07-106953 A,
City of Federal Way Buili — Single FamilyPermt#: 07-
106953-00-SFCommunityDevelopmentServices
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: GRUVER
Project Address: 31921 14TH WAY SW Parcel Number: 416795 0060
Project Description: Reroof.Tear off existing roofing,install sheeting and install roofing.
Own& Applicant Contractor Lender
DWYER GRUVER CHET'S ROOFING& CHET'S ROOFING&
31921 14TH WAY SW CONSTRUCTION CONSTRUCTION
FEDERAL WAY WA 26301 79TH AVE S CHETSRC000BE(7/9/09)
98023-4727 KENT WA 98032 26301 79TH AVE S
KENT WA 98032
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 Monday, December 28, 2009
Permit Issued on Friday, December 28, 2007
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 ace. dance with the laws, rules and regulations of the State of Washington
/ / nd the City of Federal Way.
Owner ora agent: N �6 ',
9 Date: /-.8
i 40
THIS CARD IS TOEMAIN ON-SITE
CITY OF .° ...• b ommunityDevelopment Inspection Record
Federal WayIVR INSPECTION REQUEST PHONE# (253) 835-3050
litQ
PERMIT#: 07-106953-00-SF
Owner: DWYER GRUVER
Address: 31921 14TH WAY SW
FEDERAL WAY, WA 98023-4727
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) ❑ 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 g- Date /A 06P
0 Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing(4120) 1 0 Framing(4120)
Approved 1 inspection;Electrical,Plumbing&Mechanical I Approved to insulate
Rough-in and Fire/Draft Stop inspections must be
By Date signed-off and approved. IBC 109.3.4/UBC 108.5.4 By Date
❑ Insulation (4150) ❑Gypsum Wallboard Nailing(4130) ❑ Final Erosion Control (4375)
Approved to install wallboard Approved to install mud&tape Approved
By Date By Date By Date
0 ,
O Final-Building(4050) ❑ Interim Erosion Control (4370)
Approved Approved
By g Date 0 to z By Date
For inspector reference only
O Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
4110
eter�11lVay ' CEIV PERMIT � , — .. _ S
i `M y T }NT
1!..."-F)MF CO ME EL PL DE EN FP
COMMUMTY DEVELOPMENT SERVICES
3332FEDERAL WAYSW 980 99199718( 2 8 "'APPLICATION TD
253-835.2607•FAX 253-835-2609 / /
un uw.alt uofederahua U.corn
cF.DERAL WAY
The following is required i1 ra:Wan—an incomplete application will not be accepted. Please print legibly(in ink)or type.
N.PROPERTY INFORMATION
wo
SITE ADDRESS_ • / 63I
.)Lii SUITE/UNIT#_
ASSESSOR'S TAX/PARCEL# ( 6 , 7___q _- 6 0 _b v LOT SIZE(sf •
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) M ' '/
(Attach separate page for lengthy legal descaption)
■ 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 description of work i•ncluded on t is a it onl �/'
Til-LA_
Al �/`j fJ/7p /�is,l_ - f- � (y L/J( 4EcuM /
9�
PROJECT.NAME(Name of Business or Owner Last Name) 67 r Lk VY.r
al PEOPLE INFORMATION
PROPERTY NAME / PRIMARY PHONE
OWNER oR 6 if , Lief, ( ' ) -
MAILING ADD q th law
CITY,STATE,ZIP '' E-MAIL ADDRESS
CONTRACTOR COMPANY NAMEAPPLICANT NAME OFFICE PHONE
MA1L1(70 D &Ce"' CITY/14, CELL PHONE - 4n1-7CITY OF FEDL AY BUSINESS LICEME MBER RATI N DATE FAX NUMBER
SP "— 11r)0 ( - )° ( Z_ -') - o i ( )
COI{T CTOR'8 REGIST ION NUMBER EXPIRATION DATE E-MAIL ADDRESS
0 / `
APPLICANT COMPANY NAME + APPLICANT NAME OFFICE PHONE,
MWPD CITY,STA E, I• ��y�� CELL PHONE i
RELATIONSHIP TO PROJECT ) FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other ( ) _
PROJECT NAME -.,„144,14 n J PRIMARY PHONE E-MAIL ADDRESS
CONTACT '" -
,1
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 $ /t s 2< 1 •
�
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
% PROJECT FLOOR AREAS
, AREA DESa ION EXISTIN 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
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL=SITING ST TOTAL PROPOSED Bl TOTAL el
•
**NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
$ FIXTURES
Indicate number of each type of future 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) LAYS(Bathroom sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Tolley
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 -f the ity, including its officers and employees,upon the accuracy of the information supplied to
the city as a part of thifi pi cation. _rt
fi
/��
SIGNATURE: DATE id/9(L7--1/0
Prope . a ner and/or Authorized Agent
a NEW o ADDITION o ALTERATION o REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100-August 16,2007 Page 2 of 4 . k\Handouts\Permit Applicatio'I