10-103805 r
• �uilding - Single f'ainily
City tty of Development
ntWy
S Permit #: 10-103805-00-S F
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: VERT
Project Address: 2924 SW 342ND PL Parcel Number: 294450 0360
Project Description: REP-Remove existing shakes and replace with OSB compostition
Owner Applicant Contractor Lender
MICHAEL A&KATHLEEN J FMR INDUSTRIES dba FRED FMR INDUSTRIES dba FRED MICHAEL A&KATHLEEN J VERT
VERT MEYER ROOFING MEYER ROOFING 2924 SW 342ND PL
2924 SW 342ND PL 16468 MARINE VIEW DR SW FREMMR935C7(02/11/11 FEDERAL WAY WA 98023-7629
FEDERAL WAY WA 98023-7629 BURIEN WA 98166 16468 MARINE VIEW DR SW
BURIEN WA 98166
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
•.x. ,.. .,a�.x.. c � ,.a : Geos ...,�. - �mn � '°? , . x.... _. .. e
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
Mechanical to be Included? No Plumbing to be Included? No
PERMIT EXPIRES Sunday, March 6, 2011
Permit Issued on Tuesday, September 7, 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 will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: See Application Date: See Application
SEP 07 2010 BSEP 07 2010
/aoft .
r THIS CARD IS TO IN ON-SITE ` . , -
CITY°F " • Construction In ction Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 10-103805-00-SF Address: 2924 SW 342ND PL
Owner: MICHAEL A & KATHLEEN J VERT FEDERAL WAY, WA 98023-7629
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.
Ei SWM Precon Site Mtg(4400) ElInitial Erosion Control(4365) ❑ 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) ❑ Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date 'By V717Date f/'jQ
2
0 Fire/Draft Stops(4095) ❑ 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
El 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
❑ Final Erosion Control(4375) ❑ Final-Building(4050)
Approved Approved
By Date By atcpi 2 Date q a ,4_t Q
El Rough Electrical Final Electrical Right of Way
Apprgyed _ Approved Approved
By Date By Date By Date
*Ok - LO 9 g' v.5—
U,:: ::: :::::::
` PERMITaEN FP
Feral Way
COMM6NITYDEVELOPMENT SERVICES APPLICATION
253-835-2607.FAX 253-835-2609
iSER P' d 7
Pu, .:i0,,,eil^TQ:iPa:.i.vert 20;j
CITY OFF �• IVAY
SITE ADDRESS
25/Z•41 v W 51?-!=-12 t' I QC)oTh C S
PROJECT VALUATIO ZONING ASSESSOR'S TAX/PARCEL#
$ = _- ___:� 71Rs0 2 'l 4- ± 5-0 _ _J_� c 0_
' / BUILDING 0 PLUMBING 0 MECHANICAL
TYPE OF PERMIT
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT \ Qi
(Tenant Name/Homeowner Last Name) •
PROJECT DESCRIPTION r e_-V O O S -62"/ cl-C4 f!-4104A-
Detailed
' Q/Detailed description of work to C `A n5 j +t- � YD
Dt S tAl
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER tNIlLa- \f - - .Aco"1 p 4'172.-
ADDRESS
�
172
ADDRESS E-MAIL
V '519,~ P
CITY FlW WPC Z9.�16V
NAME , PHONE
F ts1 k v‘du.skt;#5/ LL-C.... -7 7) 31 33
1' CO RACTOR
MAILING
kala c�h Q vie u4 )r S14 C7,,, fnoo:•i I lush.1.ow.
/ CI� STATE ZIP FAX
ifWA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE
redcr►`vkr` 72 C'7 2- / // /Z0/I
NAMEKi ID(e.).9)---(s 3133
APPLICANT MAILING ADDRESS MAH,
CITY STATE ZIP FAX
PROJECT CONTACT NAME r--. ,A , r PHo ^7 2
(The individual to receive and 44e t� r \ 47S S ' 7 ?J
respond to all correspondence MAILING ADDRESS v E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
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 en, • , •ental 1 ws.
!further agree to •1• ha ess the City of Federal Way as to any claim(including costs,expenses, and attorneys'fees incurred in
the investigation and • such claim),which may be made by any person, including the undersigned,and filed against the city,
but only where such la • s out of the reliance of the city, including its officers and employees, upon the accuracy of the
information su•plied •• t •• apart of this application.
SIGNATURE: — `! DATE bI '0
PRINT NAME: 11 ' ,
Bulletin#100-April 14,2010 Page 1 of 3 k:\Handouts\Pernrit Application