10-102210 Building - Single Family
City of Federal Way
Community Development Services Permit #: 10-102210-00-SF
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: 253 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
r
Project Name: CHANG
Project Address: 33101 12TH CT SW Parcel Number: 926495 1000
Project Description: ALT-Reroofing from cedar shake to CDS plywood and shingle
Owner Applicant Contractor Lender
STEPHANIE CHANG LET IT REIGN CONSTRUCTION LET IT REIGN CONSTRUCTION
629 SW 331ST ST INC INC
FEDERAL WAY WA 98023-6173 18429 124TH AVE SE LETITRC005DU 4/27/11
RENTON WA 98058 18429 124TH AS
SE
RENTON WA 98058
Census Category: 555 -Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
0 0
Occupancy Load:
Floor Area(sq.ft.) 0 0
New/Additional,Sy,Feet-3rd Floor—...... .........0 New I Additional Sq.Feet-Basement.......I...., i1
Mechanical to be Included? No Plumbing to be Included No
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PERMIT EI
Monday
XPIRES , ,
Perm
t Issued on WednesdayNovember, May 26, 2010222010
I hereby certify that the above information is correct and that the construction on oand
the occupancy and theuse will be in accordance with the laws, rules and regulationstheabof the
ve Statedescribed of Washingtonproperty
� �ndtheCityofF-c-ralWay. f
Owner or agent: ../ f (► _. ._ Date: , ) -' (E' (_'>/C_
( f
.. • •r�
r THIS CARD IS TO REMAIN ON-SITE r
crrY°FConstruction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 10-102210-00-SF Address: 33101 12TH CT SW
Owner: STEPHANIE CHANG FEDERAL WAY, WA 98023-5333
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 Roof Sheathing(4220) El Fire/Draft Stops(4095) El Final-Building(4050)
Approved to install roofing Approved Approved
ByAs-------------Date eh By Date By Date
0 Rough ElectricalCl Final Electrical CI Right of Way
Approved Approved Approved
By Date By Date By Date
- / O l O
HERMIT efr
CO ME PL DE EN FP
FederaacEIVED
CONIM(,Nf'Y DEVELOPN�ERV,CES APPLICATION
J 1
2.5:3-835-2607.FAX 253-835-2609
;mkt.,.A.,,,,,,„„i.�.,fum 2 6 2010 a-7 D-
SITE ADDD p EgpERM e �,y , z3 SUITE(UNIT#
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 15 OCDr -
TYPE OF PERMIT Q BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT -
(Tenant Narne/HonteownerLast Name) Ciiiiv/ tki ,�
PROJECT DESCRIPTION >� �C �C..) '
Detailed description of work to
be included on this permit only
NAME /� PRIMARY PHONE '^�
PROPERTY OWNER 1 A},�c....1
� l -, ./A-41/�/9 L� s ) /iC: 5 60I
MAILING ADDRESS / E-MAIL
CITY STATE ZIP
l �(
NAME
`. PHONE-V I f'CA ci r) CO-7-164r U(-sr-i'cr -1 , e(:,,)
8---i `
MAILING ADDRESS (/ �.: E-MAIL •
CONTRACTOR /�% r ,2 ( 0 i
CITY STATE ZIP_ FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/
NAME .r. -
- _.
PHONE
)4t t I,,.,_; , -' < ' /'0 ,7 Wi l-Ci<17
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT (4---'”
�� } �
(The individual to receive and NAME )RT'''^ (4- '"-`Qe3 4�� PHONE f'` `!S V 7^
respond to all correspondence MAILING ADDRESS E-MAIL J 7 (J
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required value of$5,000 or more ,
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
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 compliance with local, state, or federal laws regulating
construction or environmental laws.
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,
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.
li—
SIGNATURE: �, ,0__„,_ _ _ •, DATE
PRINT NAME: L�l�l1air 44 I ) S 5
Bulletin#100-April 14,2010 Page 1 of 3 k:\1Iandouts\Pelmit Application
• •
VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
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Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS or Tub/shower Combo) LAVS(Hand Sink) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS
WASHING MACHINES
... ...................................... ... ..
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CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes❑ No ❑ Yes ❑ No
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AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
FIRST FLOOR(or Mobile Home)
............................
COVERED ENTRY
GARAGE ❑ CARPORT 0
.:..::::::..:.........................................:.....:...............................................
EXISTING PROPOSED TOTAL
Area Totals
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ESTIMATED SELLING PRICE$ #OF BEDROOMS
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Area Construction #of
AREA DESCRIPTION Occupancy Group(s) Additional Information
...........................................
in Square Feet Type Stories
ADDITION
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AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
TENANT AREA ONLY
Bulletin#100—April 14,2010 Page 2 of 3 k:\Handouts\Permit Application