14-104577City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: MARX
Project Address: 32213 23RD AVE SW
Isuilding - Single Fdmily
Permit #: 14 -104577 -00 -SF
Inspection Request Line: (253) 835,3050
Parcel Number: 873180 0080
Project Description: REP - Tear off existing tar roofing and replace with composition shingles.
Owner
A n�
Contractor
Lender
DAVID L MARX
DAVID L MARX
OWNER IS CONTRACTOR
OWNER IS LENDER
32213 23RD AVE SW
32213 23RD AVE SW
FEDERAL WAY WA 98023-2504
FEDERAL WAY WA 98023-2504
Census Category: 555 - Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:-
Floor
oadFloor Areas . ft. 0 1 0 1 0 1 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 Saturday, March 7, 2015
Permit Issued on Monday, September 8, 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: ON A.U^J1Date:
�FINg
IED
THIS CARD IS TO IN ON-SITE
CITY OF'' Construction In ection Record
Federal Way INSPECTION REQ TS: (253) 835-3050
PERMIT #: 14 -104577 -00 -SF Address: 32213 23RD AVE SW
Project: DAVID L MARX FEDERAL WAY, WA 98023-2504
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)
Approved to install roofing Approved
By I/A4 Date eA( till A- c- Dated, —Zt— l
El
Rough Electrical
Approved
1:1Approved
Final Electrical
1:1Approved
Right of Way
By
Date
By
Date
By
Date
CITY OF A 0 PERM IT9iPPLI CATION
Federal Way �
R10EPAD
M
PERMIT NUMBER f _ 0 717,7— _ —C;F SEP 082014
— TARGET DATE ll t !
MY OF FFr1FRe1 uIAV
SITE ADDRESS CDS
322t 3 CU , �06vR Linq . o
SUITE/UNIT #
PROJECT VALUATION
ZONING
ASSESSr rRCEL # O T
TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT'
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
N E
V i Q ra
PRIMARY PHONE
MAILING ADDRESS
a�2 L3 2 , s U/,
E-MAIL
�Zwu/
STATE
Wq
ZIP
P)a
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-MAIL
APPLICANT
CITY
STATE
ZIP
FAX
NAME
PRIMARY PHONE
PROJECT CONTACT
MAILING ADDRESS
E-MAIL
(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 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 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.
A /
SIGNATURE: _�A DATE
PRINT NAME: �' LLQ d'])' L . !% / I
Bulletin # 100 –January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application