12-101106r
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003 ;
Ph: (253) 835-2607 Fax: (253) 835-26
Project Name: MILLER
Project Address: 28824 13TH AVE S
Building - Single -Family
Permit #: 12 -101106 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 516210 0590
Project Description: Remove existing shake roof and replace with composition shingles to comply with VO
#12-100969-00
Owne
ARRlican
Contractor Lder
WARREN & BETH MILLER
THE SOLUTIONS COMPANY LLC
TILE SOLUTIONS COMPANY L AR1T & BETH MILLER
435 ROUND LAKE PARK RD
33814 33RD PL SW
SOLUTSC882DG (3/7/14 35,I6UND LAKE PARK RD
MONROE NY 10950-1427
FEDERAL WAY WA
33814 33RD PL :-MONROE NY 10950-1427
FEDERAL WA
Census Category: 555 - Non-structufi 1; permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load
Floor Areas . ft. 0 Low VIVI0
owl
Addiblit Information
New / Additional Sq. Feet - 3rd Floor ................ Ne / A q. Feet - Basement................... 0
Mechanical to be Included? .............................�� PI o ncluded?...................................... No
ofixtej fated With This 't !1
�►
PERMITrIE*PIRES Wedne September 5, 2012
hermit Issued on Fri , March 9, 2012
I hereby certify, tha bov?formation is correct ctt the construction on the above described property and
the occupancy and t e u .dill be in accordance wi a laws, rules and regulations of the State of Washington
and th of Federal Way.
Owner or ag Date:
Milk��.
WT
MY
4Ai�
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
12 -101106 -00 -SF Address: 28824 13TH AVE S
WARREN & BETH MILLER FEDERAL WAY, WA 98003-3763
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.
SWM Precon Site Mtg (4400)
Initial Erosion Control (4365)Underfloor
Shear Walls (4245)
Framing (4285)
By
Approved
By
To be done prior to breaking ground
Approved to install siding
Approved to sheath floor
By
Date
By
Date
By
Date
Floor Sheathin(4105)E]
Final Electrical
Approved
Shear Walls (4245)
Roof Sheathing (4220)
By
Approved to install flooring
By
Date
Approved to install siding
Approved to install roofing
By
Date
By
Date
By t7tj_,_ Date 3 -,,1 -
0
Fire/Draft Stops (4095)
0
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 -oft and
approved IBC 109. 3.4
Framing (4120)
Insulation (4150)
0 Gypsum Wallboard Nailing (4130)
Approved to insulate
Approved to install wallboard
Approved to install mud & tape
By
Date
By
Date
By Date
13
Final Erosion Control (4375)
Final - Building (4050)
Approved
Approved
By
Date
By
Date
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
CIFY OF `
Federal Way
COMMUNITY DEVELOPMENT SERl7CES
253-835-260`1• FAX 253-835-2609
*ERMIT
APPLICATION
j*AE'd1\/rED-FP
MAR' 0 9 2G`2 1100
CITY OF FEDERAL WAY
SITE ADDRESS
994 � ��A �8
SCD9IT M
PROJECT VALUATI N
$��%/�,�
ZONING
ASSESSOR'S TAR/PARCEL M
5l X02 1 0- 0-5-9 0
TYPE OF PERMIT
d7' BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
MSL `
PRIMARY PHONE
g„Q5
7
MAIL&II G DRESS A` �� n
lI'V9�7 ✓ \w]ZJIP
E-MAIL
C
STA
NAME
t C/ -C'-
PHOIK
CONTRACTOR
MAILING ADDRESS A A
,{(J
E-MAIL
CITY
ST rp
ZIP
FAX
WA TATE CONTRACTOR'S LI NS
0 G
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE S
NAME
PHONE
APPLICANT
MAILING AMREAS-
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
(The individual to receive and
NAME
A G
PHONE
MAILING ADDRESS
E-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 or more
MAILING ADD ESS, 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 apart oft 's application.
Q
SIGNATURE: DATE v
PRINT NAME:
Bulletin #100 —January 1, 2011 Page 1 of 3 k:\Handouts\Permit Application