17-100902 lilt
Building - Single Family
City of Federal Way Permit #:17-100902-00-SF
Community Development Dept.
33325 8th Ave S
Federal way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: LEGGETT
Project Address: 4033 SW 329TH PL Parcel Number:873204 0510
Project Description: REP-Tear off shake roofing; install 1/2" CDX sheathing and composition shingle roofing
system.
Owner Applicant Contractor Lender \
JEFF LEGGETT JORNADA ROOFING JORNADA ROOFING
4033 SW 329TH PL PO BOX 1992 PO BOX 1992
FEDERAL WAY WA 98023 AUBURN WA 98071 AUBURN WA 98071
Census Category: 555-Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.)
Additional Permit Information
Mechanical to be Included? No Is this an Online or O.T.C.application? Yes
Plumbing to be Included9 No
Total Valuation:16,470.00
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PERMIT EXPIRES Wednesday,23 August,2017
Permit Issued on Friday,February 24,2017
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
Was ington and e City of Federal Way.
IA 1
Owner or agent: C)LV (L, l C Date: 7 O L(71 7
P/N
Alko
THIS CARD IS TO REMAIN ON-SITE
Feder Wa Construction Inspection Record
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 100902 00 Address: 4033 SW 329TH PL
Project: JEFF LEGGETT FEDERAL WAY WA 98023-2621
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.
® Roof Sheathing(4220) 0 Final-Building(4050)
Approved to install roofmg Approv
By W4 Date 3 12-1 11-7 Date
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
REV,
CITY OF
FEB 2 4 X 017 PERMIT APPLICATION
Federal WayCITU OF FEDERAL WAY PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com
2 COS
PERMIT NUMBER / T _ / 0 0 9 0,2 - , f TARGET DATE
SITE ADDRESS SUITE/UNIT#
LI)3 SW Y \
PROJECT VALUATION ZONING ASSESSOR'STAX/PARCEL#
$ r � D F73aoV - oS ( o
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT , �.p LW.-F
v ` _''-4-
.�� ZK 1 Y\ S\f,C):ICJ2 vt7C7
PROJECT DESCRIPTION q �" �
Detailed description of work to \�Sl (/\1 .0TX--)OkThd `7 l :� `/ ri1
be included on this permit only V� OD OLS V`QA �\_ Y�
NAME \st4 PRIMARY PHONE
y- (..' . --11 i
PROPERTY OWNER MAILING ADDRESS E-MAIL 442 Lp 3,c {. Q
14C)3-7 -5U-) - i i 't Ci mem),LT-'M
CITY STATE ZIP
PHONE
NAME i\�� ��"'G�L—C\ \ (�t� J JLYKSJ ,
MAILING-� ADDRESS i/ C� .J E-MAIL r
CONTRACTOR 1 ) 1 19 � C anoj-C\O`C j r iod0' . „.,
CITY r\ SW ZIP
1 g^7 ) �X 73 J '3 S"
WA STATES�J, CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#/ /- NAME C � -,.C � PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME � PRIMARY PHONE
PROJECT CONTACT � =- n (..?•54.53-- cQc)
MAILING ADDRESS E-MAI
(The individual to receive and ` pr` p \ s /
respond to all correspondence L� CJS. a �J "� j' (u
concerning this application) CITY STATE ZIP FAX
PROJECT FINANCING NAME A OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
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 art of tit' application.
SIGNATURE: ai e /A t L,Q DATE D---� oft
i ) i
PRINT NAME: ' 9 era '1-�Y \ (...1Q—
Bulletin
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Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
•
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how many of each type offixture 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
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
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 Sinks) 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 TOTAL FIXTURES
GENERAL INFORMATION
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
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
rr r � r r O , yr __..........................._.__._....................._.......___........._..._.......__...._................... _.__....
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FIRST FLOOR(or Mobile Home)
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GARAGE ❑ CARPORT 0
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EXISTING PROPOSED TOTAL
Area Totals
Nr i35W-M1 71 �,14i %3O t r r 1f117 7r / f>
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
Area in Construction #of
AREA DESCRIPTION Occupancy Group(s) Additional Information
Square Feet Type r'St4 leS
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Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application