17-102410City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
. 1
Building - Single Family
Permit #:17 -102410 -00 -SF
Inspection Request Line: (253) 835-3050
Project Name: LORBERAU
Project Address: 37338 19TH PL S Parcel NAyvs
65 0430
Project Description: REP - Replace existing roofing system and install new compositioXr14gm.
Owner
Applicant
Contractor of Lender
MARK LORBERAU
PATRIOT ROOFING LLC
PATRIOT ROOFLL
37338 19TH PL S
1623 STONE DR NW
1623 STONE DR
FEDERAL WAY WA 98003
GIG HARBOR WA 98335
GIG HARBOR WA 9
Census Category: 555 - Non-structyr>al roofinrmits
_ -.-0*
Al
Includes: #1 #3 rip
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area (sq. ft.)
• AdMonal Permit Informatio
Mechanical to be Included? ............................ Is this an OnlsnekC. application?.................. No
Plumbing to be Included? ........................................ No Af
Total Valuation: 15,432.00
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
l''�AV Washingt and the City of Federal Way.
AP
Owagr ora ent: v Date: ,
C
THIS CARD IS TO REMAIN ON-SITE V
F Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERNHT #: 1710241000 Address: 3733819Th PL S
Project: NACHAEL D LORBERAU FEDERAL WAY WA 98003-7576
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) 0 Final - Building (4050)
Aved to install roofing Approved
;� Date �—o-i,4 ]By Date
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
PERMIT APPLICATION
CITY OF �"►..� MAY 19 2017
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
Federal ay CITY OF FEDERAL WAY 253-835-2607 + FAX 253-835-2609 + permitcenterccityoffederalway.com
COMMUNITY DEVELOPMENT
PERMIT NUMBER 1 _ I 01- Q /0 - 5 [:�- TARGET DATE 16' 117
SITE ADDRESS
SUITE/UNIT #
31338 19th Place S, Federal Way, WA 98003
PROJECT VALUATION
15,432
ZONING
ASSESSOR'S TAR/PARCEL #
`i -z- 1- b Q � 3
$
.S _
—t
TYPE OF PERMIT
X BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
Remove existing roofing system. Install new composition roofing system.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
Mark & Nachael Lorberau
PRIMARY PHONE
253-250-3328
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
37228 19th Place S.
CITY
Federal Way
STATE
ZIP
98003
WA
NAME
Patriot Roofing
PHONE
253-857-2420
MAILING ADDRESS
1623 Stone Drive NW
E-MAIL
mike@patriotroofing.biz
CONTRACTOR
CITY
Gig Harbor
STATE
WE
ZIP
98335
FAX
253-265-6870
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
PATRIRL884BL
1 13 18
20-14-103178-00-131-
0-14-103178-00-BLNAME
NAME
Patriot Roofing
PRIMARY PHONE
253-857-2420
APPLICANT
MAILING ADDRESS
1623 Stone Drive NW
E-MAIL
mike@patriotroofing.biz
CITY
Gig Harbor
STATE
WA
ZIP
98335
FAX
253-265-6870
NAME
Michael Douglas
PRIMARY PHONE
PROJECT CONTACT
253-857-2420
MAILING ADDRESS
1623 Stone Drive NW
E-MAIL
mike@patriotroofing.biz
(The individual to receive and
respond to all correspondence
CITY Gig Harbor
STWE ATE
ZIP 98335
FAX 253-265-6870
concerning this application)
PROJECT FINANCING
NAME N/A
OWNER -FINANCED
When value is $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 part o this application.
SIGNATURE: �� DATE r� 2 D/ 7
PRINT NAME:
Bulletin 4 100 — January 29, 2016 Page 1 of 2 k:� Iandouts\Pennit Application
k
MECHANICAL PERMIT s
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing res to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial)
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING PERMIT
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
Is
Indicate how many of each type o
re to be installed or relocated as
part of this project. Do not include existing res to remain.
BATHTUBS (or Tub/sh—rCombo)
LAVS (Hand sinks)
TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
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
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No
❑ Yes ❑ No
Bulletin #100 — January 29, 2016 Page 2 of 2 U IandoutsTermit Application