18-1033224
City of Federal way
Conunmity Developmeat DepL
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax (253) 835-2609
Project Name: BILLINGS
Project Address: 1500 S 359TH ST
Building - Single Family
I LIE Permit #:18 -103322 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 292104 9062
Project Description: REP - Remove existing composition roofing and OSB decking and replace with new 1/2" CDX
and new composition shingles.
Owner
Applicant
Contractor
Lender
MITCHELL BILLINGS
SHAMIKA BURKHARDTValentine
VALENTINE ROOFING INC.
OWNER IS LENDER
1500 S 359TH ST
Roofing
910 INDUSTRY DR
FEDERAL WAY WA 98003
910 S INDUSTRY DRIVE AVE
TUKWILA WA 98188
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.
Additional Permit Information
Mechanical to be Included? ..................................... No
Plumbing to be Included? ........................................ No
Total Valuation: 14,500.00
Is this an Online or O.T.C. application? .................. No
PERMIT EXPIRES Wednesday, 23 January, 2019
Permit Issued on Friday, July 27, 2018
I hereby certify that the ab ve information is correct and that the construction on the above described property
and the occupancy a the use will be in accordance with the laws, rules and regulations of the State of
Washington and the City of Federal Way. / C
Owner or agent: Date:
%AAW
R THIS CARD IS TO REMAIN ON-SITE
crryor ` Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERNM #: 18103322 00 Address: 1500 S 359TH ST
Project: NIITCBELL W BILLINGS FEDERAL WAY WA 98003-7435
Scheduled inspections maybe 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
Right of Way
Approved
By
04N Date 19//
Approved
By
Date
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
I
By
Date
RECEIVE® PERMIT APPLICATION
V:N6
CBTY OF qq q
Federa I Way JUL
2 7 L� 1� PERMT CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + germitcenter(dcityoffederalway.com
CITY OF FEDERAL WAY
COMMUNfTY DEVELOPMENT
PERMIT NUMBER I _ t o 3-/> Gi2— – S F— I
— — — — — — — — — TARGET DATE
SITE ADDRESS
11�)w s . 35a!�c�1 Uv c1 (g6 b 5
SUMO/UNIT #
PROJECT VALUATION
$ `LI ,500, 00
ZONINGASSESSOR'S
PS 15. C)
TAX/PARCEL #
2 9 L L 0— . - �l 0 (o— 2
TYPE OF PERMIT
UILDING ❑ PLUMBING ❑ M'' ECHANICAL El DEMOLITION El ENGINEERING 11 FIRE PREVENTION
NAME OF PROJECT
F`)I I �� (� 4c h6 � P -e I' Oi)
a-
PROJECT DESCRIPTION
Detailed description of work to
jj�� 1 ��
F l / W
be included on this permit onlyand
I ' i I V / iG- / l jR/'ll i r)J
nPRIMARY PHONE
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PROPERTY OWNER
MAILING ADDRESS ' J
s Mre(� ('
EMAIL
cyry
ZIP
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CONTRACTOR
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ZIP /�
FAX cut
W #
IMLICENSE
(�
TION DATE
FEDERAL WAY BUSINESS LICENSE #
(7-'t
NAME
PRIMARY PHONE
APPLICANT
MAIIdNG ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
i Vot Buytffic(W
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(The individual to receive and
to
a
My
respond all correspondence
TV w I l aS}
TFr�
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z0 e.I' �1�(J
FAX
concerning this application)
PROJECT FINANCING
NAM
OWNER -FINANCED
When value is $5,000 or more
(RCW 19.27.095)
WAILING 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 complg with
all applicable City of Federal Way regulations pertaining to the work authorised 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 less the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and dej of such claim, which may be made by any person, including the undersigned, and filed against the city,
but only where such c arises of the 1{ance of the city, including its officers and employees, upon the accuracy of the
information supplied to ci a p of lication.
SIGNATURE: DATE —7/2-7b 15
y� / 1 �/
PRINT NAME: c I U/1 im I K.,&
Bulletin #100 — January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application
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