18-101656alty of Federal way
Commnity DepL
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fac (253) 835-2609
Project Name: MCMILLANS PLAZA
Project Address: 33120 PACIFIC HWY S
Building - Commercial
Permit #:18 -101656 -00 -CO
Inspection Request Line: (253) 835-3050
Parcel Number: 797880 0240
Project Description: RPP - Reroof of existing TPO and add new membrane over existing:
Owner
Applicant
Contractor
Lender
BRIAN MCMIIMN
COURT PIXTONPUGET SOUND
COURT PIXTONPUGET SOUND
OWNER IS LENDER
33100 PACIFIC HWY S UNIT 12
COMMERCIAL
COMMERCIAL
'FEDERAL WAY WA 98003
33919 9TH AVE S SUITE 201
33919 9TH AVE S SUITE 201
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
USA
USA
Census Category: 555 - Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area (sq. &
Additional Permit Information
Mechanical to be Included? ..................................... No
Is this an Online or O.T.C. application? .................. Yes
Plumbing to be Included? ........................................ No
Total Valuation: 18,000.00
Numberof Stories ................................................... 1
Permit for Building Shell Only? .............................. No
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PERMIT EXPIRES Monday, 15 October, 2018
Permit Issued on Wednesday, April 18, 2018
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:
THIS CARD IS TO REMAIN ON-SITECfrV OF '
Construction
DISECCNSSInspection
RecordFederal Way PTIOUE3
PERMrr #: 18101656 00
Address: 33120 PACIFIC HWY S
Project: BRIAN EDWARD MCNIILLIN FEDERAL WAY WA 98003-6443
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.
0 Roof Sheathing (4220) 0 Final - Building (4050)
Approved to install roofing Approved
By Date ate l
n
Rough ElectricalFinal
Electrical
Right of Way
pproved
J
Approved
Approved
By
Date
By
Date
By
Date
i PERMIT APPLICATION
CITY OF
PERMIT CENTER + 33325 81b Avenue South + Fed 6325
ederal Way 253-835-2607 + FAX 253-835-2609 + permit��e y.com
PERT NUMBER APR 18 20%
- - - - - - TARGET DATE � ' F� � Y
,saGan nn n0 11�1(5�7��4, NIT
SITE ADDRESS
16,3 l *Z0 4 PAgpc- Hv+r . Slav
SUITI:/UNIT #
4o 5•F• 6LP4.
PROJECT VALUATION
$ I f 1 '°2L-^'
ZONING
b G
ASSESSOR'S TAE/PARCEL $
TYPE OF PERMIT
NBUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
ac- 3; LAl•A
PROJECT DESCRIPTION
& C i e
Detailed description of work to
o ( = lt/ i4 .
be included on this permit only
PROPERTY OWNER
o�
NAME
' G%'�eGt,jA3
PREWAT PHONE
f6"1� 3q VL,
MAILING ADDRESS
16D .5 50..-r�
E-MAIL
C_
STATE
ZIP
1
NAME
StiwlJcX �ra S2V i Ce5
C+MAILING
PHONE
"O✓� y/d3
CONTRACTOR
ADDRESS
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CITY
STATEFAx
WA_
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WA STATE CONTRA R'S LICENSE #
ae,is
EXPIRATION DATE
/z
FEDERAL WAT BIISMM LICENSE Y
-•a -•
PRIMART PHONE
NAME
APPLICANT•
MAILING ADDRESS
E-MAU.
'
CITY TSTATE
ZIP
FAX
NAME
PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and
MAILING ADDRESS
E-MAIL
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
When value is $5,000 or more
(RCW T 9.2ZO95)
NAME
OL -OWNER -FINANCED
MAnING ADDRESS, CITY, STATE,
A j�
Pat
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 taws 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 cl which may be made by any person, including the undersigned and filed against the city,
but only where such claim arises of reliance of the city, including its officers and employees, upon the accuracy of the
information suppliethe ci part of n
SIGNATURE: DATE
,
PRINT NAME• IM4i
Bulletin #100 -January 29, 2016 Pagel of 2 kMandout0ermit Application
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