16-100711Building - Single Family
City y & Federal Way Permit #: 16- 100711 - 00-S F
Community Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
FILE
Ph: (253) 835-2607 Fax: (253) 835-2809 Inspection Request Line: (253) 835050
Project Name: VAUGHN
Project Address: 1112 SW 333RD ST Parcel Number: 926495 0870
Project Description: REP - Tear off shake roofing & install CDX plywood sheathing and composition shingle
roofing system.
Owner
A1212licant
Contracto
Lende
CAROL L VAUGHN
JOHN ZAWISTOWSKI
PLATINUM ROOFING
OWNER IS LENDER
JERALD R VAUGHN
PLATINUM ROOFING LLC
PLATIRL961P6 (10/31/16)
1112 SW 333RD ST
1435 U CT NW
1435 "U" CT NW
FEDERAL WAY WA
AUBURN WA 98001
AUBURN WA 98001
98023
Census Category: 555 - Non-structural roofingA permits
Includes:
#1 #2 #4
Occupancy Class:
R-3
Construction Type:
Type V - B 1W 1111" WV_ Ah Ad
Occupancy Load
Old"
Floor Areas . ft.
0 A L We 0
New / Additional Sq. Feet - 3rd Floor ..... ........
Occupancy # 1 -Construction Type.........
Occupancy # 1 -Class ......................................
Occupancy # 1 - Use ............... .......... ...' R
r�
N xture:
it InfoAV-ddm �i
New Oditional Sq. Feet - Basement...................0
F-3P7
mechanical to be Included?...................................No
Arobing to be Included?......................................No
esidence (1 or�
family)
t Assoc' ed With This Permit 11
PERhlGIRES Saturday, August 6, 2016
't Issued on Monday, February 8, 2016
accupa.
certi at the above in Wmabon is correct and that the construction on the above described roe and
P property
y and the use will be in accordance with the laws, rules and regulations of the State of Washington
and the Ch of Federal Way.
agent: — Date:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record r
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 16 -100711 -00 -SF Address: 1112 SW 333RD ST
Project: CAROL L VAUGHN FEDERAL WAY, WA 98023-5319
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.
Roof Sheathing (4220) Final - Building (4050)
Approved to install roofing Approved
By lu,g Date 2 Ct ` By Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
RECEIVED
MY OF
'REB os 2016 PERMI111hPPLICATION
Federal Way
CITY OF FEDERAL WAY
CDS
PERMIT NumBER I l O b —7 I I - (5 TARGET DATE �+
SITE ADDRESS
SUITE/UNIT #
PROJECT VALUATION
ZONING
ASSESSOR'S TAB/PARCEL #
TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT-�
PROJECT DESCRIPTION
Detailed description of work to
l( huk{ 1v
be included on this permit only
PROPERTY OWNER
NAME \
J
PRDIARY PRONE
057--2)— (old q
MAILING ADDRESS
E-MAIL
STATE
Z
xw�
PHONE
LPl
MAHANG`ADDRESS
\ LA S
E -MAH,
CONTRACTOR
C�7
STATE
ZIP \
FAX
WSTATE CONTRA OR'S LICENSE #
0LPCT S L `� CPI
EXPIRATION DATE
�C)
FEDERAL WAY BUSINESS LICENSE #
P(- as - sq -d- e
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E-MAM
CITY _P_STATE
ZIP
FAX
PROJECT CONTACT
NAN��� �
PRIMARY PHONE
MAH.HIG ADDRESS
B -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
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
1 cert(/y under penalty of perjury that I am the property owner or authorised 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 authorised by the issuance of a permit. 1 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 applic n.
SIGNATURE: DATE ?/
PRINT NAME:d kn -
Bulletin #100 —January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application
1
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include exist' res to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial
BOILERS FURNACES HOT WATER TANKS (Gas(
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS OR PROPERTY?
l m
WATER PURVEYOR
Lck I?
VALUE OF PLUMBING WORK
PLUMBING PERMIT
EBISTINO/P,R�E-VIIO/USS USE
LOT SIZE (In Square Feet)
9 � l l
EIUSTINO FIRE SPRINKLER SYSTEM?
❑Yes o
PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes No
$
Indicate how many of each type offixture
to be installed or relocated as
part of this project. Do not include existingftxtures to remain.
BATHTUBS (or1ub/shower combo)
LAVS (Hand sinks(
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen/ub7ity(
WATER HEATERS (Electric(
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIRTURES
GENERAL INFORMATION
CRITICAL AREAS OR PROPERTY?
l m
WATER PURVEYOR
Lck I?
SEWER PURVEYOR
ii(A-P
VALUE OF ERISTING IMPROVEMENTS
C?
EBISTINO/P,R�E-VIIO/USS USE
LOT SIZE (In Square Feet)
9 � l l
EIUSTINO FIRE SPRINKLER SYSTEM?
❑Yes o
PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes No
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square Feet Type I Stories
Bulletin #100 — January 1, 2013 Page 1 of 3 k:\Handouts\Pennit Application