13-104523 { • wilding - Single Family
City of Federal Dev.ServicesPermit #: 13-104523-00"S F
Community�Econ.Dev.
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2807 Fax(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: LOUIE
Project Address: 1121 SW 352ND ST Parcel Number. 502860 1420
Project Description: REP-Removing existing shakes and replace with composition shingles
Owner Applicant Contractor Lender
DAN LOUIE DAN LOUIE OWNER IS CONTRACTOR OWNER IS LENDER
1121 SW 352ND ST 1121 SW 352ND ST
FEDERAL WAY WA 98023-6921 FEDERAL WAY WA 98023-6921
1
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
Additional Permit Information
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement. 0
Mechanical to be Included? No Plumbing to be Included? No
No Fixtures Associated With This Permit II
•
PERMIT EXPIRES Wednesday, April 9, 2014
Permit Issued on Friday, October 11, 2013
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 the City of Federal Way.
Owner or agent Date: 10 (l///3
'4,A,.
0 THIS CARD IS TO MAIN ON-SITE "
CITY,OF
Federal WayConstruction In ection Record
INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-104523-00-SF Address: 1121 SW 352ND ST
Project: DAN LOUIE FEDERAL WAY, WA 98023-6921
Scheduled inspections may be failed if this card is not on-site. pO 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.
El Roof Sheathing(4220) El Final-Building(4050)
Approved to install roofing Approved
By 'vas Date 6 (14 1) ,By /6)40"Date
❑ Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OP 41A • PERMIT APPLICATION
Federal Way RECEIVED
(�L� OCT 1 1 2013 ,,,0
PERMIT NUMBER _ 1 v 1 _3 SF
_ TARGET DATE CITY OF FEDERAL WAY
CDS
SITE ADDRESS SUITE/UNIT P
s 11L .o."
�era.1 wA
PROJECT VALUATION ZONING ASSESSOR'S T /PARCEL i$ �
�oo0 2C) - - -
TYPE OF PERMIT BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT V 114 C /1401
PROJECT DESCRIPTION rt a -Yowl ctt'race +0 _
i h /P,
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER p 1,0 e (460) g-D°7
MAILING(Z I� S k), �� E-MAILe
CITY STATE ZIP
F-e4 a
( PHONE
��^'��`�/�/LJ�� k
NAME ( ) fes`-
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE M EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME ° /\1 0 V PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAMEC,IN PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) c /t\ STATE ZIP FAX
PROJECT FINANCING NAME 1 lam/�- 0 OWNER-FINANCED
Required value of$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 to the city as a part of this application.
SIGNATURE: / DATE (0(I( ' /
PRINT NAME: V f I/i re heti
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application