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22-102615City of Federal Way Community Development Dept. 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: BURTLOW Project Address: 34504 25TH AVE SW Building - Single Family Permit #:22-102615-00-SF Inspection Request Line: (253) 835-3050 Parcel Number: 011470 0340 Project Description: Tear off and re -roof with composition shingles; some sheathing replacement. Owner Applicant Contractor Lender JERRY BURTLOW ALISA BERKLANDNORTHWEST NORTHWEST ROOF SERVICE INC 34504 25TH AVE SW ROOF SERVICE INC 801 CENTRAL AVE N FEDERAL WAY WA 98023-3015 801 CENTRAL AVE N KENT WA 98032 KENT WA 98032 Census Category: 555 - Non-structural roofing permits Includes: # 1 #2 #3 #4 Occupancy Class: Construction Type: Occupancy Load: Floor Area (sq. ft.) Mechanical to be Included? Additional Permit Information No Is this an Online or O.T.C. application? ................. Yes Plumbing to be Included? ........................................ No Total Valuation: 10,000.00 UKNo Fixtures Associated With This Permit 11 1 PERMIT EXPIRES Monday, 5 December, 2022 Permit Issued on Wednesday, June S, 2022 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 rlLt he City of Federal Way. Owner or agent: Date: THIS CARD IS TO REMAIN ON -SITE CITY OF Construction Inspection Record Federal Way INSPECTION REQUESTS: (253) 835-3050 PERMIT #: 22 102615 00 Address: 34504 25TH AVE SW Project: JERRY BURTLOW FEDERAL WAY WA 98023-3015 Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE TIIIS 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. Roof Sheathing (4220) If ® Final - Building (4050) Approved to install roofing By Date pit(LKAp`4 r_ooki7kt> Approved r By 4 tf Date G I % ( 71 z0a2_ Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date RECEIVE® CH OP JUN 07 2022 PERMIT APPLICATION Fca d e ra I Wa� d .PERMIT CENTER + 33325 8th Avemxe South + Federal Way, WA 98003-6325 �f CITY OF FEDERAL WAY 253-835-2607 + FAX 253-835-2609 + s rrnitre i o era.l�xay.com COMMUNrN DEVELOPMENT PERMIT NuMSER �s TARGET DATE SITE ADDRESS PROJECT VALUATION $ to 66"()a0 TYPE OF PERMIT NAME OF PROJECT SUITE/UNITAS c ZONING ASSEBSDi S TAX/PA CEL N .]BUILDING © PLUMBING © MECHANICAL ❑ DEMOLITION ❑ C'NG[NEERING El FIRE PREVENTION '0_ V-Y-( I [Ri l ir-{ I nl 1 z PROJECT DESCRIPTION Detailed description of umrk to be included on this permit only PROPERTY OWNER CONTRACTOR APPLICANT PROJECT CONTACT (The individual to receive and respond to all correspondence concerning this application) NAME CITY Ke'`�V L_V WA SrTATE CONTRACTOR'S LICRXSn 0 NAhIE �5' C s 00 MAILING ADDRESS CITY NAME STATE Oc MAMING AM) &SS ph CITY E-MAIL 4ATF ZIPi:JLPBU61NE53 LICEN&E N L NE ZIP FAX rt PRIMARY PHONE -MAIL ,cc E STATE I ZIP FAX PROJECT FINANCING NAME J--OWNER-FINANCED When Value is $5,000 or ttlore MAILING ADDRESS, CITY, STATE, ZIP (RCW 19.27,095) 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 doesntal 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 t tip city as a part of t is application. SIGNATURE, ii ff DATE 1 PRINT NAME: Y I Ck n 0 2 B"lletin #100 — January 29, 2016 Page 1 of 2 k;\Handouts\Pernllt Application