07-105049 a
City of Federal Way Building - Single Family Permit #: 07-105049-00-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: FREELAND
Project Address: 5150 SW 326TH PL >a . ,.t. Parcel Number: 189832 0070
Project Description: REP-Residential re-roof.Install roof guard on entire roof.Install interlocking aluminum
shingles to entire roof.
Owner Applicant Contractor Lender
MARK&ADELE FREELAND INTERLOCK INDUSTRIES INC INTERLOCK INDUSTRIES INC MARK&ADELE FREELAND
5150 SW 326TH PL 1420 80TH ST SW SUITE E INTERII02OLC 1/17/09 5150 SW 326TH PL
FEDERAL WAY WA 98023 EVERETT WA 98203 1420 80TH ST SW SUITE E FEDERAL WAY WA 98023
EVERETT WA 98203
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 Included9 No
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Friday, September 11, 2009
Permit Issued on Tuesday, September 11, 2007
I hereby certify that the above i form. on is correct and that the construction on the above described property and
the occupancy .nd the use w II b- ry'accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way. 9 r
Owner or agent: .,- Date: /l G
• THIS CARD IS TO REMAIN ON-SITE g
an'aF '''''''''N144- Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-105049-00-SF
Owner: MARK & ADELE FREELAND
Address: 5150 SW 326TH PL
FEDERAL WAY, WA 98023-1941
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.
e❑ 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
Floor Sheathing(4105) 0 Shear Walls(4245) ❑ Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By Date
El Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing(4120) ❑ Framing(4120)
Approved inspection;Electrical,Plumbing&Mechanical Approved to insulate
Rough-in and Fire/Draft Stop inspections must be i
signed-off and approved. IBC 109.3.4/UBC 108.5.4
By Date By Date
s
0 Insulation (4150) ❑Gypsum Wallboard Nailing(4130) 0 Final Erosion Control (4375)
Approved to install wallboard Approved to install mud&tape Approved
By Date By Date By Date
•
0 Final-Building(4050) 0 Interim Erosion Control(4370)
Approved Approved
By Date By Date
•
_ For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved •
By Date By Date
t,.A RECELV — o d '
• . . Federal Wa `'tS° 0 — I
Y SEP 1 1 2oar PERMIT P MF CO ME EL PL DE EN FP
COMMUNiY DEVELOPMENT SERVIB4)
33325 Erm AVENUE SOUTH•PO BOX 9718
253-83
FEDERAL5-2607•WAY,FAX 253835-WA 98063-9276811 1 T OFF DE RAR PLICATION
ir
/ /
'
www.cit4offederalway, BUILDING DEPT.
The followin. is re.aired in ormation-an Inco •lete a••lication will not be acce•ted. Please .rant le•ibi (in in or •-.
`- I. PROPERTY INFORMATION
SITE ADDRESS -- • A. •i1� �h / .
_ SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page far lengthy legal des,,ption)
■ PROJECT INFORMATION
TYPE OF PERMIT D BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed des. '.tion of wor included on this permit only)
L 4 -- '- , # A.
. I ' .. - e4 .. ,,4 • 81 . 1
/n-1" /ôíIIY1• a/ii rYl,s2/.ti-r� c��l,Y►C/e,S - A Pi�7/,r YDDI, /
PROJECT NAME(Name of Business or Owner Last Name) "34 i U - G 7 - inc. 7 Free/r7G7/
. PEOPLE'INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER /7//i/ i 9 4)e/e/ 1—,--/e. ,-761 �5J)U h -070'5/
MAILING ADDRESS CITY,STATE,ZIP
5i5 5tc) ti- /P i 'A-171,4,4,7' (t.)a w,4 9(fD073
CONTRACTOR C MPANY NAME/ APPLICANT NAMEili OFFICE PHONE����
/-3> r/CA- /-2z4164 IcS /G V25. )yc5GF- -(F5-- 5MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
/S/2 D Y-11571-cf tkS l' ----- Z-v lretf IA,f,:} 2 e`er ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSENUMBER EXPIRATION DATE FAX NUMBER
62 L-JO L-1 S 6 1. B L / / ( z5- )5/,0 -d2s77
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) a EXPIRATION DATE
_Z-N7- E- LC -- zDQ / C / //7 /D
APPLICANT Ar
ANY NAME APPLICANT NAME / OFFICE PHONE
%c�. /n d/i.5-!?i e S /P /'C ,/4 nc/ ,5'7i,,-ie (1z5- ) -f)�,5--'
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
4141 Al9F&0,3
�� ILO .E� c ulrn to ( )
RELATIONSHIP TO PROJECT ' FAX NUMBER
0 Architect 0 Tenant ❑Agent 0 Other(Describe) (1/45 I}'c - -f 5 77
CONTACT NAME - PRIMARY PHONE
/L0/ari LJ Rrh E-MAIL ADDRESS
LENDER "- enti t4n'k NAME
4 9: g'O e�=nom, tatlon Is
MAILING ADDRESS CITY,STATE,ZIP
ir = _, • t DETAILED BUILDING INFORMATION • .
EXISTING USE PROPOSED USE (3 CT/ � o"-S?
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
Col OP
Federal y •PE
R M I T SF MF CO ME EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
33325 8,"RAL WAY SOUTH•PO 9BOX 718 8 APPLICATION
FEDERAL WAY,FAX
98063.260 TD
253-835-2607•FAX 253 835.2609
wutu,cihlolfederahuau.corn
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
■ PROPERTY INFORMATION
SITE ADDRESS_ SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ _ LOT SIZE(V)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION
TYPE 01'PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onl,)
PROJECT NAME(Name of Business or Owner Last Name)
PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
OWNER (
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant 0 Agent 0 Other
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT
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 $
SPRINKLERED BUILDING? o YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
■ PROJECT FLOOR AREAS
AREA DESC• ON EXISTIN a PROPOSED TOTAL
SQ. FT. SQ.FT. SQ.FT. .Y
BASEMENT
FIRST —
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS =WINO PROPOSED TOTAL TOTAL EXISTING SI TOTAL PROPOSED Sr TOTAL Sr _.
**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 fuctures 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)Commada!)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS)or Tub/Shower Combo) LAVS(Bathroom Sinks) 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 c• p 1. ce with local,state,or federal laws regulating construction or environmental laws.
I further agree to hold harmless the Cit of .e.,
ral Way as to any claim (including costs, expenses, and attorneys'fees incurred in the
investigation and defense of such claim), w ch •_ be made by any person, including the undersigned, and filed against the city, but only
where such claim arises out of the reliance • t ity, including its officers and employees, upon the accuracy of the information supplied to
the city as a part of this application.
iminSIGNATURE: /-6.' 7
DATE
• op I ner and/or Authorized Agent
o NEW o ADDITION a 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? ❑YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100-August 16,2007 Page 2 of 4 . k\Handouts\Permit Application