08-102753 OW
City of Federal Way Build - Sin le FamilyPermit'#: 08-102753-00-SF
Community Development Services g 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: DOMINGUEZ
Project Address: 1205 SW 346TH ST el Number 666490 0550
Project Description: REP-Tear off existing shake roofing. Over skip shea ,inst 1 1 - DX , ood
sheathing& composition shingle roofing system.
Owner Applicant Contracto Lender
ALFREDO DOMINGUEZ ALFREDO DOMINGUEZ SW 346TH ST
1205 SW 346TH ST 1205 SW 346TH ST FEDERA AY WA 98 -7041
14S14 I i
FEDERAL WAY WA 98023-7041 FEDERAL WAY WA 98023-7041
Census Category: 434 - esidential a d c n umber of units
Ilt
Includes: #1 #2 #3 #4
Occupancy Class: \\
Construction Ty se: ________AP
Occu•anc Lr
Floor Area(sq. ` _ ' 0 0 0
Additional Permit Information
Nei it I Sq.Feet- Floor 0 New/Additional Sq.Feet-Basement 0
nical e Included?.... No Plumbing to be Included? No
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Wednesday, December 3, 2008
Permit Issued on Friday, June 6, 2008
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.
kOwner or agent: ,_' ie. A O. ..... Date: i > - L.1
THIS CARD IS T REMAIN ON-SITE • •
CITY OF °Community Develop Inspection Ins ection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-102753-00-SF
Owner: ALFREDO DOMINGUEZ
Address: 1205 SW 346TH ST
•
FEDERAL WAY, WA 98023-7041
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 SWM Precon Site Mtg(4400) ❑ 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
•
- 0 Floor Sheathing(4105) ❑ Shear Walls (4245) ❑ Roof Sheathing (4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By Date
Fire/Draft Stops(4095) Interim Erosion ontro
❑ p ❑ Control( ) NOTE: Prior to scheduling a Framing(4120)
Approved Approved inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be
B Date ByDate signed-off and approved. IBC 109.3.4/UBC 108.5.4
y .L
�❑ Framing(4120) ❑ Insulation (4150) ❑ Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
❑ Final Erosion Control(4375) ❑ Final-Building(4050)
Approved Approved •
By Date By G O Date
For inspector reference only
❑ Rough Electrical ❑ FINAL-Electrical
Approved Approved •
By Date By Date
A (�- v)( 0 � /3-3
CITedYOF
Ferai Vtlay '�EIVall
PERMIT 9 ass 7
COMMUNITY DEVELOPMENT SERVICES OMF CO ME EL PL DE EN FP
33325 811,AVENUE SOUTH•PO BOX 91718 O 2008
253-8 607 FAX 253-8ERAL WAY,WA 35 260�J N APPLICATION TD / /
www.citi/aIICderalwatl.c,,n WAY
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The foli ttil s Eequigki4 on-an incomplete application will not be accepted. Please print legibly(in ink)or type.
>.
i • PROPERTY INFORMATION
SITE ADDRESS 2-! 15 t k.: 31-1/s4-11 5+. Feciereu(
) 0, SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# ,_ C- —_ __ �•8 a3 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
PROJECT DESCRIPTION(Provide detailed desLk
of work included on this permit only) '
iea 'F=+ e.xts-Iinq se t)p+i ,- , ()V s c p c ,
l i s i/Z`` (Th )C`i.b, f c,J o O c s I v, # co' - s k.'t vac 1 e 9
V-00.f; s sew.. r J
PROJECT NAME(Name of Business or Owner Last Name)
• PEOPLE INFORMATION
PROPERTY NAME ,l�+VD�� /� p PRIMARY PHONE ] /��7
OWNER fl 1f L.(; J Do�I tie, • (253) 12'/L/- LoO2i_
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
i2.6- s‘A, 31-1[0'44 S*. fejLe-ui Lvr2,u/1 Lj4 3
CONTRACTOR COMPANY NAME APPLICANT NAME `•) OFFICE PHONE
ca)lrjn:. Ow'?er ( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMB ER
( )
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
)41 ), a3 Ottine4- ( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant 0 Agent ❑ Other ( ) _
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) _
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY•STATE,ZIP PHONE
(
( )
• DETAILED BUILDING INFORMATION •
EXISTING USE PROPOSED USE
1 7' CO
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ /t�/ iNAJ r —
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
11 PRO " - • y. •
AREA DESCRIPTION EXISTING PROPOSED TOTAL
BASEMENT SQ. FT. - SQ. FT. SQ. FT.
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOOR EXISTING PROPOSED TOTAL TOTAL ESISTINS sr TOTAL PROPOSED Sr TOTAL Sr
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
■ FIXTURES
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
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(commend JJ
COMPRESSORS FURNACES --''"� RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(orTub/shower combo) LAVS(Bathroom sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(roue)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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.
SIGNATURE: I► \ _1'- �l 2 )2-e, / - DATE
Property Owner andLpr Authorized Agent
„ i
a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
AAAA._. ,.
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application