12-104031City 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: BROWDER
Project Address: 625 SW 295TH PL
Building - Single Family
Permit #: 12 -104031 -00 -SF
Inspection Request Line: (253) 835050
Parcel Number: 119600 4222
Project Description: REP - Remove existing shake roofing and replace with composition shingles
Owner
ARR11can
Contractor
Lender
JOSEPH G BROWDER
QUALITY NORTHWEST
QUALITY NORTHW
OWNER IS LENDER
SUSAN M BROWDER
CONSTRUCTION
CONSTRUCTI
625 SW 295TH PL
805 S MARINE HILLS WAY
QUALINC141 /10/1
FEDERAL WAY WA 98023-3546
FEDERAL WAY WA 98003
805 S MARMJfMbWAY
FEDERAL A 9800
Census Category: 555 - Non-str4 roo I; pe
Includes: # 1 #2 #4
Occupancy Class:
Construction Type:
Occupancy Load •
Floor Areas . ft. 0 0 0 0
New / Additional Sq. Feet - 3rd Floor......
Mechanical to be Included? ...................
_ r
r> ation
Rw / Additional Sq. Feet Basement ..................0
Plumbing to be Included?......................................No
Axtu
yK AssociateWith This Perinit.lt
I hereby certify that the
the occu�y and th
e
ner gent:
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1
CITY OF
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
12 -104031 -00 -SF Address: 625 SW 295TH PL
JOSEPH G BROWDER FEDERAL WAY, WA 98023-3546
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.
❑
SWM Precon Site Mtg (4400)Initial
Erosion Control (4365)
Walls (4245)
Underfloor Framing (4285)
1:1Approved
Approved
By
To be done prior to breaking ground
Approved to install siding
Approved to sheath floor
By
Date
By
Date ,
By
Date
❑
Floor Sheathing (4105)Shear
Walls (4245)
❑ Roof Sheathing (4220)
1:1Approved
Approved to install flooring
By
Date
Approved to install siding
Approved to install roofing
By
Date
By
By
Date
B Dat 7 ,G'
Fire/Draft Stops (4095)
Interim Erosion Control (4370)EFireLffiiraft
scheduling a Framing inspection;
Approved
Approved
lumbing & Mechanical Rough -in and
By
Date
By
Date
top inspections must be signed -off and
approved. IBC 1093.4
El
Gypsum Wallboard Nailing (4130)
Framing (4120)
Insulation (4150)
Approved to insulate
Approved to install wallboard
Approved to install mud & tape
By
Date
By
Date
By Date
Final Erosion Control (4375)
Final - Building (4050)
Approved
Approved
By
Date
By
Date
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
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SITE ADDRESS CDS
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FFederalWaRECEIVE PERMIT
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COMMUNITY DEVELOPMENT SERVICES APPLICATION253-835-2607
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253-835-26
• FAX 0
TYPE OF PERMIT
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SITE ADDRESS CDS
SUITE/UNIT #
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PROJECT VALUATION
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ASSESSOR'S TiAX/PARCELS O 0—
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TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
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,
be included on this permit only
PROPERTY OWNER
N E
C
PRIMARY PHONE
MAILING ADDRESS . 1
E-MAIL
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ITY
STATE
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PHONE
MAILING ADDRESS
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E-MAIL
CONTRACTOR
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WA STATE CONTRACTOR'S LICE SE S
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EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE N
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MAILING ADDRESS
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APPLICANT
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ZIP
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FAX
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PROJECT CONTACT
(The individual to receive and
respond to all correspondence
concerning this application)
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PHONE
MAILING ADDRESS ,. �(,
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E-MAIL
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STATE
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ZIP
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FAX
2-o"3" 9 VI- 7'997
ALTERNATE CONTACT NAME:
PHONE
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. 1 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 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 his application.
SIGNATURE: - DATE
PRINT NAME:
Bulletin #100 — January 1, 2011 Page 1 of 3 k:Wandouts\Permit Application