13-104972y
City 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: RIVERA
Project Address: 1133 SW 320TH PL
wilding - Single Family
Permit #: 13 -104972 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 926493 0900
Project Description: REP - Tear off shake roofing and install sheathing and composition shingle roofing system.
Owner
JAIME RIVERA
Aq in cant
NORMA RIVERA
Contractor
OWNER IS CONTRACTOR
Lender
NORMA RIVERA
1133 S 320TH PL
1133 S 320TH PL
FEDERAL WAY WA 98023-5556
FEDERAL WAY WA 98023-5556
Census Category: 434 - Residential altladd - no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load
Floor Area . ft. 0 0 0 0
Additional Permit Inforrnation
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 Monday, May 5, 2014
Permit Issued on Wednesday, November 6, 2013
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
nd the City of Federal Way.
Owner or agent: Date: ,r 1—
� ti
R i
THIS CARD IS TOMAIN ON-SITE
Cl'"OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 13 -104972 -00 -SF Address: 1133 SW 320TH PL
Project: JAIME RIVERA FEDERAL WAY, WA 98023-5556
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)
E]
Underfloor Framing (4285)
Approved
Approved
By
To be done prior to breaking ground
Approved to install siding
Approved to sheath floor
By
Date
By
Date
By
Date
Floor Sheathing (4105)Shear
0
Walls (4245)
Roof Sheathing (4220)
Approved
Approved to install flooring
By
Approved
Approved to install siding
Approved to install roofing
By
Date
Date It (
By
Date
By V-6 Date l
0
Fire/Draft Stops (4095)Interim
Erosion Control (4370)
prior to scheduling s Framing inspection;
Approved
Approved
Electrical, Plumbing & Mechanical Rough -in and
By
Date
By
Date
Fire/Draft Stop inspections must be signed -off and
approved. IBC 109.3.4
0
Insulation (4150)
0 Gypsum Wallboard Nailing (4130)
0
Framing (4120)
Approved to insulate
Approved to install wallboard
Approved to install mud & tape
By
Date
By
Date
By Date
Final Erosion Control (4375)
0
Final - Building (4050)
Approved
Right of Way
Approved
By
Approved
By
Date
Date
By
Date It (
' 3
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
„YOF PERM I'1ftPPLICATION
Federal Way RECEIVED Ui
NOV 06 2013 �
PERMIT NUMBER I _ ` O � q -7Z _
TARGET DATE GM OF FFnFPAI WAY
r-nc
SITE ADDRESS
SUITE/UNIT #
113 3 '501 3 2 0�” P4 F�FQqL wN� i W14 q 8'0 z 3
I
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
8100
-----------
TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
DvF��✓�
EMO ✓r� K ES / N PL C Wry
CDM T
PROJECT DESCRIPTION
Detailed description of work to
S/)26/4 LES
be included on this permit only
NAME /�
'1 IZAfA� RI
PRIMARY PHONE Q �J
- 9 ?
PROPERTY OWNER
.11M , + V�'/�A-
.2106
MAILING ADDRESS
L
E-MAIL
� CV 6 fQ)Ad-0,
0�
p ,•JA' Aa
CITI1 - A
^ A-
M�
NAME
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
rA
PRIMARY PHONE
Zo6.9-71- 235
MAILIN ADDRESS 3 � L
CSf
E-MAIL
APPLICANT
CITY
i3PEAW- W A`-(
STA
I•c9
ZIP
02
FAX
NAMEPRIMARY
J A1MF I`JW_P_A'
PHONE
2 �- q 7q1 t-75
PROJECT CONTACT
MAILING ADDRESSE-MAIL
33 S� 3A t7 $I PL
(The individual to receive and
respond to all correspondence
FAX
concerning this application)
CITY_
0t -40L WAX
STATE
WA
ZIP
98023
PROJECT FINANCING
NAME �^
Nlm,r bx6e4-
E OWNER -FINANCED
Required value of $5,000 or more
(RCW 19.27.095)
DWLING ADDRESS, CITY, STATE, ZIP
20 4 K � k.
Cj,_] 32U-191-
_MHONE g
06 011-1 '�27
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 c
as a part of
thispplication.
SIGNATURE:
' f DATE
L
PRINT NAME:
Bulletin #100 —January 1, 2013 Page I of 3 k:\Handouts\Permit Application
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