12-103797City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: JOHNSON
Project Address: 30623 1ST PL SW
Building - Single Family
Permit #: 12 -103797 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 556000 0890
Project Description: REP - Replace sheathing and install composition shingle roofing system.
Owner
ARDlicant
Contractor
Lender
EDWARD JOHNSON
EDWARD JOHNSON
OWNER IS CONTRACTOR
7945 45TH AVE S
7945 45717H AVE S
SEATTLE WA 98118
SEATTLE WA 98118
Census Category: 555 - Non-structural roofmg permits
Includes: # 1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load
Floor Areas . ft. 0 1 0 1 0 1 0
Additional Permit Information
New / Additional Sq. Feet - 3rd Floor....................0
Mechanical to be Included?...................................No
New / Additional Sq. Feet - Basement...................0
Plumbing to be Included?......................................No
No Fixtures Associated With This Permit It
PERMIT EXPIRES Tuesday, February 12, 2013
Permit Issued on Thursday, August 16, 2012
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
an he City of Fe a ay. rl /
Owner or agent: Date:
cS d --r'
CITY OF
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
12 -103797 -00 -SF Address: 30623 1 ST PL SW
EDWARD JOHNSON FEDERAL WAY, WA 98023-3902
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.
Final Erosion Control (4375)
Approved
By Date
Final - Building (4050)
Approved
By Date
SWM Precon Site Mtg (4400)
Initial Erosion Control (4365)
Shear Walls (4245)
Underfloor Framing (4285)
Approved
By
To be done prior to breaking ground
Approved to install siding
Approved to sheath floor
By
Date
By
Date
By
Date
Final Erosion Control (4375)
Approved
By Date
Final - Building (4050)
Approved
By Date
Floor Sheathing (4105)
Shear Walls (4245)
Roof Sheathing (4220)
Approved to install flooring
By
Date
Approved to install siding
Approved to install roofing
By
Date
By
By
Date
By Date
prior to scheduling a Framing inspection;
Interim Erosion Control (4370)
Fire/Draft Stops (4095)
Approved
Approved
Electrical, Plumbing & Mechanical Rough -in and
By
Date
By
Date
Fire/Draft Stop inspections must be signed -off and
109.3.4
approved. IBC
13 Gypsum Wallboard Nailing (4130)
Insulation (4150)
Framing (4120)
Approved to insulate
Approved to install wallboard
Approved to install mud & tape
By
Date
By
Date
By Date
Final Erosion Control (4375)
Approved
By Date
Final - Building (4050)
Approved
By Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY 4F • PERMIT
Federal Way
COMMUNITY DEVELOPMENT SERV C E I V P L I C A T I O N
253-835-2607• FAX 253-835-2609
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AUG 16 2012
MF CO ME PL DE EN FP
a�
SITE ADDRESS CITY QF. FEDERAL WAY
pl
SUITE/UNIT #
PROJECT VALUATION .�y
L� y
ZONING
ASSESSORR''SS TAX/PARCEL #
0—O 0_–
OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
e wtv
/
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
NAME
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAM7_
PHONE
,�
MAILING ADDRESS
.� 'S V\ <
L
E-MAIL
APPLICANT
CITY
STATEZIP
_
FAX
PROJECT CONTACT
(The individual to receive and
respond to all correspondence
NAIr
PHONE
MAILING ADDRESS Y
E-MAIL
concerningconcerning this application)
�' v d
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME:
PHONE
i
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
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.
1 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 apart of this application.
f
&�kuSIGNATURE: DATE ' I �~
PRINT NAME: e C1�� /1 ✓�
Bulletin #100 — January 1, 2011 Page I of 3 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
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 (commeraiaq
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL IINTORNIA,rION
PUMBLNGFIXTU RY
WATER PURVEYOR
.S
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 IINTORNIA,rION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
$ /,Oslo
EXISTING/ PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No
❑ Yes ❑ No
` I;SHAVI'IAL - NFwt)IiAmITIO
AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
:BASEMENT
FIRST FLOOR (or Mobile Home)
.'SECOND FLOOR
COVERED ENTRY
i
DECK
GARAGE ❑ CARPORT ❑
m
ROTHER (describ
BXISTINO PROPOSED TOTAL
Area Totals
1WW HOMES ONLY"
ESTIMATED SELLING PRICE $ 1 # OF BEDROOMS
,...
,;.
AREA DESCRIPTION Area Occupancy Group(s) Construction # Additional Information
In Square Feet Type Stories
NEW BUILDING
oxrY
ADDITION
_
jv. CoNIi-IFRcvv,- RENIODFUTFNANT LNIPR
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square Feet a Stories
'-TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
;.
Bulletin #100 — January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application