22-103206City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: WESTWAY LOT 17
Project Address: 33403 25TH AVE SW
Building - Single Family
Permit #:22-103206-00-SF
Inspection Request Line: (253) 835-3050
Parcel Number: 932090 0170
Project Description: Tear off and re -roof with composition shingles, including some sheathing replacement.
Owner
Applicant
Contractor
Lender
NORTH CITY LANDING LP
ALISA BERKLANDNORTHWEST
NORTHWEST ROOF SERVICE INC
PO BOX 1083
ROOF SERVICE INC
801 CENTRAL AVE N
MERCER ISLAND WA 98040
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 Tv e:
Occupancy Load:
Floor Area (sq. ft.)
Additional Permit Information
Mechanical to be Included? ..................................... No Is this an Online or O.T.C. application?.................. Yes
Plumbing to be Included? ........................................ No
Total Valuation: 12,000.00
No Fixtures Associated With This Permit 11
PERMIT EXPIRES Wednesday,11 January, 2023
Permit Issued on Friday, July 15, 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
Wa�t d t of Federal Way.
Owner or agent:
l; Date:
tiv\A
THIS CARD IS TO REMAIN ON -SITE
CITY or Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 22 103206 00 Address: 33403 25TH AVE SW
Project: NORTH CITY LANDING LP FEDERAL WAY WA 98023-2811
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-Qoin¢ inspections are loeeed on the back of this card.
0
Roof Sheathing (4220)
0
Final - Building (4050)
Approved to install roofing
Approved
By
Date
By
J 0 Date -1
h2
l �� ZZ 5 b�� � Sov� � �� ►��� _etkk , I Shot LIe3 t
- 3-6
Rough Electrical
Final Electrical
El
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
4k RECEIVED
1 2022
CISYOt: JUL PERMIT APPLICATION
cin of FED WAr PERMIT CENTER + 33325 81a Avenue South + Federal Way, WA 98003-6325
Federal l WayGOMMUNf1 y D 11 1 OPM�NT 253-835-2607 + FAX 253-835-2609 + pSrrnitcsnter[acityoffederalway.c nm
PERMIT NUMBER _
® _
r
TARGET DATE•
SITE /MDRMS
33q Q SLLj
SUITE/UNIT 1
eg'2�4
va.
PRflJ£CT VALUATIQN
� i � 000,
ZONIRG A63E$$DR'8 TAX,(PARCEL i
^Lft■q1_j � 0
TYPE OF PERMIT
$L13LUIN0 ❑ PLUMBING ❑MECHANICAL ❑DEMOLITION ❑ENGINEERING ❑FIRE PREVENTION
NAME OF PROJECT
7
PROJECT DESCRIPTION
Ut '1
Detailed description of work to
C E r
be included on this permit only
NAM Y Lb ry
I�f
PRIMARY PHONE
66 6
wTY
PROPERTY OWNER
awLwa Ao xeas VQUTA-
NAME
Serv1 0 e Tv
Cl 03
CONTRACTOR
MAILING ADDREW
C\e r e
£- L
CITY ' / �� i q
{y[` T 7 If /]j�.� ]
V,ii r
t2s
EXPIRATION
T�JfDATE �
WA SAl'ATE CONTRACTOR'S � � � 0
f�DERAL WA`SUSINESS LICENSE e
NAME J'arn s- (ti f A• {/FJS .
47
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY STATE ZIP
FAIL
PROJECT CONTACT
NAME 0 1 t
Ii 1r }
PRIMARY PHONE
(The individual to receive and
respond to all correspondence
MAILING ADD V F
YL r +.L, '
E MAIL
concerning this application)
CITY STATE ZIP
FAX
PROJECT FINANCING
NAME
OWNER -FINANCED
When value is $5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
r cert1f9 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 1 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 ramova 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 jincluding costs, expenses, and attorneys' fees incurred in
the Investigation and defenso of such claim), which may be made by any person, including the undersigned, and filed against the city,
btet only where such claim arises out of the reliance of the city, including Its officers and emptoyees, upon the accuracy of the
information suppiJed t e city as a part of this application.
SIGNATURE: [ lf•/ DATE
PRINT NAME: Pi 1 1 SCk � 1I' }ri1Cs v1
Bulletin #100 —January 29, 2016 Page 1 of 2 k'\Handouts\Permit Application