23-100531City of Federal Way
Community Development Dept,
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: WESTWAY LOT 126
Project Address: 33309 23RD AVE SW
Building - Single Family
Permit #:23-100531-00-SF
Inspection Request Line: (253) 835-3050
Parcel Number: 932090 1260
Project Description: Tear off existing roofing and replace with composition shingle roofing system, including some
sheathing replacement.
Owner
Applicant
Contractor
Lender
ESCONDIDO DIRECTIVE LLC
ALISA BERKLANDNORTHWEST
NORTHWEST ROOF SERVICE INC
)121 SE SUNNYSIDE RD SUITE 3C
ROOF SERVICE INC
801 CENTRAL AVE N
CLACKAMAS OR 97015
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 Type:
Occupancy Load:
Floor Area (sq. ft.)
Additional Permit Information
Mechanical to be Included?... .................................. No Is this an Online or O.T.C. application?.................. Yes
Plumbing to be Included? ........................................ No
Total Valuation: 8,500.00
No Fixtures Associated With This Permit ll
PERMIT EXPIRES Wednesday, 2 August, 2023
Permit Issued on Friday, February 3, 2023
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
Washington and the City of Federal Way.
Owner or agent:_ Date:
r.
AsTHIS CARD IS TO REMAIN ON -SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 23 100531 00 Address: 33309 23RD AVE SW
Project: ESCONDIDO DIRECTIVE LLC FEDERAL WAY WA 98023-2809
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.
Q Roof Sheathing (4220) 0 Final - Building (4050)
Approved to install roofing Approved
By Date By Date
lee i -50611z?z) — 56
Rough Electrical
❑
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
RECEIVED CITY OF PERMIT APPLICATION
•.
Federal Way JAN 3 0 2023 PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 t pern]itcentel rY J+cityniFederahvaY.cam
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
PERMIT NUMBER _ _ -5 E 'TARGET DATE
SITE ADDRESS
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SUITE/UNIT #
3
PROJECT VALUATION
ZONING ASSESSOR'S TAX/PARCEL B
TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
M 5�w L#,,+-- Ira
PROJECT DESCRIPTION
Detailed description of work to
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be included on this permit only
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NAME PRIMARY PHONE
PROPERTY OWNER
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MAILING ADDRESS-y
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NAME
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NAME sgrq�
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY STATE ZIP
FAX
PROJECT CONTACT
NAME
``
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PRIMARY PHONE
(The individual to receive and
MAILING ADD SS ,(, I ,
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E-MAIL
respond to all correspondence
4 Y��� i
CITY
STATE ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
OWNER -FINANCED
When value is $5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
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 a city as a part of application.
L
SIGNATURE: �lJlr "�
4�V� DATE
PRINT NAME: 1 S ' 1� G
JM
Bulletin #100 - January 29, 2016 Pave I of 2 k:\Handouts\Permit Anolication