16-101505City of Federal Way
Community& Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609 FILE
Project Name: KING
Project Address: 762 SW 337TH ST
Building - Single Family
Permit #: 16 -101505 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 729804 0240
Project Description: REP - Tear off existing cedar shake roof and install OSB and composition shingles.
Owner
A I�
Contractor
Lender
TERESA W KING
RANDY LUSSIER
MAPLE LEAF HOMES LLC
ink 'I 's�''
WJ
762 S 337TH ST
MAPLE LEAF HOMES LLC
MAPLELH856MW (7/16/17)
FEDERAL WAY WA 98023-5007
6708 46TH AVE NW
6708 46TH AVE NW
GIG HARBOR WA 98335
GIG HARBOR WA 98335
Census Category: 555 - Non-structural roofing permits
Includes:
#1 #2 A#4
Occupancy Class:
R-3
Construction Type:
Type V - B
Occupancy Load.'
ink 'I 's�''
WJ
Floor Areas . ft.
0 0 0 0
Wim,. �y
Additional Permit 1 rmation *'
New / Additional Sq. Feet - 3rd Floor....................0 New/ Addi ' Feet - Basement .................. 0
Occupancy # 1 - Construction Type........................Ty - ,, ' Mechanical Included? ................................... No
Occupancy # 1 -Class.............................................R :,>K. PI to be Included? ...................................... No
Occupancy # 1 -Use ..................................... .... nce;(fi or 2
1 hereby certify that\'9:2
the occupanc d the
or dl1t:
f
ERNJO EX turday, September 24, 2016
4, Permit on Monday, March 28, 2016
informal is correct and that the construction on the above described property and
will be in a rdance with the laws, rules and regulations of the State of Washington.
and the City of Federal Way. 2
Date:
THIS CARD IS TO REMAIN ON-SITE _
cmw, - Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 16 -101505 -00 -SF Address: 762 SW 337TH ST
Project: TERESA W KING FEDERAL WAY, WA 98023-5007
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.
El
Roof Nheathing (4220)
❑
Yinal - Buildij
Final Electrical
Approved
Approved to install roofing
Approved
By
.-f") Date H/Z 7 ) / (9
By
Date
El
Rough Electrical
Approved1:1
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
4ik
CITY OF
Federal Way
PERMIT NUMBER I `0 _
PJCEIM
MAR 8 8 2016
PERM IMPPLICATION
CITY OF FEDERAL WAY
la JSd� -SV'
Z
TARGET DATE 1�,
SITE ADDRESS
-7
SUITE/UNIT #
LJ 3 3 w
PROJECT VALUATION
$
ZONING
ASSESSOR'S TAX/PARCEL #
Q H_ 0 2 C� o
2-e,coos
TYPE OF PERMIT
UILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION . ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
K j N C
��� i
5 AV() Sk
PROJECT DESCRIPTION
j
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
-T�'6�5/ K I�
S3 CD Z 4 2-C7
PROPERTY OWNER
MAILING ADDRESS / +�►
E-MAIL
CITY ,Q
E�CQg&qj LtAy
STATE
IWA
ZIPS
1 O
0
NAME I(YM. � C cn L.0 -C_.
P2-53 S
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY STAT
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE M
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
PLf L H
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E -MAH.
CITY
STATE
ZIP
FAX
NAME
PRIMARY PHONE
PROJECT CONTACT
N LiII S S
MAILING ADDRESS ��
EMAIL
(The individual to receive and
respond to all correspondence
4
STATrk
ZIP /'I /
GI7�r\
FAX
concerning this application)cz
PROJECT FINANCING
NAME
OWNER -FINANCED
When value is $5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
f S Z6 7.
I certify under penalty of perjury that I am the property owner or authorized agent of the property owns—er. 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 a part this application.
coof
SIGNATURE: C7'DATE
PRINT NAME:`/,\�_�
Bulletin #100 — February 22, 2016 Page 1 of 2 k:\Handouts\Permit Application