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14-105555,L city of Federal Way community & Econ. Dev. Services 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax (253) 835-2809 Project Name: SAMBOER Project Address: 32435 11TH AVE SW *ilding - Single Family Permit #: 14 -105555 -00 -SF Inspection Request Line: (253)_ 835-3050 Parcel Number: 926493 0400 Project Description: REP - Tear off shake roofing and replace with tri -laminate, cetainteed composite roof. Owner Applicant Contractor !mss ASHLEY R SAMBOER ASHLEY R SAMBOER D H T CONSTRUCTION & OWNER IS LENDER KRISTI L SAMBOER 32435 11TH AVE SW ROOFING INC 32435 11TH AVE SW DES MOINES WA 98198. DHTCOCR871PA (10/1/15) DES MOINES WA 98198 PO BOX 7023 BONNEY LAKE WA 98391 Census Category: 555 - Non-structural roofing permits Includes: # 1 #2 #3 #4 Occupancy Class: Construction Type: Occupancy Load.- Floor oadFloor Area . fL 0 1 0 1 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 No Fixtures Associated VWth This Permit 11 PERMIT EXPIRES Wednesday, April 22, 2015 Permit Issued on Friday, October 24, 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 accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. ��LL ' I Owner or agent: Date: 201T-10 —2T THIS CARD IS TO MAIN ON-SITE Cr" OF Construction In ection Record Federal Way INSPECTION REQUE TS: (253) 835-3050 PERNUT #: 14 -105555 -00 -SF Address: 32435 11TH AVE SW Project: ASHLEY R SAMBOER FEDERAL WAY, WA 98023-4909 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 Hoot aheattung (4ZLU)r inai - nunun _ Approved to install roofing I I L1 n Approved Date��� 3prXA I B�l IV Date d/� s// ❑ Rough Electrical Approved ❑ Final Electrical Approved ❑ Right of Way Approved By Date By Date By Date %-C sv oul 2 4 20O crcr or �� Federal WayCjTyOF FEDERAL WAY ODS PERMIT NUMBER—f�— _ 0 PERMIT IPPLI CATION 3 -'`wk TARGET DATE VtJl�i� ?T SITE ADDRESS SUITE/UNIT t •3 2-y -35 l� "'A,6 a W,+V , W14 qy07-3 PROJECT VALUATION $ �% ZONING A38ESS��rS TAS/PARC A � � � U! O Aco SOC► - TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING El MECHANICAL ❑ DEMOLITION ElENGINEERING 11FIRE PREVENTION 14 NAME OF PROJECT RODF R�,:PIAC911W-{(SAM m9lb- , 5 (SWINGt ReM0VW Wyly i N PROJECT DESCRIPTION Detailed description of work to -TR�-I.AAANA C.--TNNT� CWKSM, .F� be included on this permit only PROPERTY OWNER NAME A SArM�pF� PRIMARY PHONE I- p /-Ulci /7v MAILING ADDRESSt� 3 2 35 11 kF- SWITY E -MAD. C MBOL INA STATE _ %02 NAME AqT 6W5);Pt&A01V D 9c0F G P 263 " 36-3 9,�8 MAILING ADDRESS 23, 130` .Y 7/2 E-MAIL CONTRACTOR cI1RA M / 446 �V�/v�/, /$T%T��. ['V/ ! (� � / 8-'9( FAX WA STATE CONTRACTOR'S LICENSE 6 EXPIRATION DATE FEDERAL WAY i3usnmss LICENSE / NAME PRIMARY PHONE APPLICANT MAILING ADDRESS E-MAIL CITY STATE ZIP FAX NAME URTI S T © PRIMARY PHONE -26-6-- 3b 3 -191 PROJECT CONTACT V rNOAt MAH.IIv ADDRESS (The individual to receive and respond to all correspondence A(V LAW- E ZIP7L��S� FAX concerning this application)cr1Y PROJECT FINANCING y��,�a A 19 MG elcRequired OWNER -FINANCED value of$5,000 or more (RCW 19.27.095) FMUIN'GADDRESS, CITY, STATE, ZIPPHONE /J ' � %C NITe I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. r certify that to the best of my knowledge, the in, formation submitted in support of this permit application is true and correct. I certify that I will comply urith 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. -Z010 40— 2Z SIGNATURE: PRINT NAME: n -M`�'�,�,�p`'E-P, Bulletin # 100 — January 1, 2013 Page 1 of 3 k:lHandouts\Permit Application