14-104766 � M
• 4puilding - Single Family
City of Federal ay Fi LE
Community&Econ.Dev.Services Permit #: 14-104766-00-SF
33325 8th Ave S
Federal Way,WA 98003
Inspection Request
Ph:(253)835-2607 Fax:(253)835-2609 p q est Line: (253)835-3050
Project Name: GLJ ENTERPRISES INC
Project Address: 28318 15TH AVE S Parcel Number: 025130 0110
Project Description: REP-Tear off cedar shakes; install new 7/16 OSB over skip sheeting and install 50
composition shingles.
Owner Applicant Contractor Lender
GLJ ENTERPRISES INC ACHTEN'S QUALITY RFNG CON ACHTEN'S QUALITY RFNG CON OWNER IS LENDER
28318 15TH AVE S INC INC
FEDERAL WAY WA 98003 410 112TH ST S ACHTEQR923CM(2/16/16)
TACOMA WA 98444 410 112TH ST S
TACOMA WA 98444
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 Plumbing to be Included? No
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Sunday, March 15, 2015
Permit Issued on Tuesday, September 16, 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: Date: ((!e
1
THIS CARD IS TO IN ON-SITEt
CITY OF 1011.11111 - • Construction In ection Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 14-104766-00-SF Address: 28318 15TH AVE S
Project: GLJ ENTERPRISES INC FEDERAL WAY, WA 98003-3114
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) 0 Final-Building(4050)
Approv d all roofing Approved
'By Date ?//,'41e By -- Dat _, .
❑ Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
1k. 410
CITY OF P RMI'I' gliaPPLICATION
Federal Way RECEIVED
1 D 4 76 _ SEP 16 2014
PERMIT NUMBER
- - TARGET DATE CITY OF FEDERAL WAY
CDS
SITE ADDRESS SUITE/UNIT#
PROJECT VALUATION .., ZONING ASSESSOR'S TAX/PARCEL - O
Mir411 - - - — - -TYPE OF PERMIT XUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
fic ti Lt e - 4 �2z - � -� Tic 0.56 csu
PROJECT DESCRIPTION , �X r
Detailed description of work to 5 K1 `�1'(C�ef'"I ci �"^ -4 �1 .51&If 5 o A C.c' f G$e't b i
be included on this permit only r e /
NAME -C It f�� PRIMARY PHONE
PROPERTY OWNER �"A o �7
r '. to S'011 25 j j "7‘67-
MAILING
yMAILING ADDRESS( E-MAIL
//c ,d-re( 4P Al.
CITY STATE ZIP
/��-vc`1'' too. o 3 2
NAME„ PHONE
]�IS1t t 5 45t.c4 it 11 fi ee F ti y 29 3 931 76'
MAILSL`_/ C� / E-MAIL
CONTRACTOR -
CITY STATE ZIP FAX
41`. b Puck 11 444
WA STATE DCONTRACTOR'S LIC;NSE# TION DATE^/sFED �WA(0 SINES CENSE#
IKI��t•.Ij�_� �Z+ ` 7 moi-. — / 0-7!•Vl
NAME PRIMARY PHONE4
9
43-
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME�.• PRIMARY PHONE
PROJECT CONTACT ��r 64....‘ C...14-E. 25 3 22 3 34a-2--
(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.4r� (�
SIGNATURE: DATE � / r
PRINT NAME: �e`( " Lrf t Yom. --
Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
• •
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 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
VALUE OF PLUMBING WORK
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
OLi1V:/us '' �' ry got,
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GARAGE ❑ CARPORT ❑
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Area Totals
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ESTIMATED SELLING PRICE$ #OF BEDROOMS
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Area Construction #of
AREA DESCRIPTION Occupancy Group(s) Additional Information
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AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
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Bulletin#1100-January 1,2013 Page 2 of 3 k:\Handouts\Permit Application