18-103352 , _ 1
Building - Commercial
City of Federal way FILE Permit #:18-103352-00-CO
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax(253)835-2609
Project Name: ST LUKE'S LUTHERAN CHURCH
Project Address: 515 S 312TH ST Parcel Number:082104 9038
Project Description: REP-Tear off existing composition roofing and reroof with composition shingle roofing
system. Work is on sanctuary building.
,
Owner Applicant Contractor Lender
ST LUKES LUTHERAN CHURCH BERGIN ROOFING INC BERGIN ROOFING INC
515 S 312TH ST 20815 2ND PL SW 20815 2ND PL SW
FEDERAL WAY WA 98003-4033 NORMANDY PARK WA 98166 NORMANDY PARK WA 98166
Census Category:555-Non-structural roofing p i
Includes: #1 #2 3 #4
Occupancy Class:
Construction Type:
k oft i
Occupancy Load:
Floor Area(sq.ft.)
Addition iikeifr ormatio
Mechanical to be Included No Num Stories 1
Is this an Online or O.T.C.application Yes P Building Shell Only? No
Plumbing to be Included', Nor
Total Valuation:56,000.00 •
•
N%4- ..4
EX alt
Saturday,26 January,2019
ermit I d on Monday,July 30,2018
I hereby certify that 4 bo information is correct and that the construction on the above described property
and the occupy • e use will be int accordance with the laws, rules and regulations of the State of
Washington and the City of Federal Way.
Owner or agent: , / Date: i- I I
THIS CARD IS TO REMAIN ON-SITE
°� Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 18 103352 00 Address: 515 S 312TH ST
Project: ST LUKES LUTHERAN CHURCH FEDERAL WAY WA 98003-4033
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) 2❑ Final-Building(4050)
Approved to install roofing Approved
. tC' Bite (4t.\t6 „By Date •
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
`By Date By Date By Date
RECEIVED
CITY OF �i JUL 3 0 2018
PERMIT APPLICATION
Federal Way CITY OF FEDERAL WAY PERMIT CENTER+33325 8th Avenue South+ Federal Way,WA 98003-6325
253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com
COMMUNITY DEVELOPMENT
PERMIT NUMBER _ _1_10 3 2 co TARGET DATE i /1-)
SITE
1-
SITE ADDRESS SUITE/UNIT#
s+. Lt%ke f cti ufk-ci, 5' ,/3" S 3 /2. S+
PROJECT V LUATIOON ZONING ASSESSOR'S TAX/PARCEL#
$ • thatch Q g a / 0y _ D S E
TYPE OF PERMIT BUILDING ❑ PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT JolL t k E J
PROJECT DESCRIPTION 4e ar r-e Y rof C.fl Yip J�, �,9l e!
Detailed description of work to �' )
be included on this permit only
NAME k e, C h U - f t PRIMARY PHONE
J+ Luke.)
u to Vh 2r3 39q26 ‘
PROPERTY OWNERMAILIN$yArrESS J J ' l }4 j E MAIL
CITY J f W L U S�' y'`�J ZIP ,8 0 03 SR
NAME PHONE
BERGIN ROOFING INC.
MAILING ADDRESS 20815 2nd PI. SW E-MAIL
CONTRACTOR CITY &Attie, WEha$16aIP FAX
206-824-5852
WA STATE CONTRACCIZ'e tCWIBERGIIu. SR1 TION DATE FEDERAL WAY BUSINESS LICENSE#
........ _ _. .. vV�l� Yl ��a Vii1L /�� p
NAME b 1lb) er,(j% M PR-2-0k
0 P d 1
U Z refl.
APPLICANT MAILING ADDRESS E-MAIL
Jdkr� idth ' leryj.ivfi j •Gok►
CITY STATE ZIP AS
J
NAME Y PHONE
PROJECT CONTACT V 0 h h IJ eI" p )1. '2, 0g521 S 0 S L
(The individual to receive and MAILING ADDRESSr r, l E- L
respond to all correspondence J '1 d er 9)h P C O I)1,) • C O`
concerning this application) CITY STATE ZIP FAX �J
NAME
PROJECT FINANCING OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
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 Pzto thecity as a part of this application.
SIGNATURE: DATE 7— 21) _I,
PRINT NAME: „ Q 'j g Or y)
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application