15-101456City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
&ilding - Single Family
Permit #: 15 -101456 -00 -SF
Inspection Request Line: (253) 835-3050
Project Name: FREDRICKSON
Project Address: 34827 5TH AVE SW Parcel Number: 132174 0160
Project Description: REP - Re -roof shake to composition with plywood
Owner
Aq Iii
Contractor
Lende
FREDRICKSON FAMILY TRUST
CONNOR VALENTINE
VALENTINE ROOFING INC.
OWNER IS LENDER
34827 5TH AVE SW
VALENTINE ROOFING
VALENRI927J8 (4/28/16)
FEDERAL WAY WA 98023
910 INDUSTRY DR
910 INDUSTRY DR
TUKWILA WA 98188
TUKWILA WA 98188
Census Category: 555 - Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load
Floor Areas . ft. 0 0 1 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 Tuesday, September 22, 2015
Permit Issued on Thursday, March 26, 2015
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: d , �t2b) o I
THIS CARD IS TO IN ON-SITE
Cn~ of Construction In ection Record
Federal Way INSPECTION REQ TS: (253) 835-3050
PERMIT #: 15 -101456 -00 -SF Address: 34827 5TH AVE SW
Project: FREDRICKSON FAMILY TRUST FEDERAL WAY, WA 98023-8359
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.
0 Roof Sheathing (4220)11Final - Building (4050)
Approved to install roofing Approved
BY { - Date
Z7 j� By Pmt, Date — t $' —1
F1Approved❑
Rough Electrical
Final Electrical
Approved
❑
Right of Way
Approved
By
Date
By
Date
By
Date
CITY of
�► PERMIT 41PPLI tQ&UON
Federal Way ���
MAR 2 6 2015 My
PERMIT NUMBER _ l v _ CITY OF FEDERAL WAY
— TARGET DATE CDS
SITE ADDRESS
SUITE/UNIT #
3isorlSulu- lrve sw
PROJECT VALUATION
$ 30o, v
ZONING
ASSESSO S TAX/PARCE -
01 (00
l -- — — -- --
TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
F90DR(C4:fSQN
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
4l'
PRIMARY PHONE
3 -, 1)1. ABS
4AILINJ ADDRESS
E-MAIL
CIT
STATE
ZIP
8°a
NAM
PHONE
O n.
s'
MAILINGG ADDRESS
01'V /1v
E-MAIL
CONTRACTOR
C ,
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS N
E-MAIL
CITY
STATE
ZIP
FAX
NAME
PRIMARY PHONE
PROJECT CONTACT
e
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
Required value of $5, 000 or more
MAILING ADDRESS, CITY, STATE, ZIP
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 apart of this application.
SIGNATURE: DATE O
PRINT NAME: 1
Bulletin # 100 -January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existirkgfixtures to remain..
AIR HANDLING UNITS FANS GAS PIPB OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS' k klOODS (commercial)
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
FOR OFFICE USE
y, % / �' f/
AREA DESCRIPTION
FJI,C
EXISTING/PREVIOUS USE
LOT SIZE (In Squaze Feet)
EXISTING FIRE SPRINKLER SYSTEM?
Indicate how man of each type offixture
to be installed or relocated 'as
part o this project. Do not include existin ures to remain.
BATHTUBS (or Tub/shower Combo)
LAVS (Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
_ VACUUM„BgEtj<ERS
r .� "" /' / ,/,
.g;,5/s!rs/.. ,!f�;y I ,vhf/f.%::.�'.+l z,-;//, ,,,-,/
/
/', %"?•',`f xi mY
!
,�f'` //„
r r
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
FOR OFFICE USE
y, % / �' f/
AREA DESCRIPTION
FJI,C
EXISTING/PREVIOUS USE
LOT SIZE (In Squaze Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FI E SUPPRESSION SYSTEM?
in Square Feet
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
y, % / �' f/
AREA DESCRIPTION
FJI,C
Occupancy Group(s)
___ .__....._._.—_...___............. —._..........
/ifr-'c' rg,
Additional Information
in Square Feet
FIRST FLOOR (or Mobile Homy
Stories
/gr
i r M ,rf/f f� 'r f i� / r s
/ gn ..//
x /
l/'ir �.•,/r�
✓ / / ' ,
/rJ
/
--- ----- --- ... -.......... ._..__._._ ........... -
r .� "" /' / ,/,
.g;,5/s!rs/.. ,!f�;y I ,vhf/f.%::.�'.+l z,-;//, ,,,-,/
/
/', %"?•',`f xi mY
fir/,%, f /fir.
''.'�,'i r`/r ���t,,,
,�f'` //„
r r
COVERED ENTRY
�I%//
!"
,/
_._.._....._...._______....__..._......__........._...�.._
Construction
# of
1;4tzll�.%� NN.,
Additional Information
GARAGE ❑ CARPORT ❑
Tvpe
Stories
v/ fi / / / r
,
777_.__._......
.... __.. _.._..... __.._..__.... _......... ..... _
i�
"47-
.TOTAL
Area Totals
EXISTING
PROPOSED
ESTIMATED SELLING PRICE $
# OF BEDROOMS
COMMERCIAL- NEW/ADDITION
Area
Construction
# of
AREA DESCRIPTION
Occupancy Group(s)
Additional Information
in Square Feet
a
Stories
/gr
✓
irrr`r/
rr r
r r
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
Area
Construction
# of
AREA DESCRIPTION
Occupancy Group(s)
Additional Information
in Square Feet
Tvpe
Stories
F
,
r
"47-
r
t
TENANT AREA ONLY
Bulletin #100 — January 1, 2013 Page 2 of 3 k:\Handouts\Permit Application