14-102542 t )
ilding - Single Family
City of Federal Way
Community&Econ.Dev.Services Permit #: 14-102542-00-SF
33325 8th Ave S
Federal Way,WA 98003 F ILEInspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: FORSMAN
Project Address: 30014 2ND CT S Parcel Number: 891420 0150
Project Description: REP-Remove existing shake roofing material and replace with new composition shingles
Owner Applicant ContractorLender
ARNOLD E FORSMAN JUST IN TIME ROOFING LLCJUST IN TIME ROOFING LLC OWNER IS LENDER
JENNIFER W FORSMAN 320 1ST AVE NEJUSTTTR883OD(9/4/14)
30014 2ND CT S ISSAQUAH WA 98027 320 1ST AVE NE
FEDERAL WAY WA 98003-4302S
IS WA 98027
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 Permit Information
New/Additional Sq.Feet-3rd Floor 0New/Additional Sq.Feet-Basement 0
Mechanical to be Included9 No Plumbing to be Included2 No
No Fixtures Associated With This Permit !!
PERMIT E RES Sunday, November 30, 2014
P mit ssued on Tuesday, June 3, 2014
I hereby certify that the above i rm- 'on i : -c and t .0t the construction on the above described property and
the occupancy and the use I b ji• . cordance with the I:ws, rules and regulations of the State of Washington
- d1the City of federal Way. / �/
Owner or agent: L� � Date: ��3,! !7
_/
FHP'LED
THIS CARD IS TO MAIN ON-SITE
•
CITY OF Construction In,. ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 14-102542-00-SF Address: 30014 2ND CT S
Project: ARNOLD E FORSMAN FEDERAL WAY, WA 98003-4302
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(4220) CI Final-Building(4050)
Approved to install roofing Approved
By Date V (14 jf t By it,i3 Date 1g (Cj (14
CI Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date
By Date By Date
CITY OF k r PERMIT illiPPLICATION
Federal Way RIVED
JUN 03
2014 \ 4
% 0
PERMIT NUMBER I
- 1 0 2 £LTY1?F FEDER WAAATE �`S/
.N
CDS
SITE ADDRESS h SUITE/UNIT#
0 PI all a rsr."-- C r
PROJECTVALUATION ZONING ASSESSOR'S TAS 7.#A,_ARC2 O O
$ (20,1-100//- Q .00 R
TYPE OF PERMIT ,UILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT A'rn % e. in r�'(['✓i& 1
PROJECT DESCRIPTION C. it` 11-a C2 Ar r I(7.21--„,,i S e a _
Detailed description of work to I-
be included on this permit only
NAMEPRIMARY PHONE
PROPERTY OWNER Amn; ! pr5,n,-),0/) .aSg-g 1S -91 g
MAILING ADDRESS E-MAIL
CITY �o J W A . �A ZIP
- oiz
NAME YU PHONE
5uc4- it/'TIME C,/S4-eu ;oat LL CS SZ-(-40(7 0
LING ADDRESS19T-(1{I /� ��' N/y I E-MAIL
CONTRACTOR V q•� ` ��/
CIT/1:„ STATE ZIP Q FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
QO-t - lob 60_-oo- Et_ !a /� I / 14 r o-► '(ec`I.6 _po-13.L
NAMESPRIMARY PHONE
1
MAILING ADDRESS E-MAIL
APPLICANT
I g / //0rJ;1-1 I-
CITY STATE'A ZIP") FAX
rntam C (0(01,.../ 7gO
NAME PRIMARY PH NE
PROJECT CONTACT --/)/ 4-7,2 r 0-S3- LSS- g i f
(The individual to receive and MAILIN ADDRESS J E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING 0 OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP 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 =- ' es out of t - Vance of the city, including its officers and employees, upon the accuracy of the
information supplied to t-- as a p•••• ,pplication.
dii
SIGNATURE: � �7/ DATE k//.! It/
al
PRINT NAME: f
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
• •
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK.
GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY"
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
Area Construction #of
AREA DESCRIPTION in Square Feet Occupancy Group(s) Type Stories Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application