16-103662 o
Building - Single Family
City of Federal Way Permit #: 16-103662-00-S F
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request (253)
Ph:(253)835-2607 Fax:(253)835-2609 p tion Line: 835-3050
Project Name: PHANIVONG
Project Address: 30118 11TH PL S Parcel Number: 515390 0010
Project Description: REP-Reroof includes shake tear off and resheathing
•
Owner Applicant Contractor Lender
SAMANTHA T PHANIVONG ALISA BERKLAND NORTHWEST ROOF SERVICE INC
30118 11TH PL S NORTHWEST ROOF SERVICE INC NORTHRS088DW(10/15/17)
FEDERAL WAY,WA 98003 801 CENTRAL AVE N 801 CENTRAL AVE N
KENT WA 98032 KENT WA 98032
S l
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 8275.00 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 Tuesday, January 24, 2017
Permit Issued on Thursday,July 28, 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 ac •rdance with the laws, ules and regulations of the State of Washington
AA and the i of Fed:ral Way. /
Owner or agent Date: < �•l(GJ
11%1 IN,LE
THIS CARD IS TO REMAIN ON-SITE
.0A. Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16-103662-00-SF Address: 30118 11TH PL S
Project: SAMANTHA T PHANIVONG FEDERAL WAY, WA 98003-4147
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 SWM Precon Site Mtg(4400) ❑ Initial Erosion Control(4365) ❑ Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date0
Underfloor Framing(4285) ❑ Floor Sheathing(4105) El Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
Roof Sheathing(4220) ❑ Fire/Draft Stops(4095) ❑ Interim Erosion Control(4370)
Approved to install roofing Approved Approved
By Ao Date ' 13 l/A By Date By Date
Prior to scheduling a Framing inspection; Framing(4120) 0 Insula
tion(450)
allboard
Electrical,Plumbing&Mechanical Rough-in and Approved to insulate APPro
Fire/Draft Stop inspections must be signed-off and
approved. IBC 1093.4 By Date By Date
0 Gypsum Wallboard Nailing(4130) 0 Final Erosion Control(4375) Final-Building(4050)
Approved to install mud&tape Approved Approved
By Date By Date By Iva, Date ii 7.4 lie
•
Rough Electrical Final Electrical ❑ Right of Way
❑ Approved ❑ Approved Approved
By Date By Date By Date
• _
RECEtED
JUL 28 2016 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+permitcenterecityoffederalway.corn
CDS
PERMIT NUMBER I 0 2- F -7/2kiier„
TARGET DATE
SITE ADDRESS SUITE/UNIT I
0 1 ( e I(4t, P i 5) r---61.ercti u(ip cisoo3 it- 1107 I
PROJECT VALUAIION ZONING ASSESSOR'S TAX/PARC
sc.- _i_ aq i? _ CCLL
TYPE OF PERMIT *BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT 56tata eta Pha 0 I Ø (4
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PROJECT DESCRIPTION
Detailed description of work to Sh,e,01----Ai ti1/4. . kr-C,e 1 ckr_te 11,1C1,11-
be included on this permit only
PRIMARY PHONE
NAMEatn. a iiit .(0 Act n t 00
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-i WA STATE CONTRACTOR'S LICENSE 0 EXPIRATION DATE_ FEDERAL WAY BUSINESS LICENSE I ,
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etmt. etS cierrketeir PRIMARY PHONE
MAILING ADDRESS E-MAIL
APPLICANT
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PROJECT CONTACT
NAME rt. I 4' , ... PRIMARY PHONE
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E-MAIL
(The individual to receive and MAILING ADD r.,,., Ar,o,L4-f-v‘ccii-.1-c„ i,,,
respond to all correspondence 51Atnt_ ut.---? l.;l,-11 ,-- I
ADD
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING ',1 OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(ECW/4.27 095)
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 e once of the city, including its officers and employees, upon the accuracy of the
information suppli . to the city as ci,part of this •pplication.f
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4., 11 ' ,
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DATE 7(21/a,
SIGNATURE; . B
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PRINTNAME: PtS CA,
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Bulletin#.100-January 29,2016 Page 1 of 2 k:\Handouts\Perrnit Application