13-103765fl� quilding - "S'lngle Family
City of Federal Way ` C' Permit #.• 13-103765-00-S F
Community &Econ. Dew. Services -�-^�+�
33325 8th Ave S:_ y
Federal Way, WA 98003 Re Inspection Ph: (253) 835-2607 Fax: (253) 835-2609 p quest Line: (253) 835-3050
Project Name: SMALL
Project Address: 31528 42ND AVE SW Parcel Number: 873198 2800
Project Description: ALT - Infill existing roof framing, sheathing and shingles over existing open patio.
Owner
A olicant
Contractor
Lender
GREGORY J SMALL
PAUL TRACY
OWNER IS CONTRACTOR
31528 42ND AVE SW
2203 SW 346TH ST
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
Census Category: 434 - Residential altladd - no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load
Floor Areas . ft. 0 1 0 1 0 1 0
Additional Permit Information
New / Additional Sq. Feet - 3rd Floor....................0 New / Additional Sq. Feet - Basement ................... 0
Mechanical to be Included?...................................No Plumbing to be Included? ....................................... No
No Fixtures Associated With This Pennit 11
CONDITIONS:
Subject to field inspection with plans.
PERMIT EXPIRES Sunday, February 23, 2014
Permit Issued on Tuesday, August 27, 2013
1 hereby certify that ve information is correct and that the construction on the above described property and
the occupancy a the us will be in rdance with the laws, rules and regulations of the State of Washington
nd the City of Federal Way.
Owner or agent: Date:
f
CITY of
Federal Way
( F
THIS CARD IS TOMAIN ON-SITE
Construction Invection Record
INSPECTION REQakS: (253) 835-3050
PERMIT #: 13 -103765 -00 -SF Address: 31528 42ND AVE SW
Project: GREGORY J SMALL FEDERAL WAY, WA 98023-2120
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)
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)
Approved to install flooring
By
Date
Approved to install siding
Approved to install roofing
By
Date
By
By
Date
By Date
Fire/Draft Stops (4095)
Interim Erosion Control (4370)
Prior to scheduling a Framing inspection;
Approved
Approved
Electrical, Plumbing & Mechanical Roug An and
By
Date
By
Date
Fire/Draft Stop inspections must be signed -off and
approved. IBC 109.3.4
Insulation (4150)
E] Gypsum Wallboard Nailing (4130)
Framing (4120)
Approved to insulate
Approved to install wallboard
Approved to install mud & tape
By
M-3 Date (Z 1 V; 12
By
Date
By Date
Final Erosion Control (4375)
Final - Building (4050)
Approved
Approved
By
Date
By
t`0 Date 12
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
C" Of
Federal Way
PERMIT Numzit i
PERMIl*APPLICATION
RECEIVED
AUG 2 7 2013 O TC, io
CDS
SITE ADDRESS
SUITE/UNIT i
3)SaS yZl- Xv-t SLA)
PROJECT VALUATION
ZONING
ASSESSOR'S TAR/PARCEL N
$
S7,
-1 3 t 9 'R oa
TYPE OF PERMIT
.BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
f4oplFICATIVN TO V LG T)HCt )2�5) Pg GE,
lwFLL9
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
0
NAME
PRIMARY PHONE
PROPERTY OWNER
NAILING ADDRESS
- 2 Vt-, ;I
Z -MAD.
CITY
rr
FL
STATIC
100Z
NAME
PHONIC
9MALL
MAILING ADDRESS
if, MAII.
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE Y
ERPIRATION DATE
FEDERAL WAY EUSINZSS LICENSE M
NAME
)
PRIMARY PHONE
2 -11-7- 132
MAILING ADDRESS
5; W 1 5T,___
E.MAD"
APPLICANT
CITY
�r
S�WE
Yy
ZIP alb
0_ 3
FAX
NAME
PRIMARY PHONIC
PROJECT CONTACT
MAILING ADD RFss
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
i
PROJECT FINANCING
NAME /
❑ 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 cert(fy that to the best
of my knowledge, the h1for7nation 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.
1 further agree to h less the of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
hich may be made by any person, including the undersigned, and filed against the city,
the investigation defe of suc latIjis
but only where ch claim ses ut of reliance of the city, including its officers and employees, upon the accuracy of the
information supp ed to the ci as part application
SIGNATURE: DATE�G�_ 2'OI
PRINT NAME:
Bulletin #100 —January 1, 2013 Page I of 3 k: flandoutsTermit Application
y
A ' "'t
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT s
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existingfixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (comm cw)
BOILERS FURNACES HOT WATER T (G-)
COMPRESSORS GAS LOG SETS REFRIG ION SYST
DUCTING GAS -PIPING W STOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT
Indicate how many of each type of ftxture to Dastalled or relocated as part his project. Do not include existirkg fixtures to remain.
BATHTUBS (or Tub/shower Combo) LAVS (Hand Sink* TohkTsWATER PIPING
DISHWASHERS RAINWATER SYSTEMS URIN OTHER (Describe)
DRAINS SHOWERS VACUUM B AKERS
DRINKING FOUNTAINS SINKS (Kitchen/utaity) WATER HEATERS (Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FD[TVRES
GENERAL INFORMATION
CRITICAL PROPERTY?
WATER PURVEYOR SEWER PURVEYOR
VALUE OF &RISSTINO IMPROVEMENTS
7,A
2q
V'- V `
" V'
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet) EXISTING FIRE SP ER SYSTEM?
PROPOSED FIRE PRESSION SYSTEM?
SF �
A ( C1Yes No
❑ Yes)1�1 No
Bulletin #100 — January 1, 2013 Page 2 of 3 k:\Handouts\Permit Application