08-103448 •
e
City of Federal Way Buildii410— Single Family Permit•08-103448-00-SF
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: GILLMORE
Project Address: 1105 SW 352ND ST e Parcel Number: 502860 1380
Project Description: Tear-off old roof,re-sheet and install new composition
Owner Applicant Contractor Lender
JAMES M GILLMORE BRUCE'S ROOFING LLC BRUCE'S ROOFING LLC
1105 SW 352ND ST 27605 SE 401ST ST BRUCERL964L9(6/29/10)
FEDERAL WAY WA ENUMCLAW WA 98022 27605 SE 401ST ST
98023-6921 ENUMCLAW WA 98022
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
00 ant
' $� , ` Lye zF•n I .; it a .'^*a� v�fi,. LLr`
New/Additional Sq.Feet-3rd Floor 0 Nov/Atlittional 30. Det Basemen :. .,
Mechanical to be Ind? No Plumbingto be inciwkx19., 4.1140
No'Fixtures Associated With This Permit!!
PERMIT EXPIRES Wednesday, January 14, 2009
Permit Issued on Friday, July 18, 2008
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and t 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: 7
0/?&/Q2
FlN� I�
THIS CARD IS TO REMAIN ON-SITE •
CITY OF 4011111 ommunity Developnnt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-103448-00-SF
Owner: JAMES M GILLMORE
Address: 1105 SW 352ND ST
FEDERAL WAY, WA 98023-6921
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.
O SWM Precon Site Mtg(4400) ❑ Initial 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) ❑ Shear Walls(4245) ❑ Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By /% Date 2//1i
O 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
By Date By Date signed-off and approved. IBC 109.3.4/UBC 108.5.4
A
❑ Framing(4120) ❑ 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 Date
•
•
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved •
By Date By Date
1i. C L 0_--3 Y.(7 2
Federal Way RL—CE�
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COMMUNITY DEVELOPMENT SERVICES
333258'm RALLA SOUTH•P3971C9718 JUL 1 ri,,,�S . LI CATION TD / /
FEDERAL WAY,WA 38063-9718 Y�
253-835-2607•FAX 253-835-2609
WWW.clGpfkerieralwau.COM
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AL
The following isG>ti t orgtla-awn inc mp to application will not be accepted. Please print legibly(in ink)or type.
ii
• PROPERTY INFORMATION
SITE ADDRESS_ 11 0 5 SI") 3 s Z S f' SUITE/UNIT#-
ASSESSOR'S TAX/PARCEL# S o Z ' (0 0 - I 7 0 Q LOT SIZE(s)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT )(BUILDING 0 PLUMBING ❑ MECHANICAL
❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work inciwied on this permit oniu)
fear- 0-Cc o( A rope 1 rc -51ce-*- / ok.Aok ins}-A11 4-ew co‘mPe.2s.10,1
il/C) 000
PROJECT NAME(Name of Business or Owner Last Name) V�II�1 O r f-
ill
PEOPLE INFORMATION
PROPERTYN SME PRIMARY PHONE
OWNER J I!'1 (.7,,//n Ori (1s-3 )83 q -3y90
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
hoc sW .34c2. Fete(A( (4,1 9gl)a 3
CONTRACTOR COMPANY2NAME / APPLICANT NAME OFFICE PHONE
13rIAces /ZOot;r111 L Tre-i+ Spr/ts j is ( g0o ) gLi- - )3S-G
MAILING
2-?(c d c ADDRESS S E 9 0 z )- S 7 n t \Jc,L (.,•!PJ itl)2 Z.- CELL PH)NE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
20 - 0� - /0 -9'g6'Sv -00-)3L 1Z - v(6 ( ) -
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
ORKLERL9 bv41 (i -Z.0/0
APPLICANT COMPANY NAME APPLICANT AME OFFICE PHONE
C t ces Pooc:n5 Tree 5 2rAykt_. ( 8w )8Z-s - )35.
MAILING ADDRESS CITY.+ STATE,ZIP Q CELL PHONE
Z2005- 5)3 CIO 1 C n ``G/A w 6//71 / b%Z.. ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑Tenant ❑Agent ❑ Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT -lia,1 6tsr!1 ( cryo ) fs LS_ - / 3 S( .
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ / o O(2 0
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN o HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN o HIGHLINE ❑ PRIVATE(SEPTIC)
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ. FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS EXISTING PROPOSED ®
TOTAL TOTAL EXISTING SP TOTAL PROPOSED TOTAL SF
**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 jixtures to remain.
MECHANICAL
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(orTob/Shower Combo) LAVS)Bathroom sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Toilet)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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 filed against the city, but only
where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to
the city as a part of is lication.
SIGNATURE: DATE
Property Owner and/or Authorized Agent
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? n YES ❑NO
PLATTED LOT? -YES o NO DEMO PERMIT REQUIRED? o YES ❑NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application