10-102608 uilding - Single Family
City of Federal Way
Community Development Services Permit #: 10-102608-00-SF
P.O.Box 9718
Federal Way,WA 98063-9718
Ph (253)835-2607 Fax.(253)835-2609 Inspection Request Line: (2
53)835-3050
Project Name: SU
Project Address: 4616 SW 328TH PL Parcel Number: 802950 0050
Project Description: ALT-Removing existing shake roof,installing new OSB plywood sheathing and new comp
roofing materials.
OwnerContractor Lender
WILLIAM SU LEGACYRSO- FINFING INC LEGACY ROOFING INC
4616 SW 328TH PL 9680 153RD AVE NE LEGACRG913KK(5/12/11)
FEDERAL WAY WA REDMOND WA 98052 9680 153RD AVE NE
98023-1925 REDMOND WA 98052
Census Category: 555 -Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:-
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 0 0 0 0
Mechanical to be Included9 No Plumbing to be Included? No
•
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PERMIT EXPIRES Sunday, December 19, 2010
Permit Issued on Tuesday, June 22, 2010
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use 'II be in ac rdance ' h the laws, rules and regulations of the State of Washington
and ity of Federal Way.
Owner or agent: - Date:
• THIS CARD IS TO AIN ON-SITE
Crnr OF �ri���l
Construction Ins!FAIN
Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 10-102608-00-SF Address: 4616 SW 328TH PL
Owner: WILLIAM SU FEDERAL WAY, WA 98023-1925
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.
0 Roof Sheathing(4220) ❑ Fire/Draft Stops(4095) ❑ Final-Building(4050)
Approved to install roofin/z5la
Approved �� Approved
By7/I�� Date By Date • 'By b��I + Date 7/ ld
•
0 Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
N.
CmoF ECEIV �2° ' `� 1 V v
Federal ay NERMIT 2 SF MF CO ME PL DE EN FP
COMMUNITY DEVELOPMENT SERV!
253-835 2607.FAX 253-835-2609
c i N 22 2 4p p LI CAT I O N
www cduoffederalwqu.com
CITY OF FEDERAL WAY
SITE ADDRESS CDS SUITE/UNIT 8
tI6(sem 5w 32& Pc FG•At..i w.l,. / (Av4 gJ'oZ3
PROJECT VALUATION ZONING , ASSESSOR'S TAR/P CEL M
$ 22-( 301 IL) . fc 0 Z S S O - 0 0 5 0
TYPE OF PERMIT El/BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
PROJECT DESCRIPTION g"`LO�"L {x`s�'`1� JL- w
✓ooh t Aa <<w5 vto w Z aoto
Detailed description of work to P i1WQJ SGA.. y y AAA// ear/ ee
be included on this permit only /
PHONE
PROPERTY OWNER Il/t ((c A,lit. Su 25 3Y 152- 153
MAILING ADDRESS E-MAIL
f / 5w 32J fI
,
CITYA wid IA/
SATfZIP i/43
NAME
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5 1- 7c43
MAIUN
CONTRACTOR 7 ,✓o � IV4— 'tV L 'cC /9-4,-,r04,
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CITY 641,4 u2- BTA ...give/aY,//_ _ FAX
14 25.-43‘^ �
WA STATE CONTRACTOR'S LICENSE 8 EXPIRATION DATE FEDERAL WAY BUSINESS LICENS
LEG RC42-G1I3 k-�- 05-j 12- tZGI( 2-v-O,'-f014(3t-00-6L
NAME PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME/I `S 9 -4'L k�7 l PHOil NE Z�j�G4��
(The individual to receive and (�
respond to all correspondence
MAILING ADDRESS ,^ E-MAIL
concerning this application) 15(1 t304-1.%- „vim' �' 1• (/ Q Q/ '(
CITAX
Y((a t/(/tt� STA Z C v V J IP F-1 �5- V✓i - �3 7
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME dOWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS.CITY.STATE,ZIP PHONE
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 a part oft is application.
SIGNATURE: DATE G` 2(''�CJ
PRINT NAME: C� 3 0.4,-.414+
Bulletin#100—April 14,2010 Page 1 of 3 k:\Handouts\Permit Application
MECHANICAL FIXTURES
VALUE of MECHANICAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUT I.h.lb OTHER(Describe)
AIR CONDmONER FIREPLACE INSERTS HOODS)Commore�m)
BOILERS FURNACES HOT WATER TANKS)Coo)
COMPRESSORS GAS LOG SE15 REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING FIXTURES
Indicate how many of each type of facture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand sinkm) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS)Kitchen/utwty) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes 0 No ❑Yes 0 No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home) tit,
SECOND FLOOR 1(Q 70
COVERED ENTRY
DECK /
GARAGE Q CARPORT ❑ 1 10
OTHER(describe)
Area Totals $41175 PROPOS= TOTAL
**NEW HOMES ONLY"
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100-April 14,2010 Page 2 of 3 k:\Handouts\Permit Application