12-103395i
ARolicant
City of Federal Way
Lender
Community & Econ. Dev. Services
33325 8th Ave S
PLATINUM ROOFING
Federal Way, WA 98003
F IN L
Ph: (253) 835-2607 Fax: (253) 835-2609
1435 "U" CT NW
Project Name: LOO
Project Address: 32913 191M AVE SW
Ailding - Single Family
Permit #: 12 -103395 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 010455 0710
Project Description: REP - Remove existing shake roofing and replace with composition shingles
Owner
ARolicant
Contractor
Lender
VIVIAN W LOO
PLATINUM ROOFING
PLATINUM ROOFING
OWNER IS LENDER
EDWARD H LOO
1435 "U" CT NW
PLATIRL9611`6 (10/31/12)
32913 19TH AVE SW
AUBURN WA 98001
1435 "U" CT NW
FEDERAL WAY, WA 98023
AUBURN WA 98001
Census Category: 555 - Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load
Floor Areas . ft. 0 0 0 0
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 accord the laws, rules and regulations of the State of Washington
e C of Federal
Owner or agent: Date: Z
FINOLI��A*PA*
CITY OF 44&
Federal Way
PERMIT #:
Project:
THIS CARD IST MAIN ON-SITE
Construction Iection Record
INSPECTION REQ TS: (253) 835-3050
12 -103395 -00 -SF Address: 32913 19TH AVE SW
VIVIAN W LOO FEDERAL WAY, WA 98023-6459
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.
El
Floor Sheathing (4105)Shear
Walls (4245)
Roof Sheathing (4220)
Approved to install flooring
By
Date
Approved to install siding
to install roofing
App
By
Date
By
By
Date
-proved
By /65Date 7-0 /Z
j 1,
-Fire/Draft Stops (4095)13
Interim Erosion Control (4370)
prior to Framing
Approved
Approved
scheduling a inspection;
Electrical, Plumbing & Mechanical Rough -in and
By
Date
By
Date
Fire/Draft Stop inspections must be signed -off and
approved. IBC 1093.4
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
❑
Final Erosion Control (4375)
Final - Building (4050)
Approved
Approved
By
Date
By
Date
El
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
Fede,.,— WEIVED * PERMIT
COMMUNITY 35-260VELOPMENT�j 913 2012 APPLICATION
253-835-2607• FAX 253��p9
www. rit o ederalwau. corn
CITY OF FEDERAL WAY
4a-_0 3..5f]�
4FMF CO ME PL DE EN FP
SITE ADDRESS
SUITE/UNIT M
3 �� C
PROJECT VALUATION
$ 1LI X00
ZONING
ASSESSOR'S TAR/PARCEL •
1 O l o-1- 5�5_ ol O
TYPE OF PERMIT
^ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
v
PROJECT DESCRIPTION
Detailed description of work to
v (C ej
l W 00
be included on this permit only
PROPERTY OWNER
NAME
PRIMARY PHONE
L, Z r
1
MAILING ADDRESS ^
E-MAIL
C � `✓ `�
ATATE
ZIP
.
NAME/Q ^�✓ %`�'�. �j
PHr
NAILING ADDRESS
K C
E-MAIL
CONTRACTOR
STATE
ZIP
FAX
WAIL STATE CON'TRACTOR'S LIC E M
L r 2L��
EXPIRATION DATE
ei i
FEDERAL WAY BUSEWAS LICENSE N
NAME
PHONE
L(
MAILING ADDRESS
E-MAIL
APPLICANT
CITY
STATE
ZIP
FAX
PROJECT CONTACT
(The individual to receive and
NAME / �
�- �J
PHONE
2 �
MAILING ADDRESS
E-KAIL
respond to all correspondence
concerning this application)
_7
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
Required value of $5,000 or more
NAME
O-FZiPANCED
MAILI 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 wi local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the Ci ederal W as to any claim (inc g costs, expenses, and attorneys' fees incurred in
the investigation and defense of such c i s which may b made by any pe including the undersigned, and filed against the city,
but only where such claim arises of the reliance the city, inc ing its officers and employees, upon the accuracy of the
information supplied the city apart o a
/
SIGNATURE: DATE
�j
PRINT NAME: Tr
Bulletin #100 —January 1, 2011 Page 1 of 3 k:\Handouts\Pennit Application