17-105098 Building - Single Family
City of Federal Way Permit #:17-105098-00-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: SAENGTHASY/HODGES
Project Address: 31855 25TH AVE SW Parcel Number: 193840 0410
Project Description: REP-Replace existing shingle roof with a metal roof.
Owner Applicant Contractor Lender
KHAMSAENGPHET HODGES KHAMPAENG SAENGTHASY OWNER IS CONTRACTOR OWNER IS LENDER
31855 25TH AVE SW 31855 25TH AVE SW
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
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? Yes Is this an Online or O.T.C.application? No
Plumbing to be Included? Yes
Total Valuation: 11,519.53
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PERMIT EXPIRES Saturday,21 April,2018
Permit Issued on Monday,October 23,2017
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: (Yt3 i ' Date: V/�P.( -L
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THIS CARD IS TO REMAIN ON-SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 105098 00 Address: 31855 25TH AVE SW
Project: KHAMPAENG SAENGTHASY FEDERAL WAY WA 98023-2250
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 roofing Approved
By /) Date 1 I —t i3 Date /y/
•
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
NECEIVED
'�,� OCT 2 3 2017 PERMIT APPLICATION
CITY OF
Federal CITY OF FEDERAL WAY PERMIT CENTER+33325 8th Avenue South+Federal- Way,WA 98003-6325
Way MMuNn-Y DEVELOPMENT253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com
PERMIT NUMBER 1 - l 0 5 0 C - S 1 I O 1 ( -7
- TARGET DATE C
SITE ADDRESS SUITE/UNIT#
3 I �
55 5 6V( sv.}
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
TYPE OF PERMIT /BUILDING ❑ PLUMBING ❑ MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT 514 l 1e- al
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME K.h a-Yri pa en Sd e-Y 4-��J c PRIMARY PHONE
J (t 5 313)5- 5 6 So
PROPERTY OWNER 7
MAILING ADDRESS E-MAIL
318 55 ial; s 5+ ' A v2. 5 t
CITY STATE ZIP
feCteYtti 14A 180
NAME PHONE
Ow-tear
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PRIMARY PHONE
14 ftAHPpt` t./6- SRENCrT1+145y (2.53)315- 5680
APPLICANT- MAILING ADDRESS E-MAIL
3 1 2 5 5 3. 5+` A-Nie-• S LJ
CITY STATE ZIP FAX
Fe-dem.1 LA/01..y LA ' g g o z 3
NAME PRIMARY PHONE
PROJECT CONTACT K h am co v eu..y 5o _v+�i-kn.as y ( 53) 316- 5 6 8 b
(The individual to receive and MAILING ADDRESS / E-MAIL
respond to all correspondence 1 15' 5 3_5 - -. -e- ' 514
concerning this application) CITY STATE ZIP FAX
federal woof
tAt ft c 8 o 2. 3
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. �2
SIGNATURE: ��: ! fai 110 •
i I 411 DATEWoileis- c7 I ��17
PRINT NAME: 1414 pr M P j}E N G' SAE Cr Tit Pt y
Bulletin#100-January 29,2016 Page 1 of 2 k:\IIandouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL 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.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe).
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
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 Sinks) 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? I WATER PURVEYOR - SEWER PURVEYOR I VALUE OF EXISTING IMPROVEMENTS
NIR 1, If
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPR`ESJION SYSTEM?
e ❑ Yes,No ❑Yes
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING ` PROPOSED TOTAL FOR OFFICE USE
F.
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FIRST FLOOR(or Mobile Home)
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COVERED ENTRY
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rJ r r...r r/ F '` $yT,* r'r/rr 'r fr. r•J,,�{r.�r`r r "`�xlf/r'"
✓%rJ,Y`' .. A�`.!r,r f r ri La.,''f ,%rf/ri.�,`G`'/r/l!1 ,1 .::�G>E //r .:,�, ..-oy;r,'.J„„�%Ff v®1.'". _............... .........
GARAGE ❑ CARPORT ❑
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.........._.._.__................__._ ..................._............................._...........................__.._.___.__.
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EXISTING PROPOSED TOTAL
Area Totals
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