16-105756City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 8352607 Fax: (253) 8352609
Project Name: RUELOS
Project Address: 32840 39TH PL SW
Building - Single Family
Permit #:16 -105756=00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 873204 0070
Project Description: RLP- Tear off shake roof and replace with CDX Plywood and shingles.
Owner
Applicant
Contractor
Lender
LAURENTINO R RUELOS
GUARDIAN ROOFING
GUARDIAN ROOFING
32840 39TH PL SW
1400 W MAIN ST
1400 W MAIN ST
FEDERAL WAY WA 98023-2644
AUBURN WA 98001
AUBURN WA 98001
Census Category: 555 - Non-structur! J# f rmits
Includes: #1 #2 #3 #4
Y
Occu ancy Class: �►
Construction T y}
Occupancy Load:
Floor Area (sq. ft.)'
Mechanical to be Included? ...................................
Mechanical Work Valuation? .............................. -
Plumbing to be Included? ...........................
Zoning Designation .................................... �.
Total Valuation: 14,498.45
41' 'vr
ennitdbing ation
Work Valuation?.....
Is this an Online or O.T.C. application? .................. No
Comprehensive Plan Designation ........................... SF - High -Density
Residential
7.2
INN.
7
PWIT EXPIRES Saturday, 3 June, 2017
it Issued on Monday, December 5, 2016
I by C� at the above information is correct and that the construction on the above described property
d e o upancy and the use will be in accordance with the laws, rules and regulations of the State of
�' Washington and the City of Federal Way.
Owner or ent: 1� .1( L G-41 Date: ) 7--05- Z01W1
THIS CARD IS TO REMAIN ON-SITE
F r Construction Inspection Record
Y INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 16105756 00 Address: 32840 39TH PL SW
Project: LAURENTINO R RUELOS FEDERAL WAY WA 98023-2644
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.
El Roof Sheathing (4220) 0 Final - Building (4050)
Approved to install roof Approved
B�-� Date 771 P I V, I By Date
1-3
Rough Electrical
0
Final Electrical
El
Right of Way
Approved
Approved
Approved
By
Date
I By
Date
By
Date
41k
CITY OF
Federal Way
PERMIT NUMBER'
DECEIVED PERM IPAPPLICATION
DEC O Jr 201fERMIT CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
CITY OF FEDERAL. WAY
- 10 5 "T s5--�q - 5 F
TARGET DATE
SITE ADDRESS
SUITE/UNIT #
Wa LA/ /� 9 80 �Z 3
PROJECT VALUATION
ZONING
ASSESSOOWS TAX/PARCEL # D `^/�6
V 1 _ � � ( V
TYPE. OF PERMIT
BUILDING ❑ PLUMBING Q MECHANICAL ❑ DEMOLITION D ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
S �G �� {, 6 t i L $ e In s-
PROJECT DESCRIPTION
(1l d
Detailed description of work to
4✓ O - 01
1 V
be included on this permit only
NAME
-1 `VC�.�G�J L
PRIMARY PHONE
ZJv' V 7 ` 1
PROPERTY OWNER
MAILING ADDRESS
'z
17-49ci 0�L S�v
E-MAIL
Ccrl eras wit
STATE
M
ZIP
soz
j�U/
NAME � � `HONEI
LC � 1 L
PZ S 1 Z
/ ✓ (}I
MAILING ADbkESS
E-MAIL
1 y a 0 l.Ll./ LAU% :FT c--
CONTRACTOR
CITY
L)knuf In
—Sr
STATE
lA./R
ZIP
FAX
2-:33
WA STATE CONT CTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
CArC� ZNN
NAAEPRIMARY
,
i lrc4 Cy, Z
PHONE
Zs .3
MAILING ADDRESS
E-MAIL
APPLICANT,
'
CITY
STATE
ZIP
FAX
NAME -
PRIMARY PHONE
PROJECT CONTACT
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
When value is $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW I9.2Z095)
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 part of this application.
to
CO Z i Z — (D-5—
U5—PRINT
SIGNATURE: 1,k DATE
PRINTNAME: F r'L t Ckj- C 075 C `L- li z
Bulletin #100 — January 29, 2016 Page 1 of 2 kAHandouts\Permit Application