17-105228 r Building - Single Family
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City
e rl Federal
, Permit #:17-105228-00-SF
Ph:
33325 8th Ave S
Federal way,WA 98003 835-2609
Inspection Request Line: (253)835-3050
(253)835-2607 Fax:(253)
Project Name: LAY
Project Address: 31624 12TH PL SW Parcel Number:416796 0090
Project Description: REP-Remove and replace 26 squares of existing roofing and(7)sheets of plywood
`
Owner Applicant Contractor Lender
YING LAY DYANNA SCONZONORTHWEST THE HOME DEPOT OWNER IS LENDER
31624 12TH PL SW PERMIT 3600 LIND AVE SW
FEDERAL WAY WA 98023 9808 31ST ST SE RENTON WA 98057
USA EVERETT WA 98208
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
Occupancy#1-Construction Type Type V-B Mechanical to be Included? No
Is this an Online or O.T.C.application? Yes Plumbing to be Included? No
Occupancy#1-Use Residence(1 or 2
family)
Total Valuation:12,685.00
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PERMIT EXPIRES Monday,30 April,2018
Permit Issued on Wednesday,November 1,2017
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: v�+ Date: 1%/i/(1-
six It �11 10
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THIS CARD IS TO REMAIN ON-SITE
CITY - t
Cr � Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 105228 00 Address: 31624 12TH PL SW
Project: YING HUEI LAY FEDERAL WAY WA 98023-4731
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) 0 Final-Building(4050)
Approved to install roofing Approved
By NS Date l S II(2- By VI* Date I 17 ity ,
0 Rough Electrical Final ElectricalElRight of Way
Approved Approved Approved
By Date By Date By Date
A.
RECEIVED 7- loszzg
FederaiWay PERMIT
COMMUNITY DEVELOPMENT SERV(T 3 0 2017 SF FCO ME EL PL DE EN FP
33325 8�AVENUE SOUTH•PO BOX 9718 p LI C AT I O N / /
FEDERAL WAY,WA 98063-9718 TD
253-835-2607•FAX 253-835 OF FEDE
u w :uar, er IWOOYMUNf7Y DEVELOPMEpI-
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS 31624 12TH PL SW SUITE/UNI,#
ASSESSOR'S TAX/PARCEL# 4167960090 _ _ LOT SIZE(s)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT 44 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
RESIDENTIAL REROOF. REPLACE 26 SQUARES OF ROOFING. REPLACE 7 SHEETS PLYWOOD.
NO STRUCTURAL CHANGES
PROJECT NAME(Name of Business or Owner Last Name) YING HUEI LAY
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER YING HUEI LAY ( ) 206-658-.3134
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
31624 12TH PL SW Federal Way, WA 98003
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
The Home Depot USA ( 360 ) 945 -2787
MAILING ADDRESS cITY,STATE,ZIP CELL PHONE
3600 Lind Ave SW#150 Renton 98057 ( ) -
COY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
( ) -
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
HOMED**088RH 7/17/2017
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Northwest Permit Inc. Naida Khan ( 360 ) 945-278-7
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
9808 31st St SE Everett WA 98208 ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑Tenant RI Agent 0 Other (888 ) 400-0383
PROJECT NAMENaida Khan/ Northwest Permit PRIMARY PHONE E-MAIL ADDRESS
CONTACT (360 ) 945-2787 naida@nwpermit.com
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE Residential PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ 12685.00
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR 0 UNCOVERED?)
GARAGE ❑ CARPORT 0
EEIBTISG PROPOSED TOTAL TOTAL EIESTI 0 SF TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/shower Combo) LAVS(Bathroom Sim) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(toilet)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that I am the property owner or authorised 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 authorised 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.
SIGNATURE: 42 /� DATE Oct 29,2017
Property Owner and/or Authorized Agent
FOR O)OCE USE ONLY
❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES a NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? ❑YES ❑NO
PLATTED LOT? o YES ❑NO DEMO PERMIT REQUIRED? a YES ❑NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application