15-104757City of Federai Way'
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: KIM
Project Address: 34519 5TH PL SW
Building - Single Family
Permit #: 15-104747-0.�0-SF
Inspection Request Line: (253) 835-3050
Parcel Number: 132170 0230
Project Description: REP - Remove existing shake roofing and replace with TL Asphalt Shingle and 7/16 osb
decking.
Owner
A nlg icant
Contracts
Len de
DOUG S KIM
JESSICA HENEFIN
EXO DESIGN USA INC.
OWNER IS LENDER
34519 5TH PL S
FIELDS ROOF SERVICE
EXODEDU904LT (6/30/16)
FEDERAL WAY WA, 98023-8300
25924 78TH AVE S.
34450 8711-1 AVE S
KENT WA 98032
FEDERAL WAY WA 98023
Census Category: 555 - Non-structural X0fing its
Includes:
#1 #2 #3 #4
Occupancy Class:
R-3 to if
Construction Type:
Type V - B
Occupancy Load
Floor Areas . ft.
0 0 W, 0 0
al Pe 't lnf nation
New / Additional Sq. Feet - 3rd Floor. A � New / Additional Sq. Feet - Basement .......0
Occupancy # 1 - Construction Type .................. ype V - B �!1 Mechanical to be Included?....................................No
Occupancy # 1 - Class ............. �....� ... ......R-3 V Plumbing to be Included? ....................................... No
Occupancy # 1 - Use ................... .1...... ........... Residence or 2
family
'
No ixtur�sociated With This Permit it
PERMIT EXPIRES Tuesday, March 15, 2016
�' Permit Issued on Thursday, September 17, 2015
I hereby rtify that the above information is correct and that the construction on the above described property and
here/
oc pancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
O er or agent: Date: I �
THIS CARD IS TO REMAIN ON-SITE ti
C,rr�w Construction Inspection Record
Feeleral Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 15 -104747 -00 -SF Address: 34519 5TH PL SW
Project: DOUG S KIM FEDERAL WAY, WA 98023-8300
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 t~VIAj Date Cl By Date
(b' g '(S — N .4 - (.t C+ T)a. a- NGS J c/
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CJTr r/&
Federal Way
PERMIT NUNMER
KCk.C1 V C V
40SEP 16 2015
CITY OF FEDERAL WAY
CDS
PERMIlftPPLICATION
,ioA'L
o14 7_
— — — � � -S— — TARt}ET DATE q n I is -
SITE ADDRESS
SUITE/UNIT i
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL 0
$ 30, -7 -7 5 °U
1 3 z l 7 O_
o 2 3 0
TYPE OF PERMIT
teBUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
K.1 AA aE-s 1 �t c P2YE (200 t r1 C -i
PROJECT DESCRIPTION
Detailed description of work to
Ove -'e -
'9b3Y. -V-, t F SYSTEM CccrfL{J i ,t C, - to
M A- LU F. ECS,
be included on this permit only
PROPERTY OWNER
NAME
o lJ C� S l< 1 M
PRIMARY MORE
NAMING ADDRESSCM
E MAD.
STATE
U �So 23
NAM
253 00 1q
MAIL�o ADDRESS
�
CONTRACTOR
CITY
STATE
WA-
ZIP
`i 8 o a 3
FAX
WA STATE COSTRACTOR'S LICENSE iEXPDtATION
DATE
FEDERAL WAY BUSINESS LICENSE i
FXo D �D "_IC L
D6 / 30
NAME
f:itf -LAo S 120o r-
PRIMARY MORE
2S3 852 - q 9-7'4
MAMING ADDRESS
�2-5 2-4 �3`K-r � S
1 ✓►C aG S Yas �P�/lA
APPLICANT
CITY
k r\+
STATE
WY�1-
ZIP
FAX
PROJECT CONTACT
NAME, 1
J '� S C /� t t E �t r`f
PRIMARY PRONE
25 3 -9 52 -4 9-7 4
MAM`SG ADDRESS
�� Z Z E5 � S
E -MAD. ��77 r
e V
rfhe individual to receive and
respond to all correspondence
'
CSS tC, �le
CITY
�►�.�-
STATE
c�M
I ZIP
S �a 3Z
FAX
2S3 �S2-ifSS`�
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 cert under penalty of perjury that I am the property owner or authorised agent of the property owner. I cert 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 authorised 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 ci
a of this application.
SIGNATURE:
�� r DATE
PRINT NAME:
c-�
Bulletin #100 — January 1, 2013 Page 1 of 3 k:\Iiandouts\Permit Application