05-104325 •
City of Fderal Way Building - Single Family Permit #: 05 - 104325 - 00 - SF
CommunityDevelopment 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: JORDAN
Project Address: 518 SW 333RD ST Parcel Number:729801 0180
Project Description: ALT-Tearing off existing shake roof and reroofing with new Presidential TL composition,includes
sheathing.
Owner Applicant Contractor Lender
Susan Jordan Susan Jordan FAST ROOFING Susan Jordan
518 SW 333RD ST 518 SW 333RD ST FASTRRL965Q9 11/29/06 518 SW 333RD ST
FEDERAL WAY WA FEDERAL WAY WA 9530 AURORA AVE N SUITE 105 FEDERAL WAY WA
98023-6172 98023-6172 SEATTLE WA 98103 98023-6172
Includes:
Census category: 555-Non-st #1 #2 #3 #4
_ I
Occupancy Group: R-3
Construction Type: Type V-B
Occupancy Load:
Floor Area(Sq.Ft.): J
Census Category 555-Non-structural roofing p Mechanical No
Occupancy#1 -Class R-3 Plumbing No
Zoning Designation RS 9.6
PERMIT EXPIRES February 21,2006.
Permit issued on August 25,2005
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 and
the City of Federal Way.
Owner or agent: 524-. , - Date: g ZS-OS
THIS CARD IS TO WAIN ON-SITE
CITY OF `-- ommunity Development Inspection Record
.,
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-104325-00-SF
Owner: SUSAN JORDAN
Address: 518 SW 333RD ST
FEDERAL WAY, WA 98023-6172
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) 0 Plumbing Groundwork(4190) .11 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 App oved to install roofing
By Date By Date By Date e,. '",—C, D
Fire/Draft Stops (4095) schedulingFraming ❑ Framing(4120)
El P NOTE: Prior to a 4120
Approved 1 inspection;Electrical,Plumbing&Mechanical Approved to insulate
Rough-in and Fire/Draft Stop inspections must be
By Date signed-off and approved. IBC 109.3.4/UBC 108 5.4 By Date
i
❑ Insulation (4150) 0 Gypsum Wallboard Nailing(4130) 0 Final- SWM(4375)
Approved to install wallboard Approved to install mud&tape Approved
By Date By Date By Date
•
O Final-Building(4050) ❑Temp.Erosion Maintenance (4370)
Approved / Approved
By C. (i Date 4 - CO -- O.�.� By Date
1Gv-N
A. •CITY OF 1 I q a 5
Federal Way ECEIVE PER R
COMMUNTTY DEVELOPMENT SERVICES
SF MF CO ME EL PL DE EN FP
33325 8TM AVENUE SOUTH.PO BOX 971$ [ A P P L I C A - N I
FEDERAL WAY,WA 98063-9718�� � 5 2 O O
253-835-2607•FAX 253-835-2609 .—' 7 /- —Y. ,
wwwnt tioffederalway.com
)F FEDERAL WA‘s
The ollowi • is Ilei ;4t-on—an incom.tete a..lication will not be acce•ted. Please •rint to.ibl (in in or •e.
■ PROPERTY INFORMATION
SITE ADDRESS 51S 5U) `33S C SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# ^( r 0 _l____- D._'_ LL. `, 7 LOT SIZE(sf9
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) iz)aG ,, i)I do ' (.,-c t } I
(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
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
'Pear. alld. (evince... -5rlatcf - i.4),, . -Pres- €rai ' L- r c{--cvyi
PROJECT NAME(Name of Business or Owner Last Name) JOy`CCAV\
PEOPLE INFORMATION
PROPERTY NAME
j PRIMARY PHONE
OWNER 5usav? - CJrCiar (253 ) 9q -)W(a)
MAILING ADDRESS CITY,STATE,ZIP
'Sig Sit' 533 51-7 F 'c)era( (Adety , rAJA c12.6Z.
CONTRACTOR COMPANY NAME APPLICANT NAME
.- rs �.K ^/ 6 J A / g- OFFICE PHONE
Al [NO ADDRESS CITY,STATE,ZIP ('$j�,7 CELL.PHONE
CITY OF FEDE L WAY BUSINESS LICENSE NUMBER EXPIRATION DATE - FAX NUMBER
-- 5-1 �. 3 X35 -B L 1) /3/ /0,C.• FAX
) -
F '
CONTRACTOR'S REGIST TION NUMBE (copy of card required with each application) EXPIRATION DATE
S _rgg L 'Y o S- __ 1/ / /cam
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
rn ,l.'Q'' ( ) -
MAILING ADDRESS /)/�y CITY,STATE,ZIP - CELL PHONE
�w ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑Tenant ❑Agent 0 Other(Describe) ( ) -
CONTACT NAMEde PRIMARY PHONE I"
/�(`,/l,6 ii!///vi ( )��i - 2� ant, l��Fo � s,����;vG,�,a�-
LENDER gi NAME
acierC". /sane,
MAILING ADDRESS CITY,STATE,ZIP
. . . . ■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE rze Si Li-e41.0eet
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ I Cit)
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES ❑ NO
WATER SERVICE PROVIDER c9/LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER co LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
ti
'FLOOR AREAS
4
EXISTING
AREA DESCRI PROPOSED TOTAL
SQ.FT. SQ.FT. SQ. FT.
BASEMENT
FIRST ,.., e�
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS EUST[HO PROPOSED 'TOj.
TAL m ^„ aor OTALPROirosen$Pl�y 3' imu sr s r
**NEW HOMES ONLY** NUMBER OF BEDROOMS 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 PANS HOODS(comm<mial( WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/snocsr combo) SHOWERS WATER CLOSETS(fou<y MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(eattuoom s nks( 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
ant 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 to 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 application.
NAME/TITLE �'S �. / GLG DATE �i Z� -0 S
(Signature[ (Title
RELATIONSHIP TO PROJECT ❑ Owner ❑ gent ❑ Contractor ❑ Architect
0 Other
Lei
v.
1 / / • 4-.. ® R • ,p '^ Rte.. '„ t ',' o 4:; 9i
�+ � � ' "' k..:. ., a Sari- ��c""" $ ',,774C/D--- r;
€' ®• •
= r �( aa' �sy,x$ C �� G .Q SE z* �'°. O .'
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Page#100—January 7,2005 2 of 4
k\Handouts\Permit Application