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15-101649- f wilding - Sihgle Family Cky of Federal Way Community & Ecm. Dev. Services Permit #: 15-101649-00-SF 333258th Ave S Federal way, WA 98°°3 Inspection Request Line: 253 835 -3050 Ph: (253) 835 -235 -2 807 Fax: (253) 835 -2809 I� Project Name: SIBURG Project Address: 806 S 295TH PL Parcel Number: 515210 0060 Project Description: REP - Remove existing hot tar with gravel roofing, replace plywood and reroof with granulated torch down Owner JIM SIBURG ARRlacard NORTHWEST ROOF SERVICE INC Contractor NORTHWEST ROOF SERVICE INC Lender OWNER IS LENDER JEANNETTE SIBURG 801 CENTRAL AVE N NORTHRS088DW (10 115115) 806 S 295TH PL KENT WA 98032 801 CENTRAL AVE N FEDERAL WAY WA KENT WA 98032 Occupancy Load- 98003 -3703 Census Category: 555 - Non - structural roofing permits Includes. #1 #2 #3 #4 Occupancy Class: Construction Type: Occupancy Load- Floor Areas . ft. 0 0 T 0 0 Additional Permit Information New / Additional Sq. Feet - 3rd Floor ....................0 Mechanical to be Included? ...... .............................No Permit for Building Shell Only ? ............................No New / Additional Sq. Feet - Basement ..................0 Number of Stories ................... ..............................2 Plumbing to be Included? ......... .............................No No Fixtures Associated With This Permit ll PERMIT EXPIRES Saturday, October 3, 2015 Permit Issued on Monday, April 6, 2015 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 taws, rules and regulations of the State of Washington and the Qity of Federal Way. Owner or agent %PPu6f'n D N Date: �'� _ ern► of Federal Way PERMIT #: Project: 15- 101649 -00 -SF JIM SIBURG THIS CARD IS TO rTS: `ON -STTE Construction In on Record INSPECTION REQ 3) 83 5 -3050 Address: 806 S 295TH PL FEDERAL WAY, WA 98003 -3703 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) Final Erosion Control ( 375) Final - Building (4050) Approved to install roofing Approved Approved By Date By Date By PA L. Date q— (7--15 - 1 5 By Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date �.� PERMIT APPLICATION POCEM APR 0 6 2015 C1 �!F W114 Ig �......_ �._ �Clfl( OFD itiri's /vxiT ADDRLiiy, 603 PROJRC?VMVA"0K U008 i TAZflARC61. e M 3 T YP$ OF PEtiltn'I'' vtt aura' © pL MEUNO 0 MECNA CAL Cl DEatoimON O ENOiNEER Nd 0 RRE pkvffx oN ------ F —_, --�F NAME OF PROJECT 1 r PROJECT DEBCRiPTTOA Detagal dt tie of work to be i wW&td on d►is permit arty rwtulez r�o1a PROrEM OMER . iTATS ?il• rsa KAaUto AnDRSit► C CONTRACTOR rmr ztr rAZ �0 .b..., ., 7 Tt-1 DAT- its ucxxss • a , , . , r- roru 7_ � APPLICANT KAR=G ADD2M riY Crrr 3?A'i't :'P j� 1'RIKABY !!IIOris rROJECT CONTACT 11Ata 1 t � I J� et Vkt rrhe individual to receive and KAU.nto ADDRSSS respond Ln all awrr sspondenon MY sears za FAX cona;ernirul this aPPticat%n) iuUt C7rWlnGttlU►At[CLD PRAJECT FMAIICIXCi j?*W red valet of $5,000 or mare KiYSMW ADDlJW, Crry, OTAM 2v (RCW 19.27.0951 Y esrtf aanderpenatty of perjury the Yam the property Owner or authorised agent of the property owner. I certib dust to the best of my, knowledge, the information submitted in support of this permit application is true and correct I certify that I wits eorwpilf �► City feaisral WOO regulations pertaining to the work authorised by the issuance of a permit. I understand that the all applicable C1t issuance of this permit does not r+emoee the a~e* responsMUty for c°^y'H°'r°s with Seca; :rata, or federal lava regulating construction or environmental tawrs. costs, ercpsnses, ana rtttornsys' jets incurred in i ether agree to bald harmless the City of!"eatsrol Way to any claim line ding the inssstigartlnn and defense of such claim), which "be alai: by angi p6Tig inn ficers the undersigned, +ud ii he against the ct h Of ills adty, inciuding its of}leen and employees. upon the aceuratq! 4f the but only where such claim arises out of the f c information supplied to the Aff# as a piart Of licadva. DATE SIti1tATLTRE: PRINT NAME: �" L Bulletin 0100 — January 1. 2013 Page 1 of 3 kiHandoutsTermit Application