14-105221s w
ilding - Single Family
City of Federalay
Community & Econ. Dev. Services Permit #: 14-105221 -00-SF
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: 253 8
Ph: (253) 835-2607 Fax: (253) 835-2809 p q � ) 35-3050
Project Name: EVERGREEN PARK AFH
Project Address: 32020 11TH AVE SW Parcel Number: 926493 0040
Project Description: REP - Tear off cedar shakes; install new sheathing and replace with composition shingles.
Owner
Al2RIicant
Contractor
Lender
MARIJANA MORROW
WE HONEY DO.COM LLC
WE HONEY DO.COM LLC
OWNER IS LENDER
EVERGREEN PARK
10035 MAIN ST
WEHONHD895C3 (2/23/15)
32020 11TH AVE SW
BOTHELL WA 98011
10035 MAIN ST
FEDERAL WAY WA 98023
BOTHELL WA 98011
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 Tuesday, April 7, 2015
Permit Issued on Thursday, October 9, 2014
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 cordance with the laws, rules and regulations of the State of Washington
an ity of Federal Way.
Owner or agent: Date: ��
THIS CARD IS TO MAIN ON-SITE
CITY of Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 14 -105221 -00 -SF Address: 32020 11 TH AVE SW
Project: MARIJANA MORROW FEDERAL WAY, WA 98023-5548
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.
By
Approved to install
Date 1\00-1.4 •- I d 1 By
Approved
Date/,19,/_1_,/Z/`
ate/�� /Z/`
El Approved
Electrical El Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF `
Federal Way
PERMIT NUMBER `
PERMIT'kPPLICATION
p2CtIM
((D ,e. 2 Z S OCT 0 8 2014
TARGET DATE CITY OF
Y
t-r.e-
SITE ADDRESS
SUITE/UNIT #
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PROD CT UAT ON
$
ZONING
ASSESSOR'S TAX/PARCEL #
qz(a4—a
_O040
TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
I ( L�� . A F R
-, "
� l
PROJECT DESCRIPTION
Detailed description of work to
!4a C'
be included on this permit only
PROPERTY OWNER
NAME },. �
PRIMARY PHONE
�E-MAIL//
CIT
STAT
ZIP
/ ..J
ME
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PHONE
MAILING ADDRESS �_
J %<i
E-MAIL
CONTRACTOR
CITY
STA�E�.
ZIP& Y
C�.CJj
TATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FED E WAY BU996FSS LICENSE #
NAME
PRIMARY PHONE ,,..
MAILING ADDRESS
.,
E-MAIL 7
APPLICANT
CIT
STATS
ZgrJo
FAX
_
NAME
PRIMARY PHONE
PROJECT CONTACT
MAILING ADDRESS
E-MAIL
i
(The individual to receive and
respond to all correspondence
35,
r
CIT ^, .
STATE
ZIP
FAX
concerning this application)
J
PROJECT FINANCING
NAME
El 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 apart of " application.
SIGNATURE: DATE
PRINT NAME:4n 1
Bulletin #100 - January 1, 2013 Page I of 3 k:\IIandouts\Permit Application
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