14-105915 .; �Ouilding - Single Family
City of Federal Way
Community&Econ.Dev.Services .w f -2,31111 Permit #: 14-1059' 5-00-S F
33325 8th Ave S
Federal Way,WA 98003 Request
Inspection Line:
Ph:(253)835-2607 Fax:(253)835-2609 (253)835-3050
Project Name: DORE
Project Address: 30261 27TH AVE S Parcel Number: 798480 0130
Project Description: Take off existing composition roof and replace with compositon and re-sheathing.
Owner Applicant Contractor Lender
ANNE DORE NANCY MORELLI PLATINUM ROOFING
30261 27TH AVE S Platinum Roofmg PLATIRL961P6(10/31/16)
FEDERAL WAY WA 1435 NW U CT 1435"U"CT NW
98003 AUBURN WA 98001 AUBURN WA 98001
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 Included9 No Plumbing to be Included? No
No Fixtures Associated with This Permit!!
PERMIT EXPIRES Tuesday, May 12, 2015
Permit Issued on Thursday, November 13, 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
� �A /yah nd thhe City of Federal Way.
Owner or agent: "/ ,tel / l0?L �i Date: / I-
Ii
f
THIS CARD IS TO MAIN ON-SITE
CITY OF
• Construction In ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 14-105915-00-SF Address: 30261 27TH AVE S
Project: ANNE DORE FEDERAL WAY, WA 98003-4212
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) El Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
Ei Underfloor Framing(4285) ❑ Floor Sheathing(4105) El Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
Roof Sheathing(4220) 0 Fire/Draft Stops(4095) ❑ Interim Erosion Control(4370)
Appro install roofing Approved Approved
B . Date///;0, By Date By Date
Prior to scheduling a Framing inspection; 0 Framing(4120) 0 Insulation(4150)
Electrical,Plumbing&Mechanical Rough-in and Approved to insulate Approved to install wallboard
Fire/Draft Stop inspections must be signed-off and
approved. IBC 109.3.4 By Date By• (- Date
❑Gypsum Wallboard Nailing(4130) 0 Final Erosion Control(4375) Final-Building(4050)
Approved to install mud&tape Approved Approved
By Date By Date By Pk V Date ')i 9j) 11.4
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
PERMIliAPPLICATION
Federal Way
AD /+—
PERMIT NUMBER j y - L O /_z�5
Y ` CC TARGET DATE
SITE ADDRESS SUITE/UNIT#
PROJECT VALUATION ZONING ASSESSOR'S TAR/PARCEL#
$ 1 (1 _] ao -7 9' a 9 8 c - C� f 3O
TYPE OF PERMIT [WUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT Oa rL -P--e_- ezv
--FCL D )�c e.kI_S'f`v•r c Q Gst i-wrh � *-
PROJECT DESCRIPTION A.
Detailed description of work to K (7 I0 CS- LU Li--k (".e�o65 L' l3Y\ Tr- & -4\.t-.0
be included on this permit only FQ
N N fl\j 3 ,` i\ ... PRIMARY PHONE
PROPERTY OWNER ��Ye 'V1111 917- 3a 5�, 5---
MAILING
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MAILING ADDRESS E-MAIL
''707—(i).7I 3-1. .,.,C OF FEDERAL-WA
CITY STATE fiPi,
N ME Q k�,1v4 m fib\ L..LC. PHONE
(Do a (17( 3
MAILING ADDRESS E-MAIL
CONTRACTOR 1Q1.2.)5 C'+ 'v ` (n'° it p i Ali lt '"
C A ZIP FAX
iTtoo
W STATE CONTRACTOR'S LICENSE# IRATION DATE FEDERAL WAY BUSINESS LICENSE#
�LF��r R L9 (.P t Pi i i -1 //Co ;70- 05 --/()&5 i. i J L
... _ . . . .. _ PRIMARY PHONE
c `� t,� -k c t✓1 i XL, c c' is 74,,3
APPLICANT MAILING ADDRESS
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TU3; Ll (' N inirme Plc(t'nu-lnu r k -
C STATED FAX
sts
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
(12CW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorised 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 authorised 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 the city as a part of this application.
SIGNATURE: DATE 1 I / 5— /q
PRINT NAME:_Nan H M oYP'l 6
Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Permit Application