15-105206.-. .. +� lam, a
lWilding - Single Family
City'°`Federal Way •- Permit #: 15-105206-00- SF
Community &Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
. Project Name:. DERROW
Project Address: 33420 35TH AVE SW Parcel Number: 109960 0180
Project Description: REP - Replace existing roofing and sheathing.
Owner
ARRIIcant
Contractor
Lander
ANTHONY DERROW
NAIDA KHAN
HOME DEPOT AT HOME
SHERYL DERROW
NORTHWEST PERMIT INC
SERVICES
33704 39TH AVE SW
9808 31ST AVE SE
HOMED**972RQ (2/3/17)
FEDERAL WAY WA 98023-2913
EVERETT WA 98208
3600 LIND AVE SW
RENTON WA 98057
Census Category: 434 - Residential alt/add - no change in number of units
Includes:
#1 #2 #3 #4
Occupancy Class:
R-3
Construction Type:
Type V - B
Occupancy Load
Floor Areas . 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 11
PERMIT EXPIRES Sunday, April 10, 2016
Permit Issued on Tuesday, October 13, 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 will be in accordance with the laws, rules and regulations of the State of Washington
and tho City of F deral Way.
Owner or agent: Date: 6
THIS CARD IS TOIN ON-SITE
CITY Cr Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 15 -105206 -00 -SF Address: 33420 35TH AVE SW
Project: ANTHONY DERROW FEDERAL WAY, WA 98023-2968
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.
Underfloor Framing (4285)
SWM Precon Site Mtg (4400)
Floor Sheathing (4105)
Initial Erosion Control (4365)
Final Electrical
Approved
Footings/Setback (4110)
Shear Walls (4245)
Approved
By
To be done prior to breaking ground
Approved to place concrete
By
Date
By
Date
By
Date
Underfloor Framing (4285)
1-1 Electrical
Approved
Floor Sheathing (4105)
1:1❑
Final Electrical
Approved
Shear Walls (4245)
Approved to sheath floor
By
Approved to install flooring
By
Approved to install siding
By Date
By
Date
By
Date
Roof Sheathing (4220)
Fire/Draft Stops (4095)13
Interim Erosion Control (4370)
Approved to install roofing
Approved
Approved
By J Date
By
Date
By
Date
Prior to scheduling a Framing inspection;
Framin 4120
g ( )
Insulation 4150
( )
Electrical, Plumbing & liechanical Rough -in and
P:
Approved to insulate
Approved to install wallboard
Fire/Draft Stop inspections must be signed -off and
IBC' 1.09.3.4
By
Date
By
Date
■
Gypsum Wallboard Nailing (4130)
Final Erosion Control (4375)
Final - Building (4050)
Approved to install mud & tape
Approved
Approved
By Date
By
Date
By f p `
Date ld 28' -1$
EJ
1-1 Electrical
Approved
1:1❑
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
To: Pert/ Department Page 2 of 3 2015-10-13 16:58:56 (GMT)
18884000383 From: Deborah Shields
t 0
- C"aF RECEIVED
red!Mll `ay PERMIT SE
13 205 APPLICATION
�s�•rax,s'/;OF FEDERAL WAY
rrs.�sid�i!�i
S — S 01 D G '�
FCO ME EL PL UE EN F1'
The following is requi.e q§formation -an incomplete application will not be accepted.
Please print legibly (in ink) or type.
PROPERTY•• •
COMPANY NAM If,
Home Depot At Home Services
APPLICAN I' NAME:
SITE ADDRESS 33420 35th Ave SW
SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # 1099600180
LOT SIZE (sfl
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
FAX NUMSER
( ) -
((PROJECT
E-MAIL, AT)nRTSS
COM ANY NANIF
Northwest Permit Inc.
APPLIC_\N11' NAW
Naida Khan
OFFICE PHONE
( 360 ) 945-278-7
TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL
DEMOLITION J ELECTRICAL U ENGINEERING
U FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed desm. ]ption of ux)rk included on this nerm.it ont.u)
RAX NUMBER
( 888 ) 400-0383
RESIDENTIAL REROOF. REPLACE 22.3 SQUARES OF ROOFING. REPLACE 22.3
SHEETS DECKING,
NO STRUCTURAL CHANGES
PRIMARY' PRONE:
( 360 ) 945-2787
Ii -MAIL ADDIUISS
naida@nwpermit.com
PROJECT NAME (Name of I3usirtess or Owner Last Name) Anthony Derrow
PEOPLE•- •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
NAME:
Anthony Derrow
PRIMARY PIiO.;
( 253 ) }335-3476
MAILING Af)D12T)SS
33420 35th Ave SW
CITY, b-PATIi, ZIP
Federal Way, WA 98023
E MAILADDRES,S
COMPANY NAM If,
Home Depot At Home Services
APPLICAN I' NAME:
Or FICI PRONE
( 800 ) 381 -5699
MAILING ADDRESS
3600 Lind Ave SW #150
CITY, S"rATE, ZIP
Renton 98057
cr-,:a, rl lour.
_
CITY OF I -T DK. RAL WAY BUSINESS LICL•:NSti: NUMBER EXPIRATION I)STh',
20-03-101448-00-B 12/31/2015
FAX NUMSER
( ) -
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE
HOMED**972RQ 02/01/2017
E-MAIL, AT)nRTSS
COM ANY NANIF
Northwest Permit Inc.
APPLIC_\N11' NAW
Naida Khan
OFFICE PHONE
( 360 ) 945-278-7
MAILING ADDRESS
9808 31 st St SE
CI'T'Y, S11.1y t'. ZIP
Everett WA 98208
Ch.1J, P)ION6
-
RP.LATIONSHIPTO PROJrCT
❑ Architect ❑ Ten.Rnt. 0 Agent. ❑ Other
RAX NUMBER
( 888 ) 400-0383
NAMI:
Naida Khan/ Northwest Permit
PRIMARY' PRONE:
( 360 ) 945-2787
Ii -MAIL ADDIUISS
naida@nwpermit.com
NAME
per RCW 19.27.095:
Lender information is required if project value exceeds $5,000
MAILINO AI)DRESS
CITY, STATE,/,II'
PHONE
EXISTING USE Residential
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 18,140.02
SPRINKLERED BUILDING? c YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED? c YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE a TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER C LAKEHAVEN C HIGHLINE C PRIVATE tSEPTIC)
To: Permit Department Page 3 of 3 2015-10-13 16:58:56 (GMT)
18884000383 From: Deborah Shields
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
W. FT.
TOTAL
SQ. FT.
BASEMENT
❑ YES ❑ NO
BASIC PLAN?
❑ YES
FIRST
ZONING DESIGNATION
CHANGE OF USE?
SECOND
❑ NO
NEW ADDRESS REQUIRED?
n YES 1::; NO
THIRD
t1 YES
r1 NO
PLATTED LOT?
ADDITIONAL FLOORS (DESCRIBE)
DEMO PERMIT REQUIRED?
❑ YES
o NO
DECK (= COVERED OR ❑ UNCOVERED?)
GARAGE E CARPORT El
NUMBER OF FLOURS
sxtsTtsa
PROTossn
TOTAL
TOTdr, ExMILMO Sr
TOTAL PROPOSED Sr
TOTAL Sr
"NEWHOMFSONLY"" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do riot include existin. j ftefures to remain..
Value of Mechanical Work fi (A COPY OF BID OR F.S'1YMATB MAST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS E:VA,110 VrIVE COOLERS GAS €'IPE OLITI.ETS WOC: DSTOVES
BBQS FANS GAS WATER HEATERS MISC (Describe)
BOILERS FIREPLACE [NSL•'RTS 110O1)Stc<,mme .al
COMPRESSORS FURNACES RANGES
DUCTS GAS LCX; SETS RE:FRIG. SYSTEMS
t3ATHTWIS (,:i7,bllsi—.rc—,i,ut LAVE IBa:hroums:,kal—_-_._._----- URINALS ___..._ ._ WSC (Describe)
DISHWASHERS RAINWATER SYST VACUUM I3RIEAKERS
DRINKING FOUNTAINS SIfOWERS lit+ATTR CLOSETS 0•.A'Tj
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certgy that to the best of my
knowledge, the information submitted to support of this permit application is true and correct. I certify that 1 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 loca4 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.
SIGNATURE:
Digitalty signed by Naida Khan
DN: cn--Naida Khan. o=Northwest Permit
Owner and/or AuthoriudD.AW..a15.10.1309:56:57 07:00'
I NEW o ADDITION
r ALTERATION
n REPAIR r TENANT IMPROVEMENT
BUILDING SHELL ONLY?
❑ YES ❑ NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
❑ NO
NEW ADDRESS REQUIRED?
n YES 1::; NO
UP/SEPA/SU?
t1 YES
r1 NO
PLATTED LOT?
a YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
o NO
Bulletin #100 - Januaryl ; 2049 Page 2 of 4 k`:I tandoutS,,Permit Application