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HomeMy WebLinkAbout15-102819 -
lilding - Single Family
City of Federal Way ./
Community&Econ.Dev.Services Permit #: 15-102819-00-SF
33325 8th Ave S
Federal Way,WA 98003 Request
Ph:(253)835-2607 Fax:(253)835-2609Inspectionq est Line: (253) 835-3050
Project Name: HUBNER
Project Address: 29007 7TH PL S Parcel Number: 515270 0100
Project Description: REP-Remove existing cedar shake rooting and replace with composition shingles
/ Owner Applicant Contractor Lender
SAMARA HUBNER INC THE NORTHWEST ROOF SERVICE INC NORTHWEST ROOF SERVICE INC OWNER IS LENDER
19655 1ST AVE S SUITE 208 801 CENTRAL AVE N NORTHRS088DW(10/15/15)
NORMANDY PARK WA 98148 KENT WA 98032 801 CENTRAL AVE N
KENT WA 98032
Census Category: 555 - Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class: R-3
Construction Type: Type V-B
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
Occupancy#1 -Construction Type Type V-B Mechanical to be Included? No
Occupancy#1 -Class R-3 Plumbing to be Included? No
Occupancy#1 -Use Residence(1 or 2
family)
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Monday, December 7, 2015
Permit Issued on Wednesday, June 10, 2015
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
�
`+�Eand the City of Federal Way. f
Owner or agent: AMU A ON \i(A 044 I L- Date: /t 0/(S
VCITY OF -^ Construction I a ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 15-102819-00-SF Address: 29007 7TH PL S
Project: SAMARA HUBNER INC THE FEDERAL WAY, WA 98003-3607
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) ❑ Final-Building(4050)
Approved to install roofing Approved
By & Date (j ! (5' 11 c. By Date
0 Rough Electrical Final Electrical Right of Way
Approved Approved0 Approved
By Date By Date By Date
. . I .
• S
PERMIT APPLICATION 9/ 3
Federal Way RECEIVED
s P CZ g1, c - LsF JUN 102015
Pr.F?attT RvirsaR _ _ TARGET DATE C
RAI.WAY
f( r sorra/DialeS
•
BITE ADDREf3B -- r ( ��
rat. �,( J' � c. ,/ j
PROJECT VALUATION ZONING ACLS&gBR'S TAX/PARCEL 1 }
et, 6-6,
TYPE OF PERMIT0 �a
0 MECHANICAL ❑ DEMOUTION 0 ENGINEERING ID FIRE PREVENTION
•. g UILIDING 0 PLUMBING
NAME OF PROJECT '
PROJECT DESCRIPTION r : r V , -r )
Derailed description of work to t1r,
be included on this permit only [
d
�^ PRIHARY PROSE
PROPERTY OWNER k €C&. t
It-MALL
MAILING ADIrRE88
CITY STAri TSP _.
'k PRONE_ ,.. ._c C
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MAILING ADDRESS l
CONTRACTOR t%L/t c'k\j�\ Cf�. t 1 Lij r I�
CITY STATEZaP • —� _e J 3O
WA
STATE cONTRACTOR'C LICVNSl:i LYPIZATXON DAT.' PLDERAL WAY SueIXZSS LICIIISU t
C% aJ , L' Ci ri5 Ge3 0I43-CS-BL
NAME PRIMARY P&OIIL
C.0 1 ,
APPLICANT ADDRESS
�^
E-MAIL
CITY ,^,% eTATIt ZIP FAX
.,.,.. ._ .._... ( '.,... PRIMARY PHONZ ......
PROJECT CONTACT SAME �i SC " \L �� '
m u.ruc3 ADDRsas /� -y}- y�{�) \\ ItMAIL
(The indivtduai to receive and tr_t s 4�t , 1 C✓ C-0(( t r(,V.. 1 L%'�.1
respond to all correspondence — J� t
STATE ZIP TAX
concerning this application) CITY
RAMI . OW ALR.Zt.3AA CLD
PROJECT FINANCING _
Required value of$5,000 or more >KAunta ADDRESS,CITY,
STATE,?IP mon
(RCW 19.27 095)
I certify under penalty of perjury that I am the property owner or authorised agent of the property owner.I certify that to the best
of my knowledge,the information submitted in support of this permit application Ls true and correct I certify that I w(U comply with
all applicable City of Federal Way regulations pertaining to the work authorised by the
u its Locae of atapermitoj. I understeutd gutatthe
that the
issuance of this permit does not remote the owner's responsibility for compliance
construction or environmental laws.
!further agree to hold harmless the City of Federal Way as to any claim(inclnsu,and attorneys'fees incurred in
(inducting costs,,peing
person,including the undersigned, and flied against the city,
b
the only investigation en uch defenselofisuch claim), which may be made by any Pe its officers and employees, upon the accuracy of the
but only where such claim arises out of the reliance of the city, inti ng j7t
information supplied to.the city as a part oft application. j
J DATE
SIGNATURE. k41 r
PRINT NAME: t t-'0 * V
Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Permit Applicata©n