21-103758City of Federal Way
Cooununity Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: BOD
Project Address: 37520 19TH WAY S
Project Description: Replace (3) windows. No size/structural changes.
Building - Single Family
Permit #:21-103758-00-SF
Inspection Request Line: (253) 835-3050
Parcel Number: 721265 1060
Owner
Applicant
Contractor
Lender
BRUCE BOD
NAIDA KHANNORTHWEST
HOME DEPOT
OWNER 1S LENDER
37520 19TH WAY S
PERMIT INC
CORPORATION SERVICE COMPA
FEDERAL WAY WA 98003-7590
1026 SW 151ST ST
300 DESCHUTES WAY SE
BURIEN WA 98166
OLYMPIA WA 98501
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.)
Mechanical to be Included?,
Additional Permit Information
No Is this an Online or O.T.C. application? .................. No
Plumbing to be Included? ........................................ No
Total Valuation: 6,188.89
No Fixtures Associated With This Permit li
PERMIT EXPIRES Tuesday, 8 March, 2022
Permit Issued on Thursday, September 9, 2021
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
Was FItE
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 #: 21 103758 00 Address: 37520 19TH WAY S
Project: TAMARA BOD FEDERAL WAY WA 98003-7590
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.
Prior to scheduling a Framing inspection;
1� Framing (4120)
2❑ Insulation (4150)
Electrical, Plumbing & Mechanical Rough -in
Approved to insulate
Approved to install wallboard
and Fire/Draft Stop inspections must be signed -
off and approved. IBC 109.3.4
By Date
By Date
0 Gypsum Wallboard Nailing (4130) ® Final - Building (4050)
Approved to install mud &tape ^ N Approved
By Date By G Date I;-,;- a
EJ
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
CITY OF
Federal Way
PERMIT NUMBER , I -
PERMIT APPLICATION
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
0 3 7 5 (?)- S F TARGET DATE NIA
SITE ADDRESS
SUITE/UNIT #
37520 19th Way South
PROJECT VALUATION
ZONING ASSESSOR'S TAX/PARCEL #
$ 6188.89
7212651060 -
TYPE OF PERMIT)
BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
B O D
Replace 3 windows. No size/ structural changes.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME BRUCE BOD
P253 740-9354
PROPERTY OWNER
MAILING ADDRESS 37520 19th Way South
E-MAIL
CITY Federal Way
ZrP 98003
wk I
NAME e ome Depot
FHG,760-945-2787
MAD.ING ADDRESS p O Box 105451
Maida@nwpermit.co
CONTRACTOR
CITY Atlanta
stA�
ZIP 30348
1—
WA STATE CONTRA C ffOMED**088RH
07�K17,22
usI# 601 262 719
NAME Northwest Permit Inc.
"MY-M- 2787
APPLICANT
MAILING ADDRESS 1026 SW 151 st St
E-nnaaida@nwpermit.co
CITY Burien
STATE ZIP 98166
WA
FAX
888-400-0383
PROJECT CONTACT
NAME Naida Khan Northwest Permit Inc.
PRIMARY PHONE
360-945-2787
MAILING MT61 SW 151 st St
tC��
nTda@nwpermit. co
(The individual to receive and
respond to all correspondence
O1TY Burien
STATE
WA
ZIP
98166
FAX
888-400-0383
concerning this application)
PROJECT FINANCING
NAME
LX OWNER -FINANCED
When value is $5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
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 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 aassja�part of this application.
SIGNATURE: xtlla """- DATE Sept. 7, 2021
PRINT NAME: Naida Khan Northwest Permit Inc.
Bulletin #100 - February 19, 2020 Page 1 of 2 k:\Handouts\Pernut Application