14-105789E'
City 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: SMITH
Project Address: 138 S 361ST PL
&ilding - Single Family
Permit #: 14 -105789 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 113780 0310
Project Description: REP - Tear off shakes, lay OSB sheeting, install conposition shingles.
Owner
ARplican
Contractor
Lender
SUSANNA K SMITH
TONY'S ROOF CARE INC
TONY'S ROOF CARE INC
OWNER IS LENDER
138 S 361ST AVE SW
PO BOX 1539
TONYSRI006BR (1/19/15)
FEDERAL WAY WA 98003
MILTON WA 98354-1539
PO BOX 1539
MILTON WA 98354-1539
Census Category: 555 - Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load-
Floor
oadFloor Areas . ft. 0 0 0 0
Additional Permit Information
New / Additional Sq. Feet - 3rd Floor....................0
Mechanical to be Included?...................................No
New / Additional Sq. Feet - Basement...................0
Plumbing to be Included?......................................No
No Fixtures Associated With This Permit 11
PERMIT EXPIRES Monday, May 4, 2015
Permit Issued on Wednesday, November 5, 2014
I hereby certify that the above i rmation is correct and that the construction on the above described property and
the occupancy and the use be in Fran
da with the laws, rules and regulations of the State of Washington
,1, a of ederal Way.
Owner or agent: Date: I/,, D 4
a
CITY of
Federal Way
PERMIT #:
Project:
THIS CARD IS TOIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
14 -105789 -00 -SF Address: 138 S 361ST PL
SUSANNA K SMITH FEDERAL WAY, WA 98003-8620
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 roofing Approved
B� PArt,, Date /`Z—( —i By Date
0
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
if
CITY OF A 0 PERM IT*PPLICATIQN
Federal Way
PERMIT NUMBER/
_ _ U
/ ' (L� TARGET DATE
SITE ADDRESS o RECEIVED
SUITE/UNIT #
PROJECT VALUATION
ZONING ASSESSOR'S TAX/PARCEL #NOV 0 5 2014
TYP OF PERMIT
BUILDING El PLUMBING El MECHANICAL I--]DEM0' Q ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of work to
.l� /I''
T P 6
be included on this permit only
PROPERTY OWNER
NAME
PRIMARY PHONE 99
q151 �Z Y
MAILING ADDRESS
E-MAIL
CITY � �
E
101
ZIP
NAME A- CA mb.
PHONE , 71y
CONTRACTOR
MAILING ADDRESS^
Y �
E-MAIL
CITYr� ��
ST
9
ZIP
10.z
FAX
717
2S-1 - ' 1717
WA STATE CONTRACTOR'S LICENSE #
�`( �l
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE I
ZIP
FAX
PROJECT CONTACT
NAME ' �,'
PRIMARY
_ego Jgn
MAILING ADDRESS `�
V v
E-MAIL
(The individual to receive and
respond to all correspondenceff
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
ElOWNER-FINANCED
Required value of $5, 000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
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 ty as apart of this application.
UJA
SIGNATURE: DATE
�,r j
PRINT NAME: 4 A q I� f� ,I� f V g
Bulletin #100 — January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application
1100
Nff
MY OF A RECEIA D
Federal Way PERMIT
COMMU]MY DEV=PWNT MVICM """PLICATION
253-835-2607- FAX 253-835-2609
wwwxituorfede 9CM OF FEDERAL WAY
t— r,a t— i
4 - /,�_ �IZ
Z/
0MF CO ME PL DE EN Fl?
_0TZ_1__
t L7
SITE ADDRESS A
surra/uNir
PROJECT VALUATION
$
ZONING
ASSESSOR'S TAX/PARCEL 4
TYPE OF PERMIT
�BUILDMG 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Horneouner Last Name)
wl J j-LLLZ. e"'y'j 54A i ivS Ad
PROJECT DESCRIPTION
Detailed description of work to
be UtchwLed on this perTntt only
PROPERTY OWNER
Nam
PRIMARY PHONE
MAIL1NGADDWSS
WMAIL
77r, I
Z'Pnlia a
CONTRACTOR
KUM
I&ARMIG ADDRESS
S4MAIL
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
PRO=
56, C , i i c - -') 11 &
'77 =e
E-MAIL (I
71 C( 4
APPLICANT
mu,
I
ZIP";
FAX
PROJECT CONTACT
NAME 6 C_ ( .4
PHONE
P��39
(lbe buftidiml, to rewiw and
rC,Spond to aU CorreSponder=
UMM ADDRESS
%4
WMAIL
concerning this application)1
3
7r,
7
FAX
ALTERNATE CONTACT RAM8-
PRONSrIKAIL
5-3-13 1 S�f
T
PROJECT FINANCING
MANE
OWNIM-FIRMCM
Required value of $5.000 or more
0?GW 19.27.095)
mAnING ADDRESS. CITY. STATE. ZIP
PHONE
I certM under penalty of perjury that I am the property owner or authorized agent of the property owner. I certVy that to the best
of Sty knowledge, the Wormation submitted in support of this permit application is true and correct. X certW that Z 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
i- of this peratit does not - the owner's responsibility for compliance with local, state or federal laws regulating
construction or environmental laws.
Ifurther agree to hold harmless the CUM 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, andjUed against the city,
but only where such claim arises out of the reliance of the city, including its qfficers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
DATE T-4)
SIGNATURE:
PRINT NAME:
Bulletin #100 —April 14, 2010 Page 1 of 3 Uffandouts\Pernfit Application
PLUMBING FIXTURES
Indicate how many of each type of jixd" to be installed or relocated as part of this project. Do not include exsting ftchuvs to remain.
MECHANICAL FIXTURES
VA= OF AMWXAMCAL WCUM $
(a cypp qf
bid or estimate must be rouided)
Indicate how many of each type o j)xtume to be installed or relocated as
part 4f this ro t. Do not include existtrigfictures to remain.
AIR HANDLING UNITS
FANS
GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS
HOODS (coma-ri )
BOILERS
FURNACES
HOT WATER TANKS (G-)
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING
GAS PIPING
WOODSTOVES
PLUMBING FIXTURES
Indicate how many of each type of jixd" to be installed or relocated as part of this project. Do not include exsting ftchuvs to remain.
BATHTUBS (- T b/shower cm gm
TAVS prm,d Stk.)
TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Knehen/maW
WATER HEATERS 42 -tri)
HOSE BIBBS
SUMPS
WASHING MACHINES TOTAL FMTURES
GENERAL INFORMATION
CRITICAL AREAS ON PYA)PERTY?
WATER PUNVETOR
SEwER PURVEYOR
VALDE OF EffiBTIi G DUMOYA[B M
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
EBIaTIxc/PRsvlous DaE
LOT arca an Sga.re rine)
EDIc Fina sTSTEI[?
PROPOSED n=EDPPRssalox 679"=?❑
FIRST FLOOR (or Mobile Home)
Yes No
❑ Yes No
RESIDENTIAL
- NEW OR ADDITION
Area arra Feet
Sq
AREA DESCRIPTION On square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
FIRST FLOOR (or Mobile Home)
SECOND FLOOR
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area Feet
in SquareTOTAL
COVERED ENTRY
Construction
#ofTyped
Additional Information
Bunj=O
DECKL?�
7C
GARAGE ❑ CARPORT ❑
OTHER (describe)
PROJECT AREA ONLY
Area Totals
PrIorodw
��
"NEW HOMES ONLY"
G PRICE $
1 # OF BEDROOMS
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION
Area arra Feet
Sq
Occupancy Oroup(s)
Construction
# oType of
rmation
Additiin
NEW Bunmwo
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area Feet
in SquareTOTAL
Occupancy Gmup(s)
Construction
#ofTyped
Additional Information
Bunj=O
TExma AREA ONLY
PROJECT AREA ONLY
Bulletin #100 - April 14, 2010 Page 2 of 3 k:\ffandoutsTernfit Application