14-1059760 &ilding -k Single Family
City of Federal Way Permit #. 14 -105976 -00 -SF
Community &Econ. Dev. Services FIZAM
33325 8th Ave S
Federal Way, WA 98003F I L
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: LOPEZ 5
Project Address: 34632 10TH PL SW Parcel Number: 132173 0540
Project Description: REP - Tear off shake roofing and install OSB sheathing and composition shingle roofing
system.
Owner
ARRIIcan
Contractor
Lender
JOSE LUIS LOPEZ-FUENTES
TRISTATE ROOFING INC
TRISTATE ROOFING INC
RUTH LOPEZ-FUENTES
1901 CENTER ST
TRISTI*931QH (11/8/15)
34632 10TH PL SW
TACOMA WA 98409
1901 CENTER ST
FEDERAL WAY WA 98023
TACOMA WA 98409
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 11
PERMIT EXPIRES Saturday, May 16, 2015
Permit Issued on Monday, November 17, 2014
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
Owner or
Federal Way.
agent. Date:l / — l 7— 2 0'/ Ll
THIS CARD IS TO MAIN ON-SITE
CITY of Construction In ction Record
Federal Way INSPECTION REQ TS: (253) 835-3050
PERMIT #: 14 -105976 -00 -SF Address: 34632 10TH PL SW
Project: JOSE LUIS LOPEZ-FUENTES FEDERAL WAY, WA 98023-8426
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.
El Roof Sheathin
Approved to install
By M Date 1(I (2' I
` J Approved
By f 12 51 14 Date PA/L-'
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
I A., -
City'.
f=ederal Way
RECEIVED
Nov 17 �a
CITY OF FEDERAL WAY
CDS
PERMIT APPLICATION
PERMIT NVMBER L?_ TARGET DATE
SITE ADDRESS SUITE/UNIT #
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
TYPE OF PERMIT
O%UILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
P n q
e
PROJECT DESCRIPTION
YPIWee
Detailed description of work to
be included on this permit only
S' V1 (' W
A q P
NAME u S p0 c o e � PRIMARY Pxo -79Z,,-7
PROPERTY OWNER
-"l �V "" 15" S V V
E-MAIL
!! 11
r- M L n
NAME � 1 S\�'ra f "' � W t i 1 "'
/'`
PRO L. 1G
*"JNO ADDRRAR 96i Wft r
E -M PtyI StAf ee
CONTRACTOR
CITXTQ\ Ct \T IT - ZIP `A,
q,) 9
V I `
FAX ..2,550`5
�" 5 is3 l ofl
WA S TE CONT S LICEN #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
12�105Lj -_
NAME.
PRIMARY PHONE
APPLICANT
NAILING ADDRESS
E-MAIL
CITY STATE ZIP
FAX
NAM
PRIMARY PHONE
PROJECT CONTACT
iZ
MAILING ADDRESS
Z -MAIL
(The individual to receive and
respond to all correspondence
CITY STATE I ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5,000 or more
eTIAILING ADDRESS, CITY, STATE, ZIP
SONE
(RCW 19.27.095)
I cert(fy under penalty of perjury that I am the property owner or authorised agent of the property owner. I certVy 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 a_ _,person, including the undersigned, and flied against the city,
but only where such claim arises out of the reliance gf4he"dlty Iud i s o ra and employees, upon the accuracy of the
igformation supplied to the cityasas is tication.
SIGNATURE: DATE
PRINT NAME:
Bulletin #100 — January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application
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