07-100516 fr City of Federal Way iv
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Community Development Services Build — Single Family Permi : 07-100516-00-SF
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: OH
Project Address: 34920 11TH CT SW Parcel ► • 542243 0280
Project Description: REP-Tear off existing shake roofing; install OSB&laminated s 'ogle ng sy• 1.
Owner Applicant Contractor q der
CHARLES&KIRSTEN OH GARRY BAKER MOSS MASTERS
C el 1 s 5 I ,
34920 11TH CT SW MOSS MASTERS MOSSM *9560W 9/16
FEDERAL WAY WA 98023-6970 11840 RENTON AVE#109 11840 ON AVE#109
SEATTLE WA 98178 SEA ‘A 98178
Census Category: 555 -N tructural r i , . permit
Includes: #1 #4
Occupancy Class: °10 "
Construction Type:
Occupancy Load:
Floor Area(sq. ft.) + 0
ona _rml ` nf0
New/Add' 'oval S -3rd F . New./Additional Sq.Feet-Basement. 0
Mech be Inel No Plumbing to be Included No
No xtures Associated With This Permit!!
PERMIT EXPIRES Friday, January 30, 2009
Permit Issued on Tuesday, January 30, 2007
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the u will be in accordance with the laws, rules and regulations of the State of Washington
a d the City of Federal Way.
Owner or agent: �/� Date: Ic9 p 7
y THIS CARD IS TWEMAIN ON-SITE `
CITY OF • �
Community Developffent Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-100516-00-SF
Owner: CHARLES & KIRSTEN OH
Address: 34920 11TH CT SW
FEDERAL WAY, WA 98023-6970
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 Temp.Erosion Control(4365) ❑ Underfloor Framing(4285) ❑ Floor Sheathing(4105)
To be done prior to breaking ground Approved to sheath floor Approved to install flooring
By Date By Date By Date
❑ Shear Walls(4245) ❑ Roof Sheathing(4220) ❑ Fire/Draft Stops (4095)
Approved to install siding Approved to install roofing Approved
By Date By c.A....) Date/..g i , e.:10 By Date
OTE: Prior to scheduling a Framing(4120) ❑ Framing(4120) ❑ Insulation (4150)
inspection;Electrical,Plumbing&Mechanical Approved to insulate Approved to install wallboard
IRough-in and Fire/Draft Stop inspections must be
1 signed-off and approved. IBC 109.3.4/UBC 108.5.4
By Date By Date
0 Gypsum Wallboard Nailing(4130) ❑ Final-SWM(4375) ❑ Final-Building(4050)
Approved to install mud&tape Approved Approved
By Date By Date By Date
['Temp.Erosion Maintenance(4370)
Approved
By Date
no/40 RECEIVED V GD - ( 0 0 5 / (
Federal way PERMIT t�� —
coMMUN)rYDEVELOPMENT SERVICES FCO ME EL PL DE EN FP
3332;E8INDERAL
33 FEDERAL WAY W 8063-B°897 N 3 0 201vn.P P L I C AT I O N To
.253-835-2607•FAX 253-835-2609
wwu 4linlruiemlwau. /
` ITRYO�''LLF FEDERAL WAY
The following is req iitai-P,W>PAa6Ti.-an incomplete application will not be accepted. Please print legibly(in ink)or type.
S PROPERTY INFORMATION
SITE ADDRESS 3`i q Z 0 i ` c- ,540 FC9„ (.— 4.07 1Q41 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# ! / ? - 0 it 0 LOT SIZE
— (SC) •
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) -
/Attach separate page for lengthy legal description)
IN PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECTtzSCRIPTION(Provide d tailed description of work included on this a it onl 2
- U% S f - J a :-- �% - T/,� OS� rN,
^j C7.['(,- C-- 4 vi s4 'Nom'%- - D .Si?,,,/%C.GS _
PROJECT NAME(Name of Business or Owner Last 0 Name) r i ,
• PEOPLE INFORMATION
PROPERTY NAME PRIM /
OWNER � q,�
D,, , 5 O -/ P )(05P--096. +
,
MAILING A DRESS CITY,STATE,Zi E-MAIL ADDRESS
341142.0 // 54' ' •• 7 9992a3
CONTRACTOR COMPANY NAME
� APPLI ANT NAME OFFICE PHONE
/O0 / v�S/a1' //L ..-1, G4e..!'L� 7. ft/► (Psi )
�20//)'MAILING ADDRESSCITY, CELL ONE
(yZri-YY3-?67
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
/2-3/-04-. (Z ) .,72-g)5...
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE
COPY oteard regalred Sin ��/ /{ +�f- E-MAIL ADDRESS.�- e///��
with neh rppllnUon �' tA.5 S/ t ( .9..(4e61 ��/ 0 • /eg:6 VO4
APPLICANT COMPANY NAME APP CANT NAME OFFICE PHONE
/xoS5/14,4c27)24:5 VC ,J9. t �_�.- (� ) -4t - oil, 4_
MAILING ADDRESS CI�c AT ,ZI CELL PHONE
bIZZ.S 2 f -5<4_, lith- ger/-;741 (y2P)Ww3 - ?(96 a
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent ,2,Other6.4"."—We044--7-0/4--- '9I ) p 1
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT Q1�Vr Yi 0y0-51 4 y3---7 Lo co 3 .
LENDER NAME Per RCW 19.27.095: `
Lender information is required if project value exceeds$5,000 J"—i.
MAILING ADDRESS CITY,STATE,ZIP PHONE
1 ( )
0 DETAILED BUILDING INFORMATION
EXISTING USE - PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ - VALUE OF PROPOSED WORK $ -4`/q CP .A")
SPRINKLERED BUILDING? o YES a NO FIRE SUPPRES' ON SYSTEM PROPOSED/REQUIRED? ❑ YES a NO
WATER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE a ACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN o HIGHLINE a P 1 ATE(SEPTIC)
AREA DESCRI ON EXISTING PROPOSED TOTAL
S .FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
EXISTING PROPOSED TOTAL TOTAL=STING Sr TOTAL PROPOSED SP TOTAL Sr
NUMBER OF FLOORS
"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 fixtures to remain.
MECHANICAL
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLJCATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commercal)
COMPRESSORS FURNACES RANGES
DUCK'S; - ; GAS LOG SETS . REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroomsinko) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS crones)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way,but only where such claim
arises out of the reliance oft city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE J "'�' )T /DATE !`2' —
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 0 er 0 Agent contractor ❑ Architect ❑ Other
a NEW a ADDITION o ALTERATION a REPAIR o TENANT IMPROVEMENT.
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES a NO
ZONING DESIGNATION CHANGE OF USE? o YES a NO +�
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? o YES a NO
•
Bulletin#100—January 1,2007 Page 2 of 4 k\Handouts\Permit Application