11-104225-L a
City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: SIMEONA
Project Address: 327 S 302ND PL
Building - Single Fawnnily
Permit #: 11 -104225 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 795450 0290
Project Description: REP - Tear off existing shake roofing. Install sheathing and composition shingle roofing
system.
caner
Applicant
Contractor
Lende
LOUELLA P Y SIMEONA
PLATINUM ROOFING
PLATINUM ROOFING
LOUELLA P Y SIMEONA
327 SW 302ND PL
1435 "U" CT NW
PLATIRL96IP6 (10/31/12)
327 SW 302ND PL
FEDERAL WAY WA 98003-4078
AUBURN WA 98001
1435 "U" CT NW
FEDERAL Y WA 98003-4078
AUBURN WA 98001
Census Category: 555 - Non-structural roofing permit
Includes: # 1 #2 # #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Areas . ft. 0 0 0 0
New / Additional Sq. Feet - 3rd Floor....................0 New/ Additional Sq. Feet - Basement ................... 0
Mechanical to be Included?....................................No Plumbing to be Included? ....................................... No
CONDITIONS:
ERMIT EXPIRES Sunday, April 15, 2012
Zuse
ermit Issued on Tuesday, October 18, 2011
1 hereby certify thormation is correct and that the construction on the above described property and
the occupancy ae in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.Owner or agent:� Date:
THIS CARD IS TO REMAIN ON-SITE
CITY
°FConstruction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 11 -104225 -00 -SF Address: 327 S 302ND PL
Project: LOUELLA P Y SIMEONA FEDERAL WAY, WA 98003-4078
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.
SWM Precon Site Mtg (4400)
Initial Erosion Control (4365)
Shear Walls (4245)
Underfloor Framing (4285)
Approved
Approved
By
To be done prior to breaking ground
Approved to install siding
Approved to sheath floor
By
Date
By
Date
By
Date
Floor Sheathing (4105)
❑
Shear Walls (4245)
El Roof Sheathing (4220)
Approved
Approved to install flooring
By
Approved
Approved to install siding
Approved to install roofing
By
Date
Date
By
Date
By Date 0
Fire/Draft Stops (4095)
Interim Erosion Control (4370)
eduling a Framing inspection;
prio:Plumbing
Approved
Approved
Electric & Mechanical Rough -in and
By
Date
By
Date
Fire/Drainspections must be signed -off and
approved. IBC 109.3.4
Framing (4120)
Insulation (4150)
❑ Gypsum Wallboard Nailing (4130)
Approved to insulate
Approved to install wallboard
Approved to install mud & tape
By
Date
By
Date
By Date
Final Erosion Control (4375)
❑
Final - Building (4050)
Approved
Right of Way
Approved
By
Approved
By
Date
Date
By
Date
Rough Electrical
Approved
❑Final
Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF
Federal inlay
COMMUNITY DEVELOPMENT SERVICES
253-835-2607• FAX 253-835-2609
uncia,rrhL fferieral waLwLi
PERMIT
APPLICATION
I _ - l 0'q 2 Z_.5 -
SF MF IE E VE
Fp
OCT 1 c�
S7}I'i'i��'`�INIT # --
3 0 ;� CL 17'l...� S
PROJECT VVALUAT,IO/N
ZONING
ASSESSOR'S TAX/PARCEL #
TYPE OF PERMIT
4�,BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
6%
MAILING ADDRESS (� `
E-MAIL
C17]
STATE
ZIP y
Cl
f�
0 Z
NAME Yy�
PHONE
MAILING ADDRESS F
E -MAIL
ONTRACTOR
L C
CITY
STAT
(� '•'
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME �.... '
PHONE
�,.
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME l
PHONE
(The individual to receive andC
respond to all correspondence
MAILING ADDRESS
E-MAIL
concerning this application)�e-
` 'L -k_ f.�c f 'nt
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAME
Require'd'mz{ or more
-- ___._.-.-_.-_...._.__.__._-_..__.__....-
OWNER -FINANCED
. ,
MAILING ADDRESS,CITY, STATE, ZIP
PHONE
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 1 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 Iaws regulating
construction or environmental laws.
1 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 apart of this appliFation.
�
SIGNATURE:
DATE
PRINT NAME: ---.c- d 77 -
Bulletin 0100 -January 1, 2011 Page] of 3 k:\Handouts\Permit Application
I M
XTURES
VALUE OP MECHANICAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many of each type of f xture 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 (Des be)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial)
BOILERS FURNACES HOT WATER TANKS (G.)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not
dude existing fixtures to remain.
BATHTUBS (or Tub/shower combo) LAV Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAIN WATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHO VE S
VACUUM BREAKERS
DRINKING FOUNTAINS
SIN ( t Utlity)
WATER H ATERS (Electric)
HOSE BIBBS
SUM S
WASH;XMACHINES
TOTAL FIXTURES
w
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE
OF EXISTING IMPROVEMENTS
EXISTING/ PREVIOUS USE
LOT SqE (In Square, Feet)EXI�9TING
FIRE SPRINKLER SYSTEM?
PROPOSED
FIRE SUPPRESSION SYSTEM?
\
/J ❑ Yes ❑ No
❑ Yes ❑ No
AREA DESCRIPTION (in square feet) I EXISTING I PROPOSED I TOTAL
FIRST FLOOR (or Mobile Home)
COVERED ENTRY
GARAGE ❑ CARPORT ❑
EXISTING I PROPOSED I TOTAL
Area Totals
*NEW HOMES ONLY**"
ESTIMATED SELLING PRICE $ 1 # OF BEDROOMS
FOR OFFICE USE
Bulletin #100— January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application