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06-100561City of Federal Way 0 Community Development Services Building - Commercial Permit #• 06 -100561 -00 -CO P.O. Box 9718 Federal Way, WA 98063-9718 Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050 Project Name: MUTUAL INSURANCE SERVICES Project Address: 1108 S 322ND PL Parcel Number: 150260 0040 Project Description: Tear -off old tar roofing to decking and install new base sheet, plysheet and hot tar roofing. Owner Applicant Contractor Lender LEAVITT LAND AND CHETS ROOFING CHETS ROOFING INVESTMENTS 2630179TH AVE S CHETSRCOOOBE (7/3/07) 216 S 200 W KENT WA 98032 26301 79TH AVE S CEDAR CITY UT 84712 KENT WA 98032 Census Category: 555 - Non-structural roofing permits Includes: #1 #2 #3 #4 Occupancy Class: Construction Type: Occupancy Load: Floor Areas . ft. 0 0 1 0 0 - Additlonal,PermIt Information Mechanical to be Included?...................................No Number of Stories ................................................... 1 Permit for Building Shell Only?............................No Plumbing to be Included? ....................................... No No Fixtures Associated With, This Permit 11 CONDITIONS: This parcel is located within a Wellhead Protection Area (Capture Zone 10) and must comply with FWCC, Chapter 22, Article XIV "Critical Areas" and fill out a Hazardous Materials Inventory Statement, if applicable PERMIT EXPIRES Wednesday, February 6, 2008 Permit Issued on Monday, February 6, 2006 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: Date: a 8" /10 0 f City of Federal Way Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 110.2 of the International Building Code certifying that at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building construction or use. This certificate is valid ONLY when endorsed by City staff. Tenant Name: MUTUAL INSURANCE SERVICES Permit #: 06 -100561 -00 -CO Address: 1108 S 322ND PL Includes: #1 #2 #3 #4 Occupancy Class: Construction Type: Occupancy Load: Floor Area (sq. ft.) 0 0 1 0 0 Owner Name: CHETS ROOFING Owner Address: 26301 79TH AVE S KENT WA 98032 Building Official Date 7he priority focus in the review and inspection,made by the City prior to issuance of this Certificate was on those matters which experience has shown most seventy affect the health and safety of the general public. Although the City has made as complete a review and inspection as is reasonably possible (within budgetary. time and personnel limitations), the City neither -guarantees nor warrants to the owner/ occupant or to any other person that this Certificate evidences strict compliance with each and every ordinance or regulation of the City or the State of Washington affecting the constNction or use of said structure or the land upon which it is situated. Such compliance is the responsibility of the owner and / or occupant of the premises.. r THIS CARD I5 T MAIN ON-SITE ClTYOF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 06 -100561 -00 -CO Owner: LEAVITT LAND AND INVESTMENTS Address: 1108 S 322ND PL FEDERAL WAY, WA 98003-8472 This card is part of your required inspection documents. 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. ❑ Footings/Setback (4110) ❑ Foundation Wall (4115) ❑ Drainage/Downspout (4040) Approved to place concrete Approved to place concrete Approved to backfill By Date By Date By Date ❑ Re -steel (4215) ❑ Slab/Concrete Floor (4255) ❑ Underfloor Framing (4285) Approved to place concrete or grout Approved to place concrete Approved to sheath floor } 'BY Date By Date By Date ' . ; ❑ Floor Sheathing (4105) ❑ 'Shear -Walls (4245), Roof Sheathing (4220) x ? Approved to install flooring Approved to install siding s Approved to -install roofin xz By :_Date By Date > B r ,- Date too ❑ Fire/Draft Stops (4095) ` to scheduling a Framing (4120).. ❑ Framing (4120) - Approved ctrical, Plumbing & Mechanical Apprbvdd to insulate 1 ERough4nre/Draft Stop inspections must be By Date proved: IBC` 109:3.4/UBC 108 $:4 By Date ❑ Insolation (4150) ❑ Gypsum Wallboard Nailing (4130) ❑ Suspended Ceiling Grid (4265) Approved to install wallboard Approved to install mud & tape Approved to drop tile By Date By Date By Date ❑ Final - Fire Department (4060) ❑ Final - Building (4050) Approved Approved By Date Date By6:�L RECEIVE .•� �a FEB 0 9 2006� Federal Way P E R M I' M O E EL PL DE EN FP coxxuxrYaet+rrorur�rse�W= C OF FEDERAL W� 3332Sm pirauIYUr,Otl-"06 BOX 9718 APPLICATION G DEPT. FFoeRAL wAY. WA �ao63a7is - 25"3S260?• FAX 25"S&ZO yavnndtyoffiduaLoaTcaon 77tefolf"Ving is MMfMd ormation - an h1g5inwiate Ucation will not be accepte& Prase pnyq k9ok an My or �j PROPERTY INFORMATION SITE ADDRESS t d `S 3 li't surm/uMT # ASSESSOR'S TAR/PARCEL # — — — — — — -- — LOT SIZE (sfl LEGAL DESCRIPTION (e.g. Acme Estates, Lot V fumd.+a�l� u�w rte►+! PROJECT• i TYPE OF PERMIT )%BUILDING . 0 PLUMBING D MECHANICAL 0 DEMOLITION 0 ELECTRICAL O ENQINKNRING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit only) 0/cc t od��y f"o c_T� i�+stce ��.�;e .fh �c-`�', Pl y fh e e'lf: PROJECT NAME (Name of Business or owner Last Name) Mit f o r a t -1m f . .Se;'y, c-ej- PEOPLE INFORMATION PROPERTY OWNER CONTRACTOR APPLICANT CONTACT LENDER EIIIsTING USE EXISTING NAME PRIMARY PHONE -ett it t a� � cAe--6t /`,7 Vefl-nte,Gt It MAILING ADDRESS CITY, STATE, ZIP f6 fo Z00 jre 4t )� WT"t? �y7Ll COMPANY NAME APPLICANT NAME OFFICE PHONE e- c,0u c,t®r Cale IL Roovc/i, %z sw opt (-77)611 -(Sly MAIUNO ADDRESS 2-6'30/ 7q-fh eos, CITY, STATE, ZIP �e�� W4 9yo�i CELL PHONE (z06)?gI -6-?-fq CITY OF FEDERAL WAY WSINEW LICENSE NUMBER EXPIRATION DATE FAX NUMBER CONTRACTORS REOiSTRATION NUMBER I." of awd wed with "ch •ppii—U-4 EXPIRATION DATE Oil /07 T S Q COMPANY NAME APPLICANT NAME OFFICE PHONE e- c,0u c,t®r SEWER SERVICE PROVIDER t ) - XMLINO ADDRESS CTIY, STATE, ZIP CELL PHONE ' RELATIONSHIP TO PROJECT FAX NUMBER E7 Architect 0 Tenant d Agent E7 other (Descnbej NAME PRIMARY PHONE E -MAI. ADDRESS Se e 60 t7 'fr �i 61- Q _ lip 3PRINiiI.ERED BUII.DINGP E] YES jKNO WATER SERVICE PROVIDER K LAKEHAVEN SEWER SERVICE PROVIDER 0 LAREHAVEN PROPOSED USE V a VALUE OF PROPOSED WORKd l 000 ' U FIRE SUPPRESSION SYSTEM PROPOSED%REQUIRED? E7 YES x NO a HIGHLINE o TACOMA a PRIVATE (WELL) EI HIGHLINE D PRIVATE (SEPTIC) I o ve"'Ica t _01a 0 DESCRIPTION FMSTING PROPOSED SQ. FT. SQ. FT. TOTAL SQ. FT. BASEMENT BBQS FANS FIRST WOODSTOVES BOILERS SECOND RANGES MISC (Describe) THIRD FURNACES GAS WATER HEATERS FOURTH DUCTS GAS PIPE OUTLETS ADDITIONAL FLOORS (DESCRIBE) G DECK (COVERED?) GARAGE 0 CARPORT 0 " SHOWERS WATER CLOSETS Iroa q NUMBER OF FLOORS =swan raorosen ?MAL 'REW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ Indicate number of each type of f dare to be installed or relocated as part of this project. Do not include existing fvrtu= to. Value of MechanW Work $ AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG. SYSTEMS BBQS FANS HOODSr4w..m WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC (Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS G BATHTUBS J wTah/Ww.d:CmW SHOWERS WATER CLOSETS Iroa q MISC (Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBB$ IAVS pmu.. sw" VACUUM BREAKERS NIZ=RIC WATER HEATERS I cert( f under penalty of perjury that the information furnished by me is true and correct to the best of my knomtedge, and fiather, that I am authorised by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold harmless the City of Federal Wag as to ang clahn ftncluding costs, wq—ses, and uttoraeyW fees incurred in the investigation and dgfense of such claint which maybe madelig any person, including the undersigned, and filed against the City of Federal Way, but only where such claim arises out of the reliance of the city, inchutiug its go%cers and empbryees, upon the aecaraeg of the Wormation supplied to the city as a part of this application. NAMEITn%B �-�_� DATE 2—/6-f-14 6 - RELATIONSHIP RELATIONSHIP TO PROJECT Q Owner E3 Agent A�bontractor O Architect D Other Bulletin #100 — January 1, 2006 Page 2 of 4 MliandoutsWennit Application