10-100480 r
• 3uilding - Single Family
City of Federal Way
Community Development Services Permit #: 1 0-100480-00-SF
P.O.Box 9718
Federal Way,WA 98063-9718
Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax (253)835-2609 F ILE
p q
Project Name: SHAMSELDIN
Project Address: 824 SW 308TH ST Parcel Number: 178870 0270
Project Description: REP-Tear off existing roofing,including sheathing,and replace with composition shingle
roofing system.
Owner Applicant Contractor Lender
WILLIAM SHAMSELDIN WILLIAM SHAMSELDIN 13910 140TH AVE KPN N
13910 140TH AVE KPN N 13910 140TH AVE KPN N GIG HARBOR WA 98329-5377
GIG HARBOR WA 98329-5377 GIG HARBOR WA 98329-5377
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' rmit Information. '`�:g �;:,
Mechanical to he Included? No Plumbing to be Included? No
W , No Fixtures Associated With This Permit 11
PERMIT EXPIRES Monday, August 2, 2010
Permit Issued on Wednesday, February 3, 2010
I hereby certify that the Bove information is correct and that the construction on the above described property and
the occupancy and th= use will l-in :cc.rdance with the laws, rules and regulations of the State of Washington
and the i _je•f F-deral Way.
Owner or agent. ../f Date: 3
/.2i/-0
FINp0,LE
z/,z/io
THIS CARD IS TO MAIN ON-SITE -
CITY OF ''"'�.. . • Construction Ins .ction Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 10-100480-00-SF Address: 824 SW 308TH ST
Owner: WILLIAM SHAMSELDIN FEDERAL WAY, WA 98023-8236
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.
❑ SWM Precon Site Mtg(4400) ❑ Initial Erosion Control (4365) El Underfloor Framing(4285)
Approved To be done prior to breaking ground Approved to sheath floor
By Date By Date By Date
0 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 1 ' Date TA I t2
❑ Fire/Draft Stops(4095) ❑ Interim Erosion Control (4370) Prior to scheduling a Framing inspection;
Approved Approved Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed-off and
By Date By Date approved. IBC 109.3.4
El Framing(4120) '0 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 Bg Date Z--( 7— /k
❑ Rough Electrical111 Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
' :: EC IVLE Am. 0 - � 0 0 °
F OF •i' `•i•'.+ IF PERMIT F CO ME EL PL DE EN FP
Federal Way cFg 0 3
COMMUNITY DEVELOPMENT SERVICES __i
253-835-2607•FAX 253-835-2609 FED
!EY21 vo�'e ffilb corn OF AiR4NICATION
:;:.:;:.:.:.;:.;:.:.::.>:.::.:::.:;;:.:.;:.:::>;:.;::::.:::.::::;;:::::::::;::;:::::::
•SITE ADDRESS
i ( c(,,,,Etat �,C c-� , �f� e Z 3
SUITE/UNIT# ZONING ASSESSOR'S TAX/PARCEL#
1 1 S i C - J--- 7 0
:;:r >... C. :
NAME OF PROJECT s H 1 - , � i� ' 13
(Tenant or Homeowner Name) �-'�'�✓I lJ
•1 LDING 0 PLUMBING 0 MECHANICAL
TYPE OF PERMIT
❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
T'',11,1 &/i int. 4 J c r o l(1 68 a Cd 'f/ 'f- f.Cl,'c
PROJECT DESCRIPTION 1 (—
Detailed description of work to A'F kt, p( Li,B vA f. at.- L 11_Q Q S 0 T",i ' (c/r1 n
be included on this permit only 1
'aigMM
................................................. E.O `: bili s`ill ? ��»?.i > '% ?>. #iiiiii•`:#iini '<>;«<? <? `y<?`hili %`ini
...............................................
� � ��� l [� ,7 may// /n PRIMARY PHONE L�f
PROPERTY OWNER ' -L ) ( 1 ', i'{ b.t,� Imo. - e.---71a �C,j'�l'/ ►' ` aoT -6 ,-/-5' L j
MAILING ADDRESS,CITY,STATE,ZIP E-MAIL
/6 q I 1 /iidti- x•-.)_ _ M 1 h49000_
OWNER IS ALSO: _ 0 CONTRACTOR .0 APPLICAN'P'4 J ZC 0 PROJECT CONTACT
NAME ! PRIMARY PHONE
LI 41{ ( ) ,, -/'-i.-viv i'i-.
MAILING ADDRESS,CITY,STATE,ZIP
CONTRACTOR A Aiirt.iL ECV -_ FAX
/ �' ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
.
NAME? • PRIMARY PHONE
APPLICANT ("l ( ) -
MAILING ADDRESS,CITY,STATE,ZIP FAX
(
PROJECT CONTACT lPRIMARY PHONE
a �_-
(The individual to receive and ( )
respond to all correspondence MAAI ING ADDRESS,CITY,STATE,ZIP FAX
concerning this application) ( )
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
PROJECT FINANCING NAME r 0 OWNER-FINANCED
Required for projects with rI' '1; ..'
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(RCW 19.27.095)
( )
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred
in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the
city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the ct a part of',his application. ,
ilir7
SIGNATURE: �� O--/. )DATE U/ V
PRINT NAME: &))!a 614 A - Slct jt4 - y\
Bulletin#100—January 1,2010 Page 1 of 4 k:\Handouts\Pemut Application
•
1' EC N1C LEI 'T.U. E.. .:
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include g fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(co a4
BOILERS FURNACES HOT ER TANKS lo.)
COMPRESSORS GAS LOG SETS FRIGERATION SYST
DUCTING GAS PIPING •-------........., WOODSTOVES
: PLUMBING FIXTURE
Indicate number of each type of fixture to be instcfl•led or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tun/showercanh0) .kt1"VS la �
enas; )
TOILETS WATER PIPING
DISHWASHERS •,.RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS ,," SINKS(Kitchen/utility) WATER HEATERS(eectiic)
HOSE BIBBS / SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
I �.C1i
EXISTING/PREVIOUS USE LOT SIZE(Ia Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑ Yes ❑ No
..: R �IDENT��L
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT: -----------
7
FIRST FLOOR(or Mobile Home) _-. --—
&EICONL -Ft OOR .:
• COVERED SPRY
DE ::
GARAGE 0 CARPORT'0
OTHER(rtnserO <
.. EXISTING PROPO TOTAL
Area Totals -
ESTIMATED SELLING PRICE$ #OF BEDROOMS
IQ : E! A.I. IEl. DITIQN.
AREA DESCRIPTION Area Construction #of
Occupant• Group(s) Aditional Information
in Square•,Feet • Type Stories
:. ..
1!11±:gr$IIfIhIIIIGf
ADDITION
QOM.ER.I L,-_.. RE. . .L/TEN M ROVEI ENTS
AREA DESCRIPTION Area Constru ion #of
Occupancy Groups) Additional Information
in Square Feet Type Stories
TOTAL BUILDII
TENANT AREA ONLY
PROJZOT ARgR Z3MLY;;
Bulletin#100-January 1,2010 Page 2 of 4 k:\Handouts\Permit Application