09-102424 •
•ilding - Single Family
7 City of Federal Way Q
Community Development Services Permit #: 09-102424-00-SF
P.O Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050
Ph (253)835-2607 Fax (253)835-2609 fr iwi F
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ii iii LLimns
Project Name: KACHMAN '
as
Project Address: 2114 S 373RD CT Parcel Number: 721265 1940
Project Description: REP-Tear off existing cedar shakes and install OSB plywood and PABCO Paramount 50
year shingles.
Owner Applicant Contractor Lender
STEVEN&DEANN KACHMAN LEGENDS ROOFING CO INC LEGENDS ROOFING CO INC
2114 S 373RD CT PO BOX 731249 LEGENRC984DN(3/15/10)
FEDERAL WAY WA 98003-7563 PUYALLUP WA 98373 PO BOX 731249
PUYALLUP WA 98373
Census Category: 555 -Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq. ft.) o o o 0 ,
New/Additional Sq Feet-3rd Floor, 0 - New'/Addit
- fc 'en.Feet-Baser3T. .. .. .,4.. .0 <-_
Mechanical to be Included" No Plumbing to be Included" ... . No 3
No Fixtures'Associated With This Permit It
PERMIT EXPIRES Wednesday, December 23, 2009
Permit Issued on Friday, June 26, 2009
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: ‘1 -- C'`9
•
`4......,' • THIS CARD IS T MAIN ON-SITE
CITY°F Construction I ection Record
. Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 09-102424-00-SF Address: 2114 S 373RD CT
Owner: STEVEN & DEANN KACHMAN FEDERAL WAY, WA 98003-7563
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 Precon Site Mtg(4400) ❑ Initial Erosion Control (4365) 0 Underfloor Framing(4285)
Approved To be done prior to breaking ground Approved to sheath floor
By Date By Date By Date
El Floor Sheathing(4105) ❑ Shear Walls(4245) ❑ Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By Dated.,LZ„ 47
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
•
O Framing(4120) ❑ Insulation(4150) El Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
0 Final Erosion Control(4375) ❑ Final-Building(4050)
Approved Approved
By Date By C( � Date 't_$-c) ct
•
•
.•
For inspector reference only _
0 Rough Electrical 0 FINAL-Electrical
Approved Approved '
By Date By Date
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kERMIT MF CO ME EL PL DE EN FP
33325dyAVENUBS0U7$•POBOX9711uN 2 s zO�PPLICATION
im FBDBRAL W7Y,FAX
9714 / /
rot:trim253 d3S1607•FAX 253435.2609
:itmi1 OF F DE• A L W
The fo��g is required jilt,—,n—an mpiete application will not be accepted Please print legibly(in ink)or type.
1 1► • PROPERTY INFORMATION
SITE ADDRESS 21 l 4 ySooSi 3 Y C 4-• Sea/ SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# T / a _ ,r
LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
turdimpmateraporknoksierldiONOPSWO
• PROJECT INFORMATION
TYPE OF PERMIT )(BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
0 I" L L:
1 'r : A., 1 T SoVt J'il%W6 L f.
PROJECT NAME(Name of Business or Owner Last Name) 3T yg. g/9,14/4j/
• PEOPLE INFORMATION
PROPERTY NAME
OWIMR PRIMARY PHONE
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
CONTRACTOR COMPANY NAME OFFICE PHONE
1E6 64493. R.PoFI,J6 CQ Zig. U!M `e;n (233 ) Sy6 - 3/97
MAILING ADDRESS « .SpA - CELL PHONE
'' �'� ' -,373 25 Gob - 2
CITY•F FEDERAL WAY BUSINESS LICENSE NUMBER .1.'. TION DATE FAX NUMBER
(2.53) Sy$ -324 1
� , Ia<I ADW DATE �MAtLADDRESS
L✓rGveG9S4DA/
�s uu
APPLICANT COMPANY NAME -APPLICANT NAME OFFICE PHONE
MAILING ADDRESS _CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
1 CI Architect CI Tenant 0 Agent 0 Other ( ) _
PROJECT I NAME r PRIMARY PHONE E-MAIL ADDRESS
CONTACT I I I -
LENDER NAME Per RCW 19.27.095:
Lender information is required ifpro/ect vette exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
) _
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE � '1
EXISTINGo(,((
mow
ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ !/ T . 00
SPRINKLERED BUILDING? 0 YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES CI NO
WATER SERVICE PROVIDER 0 LAKEHAVEN a HIGm-TME 0 TACOMA I] PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC)
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. - SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
1
GARAGE 0 CARPORT 0 1
NUMBER OF FLOORS esu i moos= TOW. ror�h Twoa, TOM MOM=LI anrALo
**NEW HOMES ONLY"' NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
II FIXTURES
•
Indicate number of each type of fixtur a 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 RU)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 py '
COMPRESSORS FURNACES RANGES '
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBINGBATHTUBS pr n b/sn...rCombs) LAVS(Bulbous gild* URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS _ SHOWERS WATER CLOSETS(Taro
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS•
SIGNATURE
I certify under penalty of perjury that I ant the property owner or authorised agent of the property owner.I certify that to the best of my
knowledge,the irybrmation 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 authorised 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 Wag 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 l?P-e fon.
SIGNATURE: DATE
Propertyy O�w�nerr and/or Authorized Agent
a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES o NO BASIC PLAN? a YES a NO
• ZONING DESIGNATION CHANGE OF USE? a YES a NO
nfiriffs
NEW ADDRESS REQUIRED? a YES o NO IIP/BFPO/SU? a YES a NO
PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2009 Page 2 of 4 kkHandouts\Peimit Application