06-103375 A -
Comm iityofFe eralWpmentServices Building - Single Family Permit #: 06-103375-011-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: SMITH
Project Address: 2527 S 279TH PL Parcel Number: 757561 0570
Project Description: ALT- remove asphalt roofing and install aluminum interlock roofing.7/12 pitch
/ Owner Applicant Contractor Lender
CHARLES T SMITH INTERLOCK INDUSTRIES '4 OCK INDUSTRIES
MICHELLINE V SMITH 7505 HARDESON SUITE 400 RII020LC 1/17/07
2527 S 279TH PL EVERE 982 - ARDESON RD SUITE 400
FEDERAL WAY WA EVERETT 9 03
98003-6938
Census Category: e ident' 1 a / - o change in number of units
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
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Thursday, July 10, 2008
Permit Issued on Monday, July 10, 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- , 1 /• /. t Date: 0 7 to/
0 I
bri------ ip -trb4s
1
THIS CARD IS TO REMAIN ON-SITE
CITY OF r Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-103375-00-SF
Owner: CHARLES T SMITH
Address: 2527 S 279TH PL
FEDERAL WAY, WA 98003-6938
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) 0 Floor Sheathing(4105)
To be done prior to breaking ground Approved to sheath floor Approved to install flooring
By Date By Date By Date
0 Shear Walls (4245) 0 Roof Sheathing(4220) ❑ Fire/Draft Stops (4095)
Approved to install siding Approved to install roofing Approved
By Date By Date By Date
NOTE: Prior to scheduling a Framing(4120) 0 Framing (4120) 0 Insulation (4150)
inspection;Electrical,Plumbing&Mechanical Approved to insulate Approved to install wallboard
Rough-in and Fire/Draft Stop inspections must be
ted-off and approved. IBC 109.3.4/UBC 108.5.4;
By Date By Date
❑Gypsum Wallboard Nailing(4130) 0 Final- SWM (4375) 0 Final-Building(4050)
Approved to install mud&tape Approved Approved
By Date By Date By Date
['Temp. Erosion Maintenance(4370)
Approved
By Date
i
AIL
• CITY OF ^ °JSC E / — -
Federal Way V v. ��c:; :y �� l U ._ 3 _7
COMMUNITY DEVELOPMENT SERVICES L 1 0APPLICATIO
PERMIT MF CO ME EL PL DE EN FP
33325 Ent AVENUE SOUTH•PO BOX 9718 1 0 �U
FEDERAL WAY,WA 98063-9718 N
253-835-2607•FAX 253 835.2609 QF FEDERAL
1uww.cit-ffederalwoU.mm ttf)CQ) G WAY _r_..d. .�.
DEPT
The ollowin. is re.uired in ormation-an incom•lete a•.lication will not be acce•ted. Please •Tint le•ibl in in or •e.
'.,.' .:; ; .:.:t.Y ■ PROPERTY INFORMATION
SITE ADDRESS C.(Z .' S O� !1% Place)
SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE(s)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page f lengthy legal descrpeon)
. . . :`:IN PROJECT INFORMATION . .
YCP—
TYPEE OF PERMIT 4BUILLDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provideeedetailed description of work included on this permit onlu)
Tear � 1 Lvov:
Asp - 1� rt5t4 � , sc pp � l I e.1oe.k
A MtnUM nen
PROJECT NAME(Name of Business or Owner Last Name) Sl" l rH 1
t PEOPLE'INFORMATION
PROPERTY NAME •gli" - PRIMARY PHONE•� /�!�
OWNER M( i I (25`9 - d.% 1
MAILING ADDRESS CITY, ATE,ZIP
252-- - S 299 Pbce) F erg VuA, WA 9 goo3
CONTRACTOR COMPANY NAMELICANT NAME OFFICE PHONE
1n4er C es ( l na S-fi 14.S Jy- - S
ILING ADDRESS CITY,STATE,ZIP CELL PHONE
SoSdeSan L{oi3 Everts}- WA gg2O ( ) -
CITY OF FEDERAL WAY BUSINESS LICE E NUMBER EXPIRATION DATE FAX NUMBER
2v -b d-L
Q & it o e-B L 1V- / 1 10(p ('42S)`- 8591--
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
t t41— E R- -1- t D 2- 0_ c- 0 61 1t-3- ' c:) -
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
t, a 1n ( ) -
MAILING ADDRES CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT
FAX NUMBER --
❑ Architect ❑ Tenant o Agent ,ther(Describef p} C'br ( ) -
CONTACT {�E finci &..tiftte P RY PHfINE E-MAIL ADDRESS
LENDER ( S) `i
a °W10,..44-111e o ur..eba i`- NAME
MAILING ADDRESS CITY,STATE,ZIP
.. • ■ DETAILED BUILDING INFORMATION -. . .
EXISTING USE PROPOSED USE
200 ___,I-2-5, 3 71- (ie
tac
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES o 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 ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
•
........... .. .....................
AREA DES RIPTION EXISTING PROPOSED
TOTAL
BASEMENT SQ'FT. SQ. FT. SQ. FT.
FIRST
SECOND
THIRD
FOURTH
•
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
NUMBER OF FLOORS r�r"1° I PROPOSED I TOTAL
f gc TOTALkEXI -O sr "'C s''TOTAL PROPOSED err
; � �x� �rar,u,erre�`.'xis '
"'a���"�C64` # w#�
**NEW HOMES ONLY** NUMBER OF BEDROOMS
ESTIMATED SELLING PRICE $
P TIIRES.
Indicate number of each toff-ix-hire " -
ype to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECFIANIC,AL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS
BBQS FANS GAS LOGS REFRIG•SYSTEMS
BOILERS HOODS(commercial) WOODSTOVES
FIREPLACE INSERTS RANGES
COMPRESSORS MISC(Describe)
FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(orTtb/Shower combo) SHOWERS
DISHWASHERS WATER CLOSETS(ioaey MISC(Describe)
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 operjuryf
am authorized by the owner of theabove premises tonperformon i the dwork for which the permit application isby me is true and correct to the best of yade.knowledge,
gfurther�ee 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 of the city,including its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLEI ,
'•e`� DATE ID(C5149
'
Signature) (Title)
RELATIONSHIP TO P : ECT ❑ Owner ❑ Agent )(Contractor ❑ Architect ❑ Other
y 3
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So: 12o
Bulletin 11100—January 7,2005
Page 2 of 4 k\Handouts\Permit Application