08-103188 commuCn7,peFeedloeprmalewnta ServicesBuildi�- Single Family Perinit 0 08-103188-00i-6'F °'
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: MILLER
Project Address: 35709 25TH PL S Parcel Number: 386150 0220
Project Description: REP-Tear off old roof,re-sheet,install new composition roofing
Owner Applicant Contractor Lender
RON MILLER BRUCE'S ROOFING LLC BRUCE'S ROOFING LLC
35709 25TH PL S 27605 SE 401ST ST BRUCERL964L9(6/29/10)
FEDERAL WAY WA ENUMCLAW WA 98022 27605 SE 401ST ST
98003-7183 ENUMCLAW WA 98022
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
✓`,"r4,,, , rs f ♦ ,p ,o *n.,,,,,-„,.„.„,-;1 ,t-„,,,,,,,. n ge e h,f. .+^^ rr�,,a
m g�gg
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 Monday, December 29, 2008
Permit Issued on Wednesday, July 2, 2008
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
/(41and the City of Federal Way. 7
Owner or agent: Date: - 2-- U .t(
F1N#4LEJ' W °
THIS CARD IS TO MAIN ON-SITE
CITY OF ��' ommunity Developm .nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-103188-00-SF
Owner: RON MILLER
Address: 35709 25TH PL S
FEDERAL WAY, WA 98003-7183
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 Mtg(4400) �EI Initial Erosion Control(4365) 0 Underfloor Framing(4285)
Approved To be done prior to breaking ground Approved to sheath floor
By Date By Date By Date
❑ Floor Sheathing(4105) 0 Shear Walls(4245) 0 Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By "h) Date',/),
0 Fire/Draft Stops(4095) '0 Interim Erosion Control(4370) NOTE: Prior to scheduling a Framing(4120)
Approved Approved inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be
By Date By Date signed-off and approved. IBC 109.3.4/UBC 108.5.4
O Framing(4120) 0 Insulation (4150) ❑Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
O Final Erosion Control(4375) 0 Final-Building(4050) .
Approved Approved
By Date By Date
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
�A REC _ !, O_4.'- /Q3 / SrF
Federal Way MIT '2 of
CY1MVNIY DEVELOPMENT SERVICES �MF CO ME EL PL DE EN FP
3332FEDERA WAY, A 9806DBOX9718 JUL c LI CATI ON
FEDERAL WAY,WA•J80&3-97]8 / /
253-835-2607•FAX 3,5 VjQ��`
_n w.ctimoffederal�uau.c TY OF Fe " p r' y�
The following is required inform-.'Mc a�i� l VI application will not be accepted. Please print legibly(tn ink)or type.
MI PROPERTY INFORMATION
SITE ADDRESS --.4 G5-7 d 1 ZS 5 P 1 5 SUITE/UNIT if
ASSESSOR'S TAX/PARCEL# 3 / (0`o I S b - C7 Z- Z. G LOT SIZE(s_f)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(A ..1...teW . ,lewd description)
• PROJECT INFORMATION
TYPE OF PERMIT )(BUILDING ❑ PLUMBING ❑ MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permt only)
Pec- --. Fc aJ c roO - ) re-s L ceA-1 i h s4c 6 hew cog. to051.• ,r,-,,,,g),..5
q73)
PROJECT NAME(Name of Business or Owner Last Name) g I LL 6-1Z-' .
• PEOPLE INFORMATION
PROPERTY PHONE
WERNAME Ron , ; � er (253)(6 / 665
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
35?o 9 Z S e) 5 Feder-4j W��y gfc 3
CONTRACTOR COMPANY NAME APPLICANT' OFFICE PHONE
15nAce5 tc,,,e,-1G/ -Re" Ser .,i ,Ac (gam ) 15-- -) 3 5 t�
MAILING ADDRESS J CRY,STATE,ZIP CELL PHONE
27Co65_" SE ifo-54- Si- Er,isM(.(4.,,, -A f LV ( ) -
CIY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE ' FAX NUMBER
( ) -
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
[3812-uCEe.Z4y1. 0-7,0t®
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
13ruCc5 POGc,i7/ Tre 1- ser&) e ( ()0 ) CZS- - j3S(,
MAILING ADDRESS l CITY,STATE, CELL,PHONE
27k0s 5 VO 7,5)- 54- rF,4.Mdkw L4 1-b 1
Z ( ) -
REIATTONSHIP TO PROJECT FAX NUMBER
❑Architect 0 Tenant 0 Agent ❑ Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT gent Sv c A 5 n e_ ( & ) )%7 - )35-c
LENDER NAME 1 Per RCW 19.27.095:
Lender information is required 4f project value exceeds$5,000
MAILING ADDRESS CRY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE __,,
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ 61 173)
SPRINKLERED BUILDING? ❑YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO
WATER SERVICE PROVIDER ❑LAKEHAVEN ❑HIGHLINE ❑TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN 0 EMBLEM ❑ PRIVATE(SEPTIC)
, • PROJECT FLOOR AREAS
1
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT ❑
RXEMEG
NUMBER OF FLOORS Pruni® �
TOTAL TOTAL COSMO TOTAL rs ®
opoSP Tr
TALs
:*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$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITHAPPLICATTON)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG MS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) TAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATERCIASEIb(must)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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 uritl 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 responsibilityfor compliance with local,state,or federal laws regulating construction or environmental laws.
I further agree to hold harmless the City of Federal Wag as to any claim(iincluding 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 o is application.
T.
SIGNATURE: DATE ? Z- U
Property Owner and/or Authorized Agent
FOR OFFICE USE ONLY
n NEW o ADDITION ❑ALTERATION ❑REPAIR n TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES n NO BASIC PLAN? ❑YES n NO
ZONING DESIGNATION CHANGE OF USE? n YES n NO
NEW ADDRESS REQUIRED? o YES ❑NO UP/SEPA/SU? n YES n NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? n YES n NO
Bulletin#100—January 1,2008 Page 2 of 4 k\HandoutsTermit Application