13-105033City 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: GATES
Project Address: 33207 11TH AVE SW
Oilding - Single Family
Permit #: 13 -105033 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 926495 0880
Project Description: ALT - Tear off of a shake roof, installing new plywood over existing skip sheathing and new
comp shingles.
caner
ApRlicapA
Contractor
Lender
THOMAS E GATES
VALENTINE ROOFING INC.
VALENTINE ROOFING INC.
THOMAS E GATES
33207 11TH AVE SW
669 STRANDER BLVD
VALENR1927J8 (4/28/14)
33207 11TH AVE SW
FEDERAL WAY WA 98023
TUKWILA WA 98188
669 STRANDER BLVD
FEDERAL WAY WA 98023
TUKWILA WA 98188
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 Plumbing to be Included? ....................................... No
I hereby certify that the
the occupancy and the
Owner or agent:
PERMIT EXPIRES Wednesday, May 7, 2014
Permit Issued on Friday, November 8, 2013
e informati is corre nd that the construction on the above described property and
will be in ordanc ith the laws, rules and regulations of the StatYofW shin ton
an h City of Federal Way.
Date:
'` • THIS CARD IS TOMAIN ON-SITE
MY OF
Federal Wa Construction In ction Record
y INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 13 -105033 -00 -SF Address: 33207 11TH AVE SW
Project: THOMAS E GATES FEDERAL WAY, WA 98023-5325
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) Final - Building (4050)
Approved to install roofing /� Approved
By Date By ` Date
Rough Electrical
Approved
1:1Approved
Final Electrical
1:1Approved
Right of Way
By
Date
By
Date
By
Date
CITY OR
Federal Way
RECEIVw
Q 8 2013
PERMI10APPLICATION
CITY OF FEDERAL. WAY
CDS
PERMIT NUMBER _ 0
SL TARGET DATE
SITE ADDRESS
SUITE/UNIT #
PROJECTj^VjALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
00
TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
�0
PROJECT DESCRIPTION
Detailed description of work to
k ✓ t wJL G"
�A
be included on this permit only
PROPERTY OWNER
NAME
--s3W `7 % t'
PRIMARY PHONE
S G 6
MAILING ADDRESS
E-MAIL /
1,16
CITY,
�ra l{J'u
e�
STI
lWQ j
ZIP U
NAME
PHONE
I
cs
MA (0 Y ,Ader
Ei MAIy ' I
CONTRACTOR
CITY
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
e.0.
PRIMARY PHONE
'/Z--
12 -APPLICANT
MAIL ADDRESS
Ccs w.
E-MAIL
APPLICANT
CITY STATE
ZIP
FAX
NAME
PRIMARY PHONE
PROJECT CONTACT
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY STATE ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
E] OWNER -FINANCED
Required value of $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
be made by any person, including the undersigned, and filed against the city,
the investigation and defense of such claim), whichFo.
but only where such claim arises out o the reliaof the city, including its officers and employees, upon the accuracy of the
information supplied to th city as a p of this ation.
SIGNATURE: - ` DATE 10r -X1
PRINT NAME:
Bulletin #100 - January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application
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