13-103976wilding Single Family
Permit #: 13 -103976 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 010457 0060
Project Description: REP - Tear off existing shake roofing; over skip sheathing, install plywood sheathing and
composition shingle roofing system.
Owner
SONLAM T PRAM
•
city of Federal Way
Lender
OWNER IS LENDER
Community & Econ. Day. Services
33325 8th Ave S
rMV�I
Federal Way, WA 98003
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Ph: (253) 835-2807 Fax (253) 835-2809
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Project Name: PRAM
Project Address: 33039 20TH PL SW
wilding Single Family
Permit #: 13 -103976 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 010457 0060
Project Description: REP - Tear off existing shake roofing; over skip sheathing, install plywood sheathing and
composition shingle roofing system.
Owner
SONLAM T PRAM
AR,RI"cant
SONLAM T PHAM
Contractor
OWNER IS CONTRACTOR
Lender
OWNER IS LENDER
33039 20TH PL SW
33039 20TH PL SW
FEDERAL WAY WA 98023-6477
FEDERAL WAY WA 98023-6477
Census Category: 555 - Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load-
Floor
oadFloor Area . ft 0 0 0 0
Additional IPermlt informatlon
New / Additional Sq. Feet - 3rd Floor....................0
Mechanical to be Included?...................................No
New / Additional Sq. Feet - Basement...................0
Plumbing to be Included?......................................No
NQ FixtitlrW��NftdThis. Permit 11
PERMIT EXPIRES Sunday, March 9, 2014
Permit Issued on Tuesday, September 10, 2013
I hereby certify that the above information is correct and that the construction on the above described properly 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: c kloz `D —
CITY OF r -
Federal Way
PERMIT #:
Project:
13 -103976 -00 -SF
SONLAM T PHAM
THIS CARD IS TO MAIN ON-SITE
Construction I" e!bl Record
INSPECTION REQUE TS: (253) 835-3050
Address: 33039 20TH PL SW
FEDERAL WAY, WA 98023-6477
4
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 (4 2) Final - Building (4050)
Approved to install roofing Approved
By " Date c1 11,7 113 I I By K6 Date Di I s4 1
El
Rough Electrical
Approved
ElFinal
Electrical
Approved
0
Right of Way
Approved
By
Date
By
Date
By
Date
t, -•.,TMor 0 PERMIlftPPLICATION
Federal Way
RECEIVED do
1 j
PERMIT NIIMBER O 2J S SEP 10 2013
— � _ � �� - � TARGET DATE MY OF t-tVtRAL WAT
SITE ADDRESS
V, 4A
PROJECT VALUATION
ZONING
ASSESSORS TAX/PARCEL * - A
TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT-
l e
PROJECT DESCRIPTION
Detailed description of work to
�V
be included on this permit only
PROPERTY OWNER
NAMED �%1 �
PRDL4RY PHONE
S
MAILING ADDRESS ,
-� 0 --, i - L l.— S
X -MAIL
NAME
t,lk�ti•
PHONE
MAILING ADDRESS
EMAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
zxnRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PHONE
MAILING ADDT, Z '1 I—
E MAm
APPLICANT
czy
PROJECT CONTACT
NAM 1LA
PRIMARY PHONE
MAII.ING ADDRESS
E MAu.
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
Concerning this application)
PROJECT FINANCING
NAME
❑ 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 ane the property owner or authorised agent of the property owner. I certify that to the best
of my knowledge, the igformation 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 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 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 claim), which may be made by any person, including the undersigned, and fated 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.
SIGNATURE: DATE
^ �►
PRINT NAME: 1 v 1
Bulletin #100 - January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application