21-104810RECEIVED
CITY OF PERMIT APPLICATION
p Way
NOV
12 2021 PERMIT CENTER + 33325 8ei Avenue South + Federal Way, WA 98003-6325
Federal Y ay CITY OF FEDERAL WAY 253-835-2607 + FAX 253-835-2609 + permitcentera)cityoffederalway.com
COMMUNfTY DEVELOpMEW
PERMIT NUMBER
VVV i TARGET DATE
SITE ADDRESS
SUITE/UNIT #
30848 8th Ave SW, Federal Way, WA 98023
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$
RS7.2
5 5 5 8 2 0_ 0 1 5 0
TYPE OF PERMIT
IN BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
St Joseph Storm Damage Inspection
Inspection needed for residence hit by a tree during wind storm
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME Robert & Pamela St Joseph
PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS
30848 8th Ave SW
E-MAIL
CITY STATE
Federal Way WA I
ZIP
98023
NAME Fullhouse Builders
PHONE 352-457-4954
MAILING ADDRESS
10918 Creviston Drive Northwest
E-MAIL
fullhousebuilders@mail.com
CONTRACTOR
CITY STATE
Gig Harbor WA
ZIP
98329
FAX
WA STATE CONTRACTOR'S LICENSE #
FULLHBL847KS
EXPIRATION DATE
05 10 / 22
UBI # 603610799
NAME
Jesse Blnford
PRIMARY PHONE
253-833-5557
APPLICANT
MAILING ADDRESS
3605 C St NE
E-MAIL
jbinford@bcie.net
CITY
Auburn
STATE
WA
ZIP
98002
FAX
253-833-7309
NAME See A licant
PP
PRIMARY PHONE
PROJECT CONTACT
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
When value is $5,000 or more
MAILING 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 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 as apart of this application.
Digitally signed by Jesse L Blnford
Jesse L B l f d DN: cn=Jesse L Blnford, o=BC Investigative Engineers, ou,
n o r
SIGNATURE email=jbinford@Bcie.net,c=US DATE 11-11-21
Jesse L Binford
PRINT NAME:
Bulletin #100 — February 19, 2020 Page 1 of 2 k:\Handouts\Permit Application