14-106154City of Federal Way
Community & Eoon. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2807 Fax. (253) 835-2809
Project Name: GEORGIU
Project Address: 33032 20TH PL SW
A'
louilding - Single Family
Permit #: 14 -106154 -00 -SF
�I�■ O Inspection Request Line: (253) 835-3050
Parcel Number: 010457 0780
Project Description: REP - Remove existing shake roofing and replace with architectural shingles
Owner
AXENTE GEORGIU
ARRlicant
AXENTE GEORGIU
Contractor
OWNER IS CONTRACTOR
Lender
33032 20TH PL SW
33032 20TH PL SW
FEDERAL WAY, WA 98023
FEDERAL WAY, WA 98023
Census Category: 555 - Non-structural roofmg permits
Includes: # 1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:-
Floor
oadFloor Areas . ft 0 0 0 0
Additional Permit Information
New / Additional Sq. Feet - 3rd Floor....................0
Mechanical to be Included?...................................No
New / Additional Sq. Feet - Basement ..................0
Plumbing to be Included?......................................No
No Fixtures Associated With This Permit 11.
PERMIT EXPIRES Sunday, May 31, 2015
Permit Issued on Tuesday, December 2, 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 cordance with a laws, rules and regulations of the State of Washington
and t ity of Federal Way.
Owner or agent: Date: l -z—
"'
`� CITY OF r
Federal Way
PERMIT #:
Project:
THIS CARD IS TO ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
14 -106154 -00 -SF Address: 33032 20TH PL SW
AXENTE GEORGIU FEDERAL WAY, WA 98023-6478
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)Final11 - Building (4050)
Approved to install roofing Approved
By FR L- Date 11-3-14 BFAL- Date 1-Z. — 5-- 1 i
Rough Electrical
Approved
1:1Approved
Final Electrical
❑
Right of Way —�
Approved
By
Date
By
Date
By
Date
tl
CITY OF ,MPERMIT OAPPLIqALION
Federal Way
1.4 ''DEC 02 2014
PERMIT NUMBER _ (v v t S�oq— CITY OF FEDERAL
- TARGET DATE WAY
CDS
SITE ADDRESS
SUITE/UNIT #
151�0�)Z �L Sv/
Q PR ECT VALUATION
W
ZONING
ASSESS TAX/PARCEL #
A--
5�-5-0(7Q(KJo—
TYPE OF PERMIT
❑ BUILLDIING ❑ PLUMBING 1-1MECHANICAL ❑ DEMOLITION ElENGINEERING 1-1FIRE PREVENTION
NAME OF PROJECT
�
C� 26
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
X L
MAILING ADDRESS
w
E-MAIL
CI
STATE
S_
NAME
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
MAILING ADDRESS
E -MAD.
APPLICANT
CITY
STATE
ZIP
FAX
NAME
PRIMARY PHONE
PROJECT CONTACT
n
'x
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE1
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
Required value of $5,000 or more
(]?CW 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
the investigation and defense of such claim), which may be made by any person, including the undersigned, and f led 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 ap�Pfth*lication.
r
SIGNATURE: DATE
/
PRINT FAI E: , TLC_ `JZ4 O
Bulletin 4 100 – January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application