07-104512 •
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IP
City of Federal Way Builn - Sin le FamilyPermit #: 07-104512-00-SF
Community Development Servicesg g
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: WILSON
Project Address: 616 SW 331ST PL Parcel Number: 729803 0040
Project Description: ALT-Remove shake roof,installing new CDX plywood,and install new Presidential T/L
shingles.
Owner Applicant Contractor Lender
STEVEN L WILSON GARRY BAKER MOSS MASTERS STEVEN L WILSON
RAELENE B WILSON MOSS MASTERS MOSSMM*9560W 9/16/07 616 SW 331ST PL
616 SW 331ST PL 11840 RENTON AVE#109 11840 RENTON AVE#109 FEDERAL WAY WA 98023-6173
FEDERAL WAY WA 98023-6173 SEATTLE WA 98178 SEATTLE WA 98178
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
festal Oirrnitiritiatia F
New/AdditionaI Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
Mechanical to be Included? No Plumbing to be Included? No
Zoning Designation RS 9.6
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Friday, August 14, 2009
Permit Issued on Tuesday, August 14, 2007
I hereby certify that the above information is correct and that the construction onl the above described propertyand
the occupancy and the us ill be in accordance with the laws, rules and regulations of the State of Washington
an► a City of Federal Way.
Owner or agent: Date: f/./ //,'i
- 404%, lit THIS CARD IS TO MAIN ON-SITE -
CITY OF ommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-104512-00-SF
Owner: STEVEN L WILSON
Address: 616 SW 331ST PL
FEDERAL WAY, WA 98023
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.
Roof Sheathing
0 (4220) NOTE: Prior to scheduling a Framing(4120) ❑ Framing(4120)
Approved to install roofing inspection;Electrical,Plumbing&Mechanical 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 t.� Date$-/,5—. cs
7 �.o ®.. o� �.o,,,. ��..,...,,., By Date
0 Final-Building(4050)
Approved
By G Date Q —2,( ..07
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
/ bq
Federal Wa,RECENED i
9ERMIT ���A• -
COMMUNITY DEVELOPMENT SERVICES a SF' MF CO ME EL PL DE EN FP
33325 8T"FEDERAL AVENUEWAY,SOUTHWA980P603-$94,17G8
63-9•PO$� 14 2007 A P P L I Ci A T I 0 N TD
253-835-2607•FAX 253-835-2609 0-Fr.
unuw.citto edenilwr _pr WAYDE��ApL�• — /
The following is r �r'btgi ton an incomplete application will not be accepted. Please print legibly(in ink)or type.
O PROPERTY INFORMATION
SITE ADDRESS 162 S 41 Lc .j . L- L.,/4„SUITE/UNIT#
5'
ASSESSOR'S TAX/PARCEL# 1 (ltCE-"
LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJEC DESCRIPTION (Provide detailed description oof work included on this permit onlu)
Sr)57,3 LL /1.2 C1e>, L�r Li r
fP r-i 7 -l_ --/it A-, ,. 5 4
PROJECT NAME(Name of Business or Owner Last Name) � y C.-„5 4• .
El PEOPLE INFORMATION
PROPERTY NAME - PRIMARY PHONE ^�
OWNER 44/ - yrtt -S Ly) i"(-- S'L3i,-)- M3) 2: -f72'7'f(.�
MAI ING ADDRESS CITY ATE,ZIP E-MAIL ADDRESS `
CONTRACTOR COMPANY NAME s APP NT NAME C OFFICE PHONE
MAILING ADDRES �i --7y7 L i 4' ) '7"1 -6//j
ONE
Co ',2-,i 5 / 5 CITY5�j _ (Y 6) ,y3 - 3
CITY OF FEDERAL WAY USINESS LICENSE NUMBER EXPIRATION DATE FAX NUMB R
tP`‘
Col'Y otcerd mqulxd CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
with each epplieetlon => ,n o c5 iv)
) 04 G I tr / A/,. iv,
APPLICANT COMPANY NAME APP CANT NAME OFFICE PHONE
j1 GESS l fi1T -s- 11,E -tc /5 ( ) L -o t ) ?
MA ...)-o SS <L S / CI STATE, 7 (WS.)CELL NE
`ic
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect 0 Tenant ergent 0 Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
1"'''
CONTACT ( ) -
LENDER NAME Per RCW 19.27.095: f
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE f/v
N DETAILED BUILDING INFORMATION /�
t
EXISTING USE PROPOSED USE /f, C }
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ (iI' �.J G .
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
AREA DESPPTION EXISTING� PROPOSED. TOTAL
SQ. SQ. FT. SQ.FT.
BASEMENT • .
FIRST
•
,SECOND
•
THIRD .
•
ADDITIONAL FLOORS(DESCRIBE) •
DECK•(0 COVERED OR 0 UNCOVERED?) •
GARAGE 0 CARPORT 0
NUMBER OF FLOORS =STIRe PROPOSED TOTAL TOTAL ESIS7750 sr TOTAL PROPOSED sr TOTAL el -
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**NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $•
II
■ FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing furfures to remain.
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MECHANICAL •
Value of Mechanical Work$' (A COPY OF BID OR ESTIMATE 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(commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
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PLUMBING
BATHTUBS for Tub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Tolley
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS •
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SIGNATURE
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 applicdtion.
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NAME/TITLE .Yl/'JJ • DATE g//. Y/C?
S gnatyfe) (Title) `
RELATIONSHIP TO PROJECT 0 Owner gent -■. ontractor ❑ Architect 0 Other
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO. BASIC PLAN? . • o YES n NO
ZONING DESIGNATION CHANGE OF USE? o.YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? , a YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
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Bulletin#100—April 2,2007 . Page 2 of4 S k\Handouts\Permit Application •