10-101465 OT3uilding - Single Fafni f
City of Federal Way
Community Development Services Permit #: 10-101465-00-S F
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: ESTEBAN
Project Address: 410 SW 350TH PL Parcel Number: 132174 0090
Project Description: REP-Remove existing shake roof and install 1/2 CDX plywood composition shingles
Owner Applicant Contractor Lender
ERNESTO R&JOVITA ESTEBAN MOSS MASTERS ROOFING LLC MOSS MASTERS ROOFING LLC ERNESTO R&JOVITA ESTEBAN
410 SW 350TH PL 12626 RENTON AVE S MOSSMMR9110W(9/16/11) 410 SW 350TH PL
FEDERAL WAY WA 98023-8101 SEATTLE WA 98178 12626 RENTON AVE S FEDERAL WAY WA 98023-8101
SEATTLE WA 98178
Census Category: 434 - Residential alt/add- no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 0 0 0 0
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New/Additional Sq.Feet-3rd Floor...................0 New/Additional Sq.Feet-Basement 0
Mechanical to be Included? No Plumbing to be Included'' No
4254
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�'.. ...t�s.PERMIT EXPIRES Sunday, October 10, 2010
Permit Issued on Tuesday, April 13, 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 be in accordance with the laws, rules and regulations of the State of Washington
an Ci of Federal Way.
Owner or agent: Date:
moi /3- ?�/b
FINAdOloel)
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• THIS CARD IS TO REMAIN ON-SITE
CITY
°F' ConstructionQ Insiaction Record
•
Federal WayINSPECTION RE UESTS: (253)835-3050
PERMIT#: 10-101465-00-SF Address: 410 SW 350TH PL
Owner: ERNESTO R & JOVITA ESTEBAN FEDERAL WAY, WA 98023-8101
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) El Initial Erosion Control(4365) El 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) El Shear Walls (4245) ElRoof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By ,cdV Date 44/ 4�/D
•
0 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
El Framing(4120) 0 Insulation (4150) ❑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 '4 G/mate y' S .
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
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NAME OF PROJECT
(Tenant or Homeowner Name) J }
BUILDING 0 PLUMBING 0 MECHANICAL.
TYPE OF PERMIT
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
PROJECT DESCRIPTION ,-1.017"- o✓e. sl., 4 iP
Detailed description of work to .�ii.1 LL //A `''Jit /�/D
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NAME PRIMARY PHONE
PROPERTY OWNER ///1 P-- r7-7/1-5 )---0,- 1,--1. 25'3 raj 7 3Y
MAILING ADDRESS,CITY,STATE,ZIP E-MAIL
c//2 S'w 3.ra pc r
OWNER IS ALSO: 0 CONTRACTOR 0 APPLICANT 1 0 PROJECT CONTACT
NAME PRIMARY PHONE
1flO 55---re �b c, ii G6 fib) v// 3
NTRACTOR MAILING ADDRESS,CITY,STATE,Z
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
I-1055 mI2-gii 0 W 5 / gr 942i1
APPLICANT
NAME ,,.-•
41-n IL �/5,41/./..0-7/ /Y7-=IMARY PHONE
/
MAILING ADDRESS, STATE,ZIP FAX
/ 401 02-6 ef4-7-Pv►� adv ..f< %q kt/ , ( ) -
PROJECT CONTACT NAME PRIMARY PHONE
(The individual to receive an '_ �1'6� ( ) -
respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP FAX
concerning this application) ( )
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
( ) -
PROJECT FINANCING NAME OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(RCA 19.27.0915)
( ) -
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 that I will
all applicable City of Federal Way regulations pertainingto the work authorized certify i complythat the
by the issuance of a permit.I understand 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 out of the reliance of the city, including its officers and
information supplied to the city apart of this appiica employees, upon the accuracy of the
SIGNATURE: /��/ DATE J f e
PRINT NAME: P9/L� ., 1 " /1e-e---
Bulletin#100—January 1,2010 Page 1 of 4 k:\Handouts\Pelmit Application