18-105308Building - Single Family
OtyofFedwalWay Permit #:18 -105308 -00 -SF
Community Development Dept.
33325 8th Ave S
Fedual Way, WA 98003 Inspection Request Line: (253) 835-3050
Ph: (253) 835-2607 Fax (253) 8352609
_ FILE
Project Name: EASTSIDE FUNDING LLC AND LADDER PROPERTIES LLC
Project Address: 30616 21ST AVE SW Parcel Number: 122103 9079
Project Description: ALT - Fire damage inspection only. NO construction work approved with this permit.
Owner
Applicant
Contractor
Lender
EASTSIDE FUNDING LLC AND
TOM GLASPIEINVESTOR
LADDER PROPERTIES LLC
SERVICES LLC
30616 21ST AVE SW
120 STATE AVE NE SUITE 1408
FEDERAL WAY WA 98023
OLYMPIA WA 98501
Census Category: 434 - Residential alt/add - no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area (sq. ft.)
Additional Permit Infonnation
Mechanical to be Included? ..................................... No Is this an Online or O.T.C. application?.................. No
Plumbing to be Included?.....
No
PERMIT EXPIRES Tuesday, 7 May, 2019
Permit Issued on Thursday, November 8, 2018
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy andJhe 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:
CITY OFOA�k
RECEIVED PERMIT APPLICATION
PERMIT CENTER + 33325 8� Avenue South + Federal Way, WA 98003-6325
Federal Way Nov 0 8 20% 253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
/ ,,��,,�,C���IT,//��Y OF EDEA. WAY (�
PERMIT NUMBER / WNyMUrTr X—S `` �_�L ..�.._///U TARGET DATE
SITE ADDRESS0
SUITE/UNIT #
r n I c Ave,
PROJECT VALUATION
$
ZONING
ASSESSOR'S TAX/PARCEL #
Ja L9
TYPE OF PERMIT
BUILDING ElPLUMBING 1-1 MECHANICAL ElDEMOLITION ❑ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
2/ S�, a o aS S i r- R j n
PROJECT DESCRIPTION
Detailed description of work to
' (1 6& l YLc OvA L h & 1, h -P
!G
be included on this permit only
NAME PRIMARY PHONE
EZ -1,5 1p E- i= U� (�V G 3� -3
PROPERTY OWNER
MAILING ADDRESS EE--MjAIL
CITY
D1 M
STATE
ZIP
--x
NAM PHONE
r1 �Gt �c e �Z2
MAILING ADDRESS E-MAIL
7
CONTRACTOR
CITY
(�G
STATE
14
ZIIP/P,, L(���/j�� FAX
`'t 4 JV
WA ST TEC RACTOR'S LICENSE #
EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE #
NAME PRIMARY PHONE
APPLICANT-
MAILING ADDRESS E-MAIL
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
When value is $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 tot city as a part of this application.
SIGNATURE• DATE
PRINT NAME:
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