17-103933 .r
Building - Commercial
City of Federal Way Permit #:17-103933-00-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: L T C A, LLC
Project Address: 30854 PACIFIC HWY S Parcel Number:785360 0145
Project Description: REP-Tear off composition shingle portion of roofing;over existing sheathing,install
composition roofing system. Portions of roof w/existing PVC or metal to be removed by others
and reroofed under this permit.
Owner Applicant Contractor Lender
LOWELL T CANTRELL COLUMBIA ROOFING&SHEET COLUMBIA ROOFING&SHEET OWNER IS LENDER
29727 49TH PL S METAL METAL
AUBURN WA 98001-1508 22757 72ND AVE W 22757 72ND AVE W
KENT WA 98032 KENT WA 98032
USA USA
•
Census Category: 555-Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.)
Additional Permit Information
Mechanical to be Included' No Number of Stories I
Is this an Online or O.T.C.application Yes Permit for Building Shell Only? No
Plumbing to be Included? No
�
�. ,,, .�;, 1z�; s °"'. . _ ..._.� e.o � , � �..i. l� � '��✓✓i�'3�. ,°,� �I?��5
PERMIT EXPIRES Sunday, 11 February,2018
Permit Issued on Tuesday,August 15,2017
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 t City of Federal Way.
a7Owner or agent: ,-- —_� Date: 15 Z
THIS CARD IS TO REMAIN ON-SITE
� 4 Construction Inspection Record
c eCleral Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 103933 00 Address: 30854 PACIFIC HWY S
Project: LOWELL T CANTRELL FEDERAL WAY WA 98003-4908
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.
Q Roof Sheathing(4220) 0 Final-Building(4050)
Approved to install roofmg Approved
By Date By fl Date2 5/
20
0 Rough Electrical ❑ Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
...,,,,4_,. PERMIT APPLICATION
CITY OF
MIT CENTER+33325 8th Avenue South+Federal.Way,WA 98003-6325
Federal Way PER253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com
RECEIVED
PERMIT NUMBER ` 7- _ 1 0 _ 9 _��_ Co AUG C
TARGET DATE �AUGG 1 55 207
SITE ADDRESS C T rk/
$m' u +RAL WAY
3 0 n-li H'S COMMUNITY DEVELOPMENT
PROJECT VALUATION Z NING ASSESSOR'S TAX/PARCEL# 4- 5-
_
TYPE OF PERMIT UILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT C! etvlAYfLe►C {
_ Pcoci�G�- LTG/4- i/`-
1
PROJECT DESCRIPTION
Detailed description of work to l " v (')1T /£e-rtxf
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER I WI CRK" C(
MAILING ADDRESS E-MAIL
'30 6.9i PaCIAL t S
ST ZIP
CITY4)Ae
I L4 9ffeo3
NAME ) /',, PHONE
MAD.ING ADDRESS �� � E-MAIL
CONTRACTOR /�
elirsai
CITY/ �^ 3T!!TN ZIP�� FAX
WA S/-TAATTE CONTRACTOR'S LICE I E ,W 1�I EXPIRATION DATE FEDERAL WAS LICENS #
G OC-ue-' CS ,/�J R w //r / -4PJ
2'` h/NAMEUt44 / OG ' Cer-5 �i Y7��7 1-070
APPLICANT- MAILING ADDRESSIiwlQ , 7 LJ E-MAIL
22 7S-7 leg / W/
CITY fCe t STATE ZIP FAX
- y�1//,��J/JJ
NAM PRIMARY PHONE
PROJECT CONTACT IYVC.e Jc d�S�/Y1 7-04— 7090
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
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 su the city as a part of this applicatio
7
4g- ,s-zc4--(
SIGNATURE: DATE
PRINT NAME:
Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application