13-104567 •uilding - Single Family
City of Federal Way
Community&Econ.Dev.Services Permit #: 13-104567-00-SF
33325 8th Ave S " F'
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 F, t! nye Inspection Request Line: (253) 835-3050
Project Name: SIBAYAN
Project Address: 1439 S 302ND ST Parcel Number: 025300 0090
Project Description: REP-Remove and replace composition shingles like for like.Replace portions of plywood
if necessary.
Owner Applicant Contractor Lender
MOISES 0 SIBAYAN NORTHWEST ROOF SERVICE INC NORTHWEST ROOF SERVICE INC OWNER IS LENDER
1439 S 302ND ST 801 CENTRAL AVE N NORTHRS088DW(10/15/15)
FEDERAL WAY WA 98003 KENT WA 98032 801 CENTRAL AVE N
KENT WA 98032
J
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? No Number of Stories. 2
Permit for Building Shell Only? No Plumbing to be Included? No
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Sunday, April 13, 2014
Permit Issued on Tuesday, October 15, 2013
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and t - use will be in a ordance with the laws, rules and regulations of the State of Washington
and City of Fe eral Way.
Owner or agent Date: (OI(S I
\\(\
THIS CARD IS TO MAIN ON-SITE
CITY OF Construction In ction Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 13-104567-00-SF Address: 1439 S 302ND ST
Project: MOISES 0 SIBAYAN FEDERAL WAY, WA 98003-4135
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 .oof Sheathing(4220) ❑ Final-Building(4050)
Approved to install roofing Approved
By ' Date /of /1' .By 0.44S Date (b (22_113
❑ Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
, . ,
0 • n tll7vi}
CITY OF !1 .. dd..T •':i�.PPLdf
N
Federal Way L.
PERMIT NUMBER Sr..
OCT 1 5 2013
____- N — TARGET DATE CITY OF FEDERAL WAY
CDS — —
t..:FE ADDRESS
SUITE/UNIT e
I � 1 I r l ti,;'.?,'rt. {'
PROJECT VALUATION 1 ZONINC ASSESSOR'S AX/PA = -
,
..
TYPE OF PERMIT
— _ -.i PI ,. -1 11:x- _ ., 1.)1:..,.'.(0..1"..-,N E. r: u Aq; _ .I Pr.r:I tiI C'Fi
NAME OF PROJECT i• 1
i ; 's i (--,t "i 14 , ti 1a k. ` 'V'
J
PROJECT DESCRIPTION
Dr4u,IPu r :, ,.i o/loorh,::o (�.,•I '4 .. tE k. V'E 'd (_.i ,
V IV It ._. ,_1(0771 CV / I. - �%
t C t !}k, _ .. • L�1„ ii,� 5 /let 4.(i qi,-1,' . (.,&("t" 11tL iyctt•
.c 4 I ) '
NAME PRIMARY PHONE
PROPERTY OWNER (\t, , i' t'^'. k C.. _ ..
•
MAILING ADDRESS ,-'r i E-MAIL
I ^ t } -i 1, ./
C T1... r STATE ZIP
,
NAM _ a PINE 10 .. _�_
MAILING ADDRESS E-MAIL
CONTRACTOR , °k l < I 'V t i ik„ (-171 './C l� l(tC. G e.(4,,c , i-i
CITY : ' STATE Zi,P l' FAX
-y 1.. .; i I, „f fit � .- }
i.. ^ .. t rk_. s.-
� A STATE c N TRACT° 'S„1,.ICEN £k EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE X
I <1 d 5, - i Z
T... _ �— ._ -. ___.—
NAME i PRIMARY PHONE
t-k
APPLICANT MAILING ADDRESS _. E-MAIL
crrY ' STATE ZIP I FAX
NAME
r PRIMARY PHONE
PROJECT CONTACT �' t,�14,
MAILING ADDRESS
E.-MAIL
p I
COi1CC `' C )(llicllC.O7,.i STATE Zl FAX
NAME ,.i _ -- _.- __._.
PROJECT FINANCING1} ¢y, j OWER FINANCED
Kec�`'rr'- '•.'2t"r' MAILING ADDRESS,CITY,STATE,ZIPS PHONE .
.A
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 remote the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the Ctty of Federal Way as to any claim'incl//ding costs, expenses, and attorneys'fees incurred in
the investigation and defense of such claim,. which may be made by any person,, vicluding 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 par, ofthil application.
.`-x ,.,! t, DATE I - lrt .
SIGNATURE t�, fi A., _ ` i -_— j,
PRINT NAME: Y i , ,._Li L.,..,/
, ,i` - F
Bullrtnl u i ... ,c
,'`: '()':.-<
I'ne I O1 3 ..'iamiuut `,PerniitApplicat.ion