13-101632 wilding - Single Family
Cityof FederalPermit #: 13101632 00-SF
Community&Econ.
Dev.Way
Services - .�
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)1:65-3050
Project Name: DEELY/HERSCH
Project Address: 1305 S 291ST PL Parcel Number: 516210 0010
Project Description: ALT-Tearing off of wood shakes, resheet with 1/2 plywood over skip sheeting,then
installing new composition shingles.
Owner Applicant Contractor Lender
RONALD M HERSH ROOF RITE ROOFING ROOF RITE ROOFING
27013 PACIFIC HWY S PMB 308 2121 N 147TH ST ROOFRR*061KU ()
SEATTLE,WA 98198 SHORELINE WA 98133 2121 N 147TH ST
SHORELINE WA 98133
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 Saturday, October 12, 2013
Permit Issued on Monday, April 15, 2013
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 e City Federal Way.
� 4
Owner or agent ,CG _l- Date:
WD 4feaftI
-..,00...._,A6&' ._
• THIS CARD IS TO FMAIN ON-SITE
CITY OF
Federal WayConstruction In ection Record
INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-101632-00-SF Address: 1305 S 291ST PL
Project: RONALD M HERSH FEDERAL WAY, WA 98003-3778
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) El Final-Building(4050)
Approved to install roofing Approved
By q Date Lk_ ;7_ �: By r � - Date
N— 2 /-- 4't ,
El Rough Electrical111 Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
�,�,�- RECEIV PERMITIKPPLICAT QN
Federal Way
1,),i',14
APR 15 2013
PERMIT NUMBER OF/ rYc/ A sc)--_ /4...../cf____L
l KWWYY TARGET DATE
SITE ADDRESSSUITE/UNIT#
`306- 5. ZL-- •
-
,PROJECT VUUATION ZONING ASSESSOR'S TAX/PARCEL#
I,J 7-'iI -
TYPE OF PERMIT ❑BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
p,c-e.00; /z '`Pue x, iO cV SKIO 51t-Wk=TIJ.1
PROJECT DESCRIPTION �,3y< j
Detailed description of work to ��I/�C jG tL� �. 1 A.) �' l�R* 's��� l ��ou�c2
be included on this permit only
FK
NAME
,p / '1PRIMARY PHONE
PROPERTY OWNER 5 tie L , ti-f r'O/t &`'¢[iei7k/ /71185;47 xij
M L G 6 t 1(SS 6/2 41 7 E-MAIL
CITY L T STAT ZIP
5-e4r-rtrz_ I.A.
- CiP2:it.e5
NE PHONE
AM rfi)&k:E--- 08 ' 'OC-' ,(r eCc k-11L1c-, zac, ca re - i0
MAILING ADDRESS N. E-MAIL
CONTRACTOR '/Z/ [�" /417
CITY STATEZI
Sr/c�eLir\ :: i- .) (r£ c 3FAX
3 FAX
.363-- q-71190
WA STATE CONTRACTOR'S/^/
LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
'(-t,�'C FR ./C-06 i1 L) /g-'
NAME /�,(^}
lJPRIMARY PHONE
APPLICANT MAILING ADDRESS inrn YV E-MAIL
cej
CITY STATE ZIP FAX
-
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 El OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE J
(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: �' v" �1.� ,
DATE
PRINT NAME:
Bulletin#100-January I,2013 Page I of 3 k:AHandouts\Permit Application
0 •
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(Co )mmercial
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
BASEMENT �.Ff;
FIRST FLOOR(or Mobile Home)
COVERED ENTRY
GARAGE ❑ CARPORT ❑
bOTIRr A * - oy 'TOxT-z-,..-0,-..,
' 3Hli : � ` sl
Y+ #' tb
.. -, syk+.v ,,paw1, _ ,i, -. ,,, ,PROOSED`', xlwAL-. k,
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area OccupancyGroup(s)s Construction #of
in Square Feet Type Stories Additional Information
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA sConstruction #of
Additional Info tion SqAuraerea Feet Occupancy Grou fs1 Type Stories-11-4,----' y ,� x,' e'v TOTAL BUILDYNG
TENANT AREA ONLY
PROJECT AREA ONL1f x " mai. iit,44":''
A
.. maw kf� 2 ,a--' � .„f40:.01 '.r,' :- x { 2
Bulletin#100—January 1,2013 Page 2 of 3 k.\Handouts\Permit Application