21-102813City of Federal Way
Coitununity Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: CAMPUS VIEW FOURPLEX 183
Project Address: 183 S 340TH ST
Building - Multi Family
Permit #:21-102813-00-MF
Project Description: Tear off and re -roof with some sheathing replacement.
Inspection Request Line: (253) 835-3050
Parcel Number: 132201 0010
Owner
Applicant
Contractor
Lender
PATRICIA NELSON
ALISA BERKLANDNORTHWEST
NORTHWEST ROOF SERVICE INC
10101 SE 3RD ST UNIT 404
ROOF SERVICE INC
801 CENTRAL AVE N
BELLEVUE, WA 98004-6080
801 CENTRAL AVE N
KENT WA 98032
KENT WA 98032
Census Category: 555 - Non-structural roofing permits
Includes:
#1
#3
#4
Occupancy Class:
Construction Type:
Occupancy Load:
•
Floor Area (sq. ft.)
IL
'%Rdditional Permit Infor atio
!�P_
Mechanical to be Included? ..................................... N0 Nuinbc Stories................................................... 0
Is this an fllililie or C. appli �.................. �`eS P� for Building Shell Only?.............................. No
Plumbing to be included... ., No
Total Valuation: 29,000.00 \?
No Fixtures Assoc latei With This Permit I
PERMI IRES Sunday, 9 January, 2022
Perm Issued on Tuesday, July 13, 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
Wasiiingt& bj,d tI e'City of Federal Way.
Owner or agent: `� I� I` --I Date:
A�k THIS CARD IS TO REMAIN ON -SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 21 102813 00 Address: 183 S 340TH ST
Project: PATRICIA JOAN NELSON FEDERAL WAY WA 98003-6637
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.
0
Roof Sheathing (4220)
0
Final - Building (4050)
c, cd Io install roofing
N
Approved
By�1J+J)
J Date 3 • J y. a
By
Date
Rough Electrical
Final Electrical
❑
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
RECEIVE®
0IfY01. PERMI'T' APPLICATION
Federal Way- JUL 0 9 2021 PERMIT CENTLR + 33325 £31I, AvNnuC 3oat!; + Federal Way, WA 9$�0'-F325
253-835-2607 f PAX 25;3-835.2609 + y simit�Ens c�#yr> l", ' ont
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
PETtMIT NI MiII Ft�-
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TYPE OF Pi;RMIT 13Ull,DING ❑ PLUMBING D M COMANICAL 0 DF1,101-11,loN 0 ENGME1'rRING ❑ PRE PI�EVEN1`I17N F
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of w»rk to
be bu:luded on tht s perrnit only-
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NAME�� I ,• -��� -_-�� - PRIMARY PHUNI;
PROPERTY OWNER
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M LIN'ADV 1, (,.4-q o F,MAIL
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MAILiiga ADD
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corl'rRACTorc
CITY i)��.(+
S A ZIP FA7C
WA STATE CUNTI2ACTUli'S LICBMSD Y BXPIRATIOWDATk FEDERAL WAY LUSIHSS9 LICZ .'jSE B
FAME; PRIMARY PIIOHL'
APPLICANT MAILING ADDRESS - - 7I•nIAIL
CITY �STATP 'I,IP -� `�--------_`-�_'—�!
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NAME PRIMARY PRONIs -- -
PROJECT CONTACT
(T MAILING ADI)I SS Alit. ndllit:<'i$CIi t[1 r1: poi ,,C' L2rid .��� � � 1 Y� EMAIL
I'eSrCrlfi tU Clii CCY1eSjia7'.G�f:72Cu { N�,fT �' Y l
concerning thi'5 [2pp"foatiGn) CITY
FAX
PROJECT FINANCING Nnxr•.
OWNER,FINANCED
Wll@rt uall e is ,$S; G'G'0 or more _ __
r Ir MAILING ADDRESS, CITY, $TA9'F., 'L1Y � � -
iRCt4 J. 27.C9:iJ
I
! selrtify rindter penalty of perfury that 1 am the property o[oner or Rrathorized af7o+>t of flee property u3orltr. f eertlfy Thal to tllir Last
of my knowledge, the lrk&rntation submitted fit Support of thts wnnit appllcatiort is tt O thel correct, 1 co err them ! th i to ciy Iuith
all [tppllcerbI& City of Faiiurn I Way ivyuIet9ion s percaInIng to the wark aitMori zatf by the issuance of a parrrtit. [ tin ers Will nd that tit*
issuanna of this pe!'Intt tines not remove tite oevnei''s r•esportslblffty for corliplianve with lvonl, state, 01• federetl lases reyafatfng
coastntct(art or enviruitrntntal Fawn.
1 fserther agree to hoar! harmless the City of Federal tilay as to any Clain: (410111ding cruses, expenses, aad attorneysfees Incswr f11 in
the 1AVest fyattoit anti defensa of such claim), which in ay be mane by any parson, lrleiurlfrif/ the undars ig vf, and fllrel ayatltst tF[e city,
but Only whore Stich ariahn arfsus out of the rounnov of Chu ctlyi lncfudo g Its offitecrs ulret anlpicyae4, upon the (wcuracy Df vie
informalWt supplied to tha city cis apart of tit I plicatfun. r
SIGNATURE; DATE
PRINT NAME; 4j
----
i.3WlPllil 4100 JfiCJ;il'y 29, l(!ii) hltl` I of2 -
k.ldill)�;EriIIS\Iaf:Pl7iil A£7I;ilCfl2llilt