17-105051 Building - Single Family
City of Federal way Permit #:17-105051-00-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: INMAN
Project Address: 32004 10TH AVE S Parcel Number:609390 0010
Project Description: REP-Tear off&reroof with some sheathing replacement
Owner Applicant Contractor Lender
CHARLES INMAN NORTHWEST ROOF SERVICE INC NORTHWEST ROOF SERVICE INC OWNER IS LENDER
32004 10TH AVE S 801 CENTRAL AVE N 801 CENTRAL AVE N
FEDERAL WAY WA 98003 KENT WA 98032 KENT WA 98032
Census Category: 555-Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class: R-3
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq.ft.) 0.00
Additional Permit information
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement. 0
Occupancy#1-Construction Type Type V-B Mechanical to be Included? No
Is this an Online or O.T.C.application No Plumbing to be Included? No
Occupancy#1-Use Residence(1 or 2
family)
Total Valuation:11,990.00
h"'s, ,
PERMIT EXPIRES Tuesday, 17 April,2018
Permit Issued on Thursday,October 19,2017
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
Washington and the City of Federal Way.
Owner or agent: FILE Date:
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4 THIS CARD IS TO REMAIN ON-SITE
°� Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 105051 00 Address: 32004 10TH AVE S
Project: CARY D HENNEKE FEDERAL WAY WA 98003-5922
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 roofmg Approved
.By iii Date l°l z(4) 1 �.By b* Date 10(3 l Lti
.
El Rough Electrical 0 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
PERMIT APPLICATION
Fed el PERMIT CENTER+33325 8t Avenue South+ 6325
253-835-2607 +FAX 253-835-2609+permitce t
PERMIT NUMBER r ( 0,50 5( OCT 19 2017
TARGET DATE CITY OF FEDERAL WAY
COMMUNITY DEAR OPMENT
SITE ADDRESS
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;3 &:»' Ids ailk E 4 ( L tOE,f SUITE/UNIT
PROJECT VALUATION ZONING i ASSESSOR'S TAX/PA E N
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TYPE OF PERMIT *BUILDING. 0 PLUMBING 0 MECHANICAL, ❑DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
ri mit
PROJECT DESCRIPTION � �/)
Detailed description of work to Si C vl. +q�
f ekce VY I i
be included on this permit only
NAMEPRIMARY PHONE
f kr-( - LL 14 i5 3^#9 /" JPROPERTY OWNER
MAILING ADDRES- tt t- E-MAIL
C Y 4L..` JC t STA B ZIP ! g 00
NAME /1
MAILING
GGtADDRESS A • 1r ` ,ir.1.�
CONTRACTOR (l D k 1 ` � 1 ryxT�n (r�Q i•iILNS N Un✓ `D { S•CL�
CITY % Y v ZIP 9V FAX
( ."4 25-5....(65)-3 5E0
WA STATE CONTRACTOR'S LICENSE N I( EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE N
NAME n/!�y �//�,y�f]
�0V�,r I V . .S t✓'G�`�N/• C-f�J PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MALI..
CITY STATE ZIP FAX
PROJECT CONTACT Y `r k;( ��j�
PRIMARY PHONE
NAME f� f� �a...`l �'\.C�'�Y \i.,.
(The individual to receive and MAILING I}A-DD`% SS �I r� �y ((CV f�
respond to all correspondence 1 Cjet, :, i I, til ' Y
concerning this application) CITY STATE ZIP •FAIL
NAME
PROJECT FINANCING ' OWNER-FINANCED
Whenvalue is$5,000 or more MAILING ADDRESS,CITY,STATE,2IP 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 ication.
SIGNATURE: �' t y s DATE t'6 Icq(
PRINT NAME; i S r � ( is
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application