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13-104141t.. `A City of Federal Ways Lender Community & Econ. Dev. Services CHRIST THE KING BIBLE 33325 8th Ave S OWNER IS LENDER Federal Way, WA 98003 FELLOWSHIP Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: CHRIST THE KING BIBLE FELLOWSHIP Project Address: 35448 11TH AVE SW &ilding - Single Family Permit #: 13-104141-00-S F Inspection Request Line: (253) 835-3050 Parcel Number: 302104 9006 Project Description: ALT - Remove existing 3 -tab asphalt roofing and replace like for like Ownr Applicant Contractor Lender CHRIST THE KING BIBLE CHRIST THE KING BIBLE OWNER IS CONTRACTOR OWNER IS LENDER FELLOWSHIP FELLOWSHIP 35448 11TH AVE SW 35448 11TH 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 oadFloor Areas . ft. 0 0 0 0 Additional Permit information New / Additional Sq. Feet - 3rd Floor....................0 Mechanical to be Included?....................................No New / Additional Sq. Feet - Basement...................0 Plumbing to be Included?.......................................No No Fixtures Associated With This Permit it PERMIT EXPIRES Monday, March 17, 2014 Permit Issued on Wednesday, September 18, 2013 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: F\NP�FD THIS CARD IS TOMAIN ON-SITE j E CITY OF Federal Wa ;&� Construction In ection Record y INSPECTION REQUE TS: (253) 835-3050 PERMIT #: 13 -104141 -00 -SF Address: 35448 11TH AVE SW Project: CHRIST THE KING BIBLE FELLOA FEDERAL WAY, WA 98023-6911 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. Hoof Sheathing (4220) Approved to install roofing By Date Approved Date f C.)— 2, Rough Electrical Approved 1:1Approved Final Electrical 11 Right of Way -� Approved By Date By Date By Date .►. CITY OF Federal Way PERMIT NUMBER I 1 PERMI'19APPLICATION - 1 04 (4�( RECEIVED �b�1 Sp 18 2013 TARGET DATE ,-Yvv nI= r-FDERAL WAY SITE ADDRESS SUITE/UDM PROJECT VALUATION $ ZONING ASSESSOTAX/PARCEL # � � � O — TYPE OF PERMIT (KBUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT . t ` ` ry leZV" PROJECT DESCRIPTION sH ' Detailed description of work to moo® ` be included on this permit only ,2f PROPERTY OWNER NAME `�� �lru` PRIMARY PHONE /`� ` l �`lcJvl� D/> MAILING ADDRESS L� Uf S� E-MAIL CITY Lv` ZIP D © 3 NAME PHONE MAILING ADDRESS E MAM CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE X EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # NAME PRIMARY PHONE �n MAILING ADDRESS E-MAIL APPLICANT CITY STATE ZIP FAX NAMEG ` E Gl-0 PRIMARY PHONE c� PROJECT CONTACT l'�� MAILING ADDRESS fI �U C 31, W F J E-MAIL (The individual to receive and respond to all correspondence CITY Gv STATE ZIP Z FAX concerning this application) PROJECT FINANCING NAME �j( OWNER -FINANCED )"�-, Required value of $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 apart of this application. & C j 0— Ez� �of� SIGNATURE: DATE L IJ c PRINT NAME: G Bulletin #100— January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application