17-102978 Building - Single Family
City of Federal Way Permit #:17-102978-00-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: CRUMLEY
Project Address: 32015 11TH AVE SW Parcel Number:926493 0990
Project Description: REP-Replace existing cedar shakes and install CDX plywood and composition shingles.
Owner Applicant Contractor Lender
MARK CRUMLEY ALLIED ROOFING INST ALLIED ROOFING INST OWNER IS LENDER
32015 11TH AVE SW SERVICES SERVICES
FEDERAL WAY WA 98023 190 S 312TH ST 190 S 312TH ST
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
•
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.) 0.00
Additional Permit Information
Occupancy#1-Construction Type Type V-B Mechanical to be Included? No
Is this an Online or O.T.C.application No Plumbing to be Included? No
Occupancy#1-Use Residence(1 or 2
family)
Total Valuation:5,000.00
PERMIT EXPIRES Monday,18 December,2017
Permit Issued on Wednesday,June 21,2017
I hereby certify that the above inf. -tion is correct and that the construction on the above described property
and the occupancy and -- •e in accordance with the laws, rules and regulations of the State of
—hington and the City of Federal Way.
1/ /lam
Owner or agen�. -�%� � / f Date0 /
FI✓fc,ii
`F THIS CARD IS TO REMAIN ON-SITE
""'or 064 Construction Inspection Record
Federal Way INSPECTION REQUESTS :(253)835-3050
PERMIT#: 17 102978 00 Address: 32015 11TH AVE SW
Project: IRAIPANAH CRUMLEY FEDERAL WAY WA 98023-5549
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) Final-Building(4050)
Approved to install roofing Approved
By , j Date 4)22)I-1 R,�By j.,�J Date l'/1fi I I�
.
0 Rough Electrical ❑ Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
,,,,,_ _4_,,CITY OF
JUN 2 1 2017 PERMIT APPLICATION
Federal Way CITY OF FEDERAL WAY PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
253-835-2607 + FAX 253-835-2609 +permitcentex@cityoffederalway.com
COMMUNITY DEVELOPMENT
PERMIT NUMBER _ 0 _ I
1 — � TARGET DATE f
SITE ADDRESS SUITE/UNIT#
? Ic 11-1-11 N-vvz' v✓ yenta i wo . km 011°Q3
,�CT VpALU�A.TIO�Nj ZONING ASSESSOR'S TAX�L/PAR�# q 3 -
TYPE OF PERMIT BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
Re loo Cedar shake to shiri°,JIes
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME - PRIMARY PHONE
I-ta>iq _Vra YPot li
PROPERTY OWNER MAILING ADDRESS E-MAIL
?ZOO/5 //-j 1 Av w
CI STATE ZIP
N_�Veci.eret I IA/aY 1M'� 074703
Alll•-ed 1 OOElie ;h5iefIlctilon 5�''YiCe5 P257 0247_ 7? Z
MAILING ADDRESS E-MAIL
CONTRACTOR t 1 Q 531thilh`eei NaS �'mc i coop
CITY STATE ZIP FAX
Federa I way WA '1 OO 7 53 - a-7-q-—1-?61
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAMEPRIMARY PHONE
EI,Sea Carr'i'Cla d2S3 -?GI Z1 ?-
MAILING ADDRESS E-MAIL
APPLICANT- t -(0 el 3 I rF f h ,i.-
CITY/ !� STATE ZIP FAX
Federcr why vift q?003
NAME PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING 0 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
ail 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 city a part of this application.
SIGNATURE: / DATE 1/C2 I! /7-
PRINT NAME: /l Ic a f a Icor 6/1 ir
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
I t� r> I
V""UE Or PLUi BING V ORK 1
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
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FIRST FLOOR(or Mobile Home)
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COVERED ENTRY
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_._.
le •GARAGE ❑ CARPORT ❑
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uf9 �� r' ;, fy rx �r . �s��� :�l,{ ecn..r �r ,,rr'E��xSTING ,PROPOSED TOTAL Totals
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ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
, tConstruction =.I #of
TypeAdditional
InformationArea inAREA DESCRIPTION Occupancy Group(s) I Stories ,.,„,,,,./,,..„„„r„. ..„0„, r f
if
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ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
Construction #of
Area m , f Additional InformationAREA DESCRIPTION Occupancy Group(a) a Stories r ',,,,,,"-:"1/,4'4'0,
S ware Feet rs "v rrk ` F,oirrier '% ^7,r f % rf yrf ir ' F,rra � J, fix r%e�. ea f • Vif r � .%/ "� ,' %r 'y,w:> r %rYf ; �dr Bfr.11rA �,,, rVg,/Nlr., .A., , , r :..<
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.TENANT AREA ONLY trr !r rrs „,..„.,„1,,r-, wrs p ,%; fs rr r. .„ 4 ri,��,.ol = / far' ri'g:. � �! ,rier ,l:ie �, '' z"r� I. . oF.Vi� ��/:r�{���a.r'�l /; ,ti ✓& s,t v,Vfis+, sl,. s�; '� s' .s, ,%rAq ,Jry� � , ,f.„.fir'l/;t `?v, ,, 2;.r -:.
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application