08-102059 City o{Federal Way Buildin Single Family Permit I8-1 02059-OOSF
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request 25 • •050
Project Name: BALDERRAMA
Project Address: 1102 SW 348TH PL arcel ber: 42 ' .10
Project Description: REP-Remove shake roof and install OSB decking and Grand S composition s. •les
Owner Applicant Contra der
HANK BALDERRAMA MOSS MASTERS MOSS MAST
1102 SW 348TH PL 6922 S 125TH ST MOSSMM*9560W ( )
li
FEDERAL WAY WA SEATTLE WA 98178 % TLE
22 S 125TH ST
98023-7029 WA 94178
114J
Census Catego -Non-structu ng pe
i4Includes: #1 #4
\UN•
Occupancy Class:
Construction Type• 4)
Occupancy Load.
Floor Area(sq. ft.) 0 0 0
0414
Additional Permit Information
New lona[Sq.Fee Floor 0 New/Additional Sq.Feet-Basement 0
tcal a Included?.... No Plumbing to be Included No
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Sunday, October 26, 2008
Permit Issued on Tuesday, April 29, 2008
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use ill be in accordance with the laws, rules and regulations of the State of Washington
an he y of Federal Way.
Owner or agent: 4.„."7Date: C'�f2-- /d�
` THIS CARD IS TWEMAIN ON-SITE
CITY OF 4� * Community Developarent Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-102059-00-SF
Owner: HANK BALDERRAMA
Address: 1102 SW 348TH PL •
FEDERAL WAY, WA 98023-7029
•
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.
•
El SWM Precon Site Mtg(4400) El 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
O Floor Sheathing(4105) Shear Walls(4245) 0 Roof Sheathing(4220)
Approved to install flooring Approvgd to install siding Approved to install roofing
By Date By Date B) Dat g
Fire/Draft Stops(4095) ❑ Interim Erosion Control(4370) NOTE: Prior to scheduling a Framing(4120)
Approved Approved inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be
signed-off and approved. IBC 109.3.4/UBC 108.5.4
By Date By Date
Framing(4120) Insulation(4150) 0 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 Date
•
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
�.�. RECEWED �� - Q D,5_1.Z
Fe i� -�
y PERMIT •a(437
COIiLUNTTYDEVELOPMENTSERVICES
APR 2 9 2008 MF CO ME EL PL DE EN FP
33JTFD RLWAY,WflN•63BOX 9714 ATION
FEDERAL WAY,FAX
53-8 3571 s Q p T �
TSJdJSZ607•FAX F59 335.2609 SC\r(� �V�V•// \17L/
,wntt•ait nftisaamm6 rry OF F��EnnDCC A
im / /
The following is required in/oric t —an incomplete application wilt not be accepted. Please print legibly(in ink)or type.
• III
PROPERTY INFORMATION
SITE ADDRESS //G 7.- r w ?vet; f C- /7,4LitAa7 SUITE/UNIT i_
ASSESSOR'S TAX/PARCEL it - __ __ LOT SIZE(sj)
1 LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate Page for WOW Jogai drvipean/
• PROJECT INFORMATION
TYPE OF PERMIT ILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PRO D.W DESCRIPTION(Provide detailed descriptio'
work• ded on this vermit onlu)
4 1 AL - 1._
PROJECT NAME(Name of Business or Owner Last Name) L Q /�- /( /�Jtj
r y • PEOPLE INFORMATION
PRO
TY
PRIMARY PHONE
OWNER /` (3 -4.1.- /�1 r't t'1'�I - 7�CJ
21a1 M
MAILING AD RESS
/L d 2 23 3t719
�4 cmr TE,ZIP E-MAIL ADDRESS
L
CONTRACTOR COMPANY NAME n APPI N NAME OFFICE PHONE
(Pt US J4 t-ric KG'c N v��7 44 L � '�) 2 - C l�
N�a1{ADDRESS
S 1 L Sr" S ANTE,ZIP // ,�y 44 �� CELL PHONE`' - � f
1 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER C >SP EXPIRATION DATE FAX N ER/•Y Ca(O
CONTRACTOR'S REGISTRATION IIU![aLlt EA'DIATI X DA L E-MAIL ADDRESS
/(
COMP
lit 9 SCQ d LC) e
APPLICANT COMPA/NY NAME APPLICANT NAME OFFICE PHONE
Ss'41'1"....� ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
a Architect a Tenant a Agent ❑ Other ( ) -
1 PROJECT
NAME �d��p PRIMARY PHONE - '
E-MAIL ADDRESS
CONTACT Ci'71`/�y �� — KeZ5/9 ? "L/C.3 �.�"
LENDER NAME J Per RCW 19.27.095:
IADD11/SCS Lender information is required if project value exceeds 55,000
MAILIN CITY,STATE,ZIP PHONE
• ( ) _
• DETAILED BUILDING INFORMATION
` EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ 7975--
SPRINKLERED BUILDING? a YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES a NO
WATER SERVICL PROVIDER a LAKEHAVEN ❑ HIGHLINE a TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
III 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?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS UM= TROPOa= TOTAL TOTAL Mall=IF TOrAL)RGroeaoa, TOTAL er
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• 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.
MECBANICAL
Value of Mechanical Work$ _(A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BIERS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(c.Lm.ra p
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/sh veer Combo) LAVE(Bathroom awn► URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Toueq
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
•
I certify under penalty of perjury that I am the property owner or authorised 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 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 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 reliance of the city, including its officers and employees,upon the accuracy of the information supplied to
the city as a part of this ap tion. 4 1
I SIONA1�TitTR j�// /�DATE OZ%/ Pro er and/or Authorized Agent *
•
o NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application