07-103633 4
4
City of.Federal Way nB - Single Family
Perm#: 07-103633-00-SF
comrnunrty P DOevBeolox p9men8 t Services
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: LANGSANGAN
Project Address: 32703 19TH PL SW Parcel Number: 010455 0440
Project Description: Tear off existing shake roofing; over skip sheathing,install 1/2" CDX plywood sheathing&
composition shingle roofing system.
Owner Applicant Contractor Lender
ALBILIO&ZENAIDA MILLER ROOFING ENTERPRISES MILLER ROOFING ENTERPRISES
LANSANGAN INC INC
32703 19TH PL SW 16637 ISSAQUAH HOBART RD SE MILLERE167KP (2/14/09)
FEDERAL WAY WA 98023-5455 ISSAQUAH WA 98027 16637 ISSAQUAH HOBART RD SE
ISSAQUAH WA 98027
Census Category: 555-Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction ype:
Occupancy Load:
"0 ±a(sq. ft.) 0 0 0 0
al matt ° 3
1,
New/Additional Sq.beet 3rd Floor 0 New/Additional Sq.Feet-Basement 0
Mechanical to be Included9 No Plumbing to be Included? No
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Sunday, July 5, 2009
Permit Issued on Thursday, July 5, 2007
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: � -� Date: 7/S�O
f -
THIS CARD IS TOMAIN ON-SITE
. -CITY OF it ommunity Development Inspection Record
p p
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
Y
Q � )
PERMIT#: 07-103633-00-SF
Owner: ALBILIO &ZENAIDA LANSANGAN
Address: 32703 19TH PL SW
FEDERAL WAY, WA 98023-5455
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.
❑ SWM Preconstruction Site Mtg ❑ Initial Erosion Control(4365) ❑ Underfloor Framing(4285)
Ap4400) To be done prior to breaking ground Approved to sheath floor
By Date By Date By Date
- ❑ Floor Sheathing(4105) ❑ Shear Walls(4245) ,❑ Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By 41-----
Date /j'
❑ 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
By Date signed-off and approved. IBC 109.3.4/UBC 108.5.4 By Date
.
❑ Insulation (4150) ❑Gypsum Wallboard Nailing(4130) ❑ Final Erosion Control(4375)
Approved to install wallboard Approved to install mud&tape Approved
By Date By Date By Date
❑ Final-Building(4050) ❑ Interim Erosion Control(4370)
Approved Approved
By Date 71 7-12 7 By Date
__ For inspector reference only
❑ Rough Electrical ❑ FINAL-Electrical
Approved Approved
By Date By Date
OF. ''�► R CEty ii
err f 41 -� / 0 3 - ,3
Federal Way PERMIT
COMMUNITY DEVELOPMENT SERVICElUL 0 5 2007 ®MF CO ME EL PL DE EN FP
33325 8TH AVENUE WAY,SWATH•63 971 9718 p I C AT I O N TD
FEDERAL WAY,WA 98063-9718
'253-835-2607•FAX 253-835-��M OF f,�DeFi
www.diuofiederalwau com BUILDING DEPT, �_
The following is required information-an incomplete application will not be accepted. Please print legi'-ly(in ink)or type.
0 PROPERTY INFORMATION
SITE ADDRESS_ �� 7 03// /1� 7T P14 e —.. S��G SUITE/UNIT#_
ASSESSOR'S TAX/PARCEL# O V y S7_5-- V / 0 LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
1
TYPE OF PERMIT DING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
E
l?' ��.n o C/a f�Z4 A d SLR�€/ s�_� 5��.. �., -� , i.
C� ys-vdc-J, /t4,e✓ 41/11?-4 e f-�f c d Pres,1er7 4-../ 5-4-lee_ Cc2
_PROJECT NAME(Name of Business or Owner Last Name) ,,//e' /t e,6_r . d ekre:f 72i C.
IN PEOPLE INFORMATION
PROPERTY NAME / PRIMARY PHONE
/T
OWNER A/ 2--e,-7 446,4' of•.7 •Cy , (25J ) R3 3V0i
MAILING ADDRESS ' CITY,STATE,ZIP E-MAIL ADDRESS
12 703 //6 A-. ✓ i ../e,.,/ `✓y 9 .
CONTRACTOR COMPANY NAME // APPLICANT NAME OFFICE PHONE
/V(,%lv/COJ � e'n{-ci�yrrz/ C . �c dJ'l.//v WAS )3'3.2 6r/1/
//JMJAILIN°G�ADDRESS // / /� CITY,STATE,ZIP WAS-
9 CELL PHONE
/b61?OF ./ B�N�'O E NUMBER I fr SSL2 EXPIRATION DATE jG- 7 (q)5"
AX NUMBER) ' 1 f' .
( ) -
COPY o(c.rd roquind ��---ii��
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
with each.ppiiesthm L=,/
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
/h I/GU' A :. en le -.rtr su.. ( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑ Tenant ❑Agent ❑ Other ( ) -
,_�PROJECT NAME ` PRIMARY PHONE E-MAIL ADDRESS•
CONTACT �,G,\ /''?,//r,-- (1/1 r )g5, _ -6/.? /
LENDER • NAME r Per RCW 19.27.095:
olyr--el 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 WO $ ii 378-92--
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUP SION SYSTEM PROPOSED/REQU ❑ ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ OMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVA SEPTIC)
I AREA DESCAIFION - ..wE Q F PROPOSED P
TOTAL
Q.FT. SQ.FT.
BASEMENT •
FIRST
SECOND •
THIRD
ADDITIONAL FLOORS(DESCRIBE) •
DECK(❑COVERED OR ❑UNCOVERED?) '
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS -•STING PROPOSED TOTAL TOTAL=WINO Sr TOT Ato?OSED Sr TOTAL Sr
•
"NEW HOMES ONLY" NUMBER OF BEDRO• ESTIMATED SELLING •' CE $
IN FIXTURES
Indicate number of each type of fixture to be installed or relocated .. 'art , this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$ (A COPY OF BID OR EST ATE r! ST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COO RS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS • MISC(Describe)
BOILERS FIREPLACE I.:ERTS HOODS{commerclen
COMPRESSORS FURNACE" RANGES
DUCTS GAS LO a SETS , REFRIG.SYSTEMS
PLUMBING .
BATHTUBS(omb/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Toney
_ 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 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/TITLE i'Z� /i!7;.rc-r„ p •�ei3d • • DATE 0//U 7
(Si ure) (Title)
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent Contractor ❑ Architect 0 Other
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO . BASIC PLAN? o YES a NO
ZONING DESIGNATION CHANGE OF.USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES 'o NO DEMO PERMIT.REQUIRED? b YES o NO
I
Bulletin#100—April 2,2007 . Page 2 of 4 k\Handouts\PermitApplication