10-103284Building - Com`rnertial
ay
CommunityDeveopmeof FederalntServices Permit #: 10 -103284 -00 -CO
P.O. Box 9718
Federal Way, WA 98063-9718 tion Request uest
Inspection Line:
Ph: (253) 835-2607 Fax: (253) 835-2609 p q (253) 835-3050
Project Name: ADELAIDE ELEMENTARY
Project Address: 1635 SW 304TH ST Parcel Number: 122103 9084
Project Description: REP -Remove shingle roof and install new shingle roof
Owner
Applicant
Contractor
Lender
FEDERAL WAY PUBLIC SCHOOL
LEGENDS ROOFING CO INC
LEGENDS ROOFING CO INC
FEDERAL WAY PUBLIC SCHOOL
31405 18TH AVE S
PO BOX 731249
LEGENRC984DN (3/15/12)
31405 18TH AVE S
FEDERAL WAY WA
PUYALLUP WA 98373
PO BOX 731249
FEDERAL WAY WA
98003-5433
PUYALLUP WA 98373
98003-5433
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' orm ion is correct and that the construction on the above described property and
the occupancy and the u will b n accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: ek txx - Date: 9'0 -z -(D
CITY OF
Federal Way
PERMIT #:
Owner:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
10 -103284 -00 -CO Address: 1635 SW 304TH ST
FEDERAL WAY, WA 98023
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.
E]
SWM Precon Site Mtg (4400)
13
Initial Erosion Control (4365)
Drainage/Downspout (4040)Re-steel
Footings/Setback (4110)
(4215)
Approved
Approved to place concrete
To be done prior to breaking ground
Approved to place concrete
By
Date
By
Date
By
Date
Foundation Wall (4115)
1:1Approved
Drainage/Downspout (4040)Re-steel
(4215)
Right of Way
Approved to place concrete
Date
Approved to backfill
Date
Approved to place concrete or grout
By
Date
By
Date
By
Date
❑
Slab/Concrete Floor (4255)
Underfloor Framing (4285)
El
Floor Sheathing (4105)
Approved to place concrete
Approved to sheath floor
Approved to install flooring
By
Date
By
Date
By
Date
❑
Shear Walls (4245)
Roof Sheathing (4220)
Fire/Draft Stops (4095)
Approved to install siding
Approved to install roofing
Approved
By
Date
By
Date
By
Date
Interim Erosion Control (4370)
Framing 4120
g ( )
o scheduling a Framing inspection;
Approved
pp
Plumbing & Mechanical Rough -in and
EMZ/Draft
Approved to insulate
By
Date
Stop inspections must be signed -off and
By
Date
approved. IBC 1093.4
Insulation (4150)
Gypsum Wallboard Nailing (4130)
❑
Suspended Ceiling Grid (4265)
Approved to install wallboard
Approved to install mud & tape
Approved to drop tile
By
Date
By
Date
By
Date
Final - Fire Department (4060)
Final Erosion Control (4375)
E]
Final - Building (4050)
Approved
Approved
Per
A Approved
By
Date
By
Date
By
CW Date 211 19 v/
Rough Electrical
Approved
1:1Approved
Final Electrical
1:1Approved
Right of Way
By
Date
By
Date
By
Date
Federal CEIV
E [WERMIT
CODEVELOES
253-835-2607FAMAPPLICATION
253.835-2609
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S*F CO ME PL DE EN FP
SITE ADDREStIV -
135 CC5,.� 3®�� S�
SUITE/UNIT #
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
tq, I SS2
-
TYPE OF PERMIT
❑ BUILDING ElPLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Narne/ Flomeowner Last Name)
qt C� r.. �.C'.i C(--_ LA C -'\'Ac-'
PROJECT DESCRIPTION
i
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
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PRIMARY PHONE
MAILING ADDRESS
E-MAIL
CITY
STATE I
ZIP
NAME
PHONE
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MAILING ADD SSE
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-MAIL
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CONTRACTOR
CITY
STc
ZIP
PAX
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WA STATE CONTRACTOR'S LICEN E M
EXPIRATION DATE
FEDERAL WAY SS LICENSE #
NAME
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PHONE
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MAILINGiE-MAIL
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APPLICANT
CITY\
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STATE
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FAX
PROJECT CONTACT
(The individual to receive and
NAME
PHONE
MAILING ADD
S,
E-MAIL
�bX WL
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respond to all correspondence
concerning this application)
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CITY P ,�0 V
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ALTERNATE NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5, 000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27095)
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: DATE
PRINT NAME:
Bulletin #100 - April 14, 2010 Page 1 ort 3 kAHandouts\Pernvt Application
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