16-104280city of Federal way
Anolicant
Community & Econ. Dev. Services'
Lender
33325 8th Ave S
E'
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
TEKLINE ROOFING LLC
Project Name: WARTELLE
Project Address: 308 S 361ST PL
Building Single Family
Permit #: 16 -104280=00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 113780 0150
Project Description: REP - Tear off shake roofing & install % plywood CDX with presidential TL.
Owner
Anolicant
Contractor
Lender
PHILLIP WARTELLE
NEIL HAUGEN
TEKLINE ROOFING
308 S 361ST PL
TEKLINE ROOFING LLC
TEKLIR*850KQ (5/18/17)
FEDERAL WAY WA 98003
609 INDUSTRY DR
609 INDUSTRY DR
TUKWILA WA 98188-3407
SEATTLE WA 98188
Census Category: 555 - Non-structural roofing permits Q
Includes: #1 #2 #3 #4
Occupancy Class: R-3 Ank
Construction Type: Type V - B r
Occupancy Load it,l:
Floor Areas . ft. 0 0 0 0
coo
Additional Perri "'l 'fon ation
J*-
New / Additional Sq. Feet - 3rd Floor...................ko%
New / Addition - Basement ................0
Calculated Structure Valuation .............................. Occupan -C ction Type .......................Type V - B
Mechanical to be Included?................................r Occupanc Class ............................................. R-3
Plumbing to be Included?......................................F Occup - Use ............................................... Residence (1 or 2
family)
N ituc>,ciated With This.Pecmit 11
�,ERMIT EXPI unday, February 26, 2017
Permit Ispae Tuesday, August 30, 2016
Ie �t t"above information is correct and that the construction on the above described property and
th upan�y an#,the use will be in accordance with the laws, rules and regulations of the State of Washington
d the City of Federal Way.
Owner or agt: Date:
THIS CARD IS TO REMAIN ON-SITE
SOF Construction Inspection Record -
Federal Way INSPECTION REQUESTS: (253) 835-30M
PERMIT #: 16 -104280 -00 -SF Address: 308 S 361 ST PL
Project: PHILLIP WARTELLE FEDERAL WAY, WA 98003-8636
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 ) Final - Building (4050)
Approved to install roofing Approved
By QAr#wj Date <�- - 31By Date
Rough Electrical
Approved
0
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF
Federal Way
PERMIT NUMBER 1 1 _ I
EIVEQ PERM ITOPPLICATION
PERMIT CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325
AUG 3 0 2016 253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
QF, FEDEPAL WAY
sh�
— TARGET DATE /
SITE ADDRESS
SUITE/UNIT #
k WAII Qcc-)
$�� ECT VALUATION
ZONING
ASSESS �R TAR/PARCEL # -7 - 0 '
�--0 --S--
TYPE OF PERMIT
b'BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
Pa-'(-Wt—
4'C5 Z C
PROJECT DESCRIPTION
ff.�
Detailed description of work to
be included on this permit only
NAMEk't�`
PRIMARY PHONE
PROPERTY OWNER
MAILING ADD S
0.1 Q L
E-MAIL
o
CI j _ C-
STATE
ZIP
NAME
T-'tt� -�
PHONE
tc c -z,�� � 3
MAILING ADDRESS
Z7V -5k T
E -MAI �p
I
CONTRACTOR
'ITY V"')
� a �..Lly.
ST
ZIP 5 I 8 9
FAX
WA STATE CONTRACTOR'S LICENSE #
`Z? 1�L 4� 8�
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
3 i
2-0-15-
/)o
NAME D`/ A � (7*)(ie
PRIMARY PHONE
MAILING ADD s
aaf^1
E- 4 J
[ ICvti
APPLICANT,
CITY
u
STATE
ZIP
Q
FAX
we
l88
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
When value is $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 c y as ap f this application.
-)
SIGNATURE: DATE
PRINT NAME: 2i v`
Bulletin #100 – January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application
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