13-104444 Building - Single"Family
City of Federal Way
Community&Econ.Dev.Services Permit #: 13-104444-00-SF
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fat:(253)835-2609 Inspection Request Line: (253)8354050
Project Name: WITZLEBEN
Project Address: 30328 17TH AVE SW Parcel Number: 005070 0190
Project Description: REP-Removing existing shakes,laying plywood and replace with composition shingles
Owner ARRlicant Contractor Lender
CHARLES K WITZELEBEN ROBINSON PRESSURE WASHING ROBINSON PRESSURE WASHING OWNER IS LENDER
30328 17TH AVE SW &ROOF REPAIR &ROOF REPAIR
FEDERAL WAY WA 98023-3452 6907 ISAAC CT SE ROBINPW919KA(10/14/14)
AUBURN WA 98092 6907 ISAAC CT SE
AUBURN WA 98092
Census Category: 555-Non-structural roofing Ir
s
Includes: #I #2 # #4
Occupancy Class: _
Construction Type: �
Occupancy Load
Floor Areas .ft. 0 0 0 0
Additio it Information
New/Additional Sq.Feet-3rd Floor ..................0 4F „y� New/Additt S -Basement.................0
Mechanical to be Included?............. .................No Plumbing to ed?... ......... .................No
No R res oclated With This P
RMIT EXPIRES Sat y, April 5, 2014
QPermit Issued on Mo , October 7, 2013
I her rti tom; ove information is correct n at the construction on the above described property and
the oc pan a11d�se will accordance with he laws, rules and regulations of the State of Washington
andIle City of Federal Way.
Owner or age ( Date:1- t
C
THIS CARD IS TO REMAIN ON-SITE
CITY OF Vg Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 13-104444-00-SF Address: 30328 17TH AVE SW
Project: CHARLES K WITZELEBEN FEDERAL WAY, WA 98023-3452
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) Final-Building(4050)
Approved to install roofing Approved
Date G By Date
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
CIroFis. PERMIT SPPLI CATION
Federal Way RECEIVED
l ryj�
PERMIT NUMBER _ _ OCT 02013
TARGET DATE
CITY QF FEDERAL WAIS
SITE ADDRESS
e,rQQ �e o2.3
SUITE/U
PROJECT VALUATION
$ �v a
ZONING
ASSESSOR' T PARC L
� _ I v -70 _ U
TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
o O
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
L l pla les
PRIMARY PHONE
MAILING ADDRESS �� � nuc- C,�
03
E-MAIL
CITY n
STATE
ZIP
NAME � � �
H
PHONE
CONTRACTOR
MAILI14G ADDRES3/�� �
6
E-MAIL
CITYSTATE
ur%
k,,L
ZIP
FAR
WA STATE CONTRACTOR' LICENSE •
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EXPIRATION DATE
oil /
FEDERAL WAY BUSINESS LICENSE M
NAME
PRIMARY PHONE
MAILING ADDRESSE-MAIL
-
APPLICANT
L
CITY
STATE I
ZIP
FAX
PROJECT CONTACT
NAME I
ta�lJv—
PRIMARY PHONE
MAILING ADDRESS
Q c e
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
YQ
FAX
concerning this application)
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5,000 or more
(RCW 79.27.095)
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 a part of this application.
SIGNATURE: A,7 DATE
PRINT NAME (>( J�L�
Bulletin #100 -January 1, 2013 Pagel of3 k:\Handouts\Permit Application