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08-103161 Iv City of Federal Way BUildi*— Single Family Permit, 08-103161 -00-S F Community Development Services 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: BROWN Project Address: 33122 13TH AVE SW Parcel Number: 926495 1050 Project Description: REP-Tear off shake and install a composition roof Owner Applicant Contractor Lender CHARLES BROWN U S A ROOFER U S A ROOFER 33122 13TH AVE SW PO BOX 270 USAROR*931D8(3/28/09) FEDERAL WAY WA KIRKLAND WA 98033 PO BOX 270 98023-5324 KIRKLAND WA 98033 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 Sunday, December 28, 2008 Permit Issued on Tuesday, , 1, 2008 I hereby certify that the above inf9r ati.n is c• rect and that t,e onstruction on the above described property and the occupancy and the use will be i0 =ccor•.nce with the I., rules and regulations of the State of Washington :nd the City of 'e•eral Way. -/ /nqOwner or agent: - I\ Date: '✓ 1 (C. ' IN /3/or r THIS CARD IS TO MAIN ON-SITE litommunitY p Inspection m nt Ins ection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 08-103161-00-SF Owner: CHARLES BROWN Address: 33122 13TH AVE SW FEDERAL WAY, WA 98023-5324 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) EI 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 O Floor Sheathing(4105) I=1 Shear Walls (4245) 0 Roof Sheathing(4220) Approved to install flooring Approved to install siding Approved to install roofing By Date By Date By Al-'''f.------- )ate7/Vjg ❑ Fire/Draft Stops(4095) 0 Interim Erosion Control(4370) NOTE: Prior to scheduling a Framing(4120) Approved Approved inspection;Electrical,Plumbing&Mechanical Rough-in and Fire/Draft Stop inspections must be signed-off and approved. IBC 109.3.4/UBC 108.5.4 By Date By Date ® Framing(4120) ❑ 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 Date By Date For inspector reference only 0 Rough Electrical 0 FINAL-Electrical Approved Approved By Date By Date • ''' - © 3 / � / clnoF� � Federal WayClE , PERMIT / COMMUNITY DEVELOPMENT SERVICES SF 'MF CO ME EL PL DE EN FP 33325 8TH D-8 AVENUE SOUTH•PO BOX 9718 J U L 01 $P P L I C A T I O N FEDERAL WAY,WA 98063.9718 'TD / / 253.835-2607•FAX 253-835.2609 www.atuotTedemlwall eom LVAY The following tsl a fe fricgA pica-—Yncomplete application will not be accepted. Please print legibly(in ink)or type. • PROPERTY INFORMATION SITE ADDRESS '<,' \3 ew E jut) SUITE/UNIT#- ASSESSOR'S TAX/PARCEL# - __ __ LOT SIZE(sf) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach separate page for lengthy legal desaiphon) ■ 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 included on this permit only) . Ro ti l 1 L c _ SifhkC- ,4Ai i :V57-, ec ii-` [ca'J'7,6'S/i U/-- 1 J r PROJECT NAME(Name of Business or Owner Last Name) IC p(.) V IN PEOPLE INFORMATION PROPERTY NAME n PRIMARY PHONE OWNER C�1tkQ.Z C- C6R© ) () 5 ?) t' i It - 9ci MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS 33 vIL v3 (\ c 5 t PCcAL A`-1 CONTRACTOR COMPANY NAME APPLICANT NAME (..---) OFFICE PHONE J5.A KzooY c-tom c?-;5-tk-;�g� 3. .nvs.)>--, (_2c6 )31.2 - 6.2.3-e M LING ADDRESS CITY,STATE,ZIP CELL PHONE kAOZ A ct0 A-‘j L C o i6 Lt_ (---�/-4 (2647)) a -62 52 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE, FAX NUMBER )0 . 0A _ \ 0 �o1, at 3 - nJ _ GL 1 \3Ro ( ) - CONTRACTOR'S REGISTRATION NUMBER E74'IRATN DAT E-MAIL ADDRESS ,5 A ( k Rt 3 1 p °v .?42 8 ,o APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE est- Lime- 4) (:q47 Miri-. K1- ( ) - MAILING ADDRESS CITY,STATE,ZIP CELL PHONE RELATIONSHIP TO PROJECT FAX NUMBER 0 Architect 0 Tenant o Agent 0 Other ( ) - PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS CONTACT ( ) - LENDER NAME Per RCW 19.27.095: Lender information is required if project value exceeds$5,000 MAILING ADDRESS CITY,STATE,ZIP PHONE ( ) - • DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK (.., C%'G- L: SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO - WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) -• •• 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 EXISTING PROPOSED TOTAL TOTAL EXISTING ST TOTAL PROPOSED Sr TOTAL Sr NUMBER OF FLOORS **NEW HOMES ONLY** NUMBER OF BEDROOMS. _ ESTIMATED SELLING PRICE $ • FIXTURES Indicate number of each type offbcture 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(roil,[) 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), whi It may be made by any person, including the undersigned, and filed against the city, but only where such claim arises out o reliance the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of this ap on. ^„ ";SIGNATURE: DATE e // Property Owner and/or Authorized Agent o NEW o ADDITION o ALTERATION ❑REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO ZONING DESIGNATION CHANGE OF USE? o YES a NO NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? ❑YES o NO Bulletin#100—January 1,2008 Page 2 of 4 k\l-landouts\Permit Application