13-1043891 4. 1
City of ay Building - Single Family
Community & Eccon.�Dev. Services r
33325 8th Ave S Permit #: 13 -104389 -00 -SF
E J"
Federal Way, WA 98003 - E : Inspection Request Line: (253) 8353050
Ph: (253) 835-2807 Fax: (253) 835-2809 �ry L ��
Project Name: ANGELO
Project Address: 416 SW 350TH PL Parcel Number. 132174 0080
Project Description: REP - Removing existing shakes, laying plywood and replace with composition shingles
Owner
ARRUcant
Contractor
Lender
ADAM ANGELO
ADAM ANGELO
OWNER IS CONTRACTOR
OWNER IS LENDER
3532613TH PL SW
3532613TH PL SW
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
Census Category: 555 - Non-structural roofmgxm.A
Includes:
Occupancy Class.
Construction Type
Occupancy Load-
Floor
oadFloor Area (so. ft.'
New / Additional Sq. Feet - 3rd Floors
Mechanical to be Included? .................
#1 1 #2 h a1#3
0 0 0
P it Into mati
i.........0 ` New / Additt. Feet - Basement...................0
Plumbiplr�Q9e Included?......................................No
�/
F' ociated Vffi h it 11
Vol
ERMIT ETuesday, April 1, 2014
Permit Ju n Thursday, October 3, 2013
I hereby certify that th bove information is correct and that the construction on the above described property and
the occupancy an a use will be in a rdance with the laws, rules and regulations of the State of Washington
and the of Federal Way. ?
Owner or age Date:/?
THIS CARD IS TO REMAIN ON-SITE
Federal Way v:&� Construction Inspection Record
y INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 13 -104389 -00 -SF Address: 416 SW 350TH PL
Project: ADAM ANGELO FEDERAL WAY, WA 98023-8101
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.
0 Roof Sheathing (4220) ❑ Final - Building (4050)
Approved to install roofing Approved
By h6 Date 101-7 13 By Date
Rough Electrical
Approved
1:1Approved
Final Electrical
1:1Approved
Right of Way
By
Date
By
Date
By
Date
PERMITSPPLI�����T
Federal Way
PERMIT NUMBER 1
OCT 0 3 2013 obo o
—
TARGET DATE 9 �Y OF FEDERAL WAY
_ CDS
SITE ADDRESS
SUITE/UNIT i
9bo2
PROJECT VALUATION
$*,LS,(
23 (ooD
ZONING
ASSESSOR'S TAR/PARCEL ►
3 2 I +- O O O
TYPE OF PERMIT
BUILDING ❑ PLUMBING 0 MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
�EL�
PROJECT DESCRIPTION
Detailed description of work to
VLS r CEOAPL SkAL
cl w - SMRS1CrMG
-7116 .06
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
AmmAn16r--Lo
2.5,2 .-'nT—i-ma-4
usnaxG ADDRESS
t Tµ PL .SW
E-MAIL
5 _%% . (M
CITY STATE ZIP
FEDUAL wA A 98023
FAME
PHONE
01AAM
MAILING ADDRESS
E -MAD.
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE M
E33-MTION DATE
FEDERAL WAY BUSINESS LICENSE N
l
NAME``''
PRIMARY PHONE
��nn
owvepl
MAILING ADDRESS
11MAn.
APPLICANT
CITY
STATE
ZIP
FAX
NAME
PRIMARY PHONE
PROJECT CONTACT
MAILING ADDRESS
E•MAH.
(The individual to receive and
respond to all correspondence
CITY S'T'ATE ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
I certify under penalty of perjury that I ane the property owner or authorised 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 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 filled 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: �� /L----'— DATEyq ( O21 2213
PRINT NAME• AoAm Ay"t_n
Bulletin #100 —January 1, 2013 Pagel of 3 k:\Handouts\Permit Application