15-105241 i. 0 •ilding - Single Family w
City of FederalWay Permit #. 15-105241 -00-SF
Community&Econ.Dev.Services •
33325 8th Ave S
5 1
Federal Way,WA 98003 . ec
Ins tion Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 I ° p q
Project Name: BARTLETT
Project Address: 32112 2ND AVE SW Parcel Number: 926490 0170
Project Description: REP-Tear off shake and install 7/16 OSB sheathing& composition roofing system.
Owner Applicant Contractor Lender
EVEREET P BARTLETT JAMES E TEDRICK TEDRICK'S ROOFING INC
NODDIA A BARTLETT TEDRICK'S ROOFING INC TEDRIRI12INC(5/14/17)
32112 2ND AVE SW 37220 188TH AVE SE 37220 188TH AVE SE
FEDERAL WAY WA 98023-5602 AUBURN WA 98092-8909 AUBURN WA 98092
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#1 -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 Monday, April 11, 2016
Permit Issued on Wednesday, October 14, 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 'II be in accordance with the laws, rules and regulations of the State of Washington
'and'q.- of Fe.-ral Way.
Owner or agen : ,/S --,,,_%/_:___. � r Date: /'v ,%/`''tee'`
I . r k 1 Ft4�
t. THIS CARD IS TO MAIN ON-SITE
CITY OF 0 Construction In ection Record r .--'
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 15-105241-00-SF Address: 32112 2ND AVE SW
Project: EVEREET P BARTLETT FEDERAL WAY, WA 98023-5602
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.
❑ Roof Sheathing(4220) El Final-Building(4050)
Approved to install roofing Approved
- __� Date (U 'G �'�'By Date t v 7 Z
Rough Electrical I � Final Electrical r Right of Way
[1.1Approved ! Approved I Approved
Ry Date By Date By Date
a.
r CITY OF ` CEIVED PERMIT 'APPLICATION
Federal Way OCT 14 2015
�3
g
CITY OF FEDERALWAY '17
1#
NUMBER 5 I
- 1/ I I )`/ i)\/
— — I 2 - TARGET DATE , 'l
SITE ADDRESS SUITE/UNIT#
1/2 c>V' -..Iz, T4✓ Oz.
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ av2r90 2 C, 1l -`' c - O / /
TYPE OF PERMIT ] BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION 0 ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECTA4--%/70/X-- fa/ -1,7, �r i /W-7// //?
PROJECT DESCRIPTION A"c (7/v A 3i) ie. cr7,--
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER / / C fij kZC9 rf p�`GjQ5/ in
MAILING ADDRESS E-MAIL
? //2, 2fu 24-IA'
CITY// STATE D,,
/ �Z,� UU
NAME -
PHONE
v/ -2(/(
G/C 73 fr
MAILING ADDRESS` /�j,�j6., E-MAIL
CONTRACTOR ''720 ` [j(J ,/,(
CITY STATE ZIP FAX
��1 WA STAT TRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /S
NAME PRIMARY PHONE
MAILING ADDRESS E-MAIL
APPLICANT
PA I*(�o6 (' CITY STATE ZIP FAX
D NAME /� PRIMARY PHONE
PROJECT CONTACT ��/2,/e% d o G 730
(The individual to receive and MAILING ADDRESS (,l,� / E-MAIL
respond to all correspondence 3 7 R2 0//Q�/"/ /J�
concerning this application) CITY STATE ZIPFAX
/6/• D4>z-
NAME
PROJECT FINANCING El 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 a•y person, including the undersigned, and filed against the city,
but only where such claim arises out of the • city, nclud' • its officers and employees, upon the accuracy of the
informationlied
supplied to the ..y».•apart^ ..
SIGNATU• , ,•� /� DATE/ / /4
PRINT . - 77/1,/,'�/ /r !%7//Z ,d
Bulletin 14100—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 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 HEATE-: (Electric)
HOSE BIBBS SUMPS WASHING M HINES 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 F '1 SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes 0 No ❑Yes 0 No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING P•OPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑ "
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NE HOMES ONLY**
ESTIMATED SELLING PRICE$ # OF BEDROOMS
COMMERCIAL—NEW/ DITION
AREA DESCRIPTION Area Construction # of
Occupancy Group(s) Additional Information
i Square Feet Tyke Stories
NEW BUILDING
ADDITION I
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Construction # of
Occupancy Group(s) 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