15-102369 • leilding - Single Family
City o&EFcon.
al Dev. y
S Permit #: 15-102369-00-S F
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 FILE
Project Name: BERNHARDT
Project Address: 1463 S 303RD ST Parcel Number: 025300 0205
Project Description: REP-Remove existing composition shingles and underlayment.Install 7/16 OSB and
composition shingle roofing.
Owner Applicant Contractor Lender
ROBERT A BERNHARDT TEDRICK'S ROOFING INC TEDRICK'S ROOFING INC
1463 S 303RD ST 37220 188TH AVE SE TEDRIRI121NC(5/14/17)
FEDERAL WAY,WA 98003 AUBURN WA 98092 37220 188TH AVE SE
AUBURN WA 98092
l
Census Category: 555 - Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class: R-3 _
Construction Type: Type V-B
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
Occupancy#I -Construction Type Type V-B Mechanical to be Included? No
Occupancy#1 -Class R-3 Plumbing to be Included? No
Occupancy#1 -Use Residence(1 or 2
family)
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Saturday, November 14, 2015
Permit Issued on Monday, May 18, 2015
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 acco r.. ce„with he laws, rules and regulations of the State of Washington
,,, - - e City of Fede .
Owner or agent /�J',i / /fiDate: /-r
•
` 0 THIS CARD IST MAIN ON-SITE '
CITY OFA''" Construction Ipection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 15-102369-00-SF Address: 1463 S 303RD ST
Project: ROBERT A BERNHARDT FEDERAL WAY, WA 98003-4112
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 Roof Sheathing(4220) 0 Final-Building(4050)
Approved to install roofing Approved
By ',w Date t-124 i t c--- By le.ii-, Date 'i 2..-1, ' t 5
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
1
CITY OF --. r PERMI'TIAPPLIC ON
Federal Way 51
MAY 18 2015 V'
PERMIT NUMBER
5 _ 1 (J ./ (,q _ SE- CITY OF FEDERAL.WAY
— — — TARGET DATE CDS
SITE ADDRESS SUITE/UNIT#
fh/ 3 $o `3o3*?. --fc---.
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 9SDD OZ . O O _ OZ OS-
TYPE OF PERMIT EI BUILDING ❑ PLUMBING ❑ MECHANICAL D DEMOLITION D ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT 3E1)[ 1
PROJECT DESCRIPTION yt"�fO ""'/L)07-7A, I A5M DfJJAN i 111/c.C
j
Detailed description of work to I/7 OVEnG� e Al/97L ON A A ,i/N e4 ,,f�jd
be included on this permit only / / /
NAME PRIMARY PHONE
PROPERTY OWNER '`;3' Gf t_1 1)J.}
MAILING ADDRESS E-MAIL
14(7-3()V) .
CITY STATE ZIP
NAMES / PHONE G
//519Ririel Ori/0 C at G24/3,V4")
MAILING ADDRESS Q(,�' �Q,, E-MAIL
CONTRACTOR .'7' t� /8 U / "v''^l�`'
� E P 9 FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PRIMARY PHONE
r� /�>, 7. : 2-J4-73og i'
APPLICANT MAILING ADDRESS E-MAIL
/ ✓ _
CITY STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT -yjf,/ /�d',�CierC (7 j) -'73 a S/f/
(?he individual to-receive and MAILING ADDREss E-MAIL
respond to all correspondence ifiil)v �t
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 -• ich m: be made by any person, including the undersigned, and filed against the city,
but only where such clai arises out . the relian-- o the city,:'ncluding its officers and employees, upon the accuracy of the
information upplied to ___ity as a , rt £this .1' .. ,
J �/
SIGNATURE / DATE / /
PRINT Nall : --?",e7--1.1-� /:. / I /J/Z/G
Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
4111 11111 .
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 dAS 4 IPE OUTLETS a OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS• HOODS(Commercial)
BOILERS FURNACES HOT WATER TANKS(cas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT • Z
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(band sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS • • , VACULM BRAKERS
kk ST
DRINKING FOUNTAINS SINKS(Kitchen/Utility) a ' 'WATER HEA RS'(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 Occupancy Group(s) Construction # of 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