13-105184 • •uilding - Single-Fancily
City of FederalWay Permit #: 13-105184-00-S F
Community Econ.& D ev.Services
33325 8th Ave S
Federal l way,WA 96003 k Inspection Request Line: (253)835-3050
Ph:(253 835-2607 Fax (253)835-2609 �
Project Name: COLLINS
Project Address: 32807 12TH AVE SW Parcel Number: 926494 1040
Project Description: REP-Remove existing cedar shake roofing and replace with composition shingles
Owner Applicant Contractor Lender
JEROME COLLINS R&C ROOFING INC DBA R&C ROOFING INC DBA OWNER IS LENDER
LYSANDER COLLINS CHINOOK ROOFING&GUTTERS CHINOOK ROOFING&GU ITERS
32807 12TH AVE SW 5113 PACIFIC HWY E SUITE 8 CHINORG895C4(2/24/15)
FEDERAL WAY WA 98023-5203 FIFE WA 98424 5113 PACIFIC HWY E SUITE 8
FIFE WA 98424
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, May 18, 2014
Permit Issued on Tuesday, November 19, 2013
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and •- se will •- in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way. / /
41110 Owner or age � � "1' Date: h1`/q!/3
4
F/AIA
LEp
THIS CARD IS TO MAIN ON-SITE '
CITY OF-- • Construction In ction Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-105184-00-SF Address: 32807 12TH AVE SW
Project: JEROME COLLINS FEDERAL WAY, WA 98023-5203
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.
Roof Sheathing(4220) 0 Final-Building(4050)
Approved to install roofin pproved
B Date l\ 2 (�, �. Date(\ (X,/[3.
El Rough Electrical El Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
~ PERMI APPLIA [9
Federal Way �:CG���fEL�
NOV 19 2013 121ati
PERMIT NUMBER I _ 1 0 ( '4- _ TARGET DATE s t-------- CITY OF FEDERAL WAY
CDS
SITE ADDRESS SUITE/UNIT#
32 O? tV1 Svv• Federal Way 2�z3
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 13, ?2(0./+� 9 z Lf - o a
TYPE OF PERMIT ABUILDING ❑ PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT C 6. 11,--
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and
PROJECT DESCRIPTION y� r D /��/D' � cIc �;2.aC1 5ni � .
Detailed description of work to , I I/ 5 Mt (1[e/ i �if rand
f i /�s
be included on this permit only ( 1/ ' n / 7 X� 5-kung- I� I 1/ gj_
NAM_E7. / - _ -- PRIMARYARPHO o ✓1 _-.
PROPERTY OWNERjt:117
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MAILING
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NAME 3`n / _ r„ G I f,_ PRIMARY PHONE
APPLICANT MAILING ADDRESS /l IN/7 lts�ll/(///` I/%N]/C/J E-MAIL
CITY STATE ZIP FAX
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PROJECT CONTACT NAME A #US V , 7o Va l2_, PRIMARY2 -lop'-7 1,003
(The individual to receive and
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respond to all correspondence M5113 RESSP L � ! u 9h Way 6' E-
concerning this application) CITY
Federa STATE ZIP _/,�, / FAX
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PROJECT FINANCING t LI ( C714 OWNER-FINANCED
Required value of$5,000 or more rINDG ADD/ SZ,CITY,STATE ZI PHONE
(RCW 19.27.095) 7 to /q0�0 (SQ tle Wa q'Stv9 �a 5&2-/3 q
I certify under penalty of perjury that I amt��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 art of this application. Q'
SIGNATU DATE `) //(J/1.3
PRINT NAME: Ja ' e /'//e /eel
Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Permit Application