12-104576r %
Building - Single Family
City of federal Way
community & Econ. Dev. Services Y Permit #: 12 -104576 -00 -SF
33325 8th Ave S
Federal Way, WA 98003 _ L Inspection Request Line: (253) 835-3050
Ph: (253) 835-2607 Fax: (253) 835.2609
Project Name: EDGMON
Project Address: 1224 SW 331ST ST Parcel Number: 926495 0110
Project Description: REP - Remove existing shake roofing and replace with composition shingles.
Census Category: 555 - Non-structuralykf� p its
Includes: #1 #2 #3 #4
Occupancy Class: it
Construction Type:
Occupancy Load 41
Floor Areas . ft. 0 90 0 Z IVA 0
*S %'47
I hereby certify She aig
the occupancy and theAi
P MIT EXPIRES Saturday�il 6, 2013
Permit Issued on Monday, ClAber 8, 2012
,e information is correct and tht instruction on the above described properly and
will be in accordance with the } , rules and regulations of the State of Washington
__---apd the City of Fe4ral Way.
Date: 18 �� i Z
Owner
ARRIlcant
Contractor
Lender
ROBERTA A EDGMON
PLATINUM ROOFING
PLATINUM ROOFING
OWNER IS LENDER
1224 SW 331ST ST
1435 "U" CT NW
PLATIRL961P6 (10/31/12)
FEDERAL WAY WA 98023-5340
AUBURN WA 98001
1435 "U" CT NW
AUBURN WA 2,8001
Census Category: 555 - Non-structuralykf� p its
Includes: #1 #2 #3 #4
Occupancy Class: it
Construction Type:
Occupancy Load 41
Floor Areas . ft. 0 90 0 Z IVA 0
*S %'47
I hereby certify She aig
the occupancy and theAi
P MIT EXPIRES Saturday�il 6, 2013
Permit Issued on Monday, ClAber 8, 2012
,e information is correct and tht instruction on the above described properly and
will be in accordance with the } , rules and regulations of the State of Washington
__---apd the City of Fe4ral Way.
Date: 18 �� i Z
r
CITY OF
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
12 -104576 -00 -SF Address: 1224 SW 331 ST ST
ROBERTA A EDGMON FEDERAL WAY, WA 98023-5340
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.
11
SWM Precon Site Mtg (4400)
Initial Erosion Control (4365)
Shear Walls (4245)
Underfloor Framing (4285)
Approved
Approved
By
To be done prior to breaking ground
Approved to install siding
Approved to sheath floor
By
Date
By
Date
By
Date
11
Floor Sheathing (4105)
❑
Shear Walls (4245)
Roof Sheathing (4220)
Approved
Approved to install flooring
By
Approved
Approved to install siding
Approved to install roofing
By
Date
Date
By
Date
By Datela
Fire/Draft Stops (4095)
Interim Erosion Control (4370)
prior to scheduling a Framing inspection;
Approved
Approved
Electrical, Plumbing &Mechanical Rough in and
By
Date
By
Date
Fire/Draft Stop inspections must be signed -off and
approved IBC 109.3.4
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
11
Final Erosion Control (4375)
Final - Building (4050)
Approved
Right of Way
By
Approved
By
Date
Date
By
Date
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
Federal ,wCEIVED • PERMIT
COMMUNITY DEVELOPMENT SE4')�Ct 08 2012 A P P L I C A T I O N
253-835-2607• FAX 253-835-260'§
w!uw. ri���_rieruf maL•»n!
CITY OF FEDERAL WAY
me
z I Q A! -,
MF CO ME PL DE EN FP
0', V�
SITE ADDRESS
I q'I'l 5 w 33( Sr
SUITE/UNIT #
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
q.2-- � 41
Jul 9 $ v
TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
e/ jM y�
r tl
t�Le�� 0-ems c.�.oo�
PROJECT DESCRIPTION
./�
Detailed description of work to
p d 11 v
be included on this permit only
PROPERTY OWNER
NAME
C-G jj
PRIMARY PHONE
C1 > 3) 907Y Y
MAILING / RESSLj L,,) 73 ( T
�O]`
E-MAIL
CtTY
STATE
ZIP
NAME 0 D .1 i
P? 0 b `' O Ll l
MAILING ADDRESS ' A (
v` v�
E-MAIL
CONTRACTOR
CITY LL
STATE
ZIP '
FAX
WSTATE CONTRACTOR'S LICENSE #
P L
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
f i
NAME /JC0 l _ �L
r�C�B
PHONE
MAILING ADDRESS
E-MAIL
APPLICANT
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME Ld
6 f/ �
Pl�gxtl S b 3 _ ' 6 ` —61
vl L
(The individual to receive and
MAILING ADDRESS
Ir -MAIL
respond to all correspondence
concerning this application)
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5,000 0
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
E
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.
1 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 f this application.
r /
SIGNATURE: DATE !
PRINT NAME:
Bulletin #100 — January 1, 2011 Pagel of 3 k:\l-landouts\Permit Application