07-106342 mmuCityofFed
nityDeveloeralWay
pmentServices -Buildir�— Single Family Permit 007 106342-
00 SF
P.O.Box 9718
Federal Way,WA 98063-9718
(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: YAMAMOTO
Project Address: 30529 4TH AVE SW Parcel Number: 178890 0590
Project Description: REP-Reroof comp to comp with resheathing
Owner Applicant Contractor Lender
MITZI YAMAMOTO LEGACY ROOFING INC LEGACY ROOFING INC
30529 4TH AVE SW 9680 153RD AVE NE LEGACRI005ND 1/5/08
FEDERAL WAY WA REDMOND WA 98052 9680 153RD AVE NE
98023-3912 REDMOND WA 98052
Census Category: 555 -Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq. ft.) 0 0 0 0
7
n � L , nal i� It .. X1'` d 3 ab-"r 4
Areyy,
New/Additional Sq.Feet-3rd Floor 0 New!Additional Sq.Feet-Basement.............
Mechanical to be Included? ° No Plumbing to be Included :..........,No
No Fixtures Associated With this Permit II
PERMIT EXPIRES Thursday, November 26, 2009
Permit Issued on Monday, November 26, 2007
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: I)1,k /01. _
THIS CARD IS TO MAIN ON-SITE .
CITY Or - kommunity DevelopnWnt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-106342-00-SF
Owner: MITZI YAMAMOTO
Address: 30529 4TH AVE SW
FEDERAL WAY, WA 98023-3912
This card is part of your required inspection documents. 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 Mfg(4400) ❑ Initial Erosion Control(4365) ❑ Underfloor Framing(4285)
Approved To be done prior to breaking ground Approved to sheath floor
By Date By Date By Date
❑ Floor Sheathing(4105) ❑ Shear Walls (4245) ❑ Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By C (j ) Date e
❑ Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120) ❑ Framing(4120)
Approved inspection;Electrical,Plumbing&Mechanical Approved to insulate
Rough-in and Fire/Draft Stop inspections must be
B Date signed-off and approved. IBC 109.3.4/UBC 108.5.4;, B Date
Y '
y
❑ Insulation(4150) ❑Gypsum Wallboard Nailing(4130) ❑ Final Erosion Control(4375)
Approved to install wallboard Approved to install mud&tape Approved
By Date By Date By Date
❑ Final-Building(4050) ❑ Interim Erosion Control(4370)
Approved Approved
By Date By Date
For inspector reference only
0 Rough Electrical ❑ • FINAL-Electrical
Approved Approved
By Date By Date
•
�,r~� �coved. ��� 0=7 - 1 d CP 3 1-�
Federal W& PERMIT a
COMMUNITY DEVELOPMENT SERVICE g 2oa1 CMF CO ME EL PL DE EN FP
3332E AVENUEASOUTH•63 9Q ,c am P LI CATI O N
FEDERAL WAY,FAX
53063-26 TD / /
253-835-2607•FAX 253-835-2609 1-
www.cituoffederalwat.com of`,4Qe 054.
ICY ANG
The ollowin• is r-" i ormation-an incom•lete a.•lication will not be acce•ted. Please •rint le•ibl. (in ink)or .
r 1, (• PROPERTY/ INFORMATION
SITE ADDRESS 5n!, 2.9 4 ` fW ' w SUITE/UNIT#
U
ASSESSOR'S TAX/PARCEL# I 1 S Q c/ 0 - d n5 Q1, 0 LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 31 K 4 L 2 ` CobckA-e J JN v -5
(Attach separate page for lengthy legal description
• PROJECT INFORMATION
TYPE OF PERMIT lir BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPT ON(Provide detailed description of work included on this permit onlu)
r O. is • ar lJ _ .s 1
ill
PROJECT NAME(Name of Business or Owner Last Name) 1 0 1 11m o-l-Q
• PEOPLE INFORMATION
PROPERTYNAMEEn PRIMARY PHONE
OWNER I , I i�Z i N Iv)
amo-4-o ( ) -
MAILING ADDRESS CITY,STATE,ZIP
6c2-9 4-141 eve -F r .L__ i j wA 9 a()23
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Lri_ OC- o(:)fi il 1Th tkd. i< hat4 i (' 25 285 -dlD 1(p
MAILING ADDRESS CITY,ST ,ZIP CELL PHONE
q iki33 I b? ]i NE, gr.olmoid 440P.a ( ) -
COY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
2a-02.-1 Q 0 3 -B L 12 ' 31 / 0-1 ( ) -
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
1/ b�-AC g_ 1 4 d 5 N Q I / 5 / (3.E1
APPLICANT COMPANY NAME APPLICANT NAME OFFICE HONE
&VP1/40I► CO.Fi IL.--1 WIt MdharJ) 42- 21i5- ocao
MAILING ADDRESS CITY,STANte,ZIP CELL PHONE
CIU 60 153Rd-eve NE 1201.cpc.ANO v`SA°I ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑ Tenant Agent ❑ Other(Describe) ( ) -
CONTACTPRIMARY PHONE E-MAIL ADDRESS
E
r v INnaha�.d i42! 285- oLP-7Lp
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS COY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE N/ I -FeliyLi! y PROPOSED USE 1
/�
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ CI 5 • O0
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
I.
• S
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE E CARPORT E
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS
(Toilet) MISC(Describe)
DISHWASHERS _ SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way,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. '
t, �."'', ///2 /Clc 7
NAME TITLE //� � DATE
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Ownero�gent 0 Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? n YES ❑NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? ❑YES o NO
NEW ADDRESS REQUIRED? 0 YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application