12-104673Building r Single Family
Cityof Federal Way Permit #: 12 -104673 -00 -SF
Community & Econ. Dev. Services
33325 8th Ave S
r--,
Federal Way, WA ssoo3Ins ection Re uest Line: 2Ph: (253) 835 2807 Fax: (253) 835 2809P q (53) 835-3050 L "—
Project Name: PRESCOTT
Project Address: 32922 17TH AVE SW
Parcel Number: 010455 0090
Project Description: REP - Tear off shake roofing; Over 1/2 " OSB sheathing install composition shingle roofing
system.
Owner
Applicant
Contractor
Lender
WARREN PRESCOTT
EMERALD CITY ROOFING
EMERALD CITY ROOFING
32922 17TH AVE SW
707 VICTOR ST
EMERACR954MQ (9/15/13)
FEDERAL WAY WA 98023
ENUMCLAW WA 98022
707 VICTOR ST
ENUMCLAW WA 98022
Census Category: 555 - Non-structural roofing permits
Includes: # 1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load-
Floor
oadFloor Area . ft. 0 1 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 Fbdures Associated With This Permit 11
PERMIT EXPIRES Tuesday, April 9, 2013
Permit Issued on Thursday, October 11, 2012
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, rifles and regulations of the State of Washington
and the City of Federal Way.
Owner or agent:.� Date: rG -�
J�J
CITY of V`
Federal Way
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 12 -104673 -00 -SF Address: 32922 17TH AVE SW
Project: WARREN PRESCOTT FEDERAL WAY, WA 98023-5413
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.
11
SWM Precon Site Mtg (4400)
0
Initial Erosion Control (4365)
Walls (4245)
Underfloor Framing (4285)
Approved
Approved
By
To be done prior to breaking ground
Approved to install siding
Approved to sheath floor
By
Date
By
Date
By
Date
11
Floor Sheathing (4105)Shear
Walls (4245)
0 Roof Sheathing (4220)
Approved
Approved to install flooring
By
Approved
Approved to install siding
Approved to install roofing
By
Date
Date
By
Date
ByaCDate 0_ 2
Fire/Draft Stops (4095)
Interim Erosion Control (4370)
Prior to scheduling a Framing inspection;
Approved
Approved
Electrical, Plumbing & Mechanical Rough -in and
By
Date
By
Date
Fire/Draft Stop inspections must be signed -off and
approved. IBC 1093.4
Gypsum Wallboard Nailing (4130)
❑
Framing (4120)
Insulation (4150)
Approved to insulate
Approved to install wallboard
Approved to install mud & tape
By
Date
By
Date
By Date
11
Final Erosion Control (4375)
Final - Building (4050)
Approved
Right of Way
By
Approved
By
Date
Date
By
Date
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
CITY OF PERMIT
Federal Way
COMMUNITY DEVELOPMENT sE-RvAE w ElV Y i V
T I O N
253-835-2607•FAX253320
_.mfiu. �:ilygfjeleg�funl.go{e
-/0y4la--7_I
F CO ME PL DE EN FP
SITE ADDRESS
SUITE/UNIT #
2 fl), - C1iY/0F)FE16EMWYJ
S
PROJECT VALUATION
�l
ONING
ASSESSOR'S TAX/PARCEL
0 _L 0 ✓ - v SG
TYPE OF PERMIT
�_BUILDING❑ PLUMBING ❑ MECHANICAL
DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
A/ ll_rf
PROJECT DESCRIPTION
1.
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
,. �_'tSCG'✓'1
PRIMARY PHONE
MAILING ADDRESS
<��z r
E-MAIL
CITY,
STATE
ZIP
NAME
-I- 4l1!//(,-4
/<t-,"Gl 1!// C . ` �c "L" 1tr
PHONE
ole
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY ,,rr---^.
STATE
ZIP I
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME ,qq
PHONE
MAILING ADDRESS
E-MAIL
APPLICANT
CITY
STATE
ZIP
FAX
PROJECT CONTACT
(The individual to receive and
respond to all correspondence
NAME C
PHONE
MAILING ADDRESS
E-MAIL
concerning this application)
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAME
OWNER -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.
1 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: i ,-� DATE
PRINT NAME:
Bulletin #100 - January I, 2011 Page I of 3 k:AHandouts\Permit Application