21-104901ury or: PERMIT APPLICATION
PER
Federal Way MIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + perinitcenter(:cityoffedei•alway.com
PERMIT NUMBER M f b % O I _ C,
r l � TARGET DATE
SITE ADDRESS
2645 S 312TH Street, Federal Way, WA. 98003
SUITE/UNI�#�
N/A
PROJECT VALUATION
$ 70, 510 . 57
ZONING ASSESSOR'S TAX/PARCEL #
NSA 0 9 2 1 0 4_
9 0 2 6
TYPE OF PERMIT
EXXUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
Steel Lake Barn Annex
PROJECT DESCRIPTION
Remove and Dispose of Asphalt Shingle
Roofing
Detailed description ofivorkto
Install High Temp Ice and Water Shield
be included on this permit only
Install Exposed Fastener Metal Roof Panel, Trim
Gutter and Downspiut
Icily of Federal. Way Parks ar De tment
p
PRIMARY PHONE 25 3-8356961
PROPERTY OWNER
71WAILING ADDRESS
33325 8th Ave Southerreck.presncll@city
"Federal Way 'TO18003-6325
NTawson Contracting LLC dba Wright
G
PHA 3-472-3321
MAILING ADErUSS
CONTRACTOR
PO BOX 9339
E-MAIL
wright roofing@rrisri . COm
` a'coma
'n3-474-5423
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
WRIGHR*851K6 5 "6 1202-
UBI N
603-505-236
NAME
Lawson Contracting LLC dba (Wright
R1�xn ,I�q�t
LSSRY4P/LE3321
APPLICANT
SSA L G Ab C95
PO BOX 9339
E-MAIL
c7acoma TY Z�8490
1V
"!!53-474-5423
PROJECT CONTACT
NAME
Ryan Lawson
PRIMARY PHONE
(The indiuidual to receiue and
MAILING ADDRESS
E-MAI
respond to all correspondence
writghtroofing@msn.com
concerning this application)
Tacoma TWE ZRl 8490
n
3- 4 7 4- 5 4 2 3
PROJECT FINANCING
NA C i t y Of Federal Way
ZR
When value is $5,0001or more
(RCW19,2zo95
MCIIfi1 ADDVV CITY ST�TEtiZIP
L Sth AJe
OWNER -FINANCED
HONE
.i:i o
soot-h, _eCce7al Aay,WA 8003-6325
253-83 -6961
I certUy under penalty of perjury that r am the property owner or authorized agent of the property owner. ! eertgy that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.'r cert(fy that I will comply with
all applicable City of Federal Way regulations pertaining to the work.authoriaed by the issuance of a permit. ! 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.
l further agree to hold harmless the City of Federat Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation And defense of"ch clainq which May be made by any person, including the undersigned, and filed against the city,
but only where such claim ari:;es out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application:
SIGNATURE:
PRINT NAME:{��
c
Bulletin 4100 — February 19, 2020 Page 1 of 2
lc:\Handouts\Perrnit Application