15-104178City of Federal way Building - Single Funtily
it #: -�-
S F
1510417800
Community &Econ. Dev. Services Perm
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2807 Fax: (253) 835-2809 fmILE Inspection Request Line: (253
) 835-3050
Project Name: HARRISON
Project Address: 33014 11TH AVE SW Parcel Number: 926495 0290
Project Description: REP - Re -roof shake to composition with plywood
Owner
SKONTRA HARRISON
Aonlicant
BAZ ROBINSON
Contractor
ROBINSON PRESSURE WASHING
OWNER I NDER
ROYSTON F HARRISON
6907 ISAAC CT SE
& ROOF REPAIR
ave NO
33014 11TH AVE SW
AUBURN WA 98092
ROBINPW919KA (10/14/16)
FEDERAL WAY WA 98023-5334
6907 ISAAC CT SE
AUBURN WA 9
Census Category: 555 - Non-structura�(.Ieermits
Includes:
#1 #2 # #4
Occupancy Class:
R-3
Construction Type:
Type V - B 31C 39
Occupancy Load
ave NO
Floor Areas . ft.
0 ..4W4 0 V7 0 0
E
1 - nal Permit ation
New / Additional Sq. Feet - 1lo0=,,...... .%.. New / Additional Sq. Feet - 2nd Floor...................0
New / Additional Sq. Feet - 3rd F .. New / Additional Sq. Feet - Basement ..................0
Basic Plan? ..........................................-*... ..... No Occupancy # 1 - Construction Type ........................ Type V - B
New / Additional Sq. Feet - Deck .......... ............. 0 ' New / Additional Sq. Feet - Garage....................... 0
Mechanical to be Included? .............. .................. ap Occupancy # 1 - Class.............................................R-3
New / Addition Sq. Fe ............. ..... Plumbing to be Included? ....................................... No
New / Addition - .................... ... 0 Occupancy # 1 - Use ............................................... Residence (1 or 2
family)
No Cures Associated With This Permit 11
PERMIT EXPIRES Monday, February 15, 2016
Permit Issued on Wednesday, August 19, 2015
I h eby certify that the above information is correct and that the construction on the above described property and
e 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: J4 Date: _ ( V
THIS CARD IS TO REMAIN ON-SITE
ce" CW Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 15 -104178 -00 -SF Address: 33014 11 TH AVE SW
Project: SKONTRA HARRISON FEDERAL WAY, WA 98023-5334
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
By NL Date Y' f L l I I$ By Date
El
Rough Electrical
Approved
Final Electrical
Approved
_^
Right of Way
Approved
By
Date
By
Date
By
Date
' OCEIVED
C1WOF PERMIT IPPLICATION a
Federal Way MG 19.2015 .414,��
CITY OF FEDERAL WAY
PERMIT NUMBER 15 — \.i v q 1 C 'S — S r
1 TARGET DATE
SITE ADDRESS
SUITE/UNIT #
_YS C)r(-/ l n A0C
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
`➢
TYPE OF PERMIT
,I$UILDING ElPLUMBING 1-1MECHANICAL I]DEMOLITION 1-1ENGINEERING ElFIRE PREVENTION
I`
NAME OF PROJECT
41 C�W-W-�
rCa4,t
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
��O GZ}' t'i rp 11
Z53 ` 66f — 8
MAILING ADDR
301 ! r , 14v(E S'w
E-MAIL
a o,- a C1
CITY ::eog
'e,rae
STATE
w v
ZIP
GJ eo2
NAME � � �
PHONE
MAILING ADDRESS -/
�' ` b% �_C_ �il
E-MAILCONTRACTOR
Zl
CITY
STATE
P^
ZIP
9$
FAX
25 -28O -9 (31c>
WA STATE CONTRACT O 'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
6191 h J6 Li 119
NAME
PRIMARY PHONE
MAILING ADDRESS
CII/•
E-MAIL
APPLICANT
a 7 Gi,cs c ,S'Ct
CITY
STATEZIP
FAX
/V
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
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 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.
SIGNATURE: I�4L (" DATE
PRINT NAME:
Bulletin #100 - January 1, 2013 Page 1 of 3 k:\l-Iandouts\Permit Application
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