17-101835 Building - Single Family
City of Federal Way Permit #:17-101835-00-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: NGO
Project Address: 37119 17TH AVE S Parcel Number:721266 0430
Project Description: Replace existing 333 squares of comp and 29 squares of decking.
Owner Applicant Contractor Lender
NGOC VAN NGO NAIDA KHANNORTHWEST THE HOME DEPOT
37119 17TH AVE S PERMIT INC 3600 LIND AVE SW
FEDERAL WAY WA 98003 9808 31ST AVE SE RENTON WA 98057
EVERETT WA 98208
•
Census Category: 555-Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.)
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: 17,850.00
PERMIT EXPIRES Tuesday,24 October,2017
Permit Issued on Thursday,April 27,2017
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
hington and the City of Federal Way.
Owner or agent: Date: 4/7-4/1-4-
THIS CARD IS TO REMAIN ON-SITE
°� Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 101835 00 Address: 3711917TH AVE S
Project: DIEM HUY HUONG FEDERAL WAY WA 98003-7701
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.
ED Roof Sheathing(4220) El Final-Building(4050)
Approved to install roofmg Approved
`By Date By ,[,,) Date 11/611-
•
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
....
RECEIVED
CITY OF ikhPERMIT APPLICATION
�g APR'` 2 2017
Fral WG PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
253-835-2607+FAX 253-835-2609+permitcentencicitvoffederalwav.com
CITY OF FEDERAL WAY
1 COMMUNITY DEVELOPMENT
PERMIT NUMBER 1 1 — I 01 g3 5 _ 5 P /4/211 /7
TARGET DATE 111
SITE ADDRESS SUITE/UNIT#
37119 17th Ave S
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 17,850.00 7 2 1 2 6 6 _ 0 4 3 0
TYPE OF PERMIT Ii(BUILDING 0 PLUMBING ❑ MECHANICAL ❑DEMOLITION ❑ENGINEERING ❑FIRE PREVENTION
NAME OF PROJECT Ngo Re-Roof
PROJECT DESCRIPTION
Detailed description of work to Replacing 33.3 squares of comp and 29 squares of decking
be included on this permit only
NAME Ngoc Ngo PRIMARY PHONE
g g 425-246-5659
PROPERTY OWNER MAILING ADDRESS E-MAIL
37119 17th Ave S
CITY Federal Way STATE ZIP
WA 98003
NAME the Home Depot U.S.A., INC. PHONE 360-945-2787
MAILING ADDRESS 2455 Paces Ferry Rd EMAIL
CONTRACTOR
CITY
Atlanta grrdTA ZIP 30339 FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
HOMED**088RH 7 17 18
NAME PRIMARY PHONE
Dyanna Sconzo / Northwest Permit 360-945-2787
APPLICANT MA1LINGADDREss 9808 31st Ave NE E-MAIL
CITY Everett WA ZIP 98208 FAX
NAME PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING 0 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 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.
Digitally signed by Dyanna
Dyanna Sconzo Sconzo
SIGNATURE: Date:2017.04a110:4127-07'00' DATE 4/21/2017
PRINT NAME: Dyanna Sconzo
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type of fixture to be installed or relocated aspart of this project.Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS FURNACES HOT WATER TANKS(can)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sim) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE IIs Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes 0 No ❑Yes ❑ No
RESIDENTIAL — NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
�i�/�' �a ��,(( kA E'...f \\ � \ • /Y rte'. ••----•---•-_—•---_--_- _---•_-......_... _-_-•---
SMENVI
�.•''. �•N.. .. ,. .•.': .l. ,/„ W ..,,,� A ...zi/,,,,/ ..--..�..-•_-_•--•—•_-- —_—_
FIRST FLOOR(or Mobile Home)
1s" ' \\
• tFF�iiR
COVERED ENTRY
...... ;t"{xt a .,w ...... --._-_-- - —_
GARAGE ❑ CARPORT 0
Area Totals EXISTING PROPOSED TOTAL —.-.�Y........ ---- ---------
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
Square FeetType Stories
i
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area OccupancyGroup(s) Construction #of Additional Information
Square Feet Type Stories
TOTAL !I DING
TENANT AREA ONLY
ifinteF-
_ ,,.�����•: !i. ,, � '.ate ,,. r .. ., , , ,,,� ,,, ;•�;' •�,,,�i„
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application