14-104007 Building - Singte Family
City of Federal Way
Community&Econ.Dev.Services Permit #: 14-104007-00-SF
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: GORHAM
Project Address: 3204 SW 323RD ST Parcel Number: 873190 1190
Project Description: REP-Remove and replace existing roofing
Owner ApplicantContractor Lender
PHILLIP D GORHAM NORTHWEST ROOF SERVICE INC NORTHWEST ROOF SERVICE INC OWNER IS LENDER
DENA M GORHAM 801 CENTRAL AVE N NORTHRS088DW(10/15/15)
3204 SW 323RD ST KENT WA 98032 801 CENTRAL AVE N
FEDERAL WAY WA 98023-2524 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.) 0 0 0 0
Additional Permit Information
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
Mechanical to be Included? No Number of Stories 2
Permit for Building Shell Only? No Plumbing to be Included? No
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Wednesday, February 4, 2015
Permit Issued on Friday, August 8, 2014
I hereby certify that the .e• = informati• is correct and that the construction on the above described property and
the occupancy and t -- use will be in; •rda ce with the la s, rules and regulations of the State of Washington
/r / +,,, a . t - City of F deral Way.
Owner or agent: ```�� �'��` Date: r/sfiv
/r
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 14-104007-00-SF Address: 3204 SW 323RD ST
Project: PHILLIP D GORHAM FEDERAL WAY, WA 98023-2524
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) El Final-Building(4050)
Approved to install roofing Approved
By 2%g_ Date ._,Z. —/ y By TJ' Date 4 12S 1
E Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
• •
CITY Of PERMIT APPLICATION
Federal Way R IVE'D )a�
i( - r� 400 _`�" V
_ TARGET DATE
Ctl Y 01- I- DERAL WAY
SITE ADDRESS suiTznanTi
SW 3' ‘0L-L-'--1,4)+- Fedeetti kilaVS0-3
PROJECT VALIIATION ZONING AEEItYsOR's TAZ/PAIS •
TYPE OF PERMIT L9BUJILDING 0 PLUMBING 0 MECHANICALOn
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT TTTj !r`/J'
03avid3-
PROJECT DESCRIPTIO
Detailed description of work toN r c v Viso
be included on this permit only
PROPERTY OWNER INAlajarf
h 1` p y Dyl ` `rl� l / L�:' ci.ih,'M a a a-ctBTATZ ZIP
PHONs
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(1H t1.34�1J13. d_43!4cO1 1 ( ,i
CITYiCONTRACTOR C/ 1 CL ` I�j .4TAX
�( a1� {�r �q ;253 -S5C -3530
WA STATE CONTRACTOR'S LICENSE f EXPIRATION DATE FEDERAL WAY 10sUIZSS LICENSE I
cR c'G`Z D LJ c�/ 5 ac--e-3 -i o 1�4 S3-Ce--BZ
PRIMARY PHONE
G atn€, c s C 0;Yr,
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZLP TAX
NAME I I Sa j PRIMARY PHONE
PROJECT CONTACT B e r�'�o
vLdividual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence C 4�1r. G s �� �C �Y�
concerning this application) Cm STATE ZIP TAX
NAME NAPE • OWNER-1INANCED
PROJECT FINANCING r f�
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 79.27.095)
I certify under penalty of perjury that I am the property owner or authorised 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 authorised 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 rel of the ci including officers and employees, upon the accuracy of the
information supplied to the city as a port of this
SIGNATURE:
ry
c ( (-1
` DATE (7.(, !
PRINT NAME: %5� eu-kV.-k1/0
Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Permit Application