08-104272 • • •uilding - Single Family
City of Federal Way Permit #: 08-104272-00-SF
Community Development Services r -5 �"
P.O.Box 9718 ', ,
LFederal Way,WA 98063-9718taw= . Inspection Request Line: (253)835-3050(253)836-2607 Fax:(253)835-2609
Project Name: OLSEN
Project Address: 2715 SW 343RD PL Parcel Number: 294450 0690
Project Description: REP-Remove shakes roof,install CDX plywood and install composition shingles
Owner Applicant Contractor Lender
TOM&TRACI OLSEN MOSS MASTERS MOSS MASTERS
2715 SW 343RD PL 203 S 2ND ST SUITE H MOSSMM*9560W (9/16/09)
FEDERAL WAY WA 98023-7627 RENTON WA 98057 203 S 2ND ST SUITE H
RENTON WA 98057
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
New/Additional Sq.Feet-3rd Floor 0 New 1 Additional Sq.Feet-Basement 0
Mechanical to be Included? No Plumbing to be Included" No
No Fixtures Associated With This Permit I!
PERMIT EXPIRES Monday, March 9, 2009
Permit Issued on Wednesday, September 10, 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 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: CDr D .
THIS CARD IS TOAIN ON-SITE
CITY OFtY Pm� Pommuni Develo t Ins P ection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-104272-00-SF
Owner: TOM & TRACI OLSEN
Address: 2715 SW 343RD PL .
FEDERAL WAY, WA 98023-7627
•
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. p0 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.
0 SWM Precon Site Mtg(4400) 0 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
— .0 Floor Sheathing(4105) 0 Shear Walls(4245) 0 Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofingoo
By Date By ' Date By 7,14- Date//l 01,
0 Fire/Draft Stops(4095) 0 Interim Erosion Control(4370) NOTE: Prior to scheduling a Framing(4120) 1
Approved Approved inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be
By Date By Date signed-off and approved. IBC 109.3.4/UBC 108.5.4
A
O Framing(4120) 0 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
.
O Final Erosion Control(4375) 0 Final-Building(4050)
•
Approved Approved '
�,� 9 ,7
By Date By d Date
09
•
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved •
By Date By Date
t ECEI\ 3 -
COYWNI7Y DEVELOPMENT SERVICES
PERMIT �� MF CO ME EL PL DE EN FP
3332;=.
332 WAY WA 98.0733-971119P x ° 200APPLICATION
253Www.dt FAX u.a,,nn609 / /
FEDER
1 The followIigL gra ••AL w�Ymp�application will not be accepted. Please print legibly(in ink)or
M �
• PROPERTY INFORMATION
SITE ADDRESS_ 2 -15-' S li 373 PL , '��G� - 1.4k, SUITE/UNIT f
I ASSESSOR'S TAX/PARCEL F - — — LOT SIZE(sf
i LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach+ rawhr *PI d th,v
R PROJECT INFORMATION
TYPE OF PERMIT (5333 INM 0 PLUMBING 0 MECHANICAL
( 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
ESCRIPTION(Provide detailed description of work included on this permit only)
--Cenl1Ci- -C11-4,--e, A)OP.
y i. 0
.ters7LL fk-ems Ov- , as 02 $4 l..-s'
PROJECT NAME(Name of Business or Owner Last Name) O ,.f
II PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER /1 i2- rptiu. !J(f$t'-lJ (a 06:›1-'1g/76
O ADDRESS CITY, 'ZIP E-MAIL ADDRESS
fl
CONTRACTOR comma NAME ANALME OWE PHONE E
/ OSsr5.�,n- c0A.,� g�7 �a � CE( LLPHO
- - 01/2
BU ..4
CTIY"WaED WAY LICENSE NUMBER , Y %�4AT
EXPIRATION DATE
FAA NUMBER
( ) -
commoCTOR'{RWIITRATION IIUMBER EXPIRATION DATE EMAIL ADDRESS
Abc yyyr) ' sz 1J g--Ito- 0i ---
APPLICANT COMPA -NAMEAPPLICANT NAME OFFICE PHONE
( ) -
MARINO ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect -a Tenant a Agent 0 Other ( ) _
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT 2. /./ /L'.-. / ? "1-e-4 - ( ) -
I LENDER NAME J
/��/� Per RCW I9.27.095:
MAILW0/14ADDRESS Lender
information
n is required if�1�value exceeds$5,000
ATE,ZS' PHONE
i ( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE l� VALUE OF PROPOSED WORK $/(-17,0
SPRINKLERED BUILDING? ❑YES ❑NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES a NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE a TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN 0 HIGHLINE a PRIVATE(SEPTIC
1
a PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT. 1
BASEMENT
i
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
•
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
•
NUMBER OF FLOORS
LIIITO10 PROMO= TOTAL TOTALmum
s 117 TOTAL rsaroeso at TOTAL Sr
"'NEW HOMES ONLY"' NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ J��15�s' '
• FIXTURES
Indicate number of each type of f xture 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 APPLICA77ON)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAB WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS p.mmadq
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS iornm/shsu.r cobs LAVS(e.vussm sa b URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(ro8sq
E.ZCTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE •
I certify under penal y of perjury that I am the property owner or authorised agent of the property owner.I cert(fy that to the best of my
knowledge,the information submitted in support e f this permit application is true and comct.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 o/such claim), which may be made by any person, including the undersigned, and filed against the city,but only
where such claim arises out 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/•:1• -, n.
SIGNATURE: r_ —ow,.. - -- DATE / .a 2
- - -- -•. • .... and/or Authorized Agent
a NEW a ADDITION o 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 o NO
NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? o YES a NO
PLAITED LOT? o YES o NO DEMO PERMIT REQUIRED? a YES o NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Pennit Application