16-105442 Building - Single Family
City of Federal Way Permit #:16-105442-00-SF
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: WILSON
Project Address: 129 S 361ST PL Parcel Number: 113780 0330
Project Description: REP- Remove existing roof material and install new sheathing and composition roof material.
•
Owner Applicant Contractor Lender
CARY D WILSON MAUREEN CLIFFORDValentine VALENTINE ROOFING INC. OWNER IS LENDER
129 S 361ST PL Roofing Inc. 910 INDUSTRY DR
FEDERAL WAY WA 98003-8621 910 INDUSTRY DR N TUKWILA WA 98188
TUKWILA WA 98188
Census Category: 555 Non-structural roofing permits
Includes: I #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.)
Additional Permit Information
Mechanical to be Included? No Number of Stories 1
Is this an Online or O.T.C.application? No Plumbing to be Included? No
Total Valuation: 15,000.00
� xf%' �/rzzq-Y���j";"r �.r x. � 3 a�€�.,t�is• rr�p�y s ,,;.:rsf e r• E 3g.�ir�.y" � s/'„� F;"'`:r m h: "�
�s,�/ y ��� S /t �>�;s/f�.�� h� r.:-„ �Y c��y.,4J f �: h �� � y�/�'��r ,✓„ �` �`�'
`y iyr� r��,,,�.¢ ✓/���������/�ix'ir,. a�, �..,q ��� � ��� ,�` 3 ��� k � � �r�r � �r�c�g � s ,_�hE . °,:
:aC
PERMIT EXPIRES Saturday, 13 May,2017
Permit Issued on Monday,November 14,2016
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: I(/I LI/ I V
F/NA
deo
.Alkih,
THIS CARD IS TO REMAIN ON-SITE
Federal Na Construction Inspection Record .
y INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16 105442 00 Address: 129 S 361ST PL
Project: TERESA J WILSON FEDERAL WAY WA 98003-8621
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 roofing Approved
.' , , Date z `) „Hyy l.2.
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
RECEI •
Nov 14 2.016 PERMIT APPLICATION
CITY OF
Federal Way CITY OF FEDERAL WAY PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
CDS 253-835-2607+FAX 253-835-2609+permitcenter(,citvoffederalway.com
PERMIT NUMBER / _ / 0 J 6/ _ t
TARGET DATE I Li '2 l ( (.0
e
SITE ADDRESS SUITE/UNIT#
12 1 - 15t PI Feclev 4\f a 's 00
PROJECT VALUATION ZONING ASSESSOR'S /PARCEL#
$ Ic, 000 - - - - -
TYPE OF PERMIT /0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT I2 (2bo i rstei P v jecl--
ZCYYIrm. C V v v-e r‘.- \ 1 ✓1 s-jvt (I v\e
PROJECT DESCRIPTION ,} ,, ,
Detailed description of work to (Sl'ec1 I I' '1 1 � C O �tJ S
be included on this permit only P-00 ( 1r tj-c N r
NAME "T PRIMARY PHONE
wk 150 Tee5 2 (132 012
PROPERTY OWNER MAILING ADDRESS / E-MAIL12-q G. I t F I ;AJI �s,�,-, (I Plrr14,1i <<>>�
CITY STATE ZIP
NAME PHONE
�a+hCv� t ►► �� ��(�
V.-N(3 r10tu)S i 5 "1`60•1
MAILING ADDRESS \E-MAIL
CONTRACTOR cto (r-'610.5-tice— ', Mrn,v-e-cn('vaielnt-,,Cued.-00
CITY STATE ZIP FAX
WA 9% 062
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
MOk\AArterl C. t(- ✓Ci 2-(1
Si S --Cy i
APPLICANT MAILING ADDRESS E-MAIL
X110 lock meA,Av-e-eydr)Qc k-ergot
CITY STATE ZIP _S1
1 FAX V'DG�' L C��,YI
WlV� v\ -P‘ C` �S
NAME� PRIMARY PRONE
Iv l
PROJECT CONTACT Gtr V-t e✓1 C h �✓G( 2,6uts-1 S
(The individual to receive and MAILING ADDRESS E-MAI.
respond to all correspondence CI I0 I inCI J& D W'40 Vk
concerning this application) CITY STATE ZIP _ FAX
NAME
PROJECT FINANCING (A)i , T-eveS 0 OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP
(RCW 19.27.095) Y-eL"I C✓L^( W A y
I2'1 S 3i Ise Poop 2S3 ia32 cf�Le
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 a part of this application.
SIGNATURE: hh� CAA DATE 01101/01 V
PRINT NAME: I V 1 ri V V FP f'1 A T U v 1".4
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application