08-103785 •
s 14 r
City of Federal Way Builtn - Single FamilyPeri #• 08-103785-00-SF Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 ` r t; '< Pi, la Inspection Request Line: (253)835-3050
Project Name: TESSIER
Project Address: 641 SW 331ST ST Parcel Number: 729803 0130
Project Description: REP-Tear off existing shake roofing. Over skip sheathing,install 1/2" CDX and
composition shingle roofing system.
Owner Applicant Contractor Lender
MAURICE&ISABEL TESSIER MOSS MASTERS MOSS MASTERS
641 SW 331ST ST 203 S 2ND ST SUITE H MOSSMM*9560W (9/16/09)
FEDERAL WAY WA 98023-6173 RENTON WA 98057 203 S 2ND ST SUITE H
RENTON WA 98057
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 !!
PERMIT EXPIRES Saturday, February 7, 2009
Permit Issued on Monday, August 11, 2008
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the u�will be in accordance with the laws, rules and regulations of the State of Washington
/ /and the City of Federal Way.
Owner or agent: 7i :7- Date: EL-71-1 fr-
• THIS CARD IS TO 'MAIN ON-SITE r'
CITY OF 4f4'''' Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-103785-00-SF
Owner: MAURICE & ISABEL TESSIER
Address: 641 SW 331ST ST
FEDERAL WAY, WA 98023-6173
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.
❑ SWM Precon Site Mtg(4400) ❑ Initial Erosion Control(4365) ❑ Underfloor Framing(4285)
Approved To be done prior to breaking ground Approved to sheath floor
By Date By Date By Date
O 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 Bys�. DateB-2Z-CIS
El Fire/Draft Stops(4095) EI Interim Erosion Control(4370) , l NOTE u
Prior to scheduling P
ling a Framing(4120)
Approved Approved inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be ;
By Date By Date signed-off and approved. IBC 109.3.4/UBC 108.5.4
❑ 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) 0 Final-Building (4050)
Approved Approved
By Date By C. CAJ Date et.j a.ae
For inspector reference only
❑ Rough Electrical 0 FINAL- Electrical
Approved Approved
By Date By Date
1
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CITY Of A — •-,. f
Federal Way a
COMMUNITY DEVELOPMENT SERVICES PRRMIT �y ( SF , FCO ME EL PL DE EN FP
333258'A L WAYSOUTH PO.9O189718
AUG /APPLICATION \
253-8352607•FAX 253-835-2609 ,�. c ";f.��
www.lituoiredemlwau.mm
= FEDERAL WAY
The following is required information,.,an incomplete application will not be accepted. Please print legibly(in ink)or type.
/ • PROPERTY INFORMATION
SITE ADDRESS f (�`. ....5t4 i f'S/ e SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# _2 A / O 0 3 - ' 3 O LOT SIZE(s)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT h„ 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 onlq)
', r-�.?�1 EN —) A_4-/L
- 1L ' ;r `, • 77L- �' ,,,►,05;;„ .)-,,,,S
•
PROJECT NAME(Name of Business or Owner Last Name) G 7 S S ( F /Z J
I. PEOPLE INFORMATION
PROPERTY NAME
PHONE
>
OWNER i2 'P , ( S 1 :57/ 2vE
ADDRESSmAn �/ � �� C[1/7.,RTATE.ZIP / }} ���� �� E-MAIL ADDRESS
Lr[../ 5 / _"",2� ..az_
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Meg ing-5 rz-�S (._: 4. .a (7t6)2 - D//3
MAILING ADDRESS STATE, CELL PHONE
ONE
c /.>_ ' a (Y ) '3 - R90
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
( )
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
APPLICANT COMPANYAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑Tenant ❑Agent 0 Other ( ) _
PROJECT HAMA- PRIMARY PHONE E-MAIL
' E-MAIL ADDRESS
CONTACT ( �,� Y�la��/� (9'15 ) ,S 3- .le(�?
LENDER NAME Per RCW 19.27.095:
, / - Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
) _
■ DETAILED BUILDING INFORMATION (
EXISTING USE PROPOSED USE ( (,
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ 1 `1, lC 3S
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ. FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
ffiSTaG PROPOSm TOTAL TOTAL=WINO SF TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ /LI/
■ 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$ (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(commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(roses
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that I am the property owner or authorised 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 authorised 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 regulatingconstruction or enattorneys' ental laws.
incurred in the
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses y f
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: _ (:U: �, DATE
peaty /or Authorized Agent
I�
•
a NEW a ADDITION o ALTERATION a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o.YES o NO
ZONING DESIGNATION CHANGE OF USE? a YES o NO
NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? o YES_ a NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? a YES o NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Pennit Application