08-102298 Community Devcityoe eelodepralmway
entServices Buildin, Single Family Permit ..02298-00-SF
P.O.Box 9718
IFederal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspe e Reque- ine: (253) 835-3050
Project Name: PON
Project Address: 32621 11TH AVE SW arc . 926494 0900
Project Description: REP -Tear off existing sh es and repl with GA nd C n C p ood 15/32
composition roof
0
•
Owner As IL 't • ,�,, • 1114 Lender
YOLANDA Y KING W INGTO1 '00 WAS. f ON ' OOFING
32621 11TH AVE SW 828 LE - • U E 1 A . "• (1/8/10)
FEDERAL WAY WA M E VA EY WA .038 328 1 LLEY HWY SUITE 1
98023-49 M V LEY WA 98038
ensus ategory: 555 - Non-structural roofing permits
Inclu #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq. ft.) 0 0 0 0
Additional Permit Information
New/Additional Sq.Feet- 1st Floor 0 New/Additional Sq.Feet-2nd Floor 0
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
Basic Plan? No New Additional Sq.Feet-Deck 0
New/Additional Sq.Feet-Garage 0 Mechanical to be Included? No
New/Additional Sq.Feet-Other 0 Plumbing to be Included? No
New/Additional Sq.Feet-Total 0
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Saturday, November 8, 2008
Permit Issued on Monday, May 12, 2008
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: r,�1�L ',C Date: ��/' Or
J
GGa� Y/4. 7
THIS CARD IS TWEMAIN ON-SITE _.
CITY OF x -- Community Develop ent Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08-102298-00-SF
Owner: YOLANDA Y KING
Address: 32621 11TH AVE SW
FEDERAL WAY, WA 98023-4926
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.
0 SWM Precon Site Mtg(4400) ❑ Initial Erosion Control(4365) ❑ Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date # By Date By Date
❑ Foundation Wall(4115) ❑ Drainage/Downspout(4040) ❑ Slab/Concrete Floor(4255)
Approved to place concrete Approved to backfill Approved to place concrete
By Date By Date By Date
❑ Underfloor Framing(4285) ❑ Floor Sheathing(4105) ❑ Shear Walls (4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
❑ Roof Sheathing(4220) 0 Fire/Draft Stops (4095) ❑ Interim Erosion Control(4370)
Approved to install roofing Approved Approved
KK S'6 EI/4--- "Jere
By Date By Date By Date
NOTE: Prior to scheduling a Framing(4120) 0 Framing(4120) ❑ Insulation (4150)
inspection;Electrical,Plumbing&Mechanical Approved to insulate Approved to install wallboard
Rough-in and Fire/Draft Stop inspections must be
signed-off and approved. IBC 109.3.4/UBC 108.5A
By Date By Date
•❑ Gypsum Wallboard Nailing(4130) ❑ Final Erosion Control(4375) ❑ Final-Building(4050)
Approved to install mud&tape Approved Approved
'' Sr‘E .z.vf/eYaN .4.
By Date By Date By - Date G/Zp/Od'
.
For inspector reference only _
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
DATE INSPECTOR AREA AND TYPE OF I1.,,PECTION
;72,07.0 v/7-
10/77/,j/r ,S '7- cis .L,�si°� ,J
4V
cuCF •
U l
Federal Way r-.E1VED PERMIT azT .
COMMUNITY DEVELOPMENT SERVICESci
SF FCO ME EL PL DE EN FP
33325AVENUE SOUTH•PO BOX 9718 APPLICATION
FEDERAL WAY,WA 98063.9778
2 O(�U ii TD / /
253-835-2607.FAX 253-835-26pg�Y 1 G
www.cil4o/Tederalwatu.cun I-1
The foils:11N isk5erupttiterntow Anyincornplete application will not be accepted. Please print legibly(in ink)or type.
f • PROPERTY INFORMATION -
SITE ADDRESS ��4-'A' j/ / / //-1 /) t'-r (-> t&) i cd Bret I 14,441, SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - W A etga'7 3 %.2A LOT SIZE(sf
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
` /
TYPE OF PERMIT [ BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlli)
4QOr/ N6 IC yL<.`rea fae C/i-r= 6.r et Ct"►^
L�
'�'E�'i.r' e x i s-/-,-,11 SI LL K c 4 I.f-h C. NalK p 1 Y"--1+ I,f'c r-t a (5P 3
( -may?ti: csl- s '-' rte'' -
IPROJECT NAME(Name of Business or Owner�t Name) PCS&.!
al PEOPLE INFORMATION
PROPERTY NAM / PRIMARY PHONE
,OWNER 70 ICI i> da Pc n ( ) -
MMM LING ADDRESS , CITY STATE,ZIP E-MAIL ADDRESS
( `3 . er ( - i/ t-h X!e Skte.-1 (Nay (4:-A-
,
{ CONTRACTOR COMPANY NAME APPLICANT NAME • OFFICE PHONE
fl _GL N. -,INC i tY14 ST rc 400P-1 Atc - r kv.sort (- ) (S L7 :51;16
SC-.-
r-G��ILING l ADDRESS 1I j 1 CITY,a TE,?If 1' CELL PHONE IC 9 )�-lict. F W I l /�1 lt: V e ,GUA ai8P ( )CITY OF FEDERAL AY BBUUSIN CEN E NU -7OIRA ON DATE FAX NUMBER
31' .
y Cr'" �-�'/ ��� o ( )
r COO C OR'3 REOI3TRA N M ER EXPIRATION DATE E-MAIL ADDRESS
\hivii 5+i t`j R `( y oiIG g f-,7c iIk
APPLICANT - COMPANY NAME APPLICANT NAME OFFICE PHONE
L C k, i t 2 A C i o e ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMB ER
` ElArchitect 0 Tenant ❑Agent 0 Other ( ) -
•
PROJECT/ NAMl PRIMARY PHONE, E-MAIL ADDRESS
1 \CONTACTS `L`,5 C -i~ ZNh s c--r, ( ) Fr( - l6.,?� \CSS r (;'rCS(tt v tCtG r, $4t4
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000 ��..-7 ,,,_'fl
MAILING ADDRESS CITY,STATE,ZIP PHONE �
� 1» e +15 A-664 e-- ( ) - c
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ -0 `1-K.--
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUI NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ. FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD •
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING Sr TOTAL PROPOSED Sr TOTAL Sr
*NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or located as part of this project. Do not include existing fixtures to remain.
MECHAIVIC,AL
Value of Mechanical Work$ (A C Sr 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(commerdaq
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
z
PLUMBING
BATHTUBS(oyifib/shower Combo) LAVS(Bathroom sink.) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(roue)
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 paof this ap ication.
SIGNATURE: i/ ' ,�. t r ,�t=�;2C,Qc , ` (l 1-/"/�`tl L'r'K,/ DATE
Property Owner an/or Authorized Agent
7 .
❑NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? a YES ❑NO
.m..........ZONING DESIGNATION CHANGE OF USE? o YES a NO
NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? o YES ❑NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? o YES a NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application