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15-101306 or I • wilding - Single Family Community of Econ.DeWay a Services Permit #: 15-101306-00-S F 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: Ph:(253)835-2607 Fax:(253)835-2609 p q (253)835-3050 r Project Name: WERTH FIL Project Address: 37641 18TH PL S Parcel Number: 721265 0830 Project Description: REP-Tear off existing shake roofing and install sheathing and composition shingle roofing system. Owner Applicant Contractor Lender NORMA J WERTH JOHN A WERTH TRISTATE ROOFING INC OWNER IS LENDER JOHN A WERTH 37641 18TH PL S TRISTI*931QH(11/8/15) 37641 18TH PL S FEDERAL WAY WA 1901 CENTER ST FEDERAL WAY WA 98003 TACOMA WA 98409 98003 Census Category: 555-Non-structural roofing permits Includes: #1 #2 #3 #4 Occupancy Class: Construction Type: Occupancy Load Floor Area(sq.ft.) 0 0 0 0 Additional Permit information New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0 Mechanical to be Included? NoPlumbing to be Included No No Fixtures'Associated With This Permit!! • PERMIT EXPIRES Sunday, September 13, 2015 Permit Issued on Tuesday, March 17, 2015 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: _., ' Date: S(I1 1K. • kootop FlolS‘_ ks‘i • THIS CARD IS TO MAIN ON-SITE 'CITY OF Construction In ection Record Federal Way INSPECTION REQUE TS: (253)835-3050 PERMIT#: 15-101306-00-SF Address: 37641 18TH PL S Project: NORMA J WERTH FEDERAL WAY, WA 98003-7574 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) 0 Final-Building(4050) Approved to install roofing Approved mid..cP�C--S Date qi�' (S�"_By Date 3 I j, 11s . El Rough ElectricalCI Final Electrical Right of Way Approved Approved Approved By Date By Date By Date error S PERMITIPPLICATION Federal Way RECEIVED yq‘V M _ 10 ( 0C2 _ SF AR 172015 PERMIT NUMBER 1 ___ _ __ TARGET DATE .. tr rr FEDEDA SITE ADDRESS SUITE/SIO 31 61114 PI., S. CCpEcAL-. WA/ WA CI 800" PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# $ Z.S I c010- 01) 7 -z 12 42 S - 0 P, 3 0 TYPE OF PERMIT KI BUILDING 0 PLUMBING El MECHANICAL El DEMOLITION ❑ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT W , PROJECT DESCRIPTION �iE An_. o« Elt t 51-i tJ C> <144414E 0 F t N ST,+414_ Detailed description of work to L'-j v'Iv 0 X,14,.6-14-1,14 0-.6 /,AN cO+M P.S(TE 5.1'1-►c`trl.Z^ be included on this permit only 4;l'iG 5^ic-r-E °) NAME 2s-i- PRIMARYPHO�NEE Qr_ PROPERTY OWNER 5044 4 ou-.t W(‘RTo LS3- 440A- `_ 6'4)(2 MAILING ADDRESS E-MAIL -1(c.,4% 11311 Qts S ue. h�lr n e co ICA ++tie CITY STATE ZIP Inhot NAME ._ " -._. - ._PHONE_ - Tai 4TATE ( oA..1‘ 253- 3to3- 8200 MAILING ADDRESS E-MAIL CONTRACTOR VI C" (''' IJ'"G a. SW-66T ZIPCITY STATE TAcoty A wit '84o'1 2S3-303-g'2436 WA STATE CONTRACTOR'S LICENSE It EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE S 1Te1S3't 14©3P1 / _/ / PHONE NAME Jo*ri ' I Lj4T. 2C3-4143- 7�LOl/2.- G ADDRESS E-MAIL a APPLICANT 37 C044 10T 1 PL. ()Q (if n Q Wo Rlacl-'�C ' cVE()COAL.L. Y V Ply STATEI /p ZIP S Yj3 FAX J PRIMARY PHONE PROJECT CONTACT NAME � /�i VAI (h 2�4 g(062- (The 62. (The individual to receive and 1NAILING ADDRESS W E-MAU. „,,• • respond to all correspondence 31 r ��t8 a.. c . vat,°'1{'�rn ( cn�-nGl concerning this application) CITY STATE ZIP FAX IL C2 {ry/, PROJECT FINANCING NAME 0 OWNER-FINANCED Required value of$5,000 or more MAILING ADDRESS,Crr7,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.7 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//paart of this application. •��� �^ SIGNATURE: A . '"- y _ ,W+.�t^j1/4i�1 Yv DATE 3/+ 1] PRINT NAME: C>‘44...) A . W`Q R 1 Bulletin#100—January 1,2013 Page 1 of 3 k:\FIandouts\Permit Application