11-103462 r 4 Building - Single Family
City of Federal Way
Community Development Services Permit #: 11-103462-00-SF
P.O.Box 9718
Federal Way,WA 98063-9718 Line:Inspection
Ph:(253)835-2607 Fax (253)835-2609 Ins pRequest (253)8354050
Project Name: LEE/KIM
Project Address: 1111 SW 334TH PL Parcel Number: 926496 0440
Project Description: ALT-Tearing off existing shake roof,installing new plywood and composition shingles.
Owner Applicant Contractor Lender
JUNG SOOK LEE C R MASTER ROOFING C R MASTER ROOFING JUNG SOOK LEE
1111 SW 334TH PL 19514 14TH AVE N CRROORL936K5(6/3/13) 1111 SW 334TH PL
FEDERAL WAY WA 98023 SHORELINE WA 98155 19514 14TH AVE N FEDERAL WAY WA 98023
SHORELINE WA 98155
Census Category: 555 -Non-structural roo it
Includes: #1 #2 ' #4
Occupancy Class:
Construction Type:
Occupancy Load: \iir
Floor Area(sq.ft.) 0 0 0 0
New/Additional Sq.Feet-3rd Floor ..0 New dditional Sq.Feet-Basement 0
Mechanical to be Included? • • Probing to be Included? No
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EXPIRES Tuesday, February 21, 2012
' rmit Issued on Thursday,August 25, 2011
I hereby certify th it
e abov- formation is correct and that the construction on the above described property and
the occu e us; - ill be in ac rdance with the laws, rules and regulations of the State of Washington
/ and the City of Federal Way.
Owner or t: ,r7SO • Date: OR/25///
i
•
® THIS CARD IS TO REMAIN ON-SITE ,
CITY OF #r� , THIS
Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 11-103462-00-SF Address: 1111 SW 334TH PL
Project: JUNG SOOK LEE FEDERAL WAY, WA 98023-5317
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.
CI Roof Sheathing(4220) 0 Fire/Draft Stops(4095) El Final-Building(4050)
Approved to install rooting Approved Approved
By zg' Date P% 4/ By Date By Date
•
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
e CITY OF 'A
Federal � ERMIT F CO ME PL DE EN FP
COMMUNITY DEVELOPMENT 6EI�E L / ■A '! LICATI N
253-835-2607-FAX 253-835-2609 O
www.cityoffeder&u 1: corn 5
AUG '2
SITE ADDRESS cTTY OF FEDERAL WAY SUITE/UNIT#
11 e11 COrJf� k\m PL
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
` T•, �J C ' 0 - - -
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) L_�-f/ i'^^
PROJECT DESCRIPTIONIV,
( V Y
Detailed description of work to � 1 n�� 1 Y C^�\t-C� (1-1- C' c� 1 k e
be included on this permit only R CAC \ y\A w oc.c c-
c ', ��.� We
"1 1
NAME PRIMARY PHONE
PROPERTY OWNER maNc c k .‘ C�'-� 2®( '-
't i ORES S (3- r1 \ L E-MAIL
E STATE ZIPcrreYA �,r�' •
0`E C Nl�'C(L. ' cA o G ,
NAME C
, PHONE kZ �V?�CtiS�J .�Cw vl' v y •12_6 6� 1 -1 ( 36; ci 6'
CONTRACTOR MAILING E-MAIL
CA `(
�M ` 1 0 0E ��_
J
CITYSTATE ZIP FAX
Ino\i e.\ n �v l(1 C& l
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE 8
CVczOO CnQ\--- f36KS
NAME PHONE
Se--Er CC `t`A-t-cc-c
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME PHONE
(The individual to receive and
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
❑ OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27095) 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 of this application.
1
I
SIGNATURE: CA-1/� 01.15("' �5- 0 n�-C-1 n DATE C\VZ 1 i
PRINT NAME: la\.on‘..:.,o "•\(:,_-)‘-)V-C'A Q
Bulletin#100—January 1,2011 Page 1 of 3 k:\Handouts\Permit Application