12-104425city�f Federal Way
Community V Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: BACKMAN
Project Address: 34737 9TH PL SW
wilding - Single F.Amily
Permit #: 12 -104425 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 132173 0250
Project Description: REP - Remove and replace 31.4 squares of existing composite roofing and 31.3 squares of
plywood
Owner
Applicant
Contractor
Lender
BRET C BACKMAN
THE HOME DEPOT AT HOME
THE HOME DEPOT AT HOME
OWNER IS LENDER
34737 9TH PL SW
SERVICES
SERVICES
FEDERAL WAY WA 98023-8440
140 COUNTY LINE RD UNIT 101
HOMED**972RQ (2/1/13)
PACIFIC WA 98047
140 COUNTY LINE RD UNIT 101
PACIFIC WA 98047
Census Category: 555 - Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:-
Floor
oadFloor Areas . ft. 0 0 0 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
PERMIT EXPIRES Tuesday, March 26, 2013
Permit Issued on Thursday, September 27, 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
Nd the City of Federal Way. %% J
Owner or agent: Date:
V T
THIS CARD IS TO MAIN ON-SITE
CITY OF Construction In ecJ Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 12 -104425 -00 -SF Address: 34737 9TH PL SW
Project: BRET C BACKMAN FEDERAL WAY, WA 98023-8440
a
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.
E]
SWM Precon Site Mtg (4400)
Initial Erosion Control (4365)
Shear Walls (4245)
Underfloor Framing (4285)
Approved
Approved
By
To be done prior to breaking ground
Approved to install siding
Approved to sheath floor
By
Date
By
Date
By
Date
�
EJ
Floor Sheathing (4105)El
❑
Shear Walls (4245)
E] Roof Sheathing (4220)
Approved
Approved to install flooring
By
Approved
Approved to install siding
Approved to install roofing
By
Date
Date
By
Date
By Date
Interim Erosion Control (4370)
Fire/Draft Stops (4095)
Prior to scheduling a Framing inspectio]and
Approved
Approved
Plumbing & Mechanical Rough-i[Electrical,
By
Date
By
Date
ire/Draft Stop inspections must be signed-o
approved. IBC 109.3.4
Insulation (4150)
Gypsum Wallboard Nailing (4130)
Framing (4120)
Approved to insulate
Approved to install wallboard
Approved to install mud & tape
By
Date
By
Date
By Date
�
EJ
Final Erosion Control (4375)
❑
Final - Building (4050)
Approved
Right of Way
Approved
By
Approved
By
Date
Date
By
Date
Date
�
EJ
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
r J •
CITY Of PERMIT
Federal WRCEIVED SF MF
o'It�I��:I� ��l ,o��,��.SFR„�F.S APPLICATION
'IF -535 21;07• Elk :!53-N35 2609
Ll L•LL.LiLLU QI `�P G 7 2012
i 0 4 4.2s~
CO ME PL DE EN FP
SITEADDRESS uiY Vr rCULTCHt- vv1
SUITE/UNIT #
34737 9th Places RN parcel 1321730250
PROJECT VALUATION
22273.00
ZONING
ASSESSOR'S TAX/PARCEL #
( �� _ t�Z
L 3 2 O _— _ _
TYPE OF PERMIT
T BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
n-eitu,li Nume/Hame01uner Last Name)
Bret Backman re -roof
PROJECT DESCRIPTION
Remove and replace 31.4 sq composite roofing, replace 31.3 squares of plywood
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
Bret Backman
253-661-3112
MAILING ADDRESS
34737 9th Place SW
E-MAIL
CITY
FEDERAL WAY
STATE
WA
ZIP
98023
NAME
THE HOME DEPOT AT HOME SERVICES
PHONE
800-381-5699
CONTRACTOR
MAILING ADDRESS
140 COUNTY LINE RD #101
E -MAD,
NAIDA@NWPERMIT.COM
CITYSTATE
PACIFIC
WA
ZIP
98047
FAX
WA STATE CONTRACTOR'S LICENSE #
HOMED"`972RQ 2/1/2013
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE k
20-03-101448-00-B
NAME
SAME AS CONTRACTOR INFORMATION
PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
(The individual to receive wid
NAME
NAIDA KHAN / NOR-IHWES I FERMI T
PHONE
360-945-2787
MAILING ADDRESS
1345 GULF RD
E -MAD,
NAIDA@NWPERMIT_COM
respond to all. correspondence
concenning this application)
CITY
PT ROBERTS
STATE
WA
ZIP
98281
FAX
360-945-2091
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
Required Ua1Ue U� yNi,J, 00(� Ur 1720 1'E'
NAME
OWNER -FINANCED
(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.
]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 off -vers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE: Nalda Khan 9/26/2012
Oa�a: 2012.07.15 ,9 0, .14 -0,90 DATE
PRINT NAME: Naida Khan
L•.,,11— .1111,-,u—dly 1, wl L Fagc I of 3 k:\Handouts\Permit Application