14-106192 • ouilding - Single Family
City of Econ D Way I L. FPermit #: 14-106192-00-S F
Community&Econ. ev.Services
33325 8th Ave S
Federal Way,axInspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax::(253)53)8 835-2609 p q
Project Name: MIKEL
Project Address: 28305 15TH AVE S Parcel Number: 025130 0180
Project Description: REP-Remove existing composition shingles and replace like for like. Replace any rotted
portions if necessary.
Owner Applicant Contractor Lender
KURT T MIKEL CONNELLY ROOFING& CONNELLY ROOFING& OWNER IS LENDER
HANNA MURPHY CONSTRUCTION LLC CONSTRUCTION LLC
28305 15TH AVE S PO BOX 1028 CONNERC872D7(3/27/15)
FEDERAL WAY WA MILTON WA 98354 PO BOX 1028
98003 MILTON WA 98354
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
Additional Permit Information
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement. 0
Mechanical to be Included? No Number of Stories. 2
Permit for Building Shell Only? No Plumbing to be Included No
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Monday, June 1, 2015
Permit Issued on Wednesday, December 3, 2014
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: � r�fifil.� Date: /2 —3 `"'/G�
44116„.. THIS CARD IS TO MAIN ON-SITE
CITY OF 0 Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 14-106192-00-SF Address: 28305 15TH AVE S
Project: KURT T MIKEL FEDERAL WAY, WA 98003-6100
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 Roof Sheathing(4220) CI Final-Building(4050)
Approved to install roofing Approved
By pl}.-t, Date ( . c. is--" By P-` Date 1 . 2 I S—
.
❑ Rough ElectricalEl Final Electrical EJ Right of Way
Approved Approved Approved
By Date By Date By Date
CIr(OF �` PERMIT ikPPLICAZIpN
Federal Way �)0
DEC 0 3 2014 -7
PERMIT NUMBER (h.;11_ 4 � (� 9 L i TARGET DATE CITY OF FEDERAL WAY
CDS
SITE ADDRESS SUITE/UNIT#
chi S •
PROJECT VALUATION ZONING ASSESSORS TAX/PARCEL#$ , ( J 0 - 0 1 V O
TYPE OF PERMIT B,BUILDING 0 PLUMBING ❑ MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT K V f k m , ,
S`r1cA,K..eS v-o
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME nPRIMARY PHONE
PROPERTY OWNER Conn LI Lf f 25'3 9?'3 Z`{33
MAILING ADDRESS E-MAIL
7 7 iO(sk lc,v1 c).. v-c . Co an Gc t--( Rtx
CITY STATE ZIP
T -COOnc1/4- w ' jam,c •Loom
NAME Ca YLn et 1
7 ^`('-�./,-,,c PHONE
153 9? 3 2933
MAILING ADDRESS ,p E-MAIL
CONTRACTOR ZZ l S \ -k 0.h ''i )( = cow ea-f � 9 mct,
CITYT f.l✓_yn� STATE ZIP ^ S ,( FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
CoN')(ler C, 87 Z '07 Z / ZSi 1S Znt3l0o1 SGoo13L-
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY y /� STATE ZIP FAX
5 V
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
Required value of$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
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 as a part of this application.
SIGNATURE: ✓ DATE 2--3
PRINT-AME: ` ! t e S 1��
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
• I
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existingfixtures to remain.
AIR HANDLING UNITS FANS (- GAS PIPE OUTLETS �— OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS •-•"'HOOD6(c mmercial) •
BOILERS FURNACES .._ VT-WATER T (cis) "
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING 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.
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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GARAGE ❑ CARPORT ❑
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EXISTING PROPOSED TOTAL
Area Totals
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ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
Area Construction #of
AREA DESCRIPTION Occupancy Group(s) Additional Information
in Square Feet Type Stories
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ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
Construction #of
AREA DESCRIPTION Area Occupancy Group(s)
. , ✓1 nf or'-fm'ri.ra✓i
i.r.,Fo�n
in Square Feet Type Stories
l// , �✓ P70/ 9r ; 4!
/r�ril r fww ;; / !i'W4!f /ir4 / � 4/ f/ i/ 0. .�/l'x�, i ,/ ,, frr/
.:�,..
TENANT AREA ONLY
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Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application