07-102977 Community City of DevFederalelopmentSWayervices Builag - Single Family Permit't#• 07-102977-00-Se
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PO.Box 9718
Federal Way,WA 98063-9718
Ph.(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: MAY
Project Address: 33331 10TH CT SW Parcel Number: 926496 0950
Project Description: REP-Tear off existing shake roofing; install OSB& laminated shingle roofing system.
Owner Applicant Contractor Lender
DON&JAN MAY GUARDIAN ROOFING GUARDIAN ROOFING
33331 10TH CT SW 213 54TH AVE S GUARDRL942NN(8/15/08)
FEDERAL WAY WA FIFE WA 98424 213 54TH AVE S
98023-5312 FIFE WA 98424
Census Category: 555-Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
FIoor Area(sq. ft.) 0 0 0 0
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement. 0
Mechanical to be Included? No Plumbing to be Included9 No
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Monday, June 1, 2009
Permit Issued on Friday, June 1, 2007
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: 0 Com — O7
o
- THIS CARD IS EMAIN ON-SITE
rifY, F �•...�„ork
ommunity Developant Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-102977-00-SF
Owner: DON & JAN MAY
Address: 33331 10TH CT SW
FEDERAL WAY, WA 98023-5312
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.
O SWM Preconstruction Site Mtg 0 Initial Erosion Control(4365) ❑ Underfloor Framing(4285)
Ap80) To be done prior to breaking ground Approved to sheath floor
By Date By Date By Date
0 Floor Sheathing(4105) 0 Shear Walls(4245) 0 Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By / - Date G//d 7
❑ Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120) 0 Framing(4120)
Approved inspection;Electrical,Plumbing&Mechanical Approved to insulate
Rough-in and Fire/Draft Stop inspections must be
By Date signed-off and approved. IBC 109.3.4/UBC 108.5.4 By Date
❑ Insulation (4150) 0 Gypsum Wallboard Nailing(4130) ❑ Final Erosion Control(4375)
Approved to install wallboard Approved to install mud&tape Approved
By Date By Date By Date
❑ Final-Building(4050) 0 Interim Erosion Control(4370)
Approved Approved
By Date By Date
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
''
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Federal way SP E R M I T c).(11(3�
COMMUNITY DEVELOPMENTS ` 'IF CO ME EL PL DE EN FP
33J38r"AVENUESOUTH•PO CEI`/E�PPLICATION
FT
FEDERAL WAY,OU 98063-9718 Y
253-835-2607•FAX 253-835-2609 / O / 0
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The following is required in b200tion-an incomplete application will not be accepted. Please rint legibly lin ink)or tye.
• \ '.'41.'
•i PROPERTY INFORMATION
SITE ADDRESS 3333) `o 2 G-1t- S'%4 W-Cdtcc,` V,Ia� , 4Jh O%(60a3 SUITE/UNIT #
ASSESSOR'S TAX/PARCEL# - LOT SIZE (s)
LEGAL DESCRIPTION(e.g.Acme Estates, Lot 1)
(Attach separate page for lengthy legal descrtpaon)
al PROJECT INFORMATION
TYPE OF PERMIT c• BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detaileddscnption of work included on this permit onlu)
1Cv r- Eos �`�
sCii-,25 / -Z-2 - '...,,,'...,,, .s, \ ��
r
PROJECT NAME(Name of Business or Owner Last Name) 1 cd`
El PEOPLE INFORMATION
PROPERTY NAME
OWNER Mc Da,,, ;��V\ PRIMARY PHONE
MAILING ADDRESCITY,STATE,ZIP
S
E-MAIL ADDRESS
X3-S)- ,o}S Orsvi -at.,\ ,A...-r AA '2i 4033
CONTRACTOR COMPANY NAME APPLICANT NAME I OFFICE PHONE
MAIL(NGA- i•s•r 11oO�:0N3 i($aC6 ) ROOT-WPr4
/ c„/j� CITY,STATE,ZIP CELL PHONE
%� a�3 syr- ,4vt e F:4c v1ox `'‘Cc`-‘ ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER i EXPIRATION DATE FAX NUMBER
( ) -
CONTRACTOR'S
COPY of required
REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
with each applicationbcri
ucnc .`el \a t4 N I S I aoa)5
APPLICANT COMPANY NAME`\ ry APPLICANT NAME OFFICE PHONE
( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMB ER
❑ Architect 0 Tenant 0 Agent 0 Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT 11'41- 5‘n4"`.A5 E)h 1 06tV ) RObc-4JPr- 1
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE ek< S, 4.1/4.Ms;G'‘\ PROPOSED USE •• I I
EXISTING ASSESSED/APPRAISED VALUE$dNO
OF PROPOSED WORK $ 14 �Sa61
6T
SPRINKLERED BUILDING? ❑ YES NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ti NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
�..a �. .-_ .4
AREA DESCRIPTION EXISTING PROPOSED TOTAL
. SQ. FT. SQ. FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
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NUMBER OF FLOORS "umeO PROPOSE, TOTAL TOTAL.ausnnO Sr TOTAL PROPOSED Sr TOTALS?
**NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
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■ FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(cumae.daq
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIO.SYSTEMS
PLUMBING
i
BATHTUBS lorTub/Shower combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(taaeq
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
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SIGNATURE
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I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further, 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 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 an pets, including the undersigned, and filed against the City of Federal Way,but only where such claim
arises out of the reliance of t. •a 'cl /ng s offic f and employees, upon the accuracy of the information supplied to the city as a part of
this applicdtion. /
NAME/TITLE L.S-h.Mcn+vr- DATE 0 c 7 Ol
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent 0 Contractor ❑ Architect 0 Other 1;wc('IOra-c
o NEW o ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES n NO
ZONING DESIGNATION CHANGE OF USE? a.YES a NO
NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? n YES a NO
PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? b YES o NO
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Bulletin#100—April 2,2007 Page 2 of 4 k\l-Handouts\Permit Application •