17-105571 Building - Single Family
City of Federal Way Permit #:17-105571-00-SF
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax (253)835-2609
Project Name: GERBER
Project Address: 1622 S 370TH PL Parcel Number: 721266 0530
Project Description: REP-Remove existing shake roofing,install CDX over skip sheeting with new composite
roofing.
\
Owner Applicant Contractor Lender
STANLEY GERBER ACHTEN'S QUALITY ROOFING ACHTEN'S QUALITY RFNG CON HOMEOWNER IS LENDER
1622 S 370TH PL 410 112TH STS INC
FEDERAL WAY WA 98003-7587 TACOMA WA 98444 410 112TH ST S
TACOMA WA 98444
Census Category: 555 -Non-structural roofing permits
Includes: I #1 #2 #3 #4
Occupancy Class:
Construction Type:
•
Occupancy Load: _
Floor Area(sq.ft.)
Additional Permit Information
Mechanical to be Included? No Is this an Online or O.T.C.application? No
Plumbing to be Included? No
Total Valuation: 15,500.00
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PERMIT EXPIRES Tuesday, 15 May,2018
Permit Issued on Thursday,November 16,2017
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
W ingto and the City of Federal Way.
a,t, �l c.fe, / 7Owner or agent: /� Date: ��' oD �(J� f
THIS CARD IS TO REMAIN ON-SITE
Federal Construction Inspection Record
Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 105571 00 Address: 1622 S 370TH PL
Project: DENISE D GERBER FEDERAL WAY WA 98003-7587
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) ® Final-Building(4050)
Approved to install roofing Approved
By Date 1) ")) ,_, By n5 Date i I j L.)j YV
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
CITY OF : ' PERMIT APPLICATION
Federal Way
NOV 1 6 2017 PERMIT CENTER+ 33325 8th Avenue South + Federal Way,WA 98003-6325
253-835-2607 + FAX 253-835-2609 +peiuiitcentert@cityoffederalway.com
CITY OF FEDERAL WAY
I - - ! ` O 5 5 OMMUNfTY E 7 MI=1 _ 5 J
PERMIT NUMBER r ��__/
TARGET DATE
SITE ADDRESS SUITE/UNIT#
/C Zz S 370 f L 4cE - F 9e/ z (-34 g80 .
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
dt
$ /s sr-06 C i % _ 0 5 3
) ,�,/
TYPE OF PERMIT 6�BUILDING El PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT iee-•20o?
PROJECT DESCRIPTION
:�tm�/c- cC. )4/. .cm4Kc s
Detailed description of work to Z-NST4L( CDX p/'l/ c v4(L -,04,7,7/0 S' �j'e/5
be included on this permit only e f1_�1 C0�,6_r j�� ).,evo 2� f
NAME `% �"J ( C� ? PRIMARY PHONE
PROPERTY OWNER MAILING ADDRESS E-MAIL
CITY STATE ZIP
AC EN f QLA, PHONE'�N�-Y Poo( •ff q - 766
MAILING ADDRESS
4_4.1 E-MAIL
CONTRACTOR
1. `S /2. /�l� `S u-G e ACS Azre604
coC0 STATE A ZI�I `�yG/ 2r3 -s3- 4 ' 74C`/
ASTATE cnrCONTRACTOR'S- LICENSE CM 0) / N OE/Q FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
APPLICANT. MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME / /42 / PRIMARY PHONE / /
PROJECT CONTACT (',4't L � S d N TQC/"I T jeQoc:'�d)5 s3 ,�.�-' 3O 66. `
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence cS r f 4/.30 VE
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING ❑ OWNER-FINANCED
When value is$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 arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the cit as a p oft s app ication.
/
SIGNATURE: / .404../.404../ - DATE // -A bf/ 26),/• 7
PRINT NAME: Go,w cA/wcrCh1
Bulletin#100—January 29,2016 Page 1 of 2 k:AHandouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how many ny f each type ofj xtur e 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
I AL
t OF PLUMBING vcnK
PLUMBING PERMIT I
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
t,w
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES O1VLY** -407,7
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
Area in Construction # of
AREA DESCRIPTION GzrrarP Fart Occupancy Group(s) �Ye Stories Additional Information
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
TOTAL BUILDING P v
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application