14-101908 r wilding - f Single Family
City of& Dev.
Eco Way Permit #: 14-101908-00-S F
CommunityEcon. Services
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: LARSEN
Project Address: 37301 17TH AVE S Parcel Number: 721266 0350
Project Description: REP-Tear off shak roofing and install sheathing& composition shingle roofing system.
Owner Applicant Contractor Lender
MICHAEL G LARSEN TEDRICK'S ROOFING INC TEDRICK'S ROOFING INC
37301 17TH AVE S 37220 188TH AVE SE TEDRIRI121 NC(5/14/15)
FEDERAL WAY WA 98003-7595 AUBURN WA 98092 37220 188TH AVE SE
AUBURN WA 98092
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, October 25, 2014
Permit Issued on Monday, April 28, 2014
I hereby certify that the a•4ve informatio -. rrect a . that the construction on the above described property and
the occupancy and th` e will be in e-•-- e wi the laws;;rules and regulations of the S.te of Washington
-nd th= ity of F-neral Way.
Owner or a. nt:
AW 4, f6 Date' —, , ✓
7
FINALED
di
•„„,..... ..w THIS CARD IS TO MAIN ON-SITE
•
CITY OF - Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 14-101908-00-SF Address: 37301 17TH AVE S
Project: MICHAEL G LARSEN FEDERAL WAY, WA 98003-7595
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.
O SWM Precon Site Mtg(4400) 0 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
. s . s
� Floor Sheathing(4105) ,� Shear Walls (4245) �El Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By 01Y3 Date ( 114
El Fire/Draft Stops(4095) ❑ Interim Erosion Control (4370) Prior to scheduling a Framing inspection;
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
s
El Framing(4120) El Insulation(4150) 0 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 DateBy (A,./j Date 51'( I y
I
D Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF " PERMI PPLICATION
Federal Way
APR 282014
CITY OF FEDERAL WAY
PERMIT NUMBER / �� cisq G� -
/ / •
TARGET DATE
SITE ADDRESS
SUITE/UNIT#
730/ i1 ���. /'
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
TYPE OF PERMIT kefa.1
❑ BUILDING ❑ PLUMBING 0 MECHANICAL ❑ DEMOLITION ❑ ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION [�
Detailed description of work to /l�s�l
be included on this permit only
- NAME — _ PRIMARY PHONE
PROPERTY OWNER ✓271/er= e `/ J,6/i2 )J / 39 -g/7�
MAILING AIjDRESS E-MAIL U(J f
37 0/ /17/i/ 1rl�i
CITY ,� STATE ZI
/—in/
NAMES f. PHONE �_
th t/ck/ �l�/�,�/r yl�6 ¢ `/'-- G
MAILING ADDRESS
/; g
�,� E-MAIL
CONTRACTOR 0
CITY I STATE ZIP' 9 z FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
x...
NA I PRIMARY( PHONE/ '
"'�✓/II'1i:r./ / �.i/ /C/( _; j 7-31�
APPLICANT MAILING ADDRESS ,,� E-MAIL
i 01/1
CITY STATE ZIP FAX
. -
NAME . PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING ❑ 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 ny person,including the undersigned,and filed against the city,
but only where such claim -ses out of thg.,zaliance .f the ci inc uding its officers and employees, upon the accuracy of the
information supplied to th- tty as ap. of this a. ca.on.
/
SIGNATU' / DATE
PRINT • �/%�✓` f. �Z,L��°,
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
• S 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/unity) 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 Construction #of
Occupancy Group(s) Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square FeetType Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application