21-104899r CITY OF .,_ _��. PERMIT APPLICA'TION
Fe
deral 11( 1 PER
CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
1 V 253-835-2607 + FAX 253-835-2609 + pennitcente�;cityoffederalway.corn
PERMIT NI7m18= �. TARGET DATE I
SITE ADDRESS SUITE/UNIT
33914 19th Ave SW, Federal Way, WA. 98023 N/A /
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL #
$ qo1, 3j,-%• &3 N/A 1 9 2 1 0 4_ 9 0 3 3
TYPE OF PERMIT EXgUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT Sagahlie Park Restrooms (2) Roof Replacement Project
Remove and Dispose of Asphalt Shingle Roofing
PROJECT DESCRIPTION Detailed description of work to Install High Temp Ice and Water Shield
be included on this permitollly Install Exposed Fastener Metal Roof Panel, Trim
Gutter and Downspiut
iFi y of Federal Way Parks Department PRIMARY PIIONE253-835-6961
PROPERTY OWNER MAILING ADDRESS MAIL
33325 8th Ave South dFerreck,presnell@city
ffa pli, �r
ell-yederal Way 'TR 18003-6325
NALNwson Contracting TIC dba Wright 'T 3-472-3321
:!;
MAILING ADDRESS E-diA
CONTRACTOR
PO Box 9339 airig�itroofing@msn.com
` aycoma 9T�1F "1 8490 Fn3-474-5423
WA STATE CONTRACTOR'S LICENSE 9 EXPIRATION DATE USI #
WRIGHR*851K6 5 ?6 /202-- 603-505-236
NAME q�r
Lawson Contracting LLC dba Wright �RY��G E 3321
APPLICANT MAW G AM SS E-MA[[L
PO BOX 9339 wrrghtroofing@msn.com
°TFacoma S'J4Y Z�8490 F2153-474-5423
NAME W PRIMARY PHONE
PROJECT CONTACT Ryan Lawson
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence PO Box 9339 info@wrightroofingwa.com
concerning this application) TAc oma WKE Z'� 8 4 9 0 rM 3- 4 7 4- 5 4 2 3
PROJECT FINANCING NAM, ity Of Federal Way OWNER -FINANCED
When value is $5,000 or more M� uuI,,II.N A DRESS, CITY, ST TE 2IP HONE
(RCW 79,27.095J .i332 �th nve sout�i, Federal Way, WA 98003-6325 2 5 3 - 8 3 - 6 9 61
I certify under penalty of perjury that 1 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 remoue the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
[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 defense of such claim), which may 8e 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 as at part of tie plication.
SIGNATURE: DATE l l N6 I Lit
r
PRINT NAME: volt Loy)
Bulletin #100 — February 19, 2020 Page 1 of 2 k:\Handouts\Permit Application