18-102229w
City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax (253) 835-2609
Project Name: ADKINS
Project Address: 32215 11TH PL SW
FILE
Building - Single Family
Permit #:18 -102229 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 926493 0730
Project Description: RIEP -Remove existing shake roofing material, install plywood and asphalt shingles
Owner
Applicant
Contractor
Lender
JANET R ADKINS
CORNERSTONE ROOFING
CORNERSTONE ROOFING
OWNER IS LENDER
32215 11TH PL SW
17624 15TH AVE SE SUITE 101A
17624 15TH AVE SE SUITE IOIA
FEDERAL WAY WA 98023-5558
BOTHELL WA 98012
BOTHELL WA 98012
Census Category: 555 - Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area (sq. ft.)
Additional Permit information
Mechanical to be Included? ..................................... No Is this an Online or O.T.C. application?.................. Yes
Plumbing to be Included? ........................................ No
Total Valuation: 22,117.00
PERMIT EXPIRES Wednesday, 5 December, 2018
Permit Issued on Fridav, June 8, 2018
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: (1 l l
:THIS CARD IS TO REMAIN ON-SITE
Cm� Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 18102229 00 Address: 3221511TH PL SW
Project: LARRY H ADKINS FEDERAL WAY WA 98023-5558
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) Final -Building (4050)
Approved to install fmg Approved
-7/at Date
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
CITY OF PERMIT APPLICATION
PERauT CENTER + 33325 81h Avenue South + 325
Federal Way 253-835-2607 + FAX 253-835-2609 + :-%mitt enter
PERalrr NUMBER I�
2-,? 2� S MAY 2 4 2018
18
,,...- TARO= DATE FEDFRAI WAV
DFVFI nauckrr
SITE ADDRESS
3,Z2 IS l i t �(, "' 5 W fi&t l 0 1802
SUITE/UNIT #
PROJECT VALUATION
$ 22-, 117100
ZONING
ASSESSOR'S TAR/PARCEL #
R -- —& R 3 — D fl
TYPE OF PERMIT
PL BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
AP9 /Al'St
,jr
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
,,,,ot8�" PRIMARY Ab k-1 /YS 2Ao— PHONE
-1985
PROPERTY OWNER
KAiLiNOADDRESS E-nfAIL
sgm c dE uan U,►s ao
CITY STATE
ZIP
IltAaaNG2DRsas ,�,� Ikisir
CONTRACTOR
erwTa
zrn7 IXJ� � FAX
W ST E CONTRACTOR's Mom y
4/
WagRATION DATE '1fiAY`811ISiNESS LICENSE #
f —"/�3J 2T
.
NAME '.. PIUMARYPRONE
MAILING ADDRESS / rMAJL
�%D17r467Y
APPLICANT
STATE
PROJECT CONTACT
xAM`s� PRIEARY PHONE
°uD'ING, ADDRESS E-KAIL
('The individual to receive and
respond to all correspondence
CITY
-TATE
ZIP FAX
concerning this application)
PROJECT FINANCING
`L442 ji / IJ DOWNER -FINANCED
When value 1.27. 00 or more
lRC W 19.27.095/
P PHONE
-w +�
1 • ST l 5I • 7 i+':(/ T � � %OJ
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 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 apart of this application.'
SIGNATURE: DATE / !T
PRINT NAME: _ .._...... .... __._..._..__ _ _.—
Bulletin #100 —January 29, 2016 Page I of 2 k:\Handouts\Permit Application
r
W"
NIECHANICAL PERMIT
..... . . .....
Indicate howna!jy !y C czE Lt�!/(?t,arta Caarx 'to
be installed or relocated o 1his ln4) 0 not include existino Affires to rernaln,
AIR HANDLiNO, UNt'S ANS ("AS Iliph m"HER Mez,,Cri! ej
AIR CONDITIONER FTRETIE.ACE INSERTS I T00Ix1;,;C,.,,
10T, 1XATf."R'TA_N-K8;c,,,: .. . .......
RESSORS GAS'_(_)G, SETS REFRtGERXIION SYST
COMP
GC-rj1,C, ANfI111�14G WOODSTOVEIS
.--m. ---- - _-_-
P_'V;1f8,'NG WORK
PLUMBING PFRIVIFT
Indicate !!SF rest !n
Ak ,Y��gv j, 0 vttl
e 1�rf to be installed or re
�'L) �U_ I
I'OtLE�TS WATER PIPING
BATHTUBS LAVE
DISHWASHERS RAINWATER SYSTEMS J,`RIMALS CYJ'I I ER (C
'RS
SHOWERS . . ........................
}RAIN VACUUM BIREAKE
iG FOIJNTAINS WATER mm'�.Rs
DRINK;
HOSK 13113138 WAStHNG MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CR[TlCAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR
VALUE OF FMSTING
............. ................
. . ...........
__
EMSTING/PRNWOUS USE L iiaSquar. T..tFm=ST11NQ FERE
SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
Yes No —Yes No
. . . .......
RfsIDENTI..u, NEkV0RADD1Tt0N
. . ......... . .. ........ . ..... . . ................. . .. ........ . . . ... . ...... ........... .......... . ...... ....... . . .
AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT 1
....... .... ... . ... .. . ....... .... ........
FIRST FLOOR (or Mobile Home]
------ . .... .... . . - ---- ---
SECOND FLOOR
. ...... ...
COV'CRED ENTRY
DECK
...........
GARAGE D CARPORT 0
OTHER (dm�—�PPDC2.700 'Z-700
wornwG P*DPOSED TOTAL
Area Totals
[Rilletm #tOO —January 29. 2016 page 2 (if ') k:%.Hw< iduuts Pcrmit Appiicaliwi