14-102521S
City of Federal Way
Community & Eoon. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: ROSENGREEN
Project Address: 33118 49TH AVE SW
wilding - Single Family
Permit #: 14 -102521 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 802952 0135
Project Description: REP - Remove existing shake roofing and replace with composition shingles.
Owner
ARolicant
Contractor
Lender
RUSSELL J ROSENGREEN
PLATINUM ROOFING
PLATINUM ROOFING
OWNER IS LENDER
SHARON ROSENGREEN
1435 "U" CT NW
PLATIRL961P6 (10/31/14)
33118 49TH AVE SW
AUBURN WA 98001
1435 "U" CT NW
FEDERAL WAY WA
AUBURN WA 98001
98023
Census Category: 555 - Non-structural roofing permits
Includes: # 1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load-
Floor
oadFloor Areas . f. 0 0 1 0 1 0
Additional Permit Information
New / Additional Sq. Feet - 3rd Floor....................0
Mechanical to be Included?...................................No
New / Additional Sq. Feet - Basement...................0
Plumbing to be Included?......................................No
No Fixtures Associated With This Permit 11
PERMIT EXPIRES Saturday, November 29, 2014
Permit Issued on Monday, June 2, 2014
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy 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 agent: Date:
pINALED
THIS CAIS TO REMAIN ON-SITE _
CITY (W CoRD nstruction In ction Record
Federal Way INSPECTION REQ TS: (253) 835-3050
PERMIT #:
Project:
14 -102521 -00 -SF Address: 33118 49TH AVE SW
RUSSELL J ROSENGREEN FEDERAL WAY, WA 98023-3356
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 Q� Date k —H _ I L C� Date L—C>l _
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
QTY OF 0&
Federal Way
PERMIT NUMBER f q
JUN 02 2014
PERMIT APPLICATION
CITY OF FEDERAL WAY
�0 76�( -S�F
TARGET DATE N
T
SITE ADDRESS
SUITE/UNIT #
33 i1 a L °R-wA Av- -5 L,10
PROJECT VALUATION
ZONING
ASSESSOR'S TAR/PARCEL 0
$73810
5 6 Z 9 S 2- o�
TYPE OF PERMIT
%BUILDING ❑ PLUMBING ElMECHANICAL ElDEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
,
ILO 5t,\ r t C ( �6I
PROJECT DESCRIPTION
~�
Detailed description of u;ork to
be included on this permit only
PROPERTY OWNER
NAME
ZU-C1 1 5 �(C r -\le
55
PRIMARYPHONE
3 Y (DS -7 - A5-78
MAI LING ADDR888 w
8 -MAIL
CITY
Fccifyo
STATE
ZIP
ME L �
2ou u&(-) q-iO
1! AHJNG ADDRESS V
K
E-KAIL
CONTRACTOR
Q[TY ,_ I Y-\
ATE
ZIPFA8
(_XPIRATION
STATE CONTRACTOR'S LICENSE # DATE
i L9u1 PV IU XN iiQ
FEDERAL WAY BUSINESS LICENSE #
z - - Do A
NAME
PRIMARY PHONE
NAILING ADDRESS
E-MAIL
APPLICANT
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME
t- l m
PRIMARY PHONE
TING ADDRESS
E -MAI.
(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)
MAEUNG ADDRESS, CITY, STATE, ZIP
PHONE
I cert(& under penalty of perjury that I am the property owner or authorised agent of the property owner. I cert{fy that to the best
of my knowledge, the information submitted in support of this permit application is true and correct I cert(fy 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 jhrther 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 he city as apart of this application.
SIGNATURE:U&,& DATE
PRINT NAME:
Bulletin #100 - January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application