17-105291 Building - Single Family
City of Federal
Community Development Dept. Permit #:17-105291-00-SF
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: WILLIAMS
Project Address: 36116 3RD PL S Parcel Number: 113780 0100
Project Description: REP-Remove existing shake roofing,install sheathing and new composite roofing over entire
roof.
Owner Applicant Contractor Lender
RICHARD L WILLIAMS MAUREEN VALENTINE ROOFING INC. HOMEOWNER IS LENDER
36116 3RD PL S CLIFFORD VALENTINE ROOING 910 INDUSTRY DR
INC
FEDERAL WAY WA 98003 910 INDUSTRY TUKWILA WA 98188
DR N
TUKWILA WA 98188
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 Included9 No Is this an Online or O.T.C.application? No
Plumbing to be Included? No
Total Valuation:28,461.63
PERMIT EXPIRES Tuesday, 1 May,2018
Permit Issued on Thursday,November 2,2017
I hereby certify that the above inform •n i I orrect and that the construction on the above described property
and the occupancy and the use ,II -ccordance with the laws, rules and regulations of the State of
• •n and the City of Federal Way.
Owner or agent: / �d�`' � iI Date: 1/—o€--q--65
THIS CARD IS TO REMAIN ON-SITE
CITY OFConstruction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 105291 00 Address: 36116 3RD PL S
Project: ALICE F WILLIAMS FEDERAL WAY WA 98003-8626
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.
Roof Sheathing(4220) Final-Building(4050)
Approved to install roofmg Approved
. Date t L Q 7 BY V% 1"Date 1l I r 1
1 •
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
�,,... Nov 0 2 2017 PERMIT APPLICATION
CITY OF '�"'` 4,
r deraI Way CITY 0 p ERA( WAY PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
COMMUN EVELOPMENT 253-835-2607+FAX 253-835-2609+permitcenteP1 cityoffederalway.com
PERMIT NUMBER I71 Z `
0 1
- TARGET DATE 1lU I/0 1-1
SITE ADDRESS SUITE/UNIT#
' I9 `Ito P 1 . S, vat VJ 4 9 0°3
PROJECT VALUATION ZONING ASSESSOR' TAX/PARCEL#
$1C6)gUl •VS 1 1 3 � g o - o 1 a d
TYPE OF PERMIT 1 y 0 BUILDING ❑PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION V-eale\J 61 O f (SI'1ct P 12-00-e 5\5 tf rn. 111 Strl I kri i)n el- Ne(--)
Detailed description of work to She'll-hi 11 GJ 61,114 ('0 VtJtOO S i�o( g 0 0 s S--t--L' YV .
be included on this permit only J
NAME PRIMARY PHONE
PROPERTY OWNER fL,Cl,�' `o v c I - "W I I 1 i&m 5
MAILING ADDRESS E-MAIL
`) 1 I 3a.) P 1. S .
F-CITY I w ' NA.E Z�'1 O�3 _
NAME PHONE
\1 041 f`i IY}f >Z.00-iri n t . 1\1(' . a ) 5`7 110.1
MAILING ADDRESS, E-MAIL
CONTRACTOR " '10 1 n cI`'. 4. ._�R'.
CITY STATE FAX
1v K I 1�f ZIP�1 �
I
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
Vct1evi kz°fir► J - LI_ /2 X2,03 20-13-10-sS-cQ-II
NAME
W\C& veers Cly v,A 591i -'7STO1
APPLICANT MAILING ADDRESS E-MAIL
°I10 Inclks DIg, MV\vlveene Valerhneat01..thin
CITY STATE ZIP FAX
j-\)1LW,11 tn. WA- ' si
NAME PRIMARY PHONE
PROJECT CONTACT ix \
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME .. .
PROJECT FINANCING DI 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_ndersigned,and filed against the city,
but only where such claim arises out of the reliance of the city, including its o ii- ; and emp ees, upon the accuracy of the
information supplied to the city as a part of this a ;.:n.
SIGNA ' I: '• �nonmft. DATE 1 Il 112 U\_
PRINT NAME: ►"t LIIVie' A // O.
Bulletin#100-January 29,2016 Page 1 of 2 k:\l-Iandouts\Permit Application