16-105905 Building - Single Family
City or Federal way , Permit #:16-105905-00-SF
Community Development Dept.
33325 8th Ave S
Federal way,WA 98003 A Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax(253)835.2609
Project Name: MERCADO
Project Address: 2232 S 284TH PL Parcel Number:422220 0240
Project Description: REP-REP-Remove and replace existing roofing
Owner Applicant Contractor Lender
VIRGINIA MERCADO NORTHWEST ROOF SERVICE INC NORTHWEST ROOF SERVICE INC OWNER IS LENDER
2232 S 284TH PL 801 CENTRAL AVE N 801 CENTRAL AVE N
FEDERAL WAY WA KENT WA 98032 KENT WA 98032
98003-3209
Census Category: 555-Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 0.00
Additional Permit Information
Mechanical to be Included? No Is this an Online or O.T.C.application? No
Plumbing to be Included? No
Total Valuation:11,406.00
•
PERMIT EXPIRES Monday, 12 June,2017
Permit Issued on Wednesday,December 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.
Owne g (�
r or a ent: ,5M--
i A' , `")C' ' 1`J 0 nY 0t late: 14-/
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THIS CARD IS TO REMAIN ON-SITE
Federal Wa Construction Inspection Record
y INSPECTION REQUESTS:(253)835-3050
PERMIT#: 16 105905 00 Address: 2232 S 284TH PL
Project: VIRGINIA C MERCADO FEDERAL WAY WA 98003
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.
.1=1 Roof Sheathing(4220) ,'•Q Final-Building(4050) ,
�""
Approved to install roofing Approved
,By AO Date 12)2 4,))ix , By C...-‘41,tAs Date I d- 1 r)
o Rough Electrical El Final Electrical ElRight of Way
Approved Approved gApproved
By Date By Date By Date
•
• •
PERMIT APPLICATION
Federal KtI PERMIT CENTER+33325 8th Avenue South ■' 03-6325
253-835-2607+FAX 253-835-2609+permntce '%'�•r , e .com
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PERMIT NUMBER
((a f d 5 I O O0 DEC 14 2016
TARGET DATE ITY�F�ED�F�ERAL WAY
SITE ADDRESS p^« SUITEIINIT#
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PROJECT d f ASSESSOR'S TAX/PARCE
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$ (t),LiO ,O ` a 0 .. 0 - Li
TYPE OF PERMIT BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
ip.
PROTECT DESCRIPTION I.
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Detailed description of work to Shia 1 .CCvY t'�i' it
be included on this permit only
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PROPERTY OWNER - 3 (t A 21-1 V Y
E-MAIL
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STATE„
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NAME7
No4\WMAILING ADDRESS ' Iwo+ e v t cye .c, . 3- 59 0 03
CONTRACTOR ll/V'� icy 1._-"e- t •�yry,�e 8.03,2\ i�tltS4O r am
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CITY 4.• Y V ►/. ZIP .2;7' „'$50- 5 SO
WA STATE CONTRACTOR'S LICENSE X EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE Y
L or t. 5 c 3 U► 0 / 5 / t - C)-r ,,,• ' ---t c— Q d
NAME PRIMARY PHONE
(5aiu . et S ado. r )v.)
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME 0 t C 50 t, ( PRIMARY PHONE
PROJECT CONTACT S 4 rrl ' ��. c
MAILING ADD SS EMAIL
(The individual to receive and �y 1
respond to all correspondence 5 ;t`ktk-- Cl•S t^ 4 ' `O ` t— r'
concerning this application) CITY STATE ZIP "-Fax
-
NAME
PROJECT FINANCING OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
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 ci •• arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied "• the city as a apart of th ;plication.
1
: r j
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SIGNATURE: r o� 11
PRINT NAME: A .I S C\ op e^r kV(yyt'
Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application