21-102814City of Federal Way
Conununity Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: CAMPUS VIEW FOURPLEX 171
Project Address: 171 S 340TH ST
Building - Multi Family
Permit #:21-102814-00-MF
Project Description: Tear off and re -roof with some sheathing replacement.
Inspection Request Line: (253) 835-3050
Parcel Number: 132201 0070
Owner
_Applicant
Contractor
Lender
PETER VAN OVERBEEK
ALISA BERKLANDNORTHWEST
NORTHWEST ROOF SERVICE INC
4717 UNIVERSITY VIEW PL NE
ROOF SERVICE INC
801 CENTRAL AVE N
SEATTLE WA 98105
801 CENTRAL AVE N
KENT WA 98032
KENT WA 98032
Census Category: 555 - Non-structural roofing permits
Includes:
# 1
#2
#3
#4
Occupancy Class:
Construction T e:
Occupancy Load:
Aa
Floor Area (sq. ft.)
Additional Permit Informatiq
Mechanical to be Included? .......N�!................ No Nu bcrCV116les................................................... 1
Is this an Online or O.T.C. application? .................. Yes P for Building Shell Only? ................ I............ No
Plumbing to be Iciudcd7 ....................... No
Total Valuatiol.00
No Fixtures AssocOted With This Permit Il
411K r "A (\
PEWXPIRES Sunday, 9 January, 2022
Vmit 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 bein a c rdan a with the laws, rules and regulations of the State of
Was F
t
ffM of Federal Way.
Owner or agent: Date:
AN� THIS CARD IS TO REMAIN ON -SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 21 102814 00 Address: 171 S 340TH ST
Project: PETER VAN OVERBEEK FEDERAL WAY WA 98003-6632
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.
Roof Sheathing (4220)
0
Final - Building (4050)
Qe
Approved to install roofing
I
Approved
By
Date
By
Date
❑
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
RECEIVED
CITY OF
Federal Way
JUL 09 2021 PERMIT APPLICATION
CITY OF FEDERAL WAY I'r:r7Mrr CLNTLR + 3032,5 81" Avenue South + F+Cdetel tatty, WA 98003.-6325
COMMUNITY DEVELOPMENT 253-835.260? + FAX 25'3.835-2609 + pernailcell*el t�oi t er il.waYS2tl+
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PROJECT VALUATION
a 00
TYPE OF PERMIT
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed descriplfnn of work to
be inriuded on thistperazit only
PROPERTY OWNER
CONTRACTOR
APPLICANT
PROJEC'r CONTACT , ,'
(The individual to receive and
respond to all correspondence
concerning this appii(,,atican),
PROJECT F'INANCINC,
Wlien iralue is $ ;OCR[' nr neon,
(RC:V 14 27 till S)
7.UNING
NAME
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TARGET DATL
SUITE/UNIT e
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LDING ❑ PLUMSM(i ❑ MECHANICAL ❑ DEMOLITION ❑ ENORgErRING ❑ RIRE PrtEVENT10?q
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OWNBR-FINANCr3I)
I cartlfy undor perlatty of parfury that I am the property Owner or authorized agant of the property owner. I cvrtVy that to the bast
of my knowledge, the information submitted ire support of this permit application is trtfe and correct. I certify that I w111 comply with
all applicable City of Fedor -al Way regulations pertaining to the tuork •authorized by the lssuarice of a parrnit. I understand that the
issuance Of this permit does clot remove the owner's responsibility for compliance tuith local,
construction or erivirpnmental lastate, or fedora! lows reyututtny
ws,
!further agree to hold learn:less the City ofFader'at Way as to ally ctatm (Including costs, expanses, and attorneys' foes Incurred In
the Investigation and dofonse of such olaiml, which may be mane by any person, including tiee undersigned, and fired against the city,
but Drily wAeYs sueh eiat,--.t alrfSe3 OUC of the reliance of the city, frecluding its officers and employees, upon the accuracy of the
(g,rarrrtattori suppiterl lie tlite as a part o this application,
SIGNATURE: DATE t'
PRINT NAME, _ � '� �� +� � � li 4�L�e0
I3ullstin i1100 - hummy 29, 2016 P Toe 1 of'2
k�!l-ii;iuiautsU'ernlil h}aplicatic;;