) EN SoN (tettgmf
MI PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE /
OWNER 514:SseW,� R`�L. t C\NE1L p gcwse.N (to ) gl'2- -Sit4s-
MAILING ADDRESS CITY,STATE,ZIP
fo38 Sw 33\ sz 5T• ff 01/4is-A L. ' 4 VA j ,alk genL3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
W 11/4*.VINt f rs it,waF.t.,ce, -S,b.1 c. b oN Gy VIS Sr (ail) 863 _01;--is%
MAILING ADD SS CITY,STATE,ZIP CELL PHONE
13‘�5 1Ytovi't04•a 14.46111110 3..v..NtcR1%,.,f1 `Vali* (U3) (o6 -119S.
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
1S_-18 - ► o S 6B U - B L 12- 31 /oS (2$3 ) 84? .:_1`, ',
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
W 1A `1 t4 C 5 R i. o t 11- c' ea. / 4—t
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
9tSsMWW`t*Ii-'S iu.wf.wi kg., 4w` btta G-ma►(%.,r (2 ? ) 863 - 491'1--
MAILING
AILING ADDRESS CITY,STATE,ZIP CELL PHONE -���`_
%3\WS- %WIT*. .i AI es S
Ail) kNtAILI wA cit3S (2.57 ) ,
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑ Tenant ❑Agent A Other(Describe) (oprot44 Te P- ('? ) e43 - e31 I
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
DoN Gs'MR.vl ( 2S3) 4C3 -tVSSS" Dea t ww.4afss..of;.►u.C. Aft
LENDER Per RCW 19,29.095: Lender information is NAME
required(f project value exceeds$5.000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
MI DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ (7;tero
SPRINKLERED BUILDING? C YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER C LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
• 4111
•
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❑
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 nu
mber 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(Commorotal) WOODSTOVES
BOILERS FIREPLACE INSERT'S RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tim/Shown Comb.) SHOWERS WATER CLOSETS
fI'oneti MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(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 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.
NAME/TITLE \\�� ' FS VO�"� DATE C9,Z S'/Ch
n�
(Sig ure) (Title)
RELATIONSHIP TO PROJEC ❑ Owner ❑ Agent Contractor ❑ Architect ❑ Other
FOR OFFICE AISEONLY
a NEW o ADDITION o ALTERATION o REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES o NO
NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application