16-100040City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: ROBINSON
Project Address: 2104 SW 306TH PL
Project Description: REP - Remove and replace existing roofing
#uilding - Single Vanfily
Permit #: 16 -100040 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 416730 0020
Owner
ApRlican
Contractor
Lender
MILLICENT T ROBINSON
NORTHWEST ROOF SERVICE INC
NORTHWEST ROOF SERVICE INC
OWNER IS LENDER
2104 SW 306TH PL
801 CENTRAL AVE N
NORTHRS088DW (10/15/15)
FEDERAL WAY WA 98023-2336
KENT WA 98032
801 CENTRAL AVE N
KENT WA 98032
Census Category: 555 - Non-structural roofing permits
Includes. #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load-
Floor
oadFloor Area . ft. 0 1 0 1 0 1 0
Additional Permit Information
New / Additional Sq. Feet - 3rd Floor....................0 New / Additional Sq. Feet - Basement .................. 0
Mechanical to be Included9...................................No Number of Stories, ................................................. 2
Permit for Building Shell Only?............................No Plumbing to be Included? ...................................... No
New / Additional Sq. Feet - Total .......................... 0
No Fixtures Associated With This Permit 11
PERMIT EXPIRES Sunday, July 3, 2016
Permit Issued on Tuesday, January 5, 2016
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and th se will be in a ance with the laf rules and regulations of the State of Washington
n h C/ity.� o/fFeral Way.
Owner or agent: v/ ((J Date: l
' � THIS CARD IS TO 104AIN ON-SITE
CITY OF40';& Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #:
16 -100040 -00 -SF
Address: 2104 SW 306TH PL
Project: MILLICENT T ROBINSON FEDERAL WAY, WA 98023-2336
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.
Gypsum Wallboard Nailing (4130) Final Erosion Control (4375) Final - Building (4050)
Approved to install mud & tape Approved Approved
Date By Date Date
SWM Precon Site Mtg (4400)
Rough Electrical
Initial Erosion Control (4365)
Footings/Setback (4110)
Shear Walls (4245)
Approved
Approved to sheath floor
To be done prior to breaking ground
Approved to install flooring
Approved to place concrete
By
Date
By
Date
By
Date
Gypsum Wallboard Nailing (4130) Final Erosion Control (4375) Final - Building (4050)
Approved to install mud & tape Approved Approved
Date By Date Date
Underfloor Framing (4285)
Rough Electrical
Floor Sheathing (4105)
Final Electrical
Shear Walls (4245)
Approved to sheath floor
Approved to install flooring
Approved
Approved to install siding
By
Date
By
Date
By
Date
By
Date
By
Date
Interim Erosion Control (4370)
Fire/Draft Stops (4095)
Roof Sheathing (4220)
A roved to install roofing
Approved
Approved
By
Date
By By
Date
By
Date
o scheduling a Framing inspection;
Insulation (41.50)
Framing (4120)
FElectrii,o,rl,'Plumbing& Mechanical Rough -in I
Approved to insulate
Approved to install wallboard
Stop inspections must be signed -off
By
Date
By
Date
approved. IBC 1093.4
Gypsum Wallboard Nailing (4130) Final Erosion Control (4375) Final - Building (4050)
Approved to install mud & tape Approved Approved
Date By Date Date
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
•
RECEIVED
•
PEI MIT APPLICATION
Federal Way
JAN 0 5 2016
CITY OF FEDERAL. WAY
PERMIT NUMBER 1k - l lJ v c TARGET DATE _
/ - Q
_I 300' f e'
to q SW
SUITEIUNIT N
PRQ.tEC'1' VALUATION
ZONING
Is TAX/PARJQI �1 �
,j-- jil—
✓ f V LJ
_
TYPE OF PERMIT
�Bjnj,,)ING ❑ PLUMBING ❑ MEC14ANICAL D DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT•
£i("{`Q `{Ll
PROJECT DESCRIPTION
4aV 6`1
Detailed description of ux)rk to
be induded on this permit only
otso
PRIMARY PHONE
4S73
PROPERTY OWNER
WAILING ADDRESS
&&AIL
CITY ATE ZIP
NAIAB 7 �„ l
raona��. _.
LJG�
CONTRACTOR
+ r�
ZIP 03.
FAa�
WAA O�!TRAGTOR'S LICENSE a
FJOWU1'ION DATE
1
FEDERAL WAY BDBINEEt3 LICSI 85 i
17�7I S
NAME
PRIMARY PHONE
APPLICANT
WAILING ADDRESS
S -WAIL
CITY
$?ATE ...-
ZIP
FAX
NAME
y ` "
PRIMARY PRONE
PROJECT CONTACT
ADDRESS
E-MAIL
MAIL
rTheEYldii�tSCil t0 receive and
respond to all correspondence
concerning this application)
CITY
STATE
ZIP
FAX
NAMEOWNER- FINANCED
PROJECT FINANCING
Required value of $5, 01)() or more WAILING ADDRESS, CITY, STATE, 71P PHONE
jRCW 19.27.095(
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify thattothe best
the information submitted in support of this permit application is true and correct. I certify that I will comply with
of my knowledge,
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
this does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
issuance of permit
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' jets incurred in
including the undersigned, and filed against the city,
the investigation and defense of such claw, which may be made by any person,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
Information sypplie the city k as a part his application
! r J j
DATE_ 1 _
SIGNATURE: - -
PRINT NAME:
Bulletin #100 - October 126, 3015 Page 1 of 3 k:\iiandouts,,Permit Application
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