16-101866City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: HO
Project Address: 34505 5TH PL SW
thilding - Single Family
Permit #: 16 -101866 -00 -SF
.� ®.. ., nspection Request Line: (253) 835-3050
Parcel Number: 132170 0240
Project Description: REP - Remove existing cedar shake material and replace 42 squares of plywood and asphalt
sheathing
Owner
ARRlicant
Contractor
Lender
ANDREW HO
C & R BOGER CONSTRUCTION
C & R BOGER CONSTRUCTION
34505 5TH PI SW
INC
INC
FEDERAL WAY, WA 98023
21412 84TH AVE S
CRBOGRB943M6 (8/7/16)
KENT WA 98032
21412 84TH AVE S
KENT WA 98032
Census Category: 434 - Residential alt/add - no change in number of units
Includes:
#1 #2 #3 #4
Occupancy Class:
R-3
Construction Type:
Type V - B
Occupancy Load
Floor Areas . ft.
0 0 1 0 0
Additional Permit Information
New / Additional Sq. Feet - 3rd Floor....................0 New / Additional Sq. Feet - Basement ................... 0
Occupancy # 1 -Construction Type ........................Type V - B Mechanical to be Included? ................................... No
Occupancy # 1 - Class.............................................R-3 Plumbing to be Included? ...................................... No
Occupancy # 1 -Use ............................................... Residence (1 or 2
family)
No Fixtures Associated With This Permit 11
PERMIT EXPIRES Saturday, October 15, 2016
Permit Issued on Monday, April 18, 2016
I hereby certify that the above information
the occupancy and the use will be in acci
Owner or agent:
ct and that the construction on the above described property and
with the laws, rules and regulations of the State of Washington
,Qity of Federal Way.
Date:
~• THIS CARD IS TOOMAIN ON-SITE -
C,n� Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 16 -101866 -00 -SF Address: 34505 5TH PL SW
Project: ANDREW HO FEDERAL WAY, WA 98023-8300
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) 1 1E] Final - Building (4050)
Approved to install roofing Approved
By OAA,^— Date 1.4 — ► A. — t u By j Date
41W Ili/
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
40k
CITY OF
Federal Way
PERMIT NUMBER -� ([./
0 PERM APPLIqMON
� S APR xg zoos
- TARGET DATE CITY OF FEDERAL WAY
mc,
SITE ADDRESS
SUITE/UNIT #
` - r
3`3,415o,5 5 \ 5W VV Q� 11b02. -j
PROJECT VALUATION
av
ZONING
ASSESSOR'S ARL #
���_O —4o 4 ^
—
TYPE OF PERMIT
/BUILDING ❑ PLUMBING ❑ MECHANICAL []DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
HO
PROJECT DESCRIPTION��
Detailed description of work to19—
(t 1 6
I
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
An w
2h3)
MAILING ADDRESS
E-MAIL
g- 1
CITY
F4eAeV4L1 V�J
STATE
ZIP
23
NAME
C B Ca n5tYv Ci aY,
PHONE
415 10 -1 -540 0
MAILING ADDRESS
2� �' S S. *1105
CITY STATE ZIP
g BE) 3 2.
E-MAIL
i O
FAX
425 2.b-1 - 51+0 At
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
G¢0 4q 9Atto
1 awl
- 33%- oO _ L
NAME
S1he.1 b o v, s n
PRIMARY PHONE
-05 20 3 r-,0 - 81101
MAILING ADDRES
214%4 �''� I oS
E-MAIL
b s4 bo 1r.c aw
APPLICANT
CITY
Ink-
STATEZIP
°I o32
FAX
PROJECT CONTACT
NAME
'D 0.N 1 r
PRIMARY PHONE
CA 25) z 0 ' 5 A-1 0 O
MAILING ADDRESS
1 y O
E-MAIL
�Q�/Ccj 4,�CXbo kev. Ca
(The individual to receive and
respond to all correspondence
CITY
rtit
STATE
ZIP
�1
FAX
$24, 20-1 — 15 y 61-4
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
When value is $5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
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 t of this application.
SIGNATURE: DATE 4 ha I `10
PRINT NAME: 40h 1q 5iD Y1
Bulletin #100 - February 22, 2016 Page 1 of 2 k:\Handouts\Permit Application