15-1040031 City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Building - Single Family
Permit #: 15 -104003 -00 -SF
Inspection Request Line: (253) 835-3050
Project Name: MORROW
Project Address: 142 S 295TH PL Parcel Number: 5437210160
Project Description: REP - Re -roof shake to Presidential Composition.
Owner
MARUANA M MORROW
ARulicant
MARIJANA M MORROW
Contractor Lender
OWNER IS CONTRACTOR
142 S 295TH PL
142 S 295TH PL
Type V - B
FEDERAL WAY WA 98003-3659
FEDERAL WAY WA 98003-3659
Floor Areas . ft.
Census Category: 555 - Non-structural rolfvlk
pfis
Includes:
#1 #2 #3As #4
Occupancy Class:
R-3
Construction T
Type V - B
Occupancy Load
low WF
Floor Areas . ft.
0 0 0
v
elAennit In tion
New / Additional Sq. Feet - 1 st Floor ...0 / Additional Sq. Feet - 2nd Floor .0
New / Additional Sq. Feet - 3rd Floor .............. Vew / Additional Sq. Feet - Basement .................. 0
Basic Plan?........................................................... Occupancy#1 - Construction Type ........................ Type V - B
New / Additional Sq. Feet - Deck ...................... New / Additional Sq. Feet - Garage ....................... 0
Mechanical to be Included? .......................... ......No *40 Occupancy # I - Class ............................................. R-3
New / Additional Sq. Feet - Other. 0 0 '10 Plumbing to be Included?......................................No
New / Additional Sq. Fe)T ... Occupancy # I - Use ............................................... Residence (1 or 2
x family)
I hereby rtify that the
the oc oancv and the
or agent:
No Fixtru
essociated With This Permit 11
PERMIT EXPIRES Saturday, February 6, 2016
Permit Issued on Monday, August 10, 2015
e information is correct and that the construction on the above described property and
will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
W1 A Date:
CITY OF V&. v
Federal'Way
PERMIT #:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
15 -104003 -00 -SF Address: 142 S 295TH PL
Project: MARIJANA M MORROW FEDERAL WAY, WA 98003-3659
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.
Approved to install roofing I I v Approved
BY V44 Date $I ISI 15- I I By Date
Rough Electrical1:1 Final Electrical Right of Way
Approved Approved Approved
By Date By Date
BY Date
RECEIVED
Ah� RUG 10 2015
CITY OF PERMIT
Federal Way CITY OF FEDERAL WAY
CDS
PLICATION
PERMIT NUMBER ! 5 _ I O q 0 V — 's U01 tS
TARGET DATE
SITE ADDRESS
lky,z S k? P L
SUITE/UNIT #
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
14 3 -7
TYPE OF PERMIT
VBUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
1 L
' (OZ7 / L -
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
N4ME ,^ ` ^ , n ^ O
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PRIMARY PHONE �f
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MAILINCy,ADD S E /1 PZ-
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C LiC re rea L Ot S�
CI ST TE
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NAME
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
N/'
PRIMARY PHONE 3,
i' MAILiNG�DD � � OW PZ
z
MAIL
APPLICANT
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STAT
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FkA
NAME Nnn
PRIMARY PHO
5� �
PROJECT CONTACT
(
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME l kp /Q�
r"l
OWNER -FINANCED
Required value of $5, 000 or more
(RCW ] 9.27.095)
LIN 3 STAT 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
theinvestigation a defense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where ch claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information suppl ed to the city as a part of this application.
/ 5
SIGNATURE: G '" DATE r //V / (/
PRINT NAIME:
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Bulletin 4 100 — January 1, 2013 Page i of 3 k:\ilandouts\Permit Application
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