14-102088 M • 3uilding - Commercial
TCity of Federal Way
CornrneervIces Permit #: 14-102088-00-CO
33325 8th Ave S ' ILE
Federal Way,wA seoo3
Inspection Request Line: 253
Ph:(253)835-2607 Fax:(253)835-2609 p Q � )$iI5-3050
Project Name: JACOBSON,BRETT H DDS
Project Address: 1718 S 288TH ST Parcel Number: 33204 9109
Project Description: REP- Tear off existing sheathing and concrete tile roof and replace sheathing along with
asphalt shingles.
Owner Applicant Contractor Lender
JACOBSON LLC B JORNADA ROOFING JORNADA ROOFING OWNER IS LENDER
1718 S 288TH ST PO BOX 1992 JORNAR1943CC(2/11/16)
FEDERAL WAY WA AUBURN WA 98071 PO BOX 1992
98003 AUBURN WA 98071
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, November 3, 2014
Permit Issued on Wednesday, May 7, 2014
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 Washingt n
and the City of Federal Way. /
Owner or agent: /9 1".•9non e2., ,_ Date: S1 //y
DATE INSPECTOR AREA AND TYPE O' INSPECTION e
6 v' -- C tr. '
'Ai.., .„4414,16.., • THIS CARD IS TO —MAIN ON-SITE '
CITY OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 14-102088-00-CO Address: 1718 S 288TH ST
Project: JACOBSON LLC B FEDERAL WAY, WA 98003-3260
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) ❑ 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
® 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 Q.es Date< , j
❑ 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
❑ 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
Tfi nal Erosion Control(4375) ❑ Final-Building(4050)
Approved Approved
By Date By6-1,4).— Date s�_t`i l 7
Rough Electrical Final Electrical Right of Way
❑ Approved •CIApproved I=1Approved
By Date By Date By Date
CITY OF PERMITJ►PPLICATION
Federal Way P2CIELVED
CAD MAY 072014
I
PERMIT NUMBER ( 4 _ O D 4�_ CA
TARGET DATE CITY OF FEDERAL WAY
CDS
SITE ADDRESS �/i� SUITE/UNIT#
0� t S S . 2z•g- �` `J�s- - �t d - -( �c. c , CA—/A-
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 3O ,SOC� , u0 _
TYPE OF PERMIT [BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT J mob s uti 0.4..__2o 6 C
o • o C-c- Cc>kC�c-k It t
PROJECT DESCRIPTION
Detailed description of work to =v`S\-,.I t
be included on this permit only
1 Intl -� Ars Sic
NAME PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS E-MAIL
CITY STATE ZIP
r-GzA C-,.t-.4 U.J‘''‘I wh IWO o 3
NAME PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR V' v c IQl°1
CITY STATE ZIP FAX
'(AJ LAJ 9so I
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
\--10.2).)ft 21c‘4aLL / /
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME 1t� PRIMARY PHONE
PROJECT CONTACT � 7IM" l J c..w v-i�b�1'`�L zS3- Cs 5 3 • 2g Co 2
(The indi-vidual-to--receive and __-MAILING ADDRESS E-MAIL P�,,_
respond to all correspondence �^^^�;o✓tio20 �' v\
concerning this application) CITY STATE ZIP FAX
Zs-3-3- 1c--
NAME
PROJECT FINANCING 0 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 est
of my knowledge, the information submitted in support of this permit application ist - u.L.rr r< certify that I will comply th
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 regula 'ng
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 incurre in
the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the 'ty,
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 t.,the..ity as art of'this application.
SIGNATURE: 4t4,vin ?il x/141'S• V!. � ���. DATE 51 '7111—
PRINT
t6lII"PRINT NAME: OGnAtin,_ 1 ow ct s
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
41111
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/utility) 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 Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application