05-104575 • •
City of Federal Way Building - Single Family Permit #: 05 - 104575 - 00 - SF
Communis Development Services
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: CARROUGHER
Project Address: 33511 4TH AVE SW Parcel Number:729805 0030
Project Description: Removal of cedar shake roof and Installation of sheathing and composition shingles.
Owner Applicant Contractor Lender
Scott Carrougher &Judi Carrougher Scott Carrougher FAST ROOFING NONE
33511 4TH AVE SW 33511 4TH AVE SW FASTRRL965Q9 11/29/06
FEDERAL WAY WA FEDERAL WAY WA 9530 AURORA AVE N SUITE 105
98023-6195 98023-6195 SEATTLE WA 98103 NONE
Includes:
Census category: 555-Non-st #1 #2 JI- #3 #4
Occupancy Group: R-3 1
-
Construction Type: Type V-B
1
-
Occupancy Lok„ [ ii
-
Floor Area(Sq.l..
ri
Census Category.—, .,,,,„„ 555-Non-structural roofing il Mechanical r Noilri
Occupancy#1-Class,; , R-3 d1: s . P `,, ... ,,H,
�� 1 �
I x 7 "41 t ,�,� h'N �d V 1 S�alfl -
i
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 March 7,2006.
Permit issued on September 8,2005
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the us- ' . ac ordan the laws,rules and regulations of the State of Washington and
the City of Federa -•' A'��
Owner or age 1 1, Date: / U"/�
ATHIS CARD IS TO ON-SITE
CITY OFP -
ommunit Develo mt Ins ecord
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-104575-00-SF
Owner: SCOTT CARROUGHER
Address: 33511 4TH AVE SW
FEDERAL WAY, WA 98023-6195
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.
O Temp.Erosion Control(4365) 0 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 Appr ved to install roofing
By Date By Date By� Date 9.24,-o
❑ Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120) , 0 Framing(4120)
Approved inspection;Electrical,Plumbing&Mechanical E Approved to insulate
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
❑ Insulation(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 Date/O . 5—, OS' By Date
! E#i/ED
`1-- _5. _2 r 2
•
l CITY OF
Federal Way ;j p 1005 �i 9 1_ 12C
PERMIT SF MF CO ME �yj/` PL DE EN FP
33325 8m AVENUE SOUTH•PO BOX 9718 !� 'jAi_w (���
FEDERAL WAY,FAX
53-8 3-9718 A P P L I C A T L7�,1! ° ._ / _ /
253 FEDERAL
WAY,
FAX 253-83-9718 ` `r(3� _ I
wwwcif yofederalway.com
The ollowt • is re, tred in ormation-ani c•m.tete a.,lication will not be acce.ted. Please .rint le.ibl (in in or .e.
. . • MI PROPERTY INFORMATION .
SITE ADDRESS �) l f SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# ' _- LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
- (Attach separate page for lengthy legal description)
►'•. PROJECT INFORMATION •
TYPE OF PERMIT ]BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this pe it only)
i ,014clitobi_e_ikie7A1
/1 Ori ( C`:01).R S
% /4'',C ('7 / of • N6((Es
4
PROJECT NAME(Name of Business or Owner Last Name)
- - ►l PEOPLE INFORMATION
PROPERTY NA Q ! (PRII�MARY)�PHOQNE �( /
OWNER r ��C) CA /� VCs)t/ ! ,hC� LJ/S - .CJ V
M:,.-
G ADDRESS /1/�/� /�
3 S / I L( �' ` 4i1(Qui
J CIT�{3Tg7'E. 7&`,,'U LU� ,,,� 3
CONTRACTOR C .ANY NAME fl'C�i/4
AP ICANT NAME OFFICE PHONE
l R�cD-F NCS LLC .ti% ll�.(J1+44 (2Ct) -���f
M ILINNO A DRESS jvI +��'y`'� •' i (C� CITY,STATE,ZIP 47.231 3 CE LL PHONE
OFF 0_t A BUSINESS LICENSEI 40
SR .sc A ( 1-C t�,0 1.r6)'q-W6 2
EXPIRATION DATE FAX NUMBER
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- - -
'r' -B L / f l � �. �1.► (
CONTRACTOR'S REQISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
APPLICANT TPANY NAME^ AppIJCANT NAME OFFICE PHONE
tS (�CJ�Ij'��J Aii ;�1 C_Ai i'i ) M-{,�y1.�I l: (:6) .5-1)__- 14/q,
MAR//,`INO ADDRESS CITY,STATE,ZIP CELL PHONE
2(\
�'�- C A(LvL f6•ZC)v)q-�S� - G
RELATIO SHIP TO PROJECT �/� FAX NUMBER
0 Architect 0 Tenant ❑Agent a Other(Describe) &24 (.4 j - (7( 1 5-.'„),' 4C�
/
(
CONTACT NAME,'I �J
' ."1 ( SOUZ pzINE6 - c8,8m t .. n.7` ri4s7 71.1/\./6,-_,
LENDER 1a�1i1,6?i0.014%,1,-2ra i` i „ t NAME
MARINO ADDRESS CITY,STATE,ZIP
• • • • ■ DETAILED BUILDING INFORMATION . .
•
EXISTING USE PROPOSED USE44 4
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ J/I) qC�O . ��
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
•
PRO-AWL-AFL-00R AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL,_
SQ.FT. SQ. FT. SQ.
BASEME
J
FIRST
SECOND
THIRD
FOURTH •
•
•
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT❑
NUMBER OF FLOORS
EXISTING
PROPOSED Tar a.'" or.v:PRoeosEDsr u'.11;,1.7.:7'
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTI A : " D SELLING PRICE $
FIXTURES.
Indicate number of each type of fixture to be installed or rel. ated as part of this p •'ect. Do not include existing fixtures to remain.
MECHANICAL 7
Value of Mechanical Work $
AIR HANDLING UNITS E PORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS i ANS HOODS(commerc alf WOODSTOVES
BOILERS / FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS 7 FURNACES GAS WATER HEATERS
DUCTS e GAS PIPE OUTLETS
PLUMBING
BATHTUBS(o b/Shower Combo) SHOWERS WATER CLOSETS(roue)
MISC(Desc "•e)
DISHW RS SINKS DRINKING FOUNTAINS
GAS • •E OUTLETS SUMPS RAINWATER SYST
ASHING MACHINES URINALS HOSE BIBBS
LAVS(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 ci• .ite•'•• s officers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE DATE `l l/ Cf k.]
,!'"c-<,
-- (Sig aturej (Title)
RELATIONSHIP TO PROJECT a owner ❑ Agent 0 Contractor
0 Architect ❑ Other
- If—ltrimr41
r. OR � wawa.f��"si' a.,
! �y L,,,.,,%.,'R .D TIO a: T fib' a: , 1 • 14i NT i,'
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�e-oa-
mst •D y.S • •UIRED w�E R ';'24.171:021,.. r s!,:,!-Fir; a;
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Bulletin#100-January 7,2005 Page 2 of 4 k\Handouts\Permit Application
t .071Appromim............__
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet
(First 1300 ft2-$104.50;Each add'n 500 ft2-$33.50) ❑ 0 to 100 amp $113.50 $69.50
❑ Detached outbuilding or garage ❑ 101-200 amp 141.00 89.00
(Inspected with service) $44.00 ❑ 201-400 amp 264.50 104.00
❑ Detached outbuilding or garage ❑ 401-600 amp 308.00 123.50
(Inspected separately) $69.50 ❑ 601-800 amp 398.50 168.50
❑ 801 - 1000 amp 486.50 203.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 530.50 283.00
Service Feeder _
❑ Up to 200 amp $113.50 $33.50 ❑ Over 600 volts surcharge $89.00
❑ 201 -400 amp 141.00 69.50 ❑ Mast or meter repair $96.00
❑ 401 -600 amp 193.00 96.00
CI -800 amp 247.00 132.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 353.50 264.50 Service or Feeders
❑ 0 to 200 amp $113.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 264.50
❑ 601 - 1000 amp 398.50
Service or Feeder
❑ over 1000 amp 443.50
❑ 0 to 200 amp $87.00
❑ 201 -600 amp 141.00 ❑ #of circuits to be added/altered
❑ over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$69.50;Add'n circuits$7.00/ea) $89.00 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $52.00 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $69.50
❑ Service and feeder $113.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Commercial/Industrial Service or Feeder Ampacity
❑ 0- 100 amps ._ $69.50
❑ 101-200 amps 89.00
❑ 201-400 amps 104.50
❑ 401 -600 amps 141.00
❑ over 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;addh sign$24.50/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $104.50
❑ Security Alarm System ❑ Additional Plan Review $104.50/hour
j 0 Voice Cabling (for modified submittals)
❑ Data Cabling
El ❑ Automation Fee on all Permits $5.00
(Per System(s) 1•t 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00) •Per WAC 296-46-910(5)(610 8,ii)
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application