14-101976City 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: WILLIAMS
• FILE
Project Address: 33041 16TH PL SW
Project Description: REP - Replace shake roofing with shingles.
enilding - Single Family
Permit #: 14 -101976 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number. 010457 0560
Owner
ARulicant
Contractor
Lender
ROSE MARIE WILLIAMS
ROBINSON PRESSURE WASHING
ROBINSON PRESSURE WASHING
33041 16TH PL SW
& ROOF REPAIR
& ROOF REPAIR
FEDERAL WAY WA 98023-6461
6907 ISAAC CT SE
ROBINPW919KA (10/14/14)
AUBURN WA 98092
6907 ISAAC CT SE
AUBURN WA 98092
Census Category: 555 - Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type,
Occupancy Load
Floor Area . 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, Perttt�it'll
PERMIT EXPIRES Tuesday, October 28, 2014
Permit Issued on Thursday, May 1, 2014
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: ��'/ • /C/
F r�vr'►r-ED
y • THIS CARD IS TO MAIN ON-SITE
CrffFederal Way Construction In ection Record
y INSPECTION REQ TS: (253) 835-3050
PERMIT #: 14 -101976 -00 -SF Address: 33041 16TH PL SW
Project: ROSE MARIE WILLIAMS FEDERAL WAY, WA 98023-6461
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.
M Precon Site Mtg (4400)
0
Initial Erosion ontrol ( 365)
Shear Walls (4245)
Underfloor Framing ( 5)
1:1Approved
Approved
By
To be done prior to breaking ground
Approved to install siding
Approved to sheath floor
By
Date
By
Date
By
Date
Floor Sheathing (4105)0
1:1Approved
Shear Walls (4245)
Roof Sheathing (4220)
1:1Approved
Approved to install flooring
By
Date
Approved to install siding
ved to install roofing
By
Date
By
By
Date
Date _.--
0
Fire/Draft Stops (4095)Interim
Erosion Control (4370)
scheduling a Framing inspection,
Approved
Approved
Plumbing & Mechanical Rougb-in and
By
Date
By
Date
EFire/Drafttop inspections must be signe&off and
approved. 1BC 1093.4
0
Framing (4120)
Insulation (4150)
Gypsum Wallboard Nailing (4130)
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
Approved
By
Date
G Date
Rough Electrical
Approved
1:1Approved
Final Electrical
1:1Approved
Right of Way
By
Date
By
Date
By
Date
' � RECENED
CITY OF PERMIT WPLICATION
Federal Way MAY 01 2014
CITY OF FEDERAL WAY 1�7N-'1104
CDS
PERMIT NUMBER _ (/ Ll -7 _ S TARGET DATE
SITE ADDRESS
SUITE/UNIT #
PROJECT VALUATION
$ so 0 a- .®-a
ZONING
ASSESSOR'S TAX/PARCEL # �^,,
—j L y 7- y- L
�� v
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
e
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAMEPRIMARY PHONE
PROPERTY OWNER
OS 7�?
MAHJPG DRE38
1
3750q I 1 b^` L�
E-MA
�t-�`
STATE
�L
ZIP
ti
NAME ^
PHONE
ADD C `'' -�
b CCAL
CONTRACTOR
CITY
w,.
STATE
ZIP
tiq
FAX
2-5 3 -- 2-191S a 13 b
WA STATE CO CTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
.^ VS 9 c
O
NAME
PRIMARY PHONE
Z
9 -r --t7
MAILING ADDRESS �y
E-MAIL
APPLICANT
CITY
STATE
ZIP
FAX
0
NAME
P Y PHONE
PROJECT CONTACT
MAILING ADDRESS
E -MAH.
(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 a of this application.
SIGNATURE: DATE
- Z
PRINT NAME:
Bulletin #100 - January 1, 2013 Page 1 of 3 k-\Handouts\Pennit Application
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