05-106186 IF4
City of Federal Way Building - Single Family Permit #: 05-106186-00-SF
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: ENGLUND
Project Address: 33243 2ND PL SW Parcel Number: 729800 0070
Project Description: Remove shake roof,Install CDX plywood over skip sheathing and install composition
shingles.
Owner Applicant Contractor Lender
RON ENGLUND PLATINUM ROOFING PLATINUM ROOFING
DEBORAH ENGLUND 1319 V ST NW platirl961p6 10/26/06
33243 2ND PL SW AUBURN WA 98001 1319 V ST NW
FEDERAL WAY WA AUBURN WA 98001
98023-6161
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 !!
CONDITIONS:
This parcel is located within a Wellhead Protection Area (Capture Zone 10) and must comply with FWCC,
Chapter 22,Article XIV "Critical Areas" and fill out a Hazardous Materials Inventory Statement,if applicable
PERMIT EXPIRES Wednesday, December 5, 2007
Permit Issued on Monday, December 5, 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
an-,d the City of Federal Way. �' J
Owner or agent: Gj `� /) Date: ��7 bS/CJS
— 4%iik
THIS CARD IS TO REMAIN ON-SITE
CITY OF ..n -- Community Development Inspection Recrd
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-106186-00-SF
Owner: RON ENGLUND
Address: 33243 2ND PL SW
FEDERAL WAY, WA 98023-6161
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 Temp.Erosion Control (4365) ❑ Underfloor Framing(4285) ❑ Floor Sheathing(4105)
To be done prior to breaking ground Approved to sheath floor Approved to install flooring
By Date By Date By Date
❑ Shear Walls(4245) 0 Roof Sheathing(4220) 0 Fire/Draft Stops (4095)
Approved to install siding �,Apppproved to install roofing Approved
By Date By /! `'1 Date / / /8.r By Date
NOTE: Prior to scheduling a Framing(4120) 1 0 Framing(4120) 0 Insulation (4150)
inspection;Electrical,Plumbing&Mechanical I Approved to insulate Approved to install wallboard
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
❑Gypsum Wallboard Nailing(4130) 0 Final-SWM(4375) 0 Final-Building(4050)
Approved to install mud&tape Approved Approved
By Date By Date By Date
❑Temp. Erosion Maintenance(4370)
Approved
By Date
RECEIVE4 (--IdoL
�lrroF OEC 0 5 2005 - 1 0- l2 1
Federal Way PERMIT 8- f`2
COMMUNITYDEVELOPMENT SERVICES 'y OF FEDERAL '' _ F CO ME EL PL DE EN FP
33325 AVENUE SOUTTI. BOX 9718 A P P L I C AT N
FEDERAL WAY,WA 9806363-9718 G DEPT. D
�- /
253-835-2607•FAX 253-835-2609
www.cit 2ffederalwa y.com
The ollowin. is re•uired in ormation-an incom•tete a.•lication will not be acce•ted. Please •rint le•ibl (in in or •e.
.. ■ PROPERTY WFORMATION
SITE ADDRESS j3.2`4 i r- 1---- / • SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE(si)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desoipfion)
■ PROJECT INFORMATION
TYPE OF PERMIT 0-BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL D ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
2i.i.t. 3h/it 4-e YDaI
7;44- H. L.-/X. pIm Uva0r1 aIt'ar 5 kip S •;
i-r(s'* 11 Ca,S."i 7°0 N 511
PROJECT NAME(Name of Business or Owner Last Name) -C-7 Kord (,A. VAZt
■ PEOPLE'INFORMATION •
PROPERTY NAME
PRIMARY PHONE
OWNER i ^ e L�a,llo4 ( ) -
MAILING ADDRESS CITY,STATE,ZIP
332` 3 i et 5 io e ,.f _
CONTRACTOR CO PANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS 1 CITY,STATE,ZIP
CELL PHONE
g, a V. -5 Nw ow. 0. 'I lob ( (Z )C,b�j 1743
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
/ ;':.-- •` g: �` _ t` / / 5 ( ) -
/ B L
CONTRACTORS REGISTRATION NUMBE4(copy of card regnired with each application) EXPIRATION DATEP__
SL,(/ Q— '7t / /d
APPLICANT COMPANY NAME APPLICANT NAME
.�l OFFICE PHONE
C Ok_I 11 (- 'Y ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME -� PRIMARY PHONE E-MAIL ADDRESS
I •' f ,; (Z")) 660 - Lt 7( 3
LENDER
x .<` ss NAME
69 ;;41% IFI ion"
;fid ,. 1404-4'46e41,151"4:00.. 1{1\ " rv" l
MAILING ADDRESS CITY,STATE,ZIP
. 5 • ■ DETAILED BUILDING INFORMATION •. - ,
EXISTING USE l PROPOSED USE S E •
0-1
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ / ?. 70 p
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
.-:.' 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 EXISTINGPRO`.'-ED to4Ac or' aastDra�rP t 7ALPROPOSEDSF %' arv.srk,
U
•
**NEW HOMES ONLY** NMBER OF BEDROOMS V 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 $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS ODDS(commercia)) WOODSTOVES
BOILERS FIREPLACE INSERTS GES MISC(Describe)
COMPRESSORS FURNACES GAS ATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUB (or Tub/shower combo) SHOWERS WATER CLOSETS(roaeq MISC(Describe)
DISH ASHERSG SINKS DRINKING FOUNTAINS
7 PIPE OUTLETS SUMPS RAINWATER SYST
ASHING MACHINES URINALS HOSE BIBBS
LAVS(eathroom 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
file against the City of Federal Way,but only where such claim
C----
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.
P�� ►t�u r4,. _
NAME/TITLE -7-z / �_
`- U✓uY`ii( BATE ll�:� /Cl
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Own ❑ Agent o Contractor ❑ Architect 0 Other
st Tii �7�7i p' EsCE '0 I � zEE12
Zr
�FIr EAT1dASI , P„NODo Ex ,"® W oNO �� CHNEQ ` ?1 e ::1,1,.„-, P/SEPA/SU? 0
_.® Y *t, Q , x;30 � UUQU1D `oi r. . Q RED - ..� �UPE ? ,: RQ , OW _ s
Bulletin#100-January 7,2005 Page 2 of 4 k\Handouts\Permit Application n