07-106110 f Federal Way Buildi40- Single Family Permit 007-106110-00-SF
Development Services
'.%Box 9718
Way,WA 98063-9718
45-2607 Fax.(253)835-2609 Inspection Request Line: (253) 835-3050
"
Project Name: DAVERTL,
Project Address: 32920 4TH AVE SW Parcel Number: 926491 0520
.'roject Description: Reroof by removing existing roof down to decking,installing new plywood,felt&
composition shingles.
Owner Applicant Contractor Lender
DOROTHY DAVERT CHET'S ROOFING& CHET'S ROOFING&
32920 4TH AVE SW CONSTRUCTION CONSTRUCTION
FEDERAL WAY WA 26301 79TH AVE S CHETSRC000BE(7/3/08)
98023-6102 KENT WA 98032 26301 79TH AVE S
KENT WA 98032
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
,B, °�*;:e. � ,,,�„� .;d ill{I I. "$ .-m.03:4..,��
New/Additional Sq.Feet-3rd Floor........ 0 New/Additional Sq.Feet w Basement....... .0
Mechanical to be Included? No Plumbing to he Included? No
No Fixtures A; Sodiatedi7Witl ,T,his,Permit H
PERMIT EXPIRES Saturday, November 7, 2009
Permit Issued on Wednesday, November 7, 2007
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the us will be in accordance with the laws, rules and regulations of the State of Washington
' and the City of Federal Way.
Owner or agent:• y Date: ) 1/ 7/(,/' /
likli, • THIS CARD IST T, MAIN ON-SITE
CITY OF CommunityDevelo nt Inspection Record
Federal WayIVR INSPECTION REQUEST PHONE# (253) 835-3050
PERMIT#: 07-106110-00-SF
Owner: DOROTHY DAVERT
Address: 32920 4TH AVE SW
FEDERAL WAY, WA 98023-6102
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 Mtg(4400) ❑ 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) ❑ Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By c, t.ijDate //. I e,.07
El Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120) El Framing(4120)
Approved inspection;Electrical,Plumbing&Mechanical Approved to insulate
Rough-in and Fire/Draft Stop inspections must be
B Date signed-off and approved. IBC 109.3.4/UBC 108 5 4? ByDate
Y
❑ Insulation(4150) 0 Gypsum Wallboard Nailing(4130) ❑ Final Erosion Control(4375)
Approved to install wallboard Approved to install mud&tape Approved
By Date By Date By Date
•
❑ Final-Building(4050) ❑ Interim Erosion Control(4370)
Approved Approved
i
By Date By Date
i
For inspector reference only
❑ Rough Electrical 0 • FINAL-Electrical .
Approved Approved
By Date By Date
N. 4 ,EOE. -
Federal Way1
Dov o zoo? PERMIT c F CO ME EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVIC l
33325 8m AVENUE SOUTH•PO BOX 9718 -� PLICATION
FEDERAL WAY,WA 98063-9718 rr- ER' A /
253-835-2607•FAX 253-835-?�Q{ .OF F Gp /
www.citoftederalwaq.cork�l` BOLO�NG0 '
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
,.��// ■ PROPERTY)INFORMATION
SITE ADDRESS �i7�E) /7/'./7/'. �/ 5L4) SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - sfi
/ // LOT SIZE(
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) e 6I " /)flh/! 1 J
(Attach separate for lengthy legal description)
MI PROJECT INFORMATION
TYPE OF PERMIT BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
DESCRIPTION(Provide de description of work included on this on
7717,0- A,,g(1 1 1-?,4 0
X 0 iel- _ 112 A i-(:.s) - TI- 2_1 )4 q ' .i7,5-2-ai/
,,W.1.1A /r t 2 -1 ,e.}6.- I- ( ayl7" )i.1/7 ,sh i u5
PROJECT NAME(Name of Business or Owner Last Name) it
y� )�• PEOPLE INFORMATION r
PRIMARY
OWNER
PROPERTY I✓�i� O `l� 1 7 ^ MIX S�) 7 ✓7
MA y � °�T ZIP I V !w4/` , E-MAIL ADDRESS
CONTRACTOR CO NAME /7 q I APPLI NAME OFFICE PHON'� '�(3� i�r7 '/I1 PjY��� �} (t9 53 7 -'/i V
C-�� .INS AD�RES.4 / /.��Jy1 ` CIBC. J LIP 4 ,603c9 CELL PrE _6____
CITY.,OFs ,FEEDERAL WAY BUSINESS LICENSE NUMBER / EXPIRATION DATE A(NUMB/��ER ✓
( )
CO R'S REG TION NUMBER EBPIRATI DATE E-MAIL ADDRESS
X 136- 07 77
APPLICANT 6:78,.. APP OFFICE PHO
�irYe"
� (253) %'7 i)q '
G ADD
CITY.STATE,ZIP CELL PHONE
ch �/ _. if ile-, WA- WCC, (9‘4,,) 35, - '-
RELA O S IP TO R ECT 6 FAX NUMBER
❑Architect 0 Tenant ,Agent 0 Other 6) 1L,,j', A91" ( )
PROJECTPRIMARY PHONE E-MAIL ADDRESS
CONTACT laiiiktt 4 ) :Y5b 23 3
LENDER NAME Per RCW 19.27.095:
Lender information is required(f 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 $ 7/ 7iO
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ,,I NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
• 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 PROPOSID TOTAL TOTAL EXISTING ®O SF TOTAL PROPOSED SF TOTAL SF
**NEW HOMES ONLY NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ ,
• FIXTURES
Indicate number of each type of facture 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 ES7YMATE 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(commerdel)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or alb/Shower combo) IAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(two
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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 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 reit of the city,including its officers and employees, upon the accuracy of the information supplied to
the city as a part ofhis;tfpplication,
fk SIGNATURE: `'^` a 9 ) DATE 1//4/7k , i
Property Owner and/or Authorized Agent
FOR OFFICE USE ONLY
❑NEW o ADDITION o ALTERATION ❑REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES ❑NO
NEW ADDRESS REQUIRED? o YES ❑NO UP/SEPA/SU? o YES ❑NO
PLATTED LOT? o YES ❑NO DEMO PERMIT REQUIRED? o YES ❑NO
Bulletin#100—August 16,2007 Page 2 of 4 k\Handouts\Pennit Application