22-100282City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: TRIESTE HOLDINGS LLC
Project Address: 2212 SW 333RD ST
Building - Single Family
Permit #:22-100282-00-SF
Inspection Request Line: (253) 835-3050
Parcel Number: 932090 0700
Project Description: Tear off existing roofing. Replace sheathing as necessary and re -roof with composition shingle
roofing system.
Owner
Applicant
Contractor
Lender
21ST AVE INVESTORS LLC
ALISA BERKLANDNORTHWEST
NORTHWEST ROOF SERVICE INC
PO BOX 1083
ROOF SERVICE INC
801 CENTRAL AVE N
MERCER ISLAND WA 98040
801 CENTRAL AVE N
KENT WA 98032
KENT WA 98032
*X�
1.G11JUJ I at.0 Uly:'JJ - 1-4011-SLfUCLUFUI
Includes: 91
Ing PU IfII1S
#3
#4
Occupancy Class:
V
Construction Type:
)Or
Occupancy Load:
Floor Area (sq. ft.)
Njioffnal Permit Inf m Ion
Mechanical to be Included? ..................................... Is this an Online or O.T.C. application?.................. Yes
Plumbing to be Included? ........................................ No 40
Total Valuation: 7,000.00 40
ix es Asso th This Permit 11
PERMIT EXPES Monday, 1S July, 2022
Permit Issued on Wednesday, January 19, 2022
1 hereb a that the above information is correct and that the construction on the above described property
and th ccupancy and the use will be in accordance with the laws, rules and regulations of the State of
Wash_ ,
ip to andrh.-ity of Federal Way.
Owner or agent: Date:
THIS CARD IS TO REMAIN ON -SITE
CITY OF THIS
Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 22 100282 00 Address: 2212 SW 333RD ST
Project: 21ST AVE INVESTORS LLC FEDERAL WAY WA 98023-2837
Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE T%i[S 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) 2❑ Final - Building (4050)
to- A Alp ed to install roofing Approved
.n
By Date ) . Z!. By Date
El
Rough Electrical
Final Electrical
El
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
RECEIVED
CITY at
decal Way
JAN 18 2022
CITY COMMUNITY DEVELOPAY
MENT
PERAIIT NU11 EnR "�g I _ j P 40
PERMIT APPLICA'T'ION
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + s iteente a { afFe r wa'�;nm
TARGET
SITE ADDRESS SUITE/UNIT M.
�'
3
W ✓ <✓ G Y 1f LJ Lei ✓.
PROJECT VALUATION
ZONING ASSESSO 'S TAX/PARCEL #
TYPE OF PERMIT
=1' IBUILDING ❑ PLUMBrNG D MECHANICAL, ❑ DEMOLITION ❑ ENGINEERING ❑ FIREPREVENTiori
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of ct)or)c to
�'
(
be included on this permit only
NAM
�{
PRIMARY PHONE
PROPERTY OWNER
I4JAILING A!]DY2F
E-MAIL /
Pi'Y
T T ZIP
rr
MAILING ADDRESS � �I
:
E•a�,L (�] t + �
CONTRACTOR
'
CITY
/��
/1 y
ZIP /"l V�..✓ C,
FAX
Q �^3—
WA STATE CONTRACTOR'S LIICENSE 0,�
Ci L1 33.2 11 ►t
EXPIRATION DATE
.�i ff1
FEDERAL WAY BUSINESS LICENSE #
FEDERAL
( .» - *)
NAt,IE sarnC s ii fYJ1 ✓}
PRIMARY PHONE
NTAILING ADDRESS
E-MAIL
APPLICANT
CITY
STATE
ZIP
FAX
NAME
C _ t
` 4 �. �`� ck,h c
PRIMARY PHONE
PROJECT CONTACT
MAILING ADDRESS
) .(+ +C1Ca c(c rl f v ,( 1 ' `A
E-MAIL
The indloidual to receive and
respond to all correspondence
CITY
STATE
ZIP
PAX
concerning this application)
PROJECT FINANCING
NAME — —
—
OWNER -FINANCED
141hcn value is +$5,000 or more
(RC,W ! f).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 perinit 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 at , including Its officers and omployecs, upon the accuracy of the
information suppl' o the ej�ty as apart p this application,
SIGNA NRE; DATE
PRINT NAME:
Im
Bulletin #100 - January 29, 2016 Page I of k:\HandoutsTcralit Application