16-100051City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: HARDIN
•
FILE
Project Address: 36517 2ND AVE SW
Oilding - Single Family
Permit #: 16 -100051 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 113960 0250
Project Description: REP - Tear off existing shake roof and install 1/2" CDX plywood and Rubberlast 50
composition roofing
Owner
Applicant
Contractor
Lender
ROBERT C HARDIN
STATE ROOFING INC
STATE ROOFING INC
OWNER IS LENDER
SONJA E HARDIN
PO BOX 53
STATERHOIJW (12/21/17)
36517 2ND AVE SW
MONROE WA 98272
PO BOX 53
FEDERAL WAY WA
MONROE WA 98272
98023
Census Category: 555 - Non-structural roofing permits
Includes.
#1 #2 #3 #4
Occupancy Class:
R-3
Construction Type:
Type V - B
Occupancy Load
Floor Areas . ft.
0 1 0 1 0 0
Additional Permit Information
New / Additional Sq. Feet - 3rd Floor....................0 New / Additional Sq. Feet - Basement ................... 0
Occupancy # 1 - Construction Type .......................Type V - B Mechanical to be Included? .................................... No
Occupancy # I - Class.............................................R-3 Plumbing to be Included? ....................................... No
Occupancy # I - Use ............................................... Residence (1 or 2
family)
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Monday, July 4, 2016
Permit Issued on Wednesday, January 6, 2016
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:,oc•---f ' Date: /109—A
T "tn0.vck
CITY OF
Federal Way
PERMIT #:
Project:
THIS CARD IS TC&MAIN ON-SITE ,
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
16 -100051 -00 -SF Address: 36517 2ND AVE SW
ROBERT C HARDIN FEDERAL WAY, WA 98023-7376
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.
E] Roof Sheathing (4220) Final - Building (4050)
Approved to install roofing Approved
By 14 rJ Date N) %%)I& By ji!� t3 Date 1 1 2 ( 1
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF
Federal Way
' � �(D 00
PERMIT NUMBER l —
SITE ADDRESS
E;S/ /jj-?
PROJECT VALUATION
$ fi
2 -
TYPE
TYPE OF PERMIT
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
CONTRACTOR
APPLICANT
PROJECT CONTACT
(The individual to receive and
respond to all correspondence
concerning this application)
PROJECT FINANCING
When value is $5,000 or more
PERM IT'KPPLLTK N
JAN 06 2016
TARGET DATE
_ S� CITY OF FEDERAL WAY
CDs -
SUITE/UNIT #
ZONING ASSESSOR'S TAX/PARCEL # q (�) O 0
-ErBUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME
e4i�,di/J Z 5 t
MAILING ADDRESS
CITY
JGJ�lA.G- bwA
NAME
MAILING ADDRESS
13
CITY
/5x-c�.v�ZCr�
WA STATE CONTRACTOR'S LICENSE #
NAME
MAILING ADDRESS
CIITYy
NAME
MAILING ADDRESS
L1,31 IJ Ai
CITY
NAME
MAILING ADDRESS, CITY, STATE, ZIP
ZIP
ST
STATE ZIPG
�A C Z Z
EXPIRATION DATE
5;;r -
STATE I ZIP
STATE ZIP
9YZ
PRIMARY PHONE
206 -7 -6 --
E-MAIL
Z/ 2-s= S'av AL3 :Z
E-MAIL
FAX
FEDERAL WAY BUSINESS LICENSE #
PRIMARY PHONE
E-MAIL
FAX
PRIMARY PHONE
E-MAIL
FAX
❑ OWNER -FINANCED
PHONE
(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: DATE
PRINT NAME:
Bulletin #100 — January 4, 2016 Pagel of 3 k:\Handouts\Permit Application