10-103838 st
P
wilding - Single Family
City of Federal Way
Community Development Services Permit #: 10-103838-00-SF
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: 253
Ph:(253)835-2607 Fax (253)835-2609 p q ( )835-3050
Project Name: ANDERSON
Project Address: 2630 SW 343RD ST Parcel Number: 294450 0220
Project Description: REP-Tear off shake roofing,install pluwood sheathing and composition roofing system.
Owner Applicant Contractor Lender
ERIC ANDERSON MOSS MASTERS ROOFING LLC MOSS MASTERS ROOFING LLC
3918 SW 332ND CT 12626 RENTON AVE S MOSSMMR9110W(9/16/11)
FEDERAL WAY WA 98023-2923 SEATTLE WA 98178 12626 RENTON AVE S
SEATTLE WA 98178
Census Category: 541 -Residential to nonresidential conversion
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/Additional Sq.Feet-Basement........
Mechanical to be Included? No Plumbing to be Included? No
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PERMIT EXPIRES Tuesday, March 8, 2011
. Permit Issued on Thursday, September 9, 2010
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use w' be in accordance with the laws, rules and regulations of the State of Washington
and th Ci of Federal Way.
Owner or agent: Date:
u,: zof to
• THIS CARD IS TO OVIAIN ON-SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 10-103838-00-SF Address: 2630 SW 343RD ST
Owner: ERIC ANDERSON FEDERAL WAY, WA 98023-7600
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.
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
Floor Sheathing(4105) ❑ Shear Walls(4245) El Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approed towinstall roofing
By Date By Date By ,/ . _ate /i/t0
El Fire/Draft Stops(4095) 0 Interim Erosion Control(4370) Prior to scheduling a Framing inspection; 1
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
0 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
0 Final Erosion Control(4375) El Final-Building(4050) I
Approved Approved
By Date By Date CV
ay... 1 -21 1"
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
4
- 7 0 3 43'. 3 E
Federal Way 'PERMIT S F CO ME PL DE EN FP
COMNINITY DEVELOPMENT SERVICES APPLICATIORECEIV ED
253-835-2607.FAX 253-835-2609
S EFPEOD9E 2R0A1 0
SITE ADDRESS L WAYSUITE/UNIT#
5 / CITY OF
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# D
$ vv 0 u A 9 Li r0
6
TYPE OF PERMIT : i LDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT /
(Tenant Name/Homeowner Last Name) 4P .4(..1.4,./A.,daglallje
P' Mr.
PROJECT DESCRIPTION 0 5 ktat-14- --'
Detailed description of work to - -1-C7-7-44- L. "-I k/PD0 e_e_c_e1,0-4
be included on this permit only 2-A,s- a- PA-e-s 77/, SA).45 Ze-s
NAME PRIMARY PHONE
PROPERTY OWNER /77 n, il-7 A-5 sel AAZISL-.) ?s52--315-.12/44
MAILING ADDRESSE-MAIL
4..- .•
1 6.3 0 $(11 J !-
STATE ZIP3
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7e-)9e.t.„ 1.- A/41 Lai
NAME PHONE
_.:
M(955 /1'1/ 5 ref-4:S g ear-,/I e--e-c- •('4 L 5,-5/Y3- Z:417
MAILING ADDRESS E-MAIL •
CONTRACTOR /2-6"4 A R e,,/725kri 4 i .-e--- 5 ......
CIT1, STATE ZIP FAX
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WA STATE CONTRACTOR'S LICENBE it EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
q , j, / ia
NAME PHONE
APPLICANT MAILING DRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME PHONE
1
(The individual to receive and
MAILING ADDRESS C E-MAIL
respond to all correspondence
concerning this application) /1- 6..4 Ce Refei ") .4-Ve . j
CITY STATE ZW.,.„,, FAX
/ -, 4rol.fi-O0 1 e,407/ ii4- ' 0.4i Z 3
ALTERNATE CONTACT NAME: PH NE E-MAIL
PROJECT FINANCING NAME
11/0 11‘15--C 0 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 flied against the city,
but only where such claim a.--'s out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the as a part of this application.
doc
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SIGNATURE: Ala - DATE '-',„--9...- AO
PRINT NAME: l•fot.,
-'
Bulletin#100-April 14,2010 Page 1 of 3 k:\Handouts\Perrnit Application