15-100962I
City 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: MOORE
Project Address: 36731 1ST WAY SW
Building - Single` Family
Permit #: 15 -100962 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 570780 0200
Project Description: REP - Removing existing shakes, laying plywood and replace with composition shingles
ner
ARRIlcan
Contractor
Lender
TRISA 7 MOORE
ROBINSON PRESSURE WASHING
ROBINSON PRESSURE WASHING
OWNER IS LENDER
WILLIAM A MOORE
& ROOF REPAIR
& ROOF REPAIR
36731 1ST WAY SW
6907 ISAAC CT SE
ROBINPW919KA (10/14/16)
FEDERAL WAY WA 98023-7393
AUBURN WA 98092
6907 ISAAC CT SE
AUBURN WA 98092
Census Category: 555 - Non-structural roofm%w
Includes: # 1 #2 #4
Occupancy Class:
Construction Type:
Occupancy Load
Floor Area . fL 00
New / Additional Sq. Feet - 3rd Floor............,
Mechanical to be Included?.......................1
I hereby cepfthaii I
the Occup an a use
Owner or agent:
No Fixtt
be in
Aad# 1� t inf tion
+0 New onal Sq. Feet -Basement ..................0
N I g to be Included?......................................No
�` t
s , fated With 7" W Permit 11
IRGdnesday, August 26, 2015
e n Friday, February27, 2015
rrect and that the construction on the above described property and
dance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Date: Z- -2-7,0—
THIS CARD IS TO REMAIN ON-SITE
"ff" CW Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 15 -100962 -00 -SF Address: 36731 1ST WAY SW
Project: TRISA J MOORE FEDERAL WAY, WA 98023-7393
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CAR]). 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)Final - Buildii
Approved to install roofing 11 Approved
By f)k- t, Date 3 —,Z _ i 5 11 By Date
Rough Electrical
Approved
Final Electrical
Approved
R
Right of Way
Approved
By
Date
By
Date
By
Date
CITU OF PERMIT IPPLICATION Federal Way ROCEIM I Vbt(
3�
FEB 2 7 2015
PERMIT NUMBER 10 O 9 6 2 S
TARGET DATE CITY OF FEDERAL WAY
mc,
SITE ADDRESS SUITE/UNIT #
3
PROJECT VALUATION
$ 6
ZONING
ASSESS R'S TAX/PARCEL #
S - O :7-8`O_ D ZOO
TYPE OF PERMIT
'}BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
M W1Cl-
PROJECT DESCRIPTION
r Q"
Detailed description of work to
b (+- t 0 o o( QKp�
/f
4'
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
- rOIn G I
0"- Z _ I2 b b
MAILING ADDRESS I
36.7 3 w S -L D
E-MAIL
CITY
STATE
ZIP
NAME
PHONE
MAILING ADDRESS
Q'Q S'E
F -
/
2- "" Ln4.
CONTRACTOR
CONTRACTOR
CITY
wv L
STATE
tntq-
ZIP
'?00V
FAX
2,5? - Z&e 2-(3o
rWA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
'oG%W "?191<
NAME6 /'�
PRIMARY PHONE `F7
MAILING ADDRESS
�go7
E-MAIL
APPLICANT
4Z
CITY
STATE
ZIP � � � � � _
FAX
NAME
PRIMARY PHONE
PROJECT CONTACT
?- 53-nl
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: 'L DATE
L
PRINT NAME: �'�' 01)141150 ►-�
I
Bulletin #100 - January 1, 2013 Page 1 of 3 k:\1-1andouts\Permit Application
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