14-105439City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
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Project Name: SHIELDS
Project Address: 32808 29TH AVE SW
wilding - 'Singie Family
Permit #: 14 -105439 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 894520 0670
Project Description: REP - Inspection only of fire damage. ***No construction work included on this
permit.***
Ownr
Applican
Contractor
Lender
MELISSA SHIELDS
BC INVESTIGATIVE ENGINEERS
P W C CONSTRUCTION
113 CROSS LAKE DR
3605 "C" ST NE
PWCCOC*934JP (4/17/15)
FUQUAY VARINA NC 27526
AUBURN WA 98002
20250 144TH AVE NE SUITE 310
WOODINVILLE WA 98072
Census Category: 999 - Unknown
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load
Floor Areas . ft. 0 0 0 0
Additional Permit Information
New / Additional Sq. Feet - 3rd Floor....................0 New / Additional Sq. Feet - Basement ................... 0
Mechanical to be Included?....................................No Plumbing to be Included? ....................................... No
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Wednesday, April 15, 2015
Permit Issued on Friday, October 17, 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: Date: IL 14-
` ' THIS CARD IS TO AIN ON-SITE
CITY OF Construction Ins ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 14 -105439 -00 -SF Address: 32808 29TH AVE SW
Project: MELISSA SHIELDS FEDERAL WAY, WA 98023-2768
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.
Ei Final - Buildii
Approved
By Date
10 11—
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
c,noF
PERM IMPPLICATION
Federal Way
OCT 17 2014
PERMIT NUMBER _ l O � � � _ `—��
TARGET DATE CITY OF FEDERAL WAY
CDS
SITE ADDRESS
SUITE/UNIT A
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37 C�7 1 vim/
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ -
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TYPE
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
' t
PROJECT DESCRIPTION
Detailed description of work to
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be included on this permit only
PROPERTY OWNER
NAME
M
PRIMARY PHONE
MAILING ADDRESSZJT'4 c
E-MAIL
CITY
STATE I
ZIP
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NAM
L, ` Co-) ry '1,T 1 10
PHONE _
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MAILINlG ADDRESS
E-MAIL
CONTRACTOR
CITY ` /
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STATE1
ZIP _
FAX
WA STATE CONTRACTOR'S LICEN� # -��
421
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PHONE
ePRIMARY
12-
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MAILING ADDRESS
S
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APPLICANT
CITY
STATE
\Not
ZIP
7 bCXJZ_
FAX
253 ��333
PROJECT CONTACT
NAME �" n
AS C
PRIMARY PHONE
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 19.27095)
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.
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SIGNATURE: E DATE I�-' 14
PRINT NAME: oe—= PCU
Bulletin #100 - January 1, 2013 Page 1 of 3 k:\Handouts\Perniit Application