14-106439,j
� Y
liilding - Single Family
City of Federal Way
Community & Econ. Dev. Services ermlt #: 14 -106439 -00 -SF
33325 8th Ave S FIL6
Federal way, wA 98003 tion Request ues
Ins
Ph: (253) 835-2607 Fax: (253) 835-2809 p � t Line: (253 ) 835-3050
Project Name: GOODFACE
Project Address: 35120 191M AVE SW Parcel Number: 795630 0070
Project Description: REP - Remove existing composition shingles and replace like for like. Replace any rotted
portions if necessary.
Owner
TANYA R GOODFACE
ARplicant
CONNELLY ROOFING &
Contractor
CONNELLY ROOFING &
Lender
OWNER IS LENDER
WALTER W GOODFACE
CONSTRUCTION LLC
CONSTRUCTION LLC
3512019TH AVE SW
PO BOX 1028
CONNERC872D7(3/27/15)
FEDERAL WAY WA
MELTON WA 98354
PO BOX 1028
98023
MELTON WA 98354
Census Category: 555 - Non-structural roofing permits
Includes: # 1 #2 #3 #4
Occupancy Class:
Construction Type,
Occupancy Load
Floor Areas . ft. 0 1 0 0 0
Additional Permit Information
New / Additional Sq. Feet - 3rd Floor....................0
Mechanical to be Included?...................................No
Permit for Building Shell Only?............................No
New / Additional Sq. Feet - Basement...................0
Number of Stories.................................................2
Plumbing to be Included?......................................No
No Fixtures Associated V011th This Perm811
PERMIT EXPIRES Tuesday, June 16, 2016
Permit Issued on Thursday, December 18, 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.
Owner or agent (�"Z� Date:
THIS CARD IS TOree�tion
ON-SITE
CITY of IFederal Wa Construction In Record
y INSPECTION REQ3) 835-3050
PERMIT #: 14 -106439 -00 -SF Address: 35120 19TH AVE SW
Project: TANYA R GOODFACE FEDERAL WAY, WA 98023-6915
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.
Hoof Sheathing (4220) Final - Building (4050)
A7��
Approved
By 11 By ppry Date
Rough Electrical
Approved
1:1Approved
Final Electrical
1:1Approved
Right of Way —^
By
Date
By
Date
By
Date
C,qy OFA� 0 PERMIT IPPLICATION
Federal Way RIVED 4W
f1 � �
PERMIT NUMBER � ` _ 1 G
TARGET DATE DEC 18 2014
C1 I V or FEDERAL WAY
SITE ADDRESS 3 5 (
SUITE/UAjUb
PROJECT VALUATION
ZONING
ASSESSOR'S TAR/PARC # 30-
7- O
TYPE OF PERMIT
A BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of work to
O -
be included on this permit only
PROPERTY OWNER
NAME I
& F- 6001 C
PRIMARY PHONE
y 9 f7l �
MAILING ADDRESS
E-MAIL
CITY
1
STATE
t�J
ZIP
v�3
NAME
PHONE117n 19 3
MAILING ADDRESSS�
r)b/Q �tI✓ ��
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STAITE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
Cal n e .7r7
NAME� � � � Ir
PRIMARY PHONE ...; S
MAILING ADDRESS -+
E-MAIL
APPLICANT
CITY
NAME
011 5s1-91-
PRIMARY PHONE p
& y
PROJECT CONTACT
7
MAILING ADDRESS _
G'Z
E-MAIL
(The individual to receive and
respond to all correspondence^
CITY
STATE
ZIP q
5
FAX
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
Required value of $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
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 Iaws 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.
/'
1 " A� '� /� /7
SIGNATURE: DATE
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Bulletin #100 - January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application