16-103184 Building - Single Family
City of Federal Way + .//��
Community&Econ.Dev.Services Permit #: 16-103184-00-SF
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: TABUZO
Project Address: 32224 11TH PL SW Parcel Number: 926493 0630
Project Description: REP-Tear off shake roofing. Install plywood sheathing and composition shingle roofing
system.
Owner Applicant Contractor Lender
MADELINE A TABUZO CORNERSTONE ROOFING CORNERSTONE ROOFING
3021 S ADAMS ST 17624 15TH AVE SE SUITE 101A CORNERI011CM(3/8/18)
SEATTLE WA 98108 BOTHELL WA 98012 17624 15TH AVE SE SUITE IOTA
BOTHELL WA 98012
Census Category: 555 -Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class: R-3
Construction Type: Type V-B
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
Calculated Structure Valuation 21354.00 Occupancy#1 -Construction Type Type V-B
Mechanical to be Included? No Occupancy#1 -Class R-3
Plumbing to be Included? No Occupancy#1 -Use Residence(1 or 2
family)
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Wednesday, December 28, 2016
Permit Issued on Friday, July 1, 2016
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: —r Li I 1 `"
THIS CARD IS TO REMAIN ON-SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 16-103184-00-SF Address: 32224 11TH PL SW
Project: MADELINE A TABUZO FEDERAL WAY, WA 98023-5558
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.
El Roof Sheathing(4220) El Final-Building(4050)
Approved to install roofing Approved
Date 7 I /6,'By Date
111 Rough Electrical 111 Final Electrical `� Right of Way
Approved Approved Approved
By Date By Date By Date
RVIVED
III
,,,_ F JUL 01 2016 PERMIT APPLICATION
Fecieral Way PERMIT CENTER+33325 80,Avenue South + Federal Way,WA 98003-6325
253-835-2607+ FAX 253-835-2609 +oernutcententicityoffederal\�,ay.com
CITY OF FEDERAL WAY
CDS
PERMIT NUMBER i .1,',/o _ / 0 3 / 8.4 P _ S TARGET DATE
f SITE ADDRESS 1 SUITE/UNIT#
dt2aeD4/ 1 Plac-e SW fed tdev, wA 962023 AV A.
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ a 1, 35'`1.00 i
i I' 2 G y 9 3 p 6 .3 o
TYPE OF PERMIT t19'l.iilit.rING ❑ PUJMLiiNG D. MECHANICAL 0 DEMOLITION ❑ ENGINEERING 0 FIRE PREvENIiON
NAME OF PROJECT •
MAITPEW C/Orr-4I C / t0 TT-/�. COni PAN Y l r�
PROJECT DESCRIPTION (RO-nrIwt l Glj ` I"akP . 1 r$4-aM T U
pitJOOCO.
Detailed description of work to 1�-C't} C. (Mih CY -.,9O 'i-ff(g'7')•
be included on this permit only t ((
i1 NAME PRIMARY PHONE
LP . Ai4-TTHFW C/07 -A, C1074- COo'fcl j '/26 /86 -b1/1
PROPERTY OWNER MAILING ADDRESS E-MAIL
ro( ETR5ET
G "" �J - �J � CITY STATE ZIP
�,/, � YY FrorRAL wA r Wr4 9&',03
NAME PHONE
CoR.NEAVDNE- ROOF/N6, 1NC• yaS-- 1R\S—0/// ?
MAILING ADDRESS E-MAIL ? .`
CONTRACTOR
171,2 y /c 14'- A Yt'idQ- c, *10/A S 4 e Cty2�(ERa/Zr►F�2la�G..
CITY STATE ZIP FAX
(1307-7ftLL w,4- 9,101.2._ 4123---4loa- 71/y5- 1'
WA STATE CONTRACTOR'S LICENSE M EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE N I
_ caR.A/ rot 'Cm t 3 D8 i.201r�'' zo-/I-1a31Z,2-ao-BL
NAME CO A/,(511.., CBYntodfB7,e itoo 'til PRIMARY 7.,2 /tg =D/// ` '...
APPLICANT ! MAILI.NNG'ADDRESS fcc44%- 4 E-MAIL
ve
CITY
STATE ZIP FFAX
rt3z>771EL L u0 9�/a.-._.._.. '!267_ti0.D- 7/l s-
NAME 6/1-R ,�^,., , PRIMARY PHONE - .... _
PROJECT CONTACT A- O RA/ASIA Carr ,6'/9 Q_
' ?o .cf - Id' - 0/1J
(The individual t0 receiUe and MAILINGG��ADDRESS 1 E-MAIL
44 a-6We
respond to all correspondence s 17 tP."t' 1 e 1 / a4 � �
concerning this application) I CITYiettliitiae LOA-STATE ZIP 5�i 1iD - 7-11'-r
NAME
PROJECT FINANCING ❑ OWNER-FINANCED
Vitterr r'olue is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RC V/1927 095)
I certify under penalty of perjury that 7 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 asasa part of this application./ / /
SIGNATURE; tj.... 4 •+{ ' `- .. CLf'+1' DATE Yy f C .. .
PRINT NAME: "ry„"_... TT.... ✓-EA r19.. ..._.......Ce[q A/ lI
Bulletin i1100 January 29,2016 Page I of'2 k:A}landouts\Pennit Application
• •
. . ,
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
$
Indicate how many of each type offixture to be installed or relocated as part of this pro feet. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS _ OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS iCAtnatereLlE
BOILERS FURNACES HOT WATER TANKS(G.)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING _____ PIPING WOODSTOVES
_
VALUE OF PLUMB/IVO WORK
PLUMBING PERMIT
$
Indicate how many(If each type„yffixturt,to be installed or relocated as port of this projed.Do not include existing fixtures to remain.
BATHTUBS for TutifShower CmLIA1 LAVS Mend Swim TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS --
URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS 11(i /UO;”.1 WATER HEATERS(meetrk)
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 j No 7.]Yes •--i No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE 0 CARPORT 0
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ *OF BEDROOMS
COMMERCIAL—NEW/ADDITION ..._
Area in Construction #of
AREA DESCRIPTION i Occupancy Group(s) Additional Information
Square Feet Type Stories
NEW BUILDING
ADDITION ,••
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
Construction #of
AREA DESCRIPTION slArer
ae Fineet Occupancy Group(s)
'1'3'Pe Stories Additional Information
_._
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100-January 29.2016 Page 2 of 2 kAllandouts\Pennit Application