06-104870 of City
yoFederal Way
Builtn - Single FamilyPerm! : 06-104870-00-SFComevedServices
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: CHURCH
Project Address: 3620 SW 309TH ST Parcel Number: 058755 0410
Project Description: ALT-Replacing cedar shake with new composition roofing
Owner Applicant Contractor Lender
JAMES B CHURCH A-Z CONTRACTING A-Z CONTRACTING JAMES B CHURCH '
3620 SW 309TH ST 8823 RENTON AVE S AZCON**950QT 11/30/07 3620 SW 309TH ST
FEDERAL WAY WA 98023 SEATTLE WA 98118 8823 RENTON AVE S FEDERAL WAY WA 98023
SEATTLE WA 98118
-
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
Additional Permit Information
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
Mechanical to be Included? No Plumbing to be Included? No
Zoning Designation RS 9.6
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Thursday, September 25, 2008
Permit Issued on Monday, September 25, 2006
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: �� LL Date: gA51r
THIS CARD IS TO EMAIN ON-SITE
4
CITY OF ''''411,1"... likommunity Develop nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-104870-00-SF
Owner: JAMES B CHURCH
Address: 3620 SW 309TH ST
FEDERAL WAY, WA 98023-2196
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.
❑ 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 G (.0 .,) Dateq •li/-0C. By Date
`
OTE: Prior to scheduling a Framing(4120) 1 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 108.5.4
By Date By Date
•
❑Gypsum Wallboard Nailing(4130) 0 Final- SWM (4375) ❑ Final -Building (4050)
Approved to install mud&tape Approved Approved
By Date By Date By c_ Cot.i Date/O f, - C1(,
❑Temp. Erosion Maintenance(4370)1
Approved
By Date
0 IP'
• •
CITY OF 4 CEI!/E�. ,� k'C L V (-LET )
f Federal Way ISE PERMIT1�
COMMUNITY DEVELOPMENT SERVICES SF MF CO ME EL PL DE EN FP
33325 8,71 AVENUE SOUTH•PO BOX 97IC P 2 4 200
FEDERAL WAY,WA 98063-9718 C P L I C AT I O N TD ' /
253-835-2607•FAX 253-835-2609 /
u.�utucrilyn(jcdendumu.com'lY O�1F�FEDEFtALf'+• - (/
The oilowin• is =•u�dHft)orrimDattion-an incomplete application will not be accepted. Please print legibly(in ink)or type.
■ PROPERTY INFORMATION Q
SITE ADDRESS .?C- O `4 �'aq `;� C-] j iti 930.3 SUITE/UNIT#
1 ASSESSOR'S TAX/PARCEL# 0 5 y c S- - o c V LOT SIZE s
ILEGAL DESCRIPTION (e.g.Acme Estates,Lot 1
( (Attach separate page for lengthy legal desciptian)
I • ■ PROJECT INFORMATION
t
TYPE OF PERMIT L'1.BUILDING ❑ PLUMBING 0 MECHANICAL
❑\DEMOLITION 0 ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTIONJJ (Provide detailed description of work included-� on this permit onit?)
•
O 1 - 1 1r+Sr
PROJECT NAME(Name of Business or Owner Last Name) ( ' 1U K.K.
.. . .` � PEOPLE INFORMATION
PROPERTY NAME _
PRIMARY PHONE �d
OWNER 0C: LQ C'- .LVC ,1 (.. ) g74- 4S-7
MAILING DDRESS CITY,STATE,Zr? [
C n o 90/f ?', S r- . , ,ar- ,--ef.0 1.1 .L
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
-A '.-7— e.:71/41r-A ' , e-R..._, (24.41-47 Ss-c)
MAILING ADDRESS ' �rrii ff//``,�`'��. CITY,STATE,ZIP CELL
CELL PHONE
/
/CITY OF/FEDERAL WAY BUSINES LICENSE NUMBER �- d5EXPIRATION DATE FAX NUMBER
- / / ( )
B L
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
-A 2. c_c N- .* t.aT / • / g
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑ Tenant 0 Agent 0 Other(Describe) ( ) _
CONTACT NAME PRIMARY PHONE E-MAIL
ADDRESS
( ) -
LENDER }
t a �o NAME
'-.1:1':.'";4' u, ,. r c� �,� e a,*r: ,.
MAILING ADDRESS CITY,S ATE,ZIP PHONE
■ DETAILED BUILDING INFORMATION '
EXISTING USE PROPOSED USE {�
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $° fn-V
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
• 11.
PROJECT FLOOR AREAS
•
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ. FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
iXIsrIRO PROPOSED TOTAL 8 .. i fir
NUMBER OF FLOORS f � '�s•`� Yeo � �� x
**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 $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(rode) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
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 arty 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 of the city,including its officers and employees, upon the accuracy of the information supplied to the city as a part of
i
this application.
NAME/TITLEA/C1)A\i'l
DATE 47/...;2- j
e
(Signature) (Tltle) /
RELATIONSHIP TO PROJECT D Owner 0 Agent 0 Contractor ❑ Architect 0 Other
8 q > q 4
yis rr nwr, _ .a t! �,.Cfc Y'jr x �v^� r : x�y��n;�f ��y�uy� uA". !
IS € 'a t' ` PA .F w'�2s S~r, PRO a 0 Ni t
�. •,� ST•.;r^%a�+E7's' 7 P <"'rte vp 1'z J.tT `�`�r`�'"'. �'�" 1 s �'Y u �t r<'r xx�'i' �, r�'rrr-r ,�s(..
b�ma®w i 0 , � wry 4 vT°i�E',.A •.�.� i:Fss , sn��V>y�r4�c W�: u�pwi�a a �uu®a4r��
a;
s 8 g `a PMH o tbts wY
7� 7. ' m o r ::1 <;: 4010; .,.�
,'raa
Rnlletin 11.100—Tatman/ I 2(106 Page 2 of 4 k\Handouts\Permit Application