12-103529 III iilding - Single'`Farhily
Community City &Econ.Deof Federalv.aServices Permit #: 12-103529-00-SF
33325 8th Ave S
Federal way,WA 98003 Inspection Request Line: (2
53)(253)835-2607 Fax:(253)835-2609 ,,: "' i p q 835-3050
11 W a•i.
Project Name: SMITH
Project Address: 3024 SW 339TH ST Parcel Number: 873216 0150
Project Description: REP-Remove an replace 28.3 squares of composite roofing and replace 28 sheets of
plywood
\
Owner Applicant Contractor Lender
ROSEMARY SMITH THE HOME DEPOT AT HOME THE HOME DEPOT AT HOME
3024 S 339TH ST SERVICES SERVICES
FEDERAL WAY WA 98023 140 COUNTY LINE RD UNIT 101 HOMED**972RQ(2/1/13)
PACIFIC WA 98047 140 COUNTY LINE RD UNIT 101
PACIFIC WA 98047
Census Category: 555 -Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 0 0 0 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 Permit II
PERMIT EXPIRES Monday, January 28, 2013
Permit Issued on Wednesday,August 1, 2012
I hereby certify that the -bove information is correct and that the construction on the above described property and
the occupancy and - *Deli- • •- ---,with the laws, rules and regulations of the State of Washington
i -f Feder' ay.
Owner or agent
I
"� I - i% Date:. , IJ 5
THIS CARD IS MAIN ON-SITE
CITY OF
Federal Way
Ili Construction ITO n ection Record
y INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-103529-00-SF Address: 3024 SW 339TH ST
Project: ROSEMARY SMITH FEDERAL WAY, WA 98023-7771
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) 0 Initial Erosion Control(4365) ❑ Underfloor Framing(4285)
Approved To be done prior to breaking ground Approved to sheath floor
By Date By Date By Date
❑ Floor Sheathing(4105) 0Shear Walls(4245) 0 Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By /4 Date 0 /r.fZ
O Fire/Draft Stops(4095) 0 Interim Erosion Control(4370) Prior to scheduling a Framing inspection;
Approved Approved Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed-off and
By Date By Date approved. IBC 109.3.4
4•
❑ Fl-
11': 1 (4 0El Insulation(4150) Gypsum Wallboard Nailing(4130)
.r••ed to i I. Approved to install wallboard Approved to install mud&tape
By At By Date By Date
❑ Final Erosion Control(4375) ❑ Final-Building(4050)
Approved Approved
By Date By _p" Date k-u-/
❑ Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
( 0 3 5e3
Feui eral Way RECEIVL� PERMIT SF MF CO ME PL DE EN FP
Fed
COMMUMTY DEVELOPMENT 3E121G 01 20APPLICATION
253-835-2607•FAX 253-835-260 yD
Wee aluolfederaltvau corn
CITY OF FEDERAL WAY
CDS
SITE ADDRESS SUITE/UNIT#
3024 SW 339th St parcel 8732160150
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARC O' I -
21294.00 l O
TYPE OF PERMIT IBJ BUILDING ElPLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Horneowner Last Name) Smith re-roof
Remove and replace 28.3 sq composite roofing,replace 28 sheets of plywood
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PRONE
PROPERTY OWNER Rosemary Smith 253-797-8482
MAILING ADDRESS E-MAIL
3024 SW 339th St
CITY STA
FEDERAL WAY WAS ZIP 98023
NAME PHONE
THE HOME DEPOT AT HOME SERVICES 800-381-5699
MAILING ADDRESS E-MAIL
CONTRACTOR 140 COUNTY LINE RD#101 NAIDA@NWPERMIT.COM
CITY STATE ZIP FAX
PACIFIC WA 98047
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE i
HOMED**972RQ 2/1/2013 20-03-101448-00-B
NAME PHONE
SAME AS CONTRACTOR INFORMATION
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME PHONE
(The individual to receive and NAIDA KHAN/NORTHWEST PERMIT 360-945-2787
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application) 1345 GULF RD NAIDA@NWPERMIT.COM
CITY STATE ZIP FAX
PT ROBERTS WA 98281 360-945-2091
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.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.
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. toil
SIGNATURE:
V
Naida KhanOre 20120715190114-Ong Y.2��90. DATE 1 2./
PRINT NAME:
Bulletin#100—January 1,2011 Page 1 of 3 k:\Handouts\Permit Application