13-101895 • •uilding - Single Family
Ci &FederalWay Permit #: 13-101895-00-S F
CommunityEcon.on.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p Q
Project Name: HENDERSON
Project Address: 135 S 300TH PL Parcel Number: 891420 0090
Project Description: REP-REP-Tear off shake roofing; install plywood sheathing and composition shingle
roofing system.
Owner Applicant Contractor Lender
EFFENUS HENDERSON HONG'S GENERAL HONG'S GENERAL
HELEN HENDERSON CONSTRUCTION CONSTRUCTION
135 S 300TH PL 223 BREMERTON AVE SE HONGSGC892BJ(1/11/15)
FEDERAL WAY WA 98003-4309 RENTON WA 98059 223 BREMERTON AVE SE
RENTON WA 98059
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 26, 2013
Permit Issued on Monday, April 29, 2013
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 Washington
and the City of Federal Way.
Owner or agent: —64 Date: f�. / '1 I 1
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, THIS CARD IS TO ,MAIN ON-SITE
CITY OF .00...._444%.- 110 Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 13-101895-00-SF Address: 135 S 300TH PL
Project: EFFENUS HENDERSON FEDERAL WAY, WA 98003-4309
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) El 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
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 /,,� Date 5-�I>,
(0 Fire/Draft Stops(4095) ' '❑ Interim Erosion Control(4370) Prior to scheduling a Framing inspection;
IApproved 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
o Framing(4120) 0 Insulation (4150) ❑Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
O Final Erosion Control(4375) ❑ Final-Building(4050)
Approved Approved
B . Date /G�<____ By Date
•
O Rough Electrical Final Electrical II Right of Way
Approved Approved Approved •
By Date By Date By Date
RECEI•D PERMIT APPLICATION
CITY OF
Federal Way APR 2 9 2013
CITY OF FEDERAL WAY ,...„,..,,,...............„...........„,p,
- / (� s/ 3 C� ,j
PERMIT NUMBER / 3 / .6-7_
/ TARGET DATE '`
SITE ADDRESS SUITE/UNIT#
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ C `= :�'` `� / V at D - 60 C G
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT P j V�� w_zkte, J y�� �,�6-42s_. 4j
PROJECT DESCRIPTION ` .cte, vc� � d psis ,e.�-� Re
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER it L c�c) COO,
MAILING ADDRESS "COPE-MAIL
k s a P g---
CITY STATE ZIP
NAME u 6 9„T,•v PHONE
�6— 227_0`�2.�5
MAILING ADDRESS _ E-MAIL
CONTRACTOR .'77 RArki'f - ' ie'
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
- 0%"`79-4'4-c. Szc1 P-)' - / /
NAME {� PRIMARY PHONE
}4,-,.Nle 4 LY y i
APPLICANT MAILING ADDRESS E-MAIL
X2- U' a S-\
CITYR 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 any person,including the undersigned, and filed against the city,
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 to the city as a part of`�this application.
L
SIGNATURE: //�� DATE '_/ 1/ ( 'r)
A-1--
PRINT NAME: ' YUTiy 1PGl(�"L ,1'i
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
•
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 ' MBING WORK
PLUMBING PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include •xisting 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(EIe .. )
HOSE BIBBS SUMPS WASHING MACHINE' TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEY • SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet EXISTING FIRE SPRINKLE• YSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ • ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING P•OPOSED TOTAL FOR OFFICE USE
B 1
FIRST FLOOR(or Mobile Home)
p
atMitphni.:4 -%0
COVERED ENTRY
GARAGE ❑ CARPORT 0
10wsW ¢ t
arYafk
Area Totals 444* MAW,
"(EXI' 'O PROPOSED' TOTAL
Y,
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITIO
AREA DESCRIPTION
Area Occupancy Group(s) Construction #o - Additional Information
in Square F etType Stone§,
ADDITION
COMMERCIAL—REMOD /TENANT IMPROVEMENTS
Area Construction #of
AREA DESCRIPTION Occupancy Group(s) Type Additional Information
In uare FeetStories
O,,I,4 ..
�3 is ,-' +. ,� i k ' �. r� n Jks���� �' '° arh
ym r a fig.... ,..,;'
TENANT AREA ONLY
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Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application