13-103883Building - Single Family
City of Federal Way Permit #: 13-103883-
00-S F
Community 8 Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: 253 8
Ph: (253) 835.2807 Fax: (253) 835-2609 p eQ f � 35050
Project Name: BUTIIJ
Project Address: 1709 S 372ND PL Parcel Number: 721266 0780
Project Description: ALT - Reroofing from shake to composition
Owner
8 olicant
Contractor
Lender
ROMEO V BUTIU
ROBINSON PRESSURE WASHING
ROBINSON PRESSURE WASHING
1709 S 72ND PL
& ROOF REPAIR
& ROOF REPAIR
FEDERAL WAY WA 98003-7591
6907 ISAAC CT SE
ROBINPW919KA (10/14/14)
AUBURN WA 98092
6907 ISAAC CT SE
AUBURN WA 98092
Census Category: 555 - Non-structural roofing pe' s1�,/
i
Includes: #1 #2 3
Occupancy Class: It
Construction Type:
Occupancy Load
Floor Areas . ft. 0 0
Z nfo onNew / Additional Sq. Feet- 3rd Floor ...... Additional Sq. Feet - Basement .................0
Mechanical to be Included? .............................Plumbing to be Included?......................................No
No Fixtuis Permit 11OF
/the
RMIT PIRES Sunday, March 2,2014
rmit Issued on Tuesday, September 3, 2013
I herebyrmation is correct and that the construction on the above described property and
the occe in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner Date:
CITY OF
Federal Way
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 13 -103883 -00 -SF Address: 1709 S 372ND PL
Project: ROMEO V BUTIU FEDERAL WAY, WA 98003-7591
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.
Hoof Sheathing (4220)
Approved to install roofing
By ib&6 Date
No ?"K4 ovt si+e-
+`AC ot- i nSFCC;'or► .
Approved
By Date
Rough Electrical Final Electrical Right of Way
Approved 1:1Approved Approved
By Date By Date By Date
i
CITY O. - REC ED
Federal Way
SEP 0 3 2013
PERMITOIPPLICATION
PERMIT NUMBER ' J Cm f
FNDE
SL _ TARGET DATE
SITE ADDRESS
SUITE/UNIT i
PROJECT VAJL�U}ATION
ZONING
ASSESSOR'S TAX/PARCEL i
TYPE OF PERMIT
4kBUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER,
NAME
Yv> eo
PRIMARY PHONE
ZS - SB4 --
MAILING ADDRESS,o9 S 3 7� n 1
(ZIP✓
s xu►u.
CITY
G NX
STATS
G1?
NAME 2
PHONE
MAILING ADD ��G S -&E
MAH. Z�
CONTRACTOR
CITY Lk4'
STATE
�j -A
ZIP
49Vr2_
FAX
WA STATE C RACTOR' LICENSE Y
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE N
ob lr i.J ( k A
l
NAME
PRIMARY PHONE
MAILING ADD ?
FIs'
APPLICANT
CITY
STATEZIP
y
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
Required value of $5, 000 or more
r;UD,ING 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 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' fess 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 t city part of this application.
7
SIGNATURE: �/ I r, DATE
PRINT NAME: —602
Bulletin # 100 -January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application
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