21-104680City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Building - Single Family
Permit #:21-104680-00-SF
Inspection Request Line: (253) 835-3050
Project Name: DOLPH
Project Address: 341 S 309TH ST Parcel Number: 667265 0220
Project Description: Remove wood shake roofing; over 15/32" CDX, install Presidential TL roofing system.
Owner
Applicant
Contractor
Lender
MARVIN DOLPH
ROOFSMART
ROOFSMART
341 S 309TH ST
19713 92ND AVE S
19713 92ND AVE S
FEDERAL WAY WA 98003
KENT WA 98031
KENT WA 98031
Census Category: 434 - Residential alt/add - no change in number of units
Includes:
#1
#2
#3
#4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area (sq. ft.)
Additional Permit Information
Mechanical to be Included? .................................... No Is this an Online or O.T.C. application?.................. No
Plumbing to be Included? ........................................ No
Total Valuation: 27,958.00
No Fixtures Associated With This Permit 11
PERMIT EXPIRES Tuesday, 3 May, 2022
Permit Issued on Thursday, November 4, 2021
I hereby certify that the above inforrr)dt' n is correct and that the construction on the above described property
and the occupancy and u5 be in accordance with the laws, rules and regulations of the State of
'a hington and the City of Federal Way.
Owner or agent: _ ' C; Ir Date:
THIS CARD IS TO REMAIN ON -SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 21 104680 00 Address: 341 S 309TH ST
Project: AGNES DOLPH FEDERAL WAY WA 98003-4083
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.
Roof Sheathing (4220) Q Final - Building (4050)
Approved to install roofing n Approved
By Date By r e, ^k Date
Rough Electrical
❑
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
RECEIVED
PERMIT APPLICATIONCITY OF � O � 2U21
NOV PERMIT CENTER + 33325 81h Avenue Southr - + Federal , WA 98003325
Federal Way
253-835-2607 + FAX 253-835-2609 t ermitcente (cit offederalwa com
CITY OF FEDERAL WAY p
COMMUNITY DEVELOPMENT
PERmT Nuamr � _ (0 � S2 S� d I
� TARGET DATE
SITE ADDRESS
SUITE/UNIT #
Sri l S 0q T-1 S-r" g9j0
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
5- z z 0
s29,g5').`2-
b (0 1 z(, 0
TYPE OF PERMIT
ABUILDING ❑ PLUMBING ❑ MECHANNICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
b_ M n �`
LJO
rCA Qnd W
PROJECT DESCRIPTION
1S �(
T2.
Detailed description of work to
be included on This permit cnly
PRIMARY PHONE
eA
PROPERTY OWNER
MAIL N ADDRESS E-MAIL
T II
Is q S� n
CITY I STATE ZIP
e04
PHONE
E-MAIL
MAILING ADDRESS
CONTRACTOR
CITY STATE ZIP
FAX
A
UBI ■
WA STATE CONTRACTOR'S LTC xSE u EXPIRATION DATE
ry p ra F
PRIMARY PHONE
czlb) •v
r&yk
E-MAIL
r
APPIACANT
Mn1LING ADDRESS --yy
Ave
f
FAxtj
CI9'S' � sTA'i�F, zI1.'� 03 •
1
NL L 1 k -z
Y PU0mE 4%
PROJECT CONTACT
r QY
E-MAIL
(The individual to receive andlanIMNG
ADDKF-,sue^
Ii V V 14
respond to all correspondence
l� 1 L
FAX
concerning this application)
C. STATE ZIPq�
W t�
—
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
When value is $5, 000 or more
MiuLING 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 Wad 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 har rrss the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense
such claim/, which may be made by any person, including the undersigned, and filed against the city,
but only where such claim ses out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied t the. -y
as c part of this application.
SIGKA Ult:E:
{ r�
DATE 1 ZV2�
PRIMiVrsM ::YYj
�Y 11�fiP�
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Bulletin #100 — February 19. 2020 Page 1 of 2 k:\Handouts\Permit Application