10-103699Building - Single Family
City of Federal Way Permit #: 10-103690 d0 S F
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718F L Inspection Request Line: 25
Ph: (253) 835-2607 Fax: (253) 835-2609 L p q ( 3) 835-3050
Project Name: PETERSON
Project Address: 37235 22ND AVE S Parcel Number: 7212651920
Project Description: REP - reroof from shake to composition
Owner
Applicant
Contractor
Lender
JACQUELINE J PETERSON
ROBINSON PRESSURE WASHING
ROBINSON PRESSURE WASHING
37235 22ND AVE S
& ROOF REPAIRS
& ROOF REPAIRS
FEDERAL WAY WA 98003-7581
6907 ISAAC CT SE
ROBINPW919KA(10/14/2010)
AUBURN WA 98092
6907 ISAAC CT SE
AUBURN WA 98092
Census Category: 555 - Non-structural roofing permits
Includes: # 1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Areas . ft. 0 1 0 1 0 0
New / Additional So. Feet - 3rd Floor...................0 _ ... _ __________• _
--
Mechanical to be Included?...................................No Plumbing to be Included?. ......... ..................No -
r�arElm
�
PERMIT EXPIRES Saturday, February 26, 2011
Permit Issued on Monday, August 30, 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
the City of Federal Way.
Owner or agent:
Land
Date:
J7y6sNNs3
CrrY OF
Federal Way
PERMIT #:
Owner:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
10 -103699 -00 -SF Address: 37235 22ND AVE S
JACQUELINE J PETERSON FEDERAL WAY, WA 98003-7581
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.
❑
SWM Precon Site Mtg (4400)
Initial Erosion Control (4365)
Shear Walls (4245)
Underfloor Framing (4285)
Approved
Approved
By
To be done prior to breaking ground
Approved to install siding
Approved to sheath floor
By
Date
By
Date
By
Date
❑
Floor Sheathing (4105)
Shear Walls (4245)
Roof Sheathing (4220)
Approved
Approved to install flooring
By
Approved
Approved to install siding
Approved to install roofing
By
Date
Date
By
Date
By Date
Fire/Draft Stops (4095)
Interim Erosion Control (4370)
prior to scheduling a Framing inspection;
Approved
Approved
Electrical, Plumbing & Mechanical Rough -in and
By
Date
By
Date
Fire/Draft Stop inspections must be signed -off and
approved. IBC 109.3.4
Framing (4120)
Insulation (4150)
E] 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
Right of Way
Approved
By
Approved
By
Date
Date
By
Date
❑
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
Fedjer q "PERMIT
rntifrNlTvoseinl:�ra� u APPLICATION
15.1.5.%S.pF.117� f'.rLY 253.3. 3.2609 � 11
r ra AL
MF CO ME PL DE EN FP
SITE ADDRESS or \ v SUITE/UNIT H
7t S
PROJECT VALUATION
1300'v 6`1
ZONING
P ---s T��-
ASSESSOR'S TAX/PARCEL M
� - I I
TYPE OF PERMIT
-* BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
- • • . • •.
PROPERTY OWNER
NAME
PHONE
Z4 —
G ADDRESS,,rrII _
92- i4v
E-MAIL
C.
f
Com{
STATE
ZIP _
po
'e
Ai 2
PHONE
.4 7
8 DRESS
E-MAIL
C'
CITY !!
STATE ZIP
FAX
WA STATE CONTRACTO LICENSE M EXPIRATION DATE
I�, b �►� F /n / la
FEDERAL WAY BUSINESS LICENSE b
_
_
NAME
1
PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME
PHONE
(The individual to receive and
MAILING ADDRESS
E-MAIL
respond to all correspondence
concerning this application)
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME=
PHONE
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5, 000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27095)
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 maybe 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 at,aj&art of this application.
,� f�
SIGNATURE: DATE .YJ `� C�
PRINT NAME:
Bulletin #100 —April 14, 2010 Page 1 of 3 k:\Handouts\Pemvt Application
r,
OF
1•'W
. j
VALUE OF MECHANICAL WORK (a copy of bid or estimate must be'praipt*d)
Indicate how many of each type ofAxtilre to be installed or relocated as part of this project.. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLtM OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS Icommeraal)
BOILERS FURNACES HOT WATER TANKS leas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
I DUC'I'INCi UAJ Y,[vn,4u WOODS -1 OVES
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing factures to remain.
BATHTUBS (or Tub/shower combo)
LAVS (HeedSinlm)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
EXISTING/PREVIOUS USE
DRINKING FOUNTAINS
SINKS (Airchen/utility)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES v.>
Bulletin #100 - April 14, 2010 Page 2 of 3 k:\IIandouts\Pernrit Application
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feel)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No
❑ Yes ❑ No
Bulletin #100 - April 14, 2010 Page 2 of 3 k:\IIandouts\Pernrit Application