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23-103310- City of Federal Way Community Development Dept 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name Project Address Project Description MEDHURST 29211 3RD AVE SW Building - Single Family Permit #:23-103310-00-SF Inspection Request Line: (253) 835-3050 Parcel Number: 119600 0663 Remove cedar shake roofing and install 1/2" CDX plywood sheathing and composition shingle roofing system. Owner Applicant Contractor Lender THOMAS MEDHURST VALENTINE ROOFING INC VALENTINE ROOFING INC 29211 3RD AVE SW 400 INDUSTRY DR SUITE 130 400 INDUSTRY DR SUITE 130 FEDERAL WAY WA 98023-3529 TUKWILA WA 98188 TUKWILA WA 98188 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: 37,874.00 No Hi lures Associated With This Permit li PERMIT EXPIRES Sunday, 24 December, 2023 Permit Issued on Tuesday, June 27, 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 Washin #on an d the City of Federal Way. Date: Owner or agent: THIS CARD IS TO REMAIN ON -SITE CITY OF Construction ,Inspection Record Federal Way INSPECTION REQUESTS: (253) 835-3050 PERMIT #: 23 103310 00 Address: 29211 3RD AVE SW Project: CHRISTINE MEDHURST FEDERAL WAY WA 98023-3529 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) Approved to install roori App oved BY \�O Date�II''�/ By Date12�� ❑ Rough Electrical Final Electrical Right of Way Approved Approved Approved 11F Date By Date By Date RECEIVED ,_4� CITY OF mo---- Federal Way PERMIT NUMBER 'A 3 JUN 26 2023 PERMIT APPLICATION CITY OF FEDERALDEVELOpME RMIT CENTER + 33325 811, Avcnue South + t edcral Way, WA 98003-6325 I.rOMMl�Nr1YAEVELOPMEN 253-835-2607 + FAX 253-835-2609 + pern:itcer.lertirtitvoffederalLvay.eom 6 33 / 0— 5 TARGET DATE i SITE ADDRESS SUITE/UNIT # 29211 3rd Ave SW, Federal Way WA 98023 PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL # $ 37,874.28 Single Family/Res Use 119600 _ _ ^ _ 0663 TYPE OF PERMIT In BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRL PREVENTION NAME OF PROJECT Tom Medhurst Residential Re -Roof PROJECT DESCRIPTION Detailed description of work to Removing existing cedar shake roofing and installing new composition roofing materials Will include new 1/2 inch CDX sheathing. he included on this permit only NAME Thomas Medhurst PRIMARY PHONE 253-261-7957 PROPERTY OWNER MAILING ADDRESS 29211 3rd Ave SW E-MAIL tombmedhurst@gmail.com CITY Federal Way STATE WA ZIP 98023 NAME Valenitne Roofing PHONE 206-519-5631 MAILING ADDRESS 400 Industry Dr. Ste 130 E-MAIL gina.schloer@valentineroof.com CONTRACTOR CITY Tukwila STATE WA ZIP 98188 FAX WA STATE CONTRACTOR'S LICENSE # VALENRL781 RW EXPIRATION DATE 12/1J6/24 UBI # 604983544 NAME Gina Schloer - Valentine Roofing PRIMARY PHONE 206-519-5631 MAILING ADDRESS 400 Industry Dr. Ste 130 E-MAIL gina.schloer@valentineroof.com APPLICANT TE CITY =\A Tukwila ZIP 98188 FAX PROJECT CONTACT NAME Gina Schloer PRIMARY PHONE 206-519-5631 MAILING ADDRESS 400 Industry Dr, St 130 E-MAIL gina.schloer@valentineroof.com (The individual to receive and respond to all correspondence CITY Tukwila STATE WA ZIP 98188 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 the city as apart of this application. SIGNATURE: _ � DATE 06/26/20 PRINT NAME: GI chloer Page I of 2 MECHANICAL PERMIT Indicate how many of each tqp AIR HANDLING UNITS AIR CONDITIONER BOILERS COMPRESSORS DUCTING PLUMBING PERMIT Indicate how many of each typ, BATHTUBS (or Tub/Shower Combo) DISHWASHERS DRAINS DRINKING FOUNTAINS HOSE BIBBS to be installed or relocated as FANS FIREPLACE INSERTS ^_ FURNACES _ GAS LOG SETS GAS PIPING to be installed or relocated as LAVS (Hand Sinks) RAINWATER SYSTEMS SHOWERS SINKS (Kitchen/Utdhyl SUMPS VALUE OF MECHANICAL WORK f thisproject. Do not include GAS PIPE OUTLETS _ HOODS (commercial) HOT WATER TANKS Icsi REFRIGERATION SYST WOODSTOVES OTHER (Describe) VALUE OF PLUMBING WORK part of this project. Do not include TOILETS URINALS VACUUM BREAKERS WATER HEATERS (El-t1wl WASHING MACHINES ig fixtures to remain. WATER PIPING OTHER (Describe) TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS EXISTING/PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? Yes ❑ No C Yes ^ No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL BASEMENT FIRST FLOOR (or Mobile Home) SECOND FLOOR COVERED ENTRY DECK GARAGE ❑ CARPORT ❑ OTHER (describe) Area Totals EXISTING PROPOSED TOTAL **NEW HOMES ONLY** ESTIMATED SELLING PRICE $ 1 R OF BEDROOMS COMMERCIAL — NEW/ADDITION AREA DESCRIPTION Area in Occupancy Group(s) Construction # of Additional Information Square Feet Tvve Stories NEW BUILDING ADDITION COMMERCIAL — REMODEL/TENANT IMPROVEMENTS Area in Construction # of AREA DESCRIPTION Occupancy Group(s) Additional Information Square Feet pe Stories TOTAL BUILDING TENANT AREA ONLY PROJECT AREA ONLY Page 2 of 2