12-104552i
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S j
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: OLIVER
Project Address: 33023 16TH PL SW
Building - Single Family
Permit #: 12 -104552 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 010457 0540
Project Description: ALT - Tearing off existing shake roof and skip sheathing and reroofing with new
composition shingle over new sheathing.
wn r
nlicant
Contractor
Lender
LEON W OLIVER
ROBINSON PRESSURE WASHING
ROBINSON PRESSURE WASHING
TISHA N OLIVER
& ROOF REPAIRS
& ROOF REPAIRS
33023 16TH PL SW
6907 ISAAC CT SE
ROBINPW919KA (10/14/10)
FEDERAL WAY WA 98023-6461
AUBURN WA 98092
6907 ISAAC CT SE
AUBURN WA 9
Census Category: 555 - Non-structurjkrob pe s ,
Includes: #1 42A low
3 #4
Occupancy Class:
Construction Type:
Occupancy Load
Floor Areas . ft. 0 PAIE AW0 0
New / Additional Sq. Feet - 3rd Floor.......
Mechanical to be Included? ......................
Zoning Designation ..........................V...
a
q7
/ Additional Sq. Feet - Basement ..................0
gybing to be Included?......................................No
Associated4rth This Permit 1!
ERMIXNRES Tuesday, April 2, 2013
Permit d on Thursday, October 4, 2012
I hereby certi at tR hove inform n s correct and that the construction on the above described propertyand
the occupancy and a use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Date:
THIS CARD IS TO REMAIN ON-SITE
CITY OF 401 Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 12 -104552 -00 -SF Address: 33023 16TH PL SW
Project: LEON W OLIVER FEDERAL WAY, WA 98023-6461
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 Sheathin
Approved to install
E] Final - Buildii
Approved
() _ _�-_ (—Z I I By Date
Rough Electrical
Approved
1:1Approved
Final Electrical
1:1Approved
Right of Way
By
Date
By
Date
By
Date
) I
Federal w C�IVED PERMITf)M
PPLICATION
COMMUNITY DEVELOPMENT SERVICES O �_ Q
253-835-2607- O, FAX 253-835-2609 4 � i
unuu. rir�ofje�ieraluaq.co,�tOC I
r.0 GFDERAONAY
- 1 0-+-5 _�5,2,
CO ME PL DE EN FP
SITE ADDRESS 0. CDS
SUITE/UNIT #
33-0z 3 /6 /;�/ J-<
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/ PARCEL #
TYPE OF PERMIT
UILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
(f�Q
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER—
NAME
PRIMARY PHONE
MAILING ADDRESS76 Ae" SU
-ATE
E-MAIL
CITY
l4si�vl
ST/
ZIP
3
NAME O � �
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LLICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME /v(i-�• -- (.l G `
PHONE
MAILING AWDRESS
07 1Y'/—fvSC,
APPLICANT
CITY STATE
Z!Zdkik�� I LIM
ZIP
FAX
PROJECT CONTACT
NAME
PHONE
(The individual to receive and
MAILING ADDRESS
E MAIL
respond to all correspondence
concerning this application)
CITY
STATE
ZIPFAX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
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: DATE
rr
PRINT NAME:
Bulletin #100 —January 1, 2011 Page 1 of 3 k:\Handouts\Permit Application