17-103751Building - Single Family
City nityDFederal Development
Permit #:17 -103751 -00 -SF
Community Development Dept.
33325 8th Ave S J
Federal Way, WA 98003 Inspection Request Line: ( 835-3050
Ph: (253) 8352607 Fax: (253) 835-2609
Project Name: MEAS
Project Address: 37504 21ST AVE S Par umber: 721265 1370
Project Description: REP - Remove existing cedar shake shingle and re a �Ith comp ion material.
Owner
Applicant
C ctor
Lender
HAY S MEAS
NORTHERN PACIFIC EXTERIORS
NOR ACIFIC E ORS
OWNER IS LENDER
567 SW 298TH ST
1420 MARVIN RD NE UNIT C311
14 RD NE T C311
FEDERAL WAY WA 98023
LACEY WA 98516
Y WA 16
Census Category: 555 - Non-structur oofing permits _
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type: AW
Occupancy Load:
Floor Area (sq. ft.) 0.00
I hereby certify&at the abJI5 information is correct and that the construction on the above described property
and the oc ncy an a use will be in accordce with the laws, rules and regulations of the State of
Washington and ll City of Federal Way.
•
Own ge Date:
THIS CARD IS TO REMAIN ON-SITE
Federal WayTHIS
Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERNM #: 1710375100 Address: 37504 21ST AVE S
Project: SIEU E MEAS FEDERAL WAY WA 98003-7586
Scheduled inspections may be failed if this card isnot 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)
0
Final - Building (4050)
Final Electrical
Approved to install roofm
:]By
Approved
By
Date
Date
Approved
By
Date
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
I By
Date
By
Date
RECEIVED
�t u y AUG 0 4 2017
CITY OF
PERMIT APPLICATION c"Y OF FECEPvL WAY
PERMIT CENTER + 33325 86 Avenue South + FedKOPMENT
Federal Way 253-835-2607 + FAX 253435-2609 + permitcenter@cityoffederahway.can
PEiWR NUMBQt — TAROET DATE
ERE ADDREee
75011
S6xIFJUMR i
$ PROAEGT VAJ.UATION
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ASEEEEOR's TA7UPA � r
TYPE OF PERMIT
❑ BUILDING PLUMBING 11 MEChWNICAL ❑ DEMOLITION ❑ ENGINEERING 13 FIRE PREVENTION
NAME OF PROJECT
r
PROJECT DESCRIPTION
Detailed description of work to
V £
be included on thls permlt only
RAMS
nanARr"low
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RTY
PROPEOYiNER
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3750 a Wit" S.
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STATE
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NAME
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PHONE
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CONTRACTOR
(r�ouwRATIONDATE
FAX
VA STATE CONTRACTOWELICENSE s
PEDERanAYauanEssn 06"s
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APPLICANT
RAW
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CITY
STATE
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FAX
PROJECT CONTACT
NAM y
PRaweY PHONE
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4
(The individual to receive and
respond to aff correspondence
cffv
a
sTATE
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concerning this appticaGon)
SECT FWAIMNo
HAPS
OWNER -FINANCED
When value is $5� 000 or more
(RCW 19.27.095)
HALING A00I010E1 CT, STATE. a
PHONE
I cerft under penalty ot'perjury that r am the property owner or sudmrb:ed agent of the property owner. l cerfffy that to 09 best or my knowkx1ge6
the information submitted in support of tills permit application is true and correct I certily tinct I wNf comply with all applicable City of Federal Way
regulations pertaining to the work autinorized by the issuance of a permit 1 understand d at the issuance of We permit does not remove the owner's
responsibility for compliance with local, state, or federal laws regulaling construction or environmental laws.
1 further agree to hold harmless the City of federal Way as M any cialm (including coats expenses, and attorneys' fees incurred in Me investigation
and deAmse of such cialm), which may be made by any person, IneiudM9 the undersigned, and (tied against the city, but only where such claim arises
out of the reliance of the city,K7offters and employees, upon the accuracy of the information supplled to the city as a part of thfs
application_
SIGNATURE: DATE D
PRINT NAME: ,e /
Bulletin #100 – January 29, 2016 Page 1 of 2 k:lHandouts\Peralit Application
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