12-104250 wilding - Single Family
City of Federal Way
Community 8 Econ.Dev.Services F ( Permit #: 12-104250-00-S F
33325 8th Ave S
c_ jar is
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: CAMERON
Project Address: 1080 SW 330TH CT Parcel Number: 926495 0240
Project Description: REP-Tear off shake roofing;install OSB sheathing&composition shingle roofing system.
Owner Applicant Contractor Lender
TANYA CAMERON FUTURE HOMES FUTURE HOMES
1080 SW 330TH CT PO BOX 13434 FUTURH*941KD(5/4/14)
FEDERAL WAY WA 98023-5327 DES MOINES WA 98198 PO BOX 13434
DES MOINES WA 98198
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 0 New/Additional Sq.Feet-Basement 0
Mechanical to be Included? No Plumbing to be Included No
No Fixtures Associated With This Permit II
PERMIT EXPIRES Saturday, March 16, 2013
Permit Issued on Monday, September 17, 2012
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.
41);# 0
Owner or agent: .4' Date: ,5 / 7 -7
ZPO
120
THIS CARD IS TO MAIN ON-SITE r
CITY OF •., Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-104250-00-SF Address: 1080 SW 330TH CT
Project: TANYA CAMERON FEDERAL WAY, WA 98023-5327
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 SWM Precon Site Mtg(4400) 0 Initial Erosion Control(4365) 0 Underfloor Framing(4285)
Approved To be done prior to breaking ground Approved to sheath floor
By Date By Date By Date
El Floor Sheathing(4105) El Shear Walls(4245) El
Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By /�`��C Date p/e--2.a e-j2.
.
El Fire/Draft Stops(4095) 0 Interim Erosion Control(4370) Prior to schedulinga Framing inspection;
n'
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) ❑ Insulation(4150) El Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
0 Final Erosion Control(4375) ❑ Final-Building(4050)
Approved Approved
By Date By ,`, ; Date 9 - ,:1 �„ 1
0 Rough Electrical ID Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
- 0 02
Fe ',A
d ralWaKECEIVE®O PERMIT �VIF CO ME PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES 2. P P L I C A T I O N
253-835-2607•FAX 253-835-260tr
LOW, cit ggifedernluaiLarn
C pF FEDERA 0.61
SITE ADDRESS SUITE/UNIT#
, b s1 So C�� v - `
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL A
TYPE OF PERMIT t D�DING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) C4 /����
PROJECT DESCRIPTION t'J' s�
Detailed description of work to [�� e� 0 c 4
be included on this permit only —Ti,, rzee Lt C �L
NAME •- T / PRIMARY PHONE
PROPERTY OWNER L/ S' C rn E v 2'k-' z c 3 - 34747-24/<-64
MAILING ADDRESS E-MAIL
i a fro Sup 3 ,t-"" C7_
CITY TATE ZIP
NAME 17E6 7e,
ei
MAILING/aDREESSS E-MAIL
CONTRACTOR P. (l'O X 3 3
CITY_ C S 167 ��, STATE Z FAX
WA STATE CONTRA'CCTTlO�R'S LICENSE 0 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE 0
�ljTv9' l—I qy/ l� 1Z_ 3( 12— z�,o9_» y90 a)-3v
NAME / PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME1f PHONE q9
z(The individual to receive and �N I J o6 �o `� ?/
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
®/WNER-FINANCED
Required value of$5,000 or more V Q.. v
IRCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
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 city as a part of this application.
R ` Q
SIGNATURE: DATE / ^ / 7 -'J 7
, t o�
PRINT NAME: 'vN15 /" C7
Bulletin#100—January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
•
VALUE OFMECHAMCAL WORK (a copy of bid or estimate must be provided)
Indicate how many of each type of fvcture 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 717,7 N 1, WOODSTOVES
�, zS W11, �' � ; � a; 5� y , ,�z ��x�„9`: .s # t% s zea
• ..tay.., as•ses - .t..': - ,aa.; _ cl tt
Indicate how many of each type of future to be installed or relocated as part of this project. Do not include existing futures 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(K tchen/Ut l ty) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES a, '
�g
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
w.�s,.K. .,•:fin.��'t .�. ��,.:•. >. .�:�Kx-.�a��.� a�?�.,�.: ,u x �-. ,.. kl.�k.,x,..�.,- «m�`�xa�"�c ;.,k's 3 s.•� .. •
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL•
FOR OFFICE USE
FIRST FLOOR(or Mobile Home)
COVERED ENTRY ___—...— — —--._._....--.._......._.__..._....._..._....._.._.... ——
r
GARAGE ❑ CARPORT ❑ ___—
R USTINO PROPOSED TOTAL
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in S uare Feet •e Stories
y , ��
is
ADDITION
Construction #of
AREA DESCRIPTION Occupancy Group(s) ,e Stories Additional Information
TENANT AREA ONLY
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Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application